Are Youth Sexting Rates Still on the Rise? A Meta-analytic Update

Risk Factors for Non-Consensual Sexting Among Adolescents and Emerging Adults: An Extension of the Routine Activity Theory Perspective

Adolescence and emerging adulthood are developmental phases in which the exploration of one's own sexuality takes on a high priority, which can increase the risk of risky sexual behavior. Due to technological advances, (non-consensual) sexting has increased among young people and has become an integral part of their sexual socialization. Therefore, the main objective of this study was to examine non-consensual sexting (both victimization and perpetration) among adolescents and emerging adults and to identify potential risk factors associated with non-consensual sexting using routine activity theory. The sample consisted of a total of 3514 adolescents aged 10-17 years (43% males; 57% females) and 3674 emerging adults aged 18-25 years (23% males; 77% females) from Bosnia and Herzegovina and Croatia. The results showed that both male adolescents and emerging adults were at higher risk for experiencing non-consensual sexting victimization. Personal factors such as gender, age, social bond, and routine cell phone activity predicted the risk of becoming a victim of non-consensual sexting in adolescents. For emerging adults, gender, social connection to friends, and routine cell phone use predicted the risk of becoming a victim of non-consensual sexting. Relationship status and routine cell phone activity predicted the forwarding of other sexts for both age groups. According to international scientific research and the findings of this particular study, we can conclude that the study of personal factors and routine variables helps understand non-consensual sexting among youth but is also essential in planning educational resources and preventive activities.

Implementation of a digital health intervention for young people exposed to Technology Assisted Sexual Abuse

BACKGROUND

The internet has become a place of increased risk of abuse, including sexual abuse, for young people (YP). One potential risk factor to online abuse and exploitation is the ability to mentalise. We developed the i-Minds app, a mentalisation-based digital health intervention (DHI) for YP who have experienced technology assisted sexual abuse (TASA), which we tested in a clinical feasibility trial. Nested within the trial was a qualitative implementation study with clinicians who referred to the trial.

OBJECTIVE

To explore the barriers and enablers to the future integration of i-Minds into clinical practice.

PARTICIPANTS AND SETTING

Twelve HCPs were recruited from across two trial recruitment sites (Manchester and Edinburgh).

METHODS

Semi-structured interviews were informed by Normalisation Process Theory (NPT). Framework analysis was used; transcripts were coded deductively to NPT constructs.

RESULTS

Practitioners were positive about the need for, and added value of, the i-Minds app over existing interventions, including other DHIs. While they felt confident with the app, concerns remained around the safety of using the app without practitioner support. i-Minds promoted changes in practitioners' work and impacted online behaviour of YP. There was an identified need for further training and organisational support.

CONCLUSIONS

Practitioners are aware of TASA but have limited knowledge, skills and tools to work with TASA in clinical practice with YP. There is a need for awareness raising and education about TASA and DHI. i-Minds offers a theory-informed DHI for working with YP exposed to TASA that is acceptable to practitioners and YP.

Patterns of Sexting by Youths: A Latent Class Analysis

Sexting (exchanging sexual correspondence in the online space) is considered a practice that expresses sexuality in the online space. Between adolescents, sexting can be part of a couple relationship or outside of it, and can be voluntary or coercive. Regardless of motives, sexting has been linked to various negative outcomes. Understanding the factors that influence sexting behavior is essential for developing effective prevention and intervention programs. The present study aimed to identify and compare different profiles of sexting behavior in adolescents using latent class analysis. Participants were 487 Israeli adolescents aged 14-19 (male N = 215, 44%, female N = 272, 56%) years who completed an online survey of demographic factors, online parental mediation, family and friend cohesion, and perception of sexting norms. Two distinct classes of individuals were identified: those who engage in sexting ("sexters") and those who do not ("non-sexters"). Sexters were more likely to be secular, and without a romantic partner. These findings may inform interventions aimed at preventing negative outcomes associated with adolescent sexting.

Associations between receiving non-consensual image and video sexts and average sleep duration among adolescents and young adults

Background Sexting is the sending and receiving of nude or partially nude images or videos. Despite it being a part of contemporary relationships, it can have adverse effects. This is particularly the case when receiving non-consensual sexts. To date, there remains a gap in the literature on whether receiving non-consensual sexts is associated with poor sleep. Therefore, the aim of this study was to determine the association between receiving non-consensual sexts and average sleep duration. Methods Data from Wave 2 (2022) of the Canadian Study of Adolescent Health Behaviours (N =906) were analysed. Multinomial logistic regression analyses were used to determine the association between receiving non-consensual sexts (both image and video) in the past 12months and average sleep duration (≤5h, 6h, 7h, 8h, and ≥9h) in the past 2weeks. Analyses were stratified by gender. Results Girls and women who received non-consensual image and video sexts, compared to those who did not, were more likely to report ≤5h of average sleep in the past 2weeks, relative to 8h of average sleep. There were no significant findings among boys and men. Conclusion Findings underscore that receiving non-consensual image and video sexts may negatively impact sleep among girls and women, which may be contextualised by trauma responses experienced because of gender-based sexual violence. Healthcare and mental health professionals should be made aware of this association to provide effective care to girls and women.

Strategies to develop an LGBTQIA+-inclusive adolescent sexual health program evaluation

Introduction

Adolescent sexual health interventions are increasingly incorporating content that is inclusive of LGBTQIA+ youth (lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other marginalized sexualities and genders). Evaluations of such programs must also be inclusive to enhance the validity of evaluation results and avoid further marginalization. We present strategies for increasing LGBTQIA+-inclusivity based on our evaluation of SafeSpace, a sexual health curriculum.

Methods

To design an LGBTQIA+-inclusive program evaluation, we leveraged LGBTQIA+ research staff's insights, pursued a parental consent waiver, developed an inclusive recruitment plan, and crafted demographic and sexual behavior survey measures with input from youth and equity experts. We conducted a pilot study with 42 youth ages 14-17 to assess the feasibility and efficacy of our strategies.

Results

We obtained a parental consent waiver and recruited a majority LGBTQIA+ pilot study sample (62%). Using themes from cognitive interviews with youth and experts regarding inclusive framing and use of plain language, we refined demographic measures and expanded sexual behavior measures.

Conclusion

Findings suggest that the strategies used to enhance LGBTQIA+-inclusivity in our evaluation of SafeSpace were effective in respectfully and more accurately capturing a fuller range of experiences and identities of LGBTQIA+ and cis-straight youth. The strategies and survey measures developed for this study can be applied to increase LGBTQIA+-inclusivity in other adolescent sexual health program evaluations.

Nonconsensual Sexting: Are the Moral Processes the Same If Boys or Girls Appear in the Forwarded Content?

Sexting is a form of intimate communication available in today's digital society consisting of exchanging erotic-sexual content online. However, doing it without the consent of the person appearing in the content is becoming a normalized form of cyberviolence among adolescents. To advance our understanding of this phenomenon, further research is needed on its facilitating factors, which may include those related to its potential moral dimension and online disinhibition. This study aims to analyze, according to gender and age, the relationship between nonconsensual forwarding of erotic-sexual content, differentiating between the type of content and the gender of the person appearing in it, moral disengagement, and toxic online disinhibition. A total of 1,611 adolescents (47.9 percent girls) aged 12-15 years (M = 13.4; SD = 1.0) participated in the study. Moral disengagement and toxic disinhibition have been shown to facilitate nonconsensual forwarding of erotic-sexual content, but their relevance varies depending on the type of content, and whether girls or boys appear in it. Facilitating factors for nonconsensual forwarding of content featuring boys include age, the diffusion of the consequences, and toxic online disinhibition. For girls, identifying with the male gender and cognitive restructuring were the main facilitators. These findings represent an original advance in the field of study by discriminating between the type of content forwarded and the gender of the person who appears in it. The differences found contribute toward explaining the processes that lead to making immoral decisions when sexting and help lay the foundations for designing psychoeducational programs in the future.

Associations between externalizing behavior problems and risky sexual behaviors in adolescence: Attachment as a mediator

INTRODUCTION

Risky sexual behaviors in adolescence are associated with negative health and psychological functioning outcomes. Although the association between behavior problems and risky sexual behaviors is well established, addressing these problems requires understanding the mechanisms that help explain this association. Adolescent attachment, while related to risky sexual behavior, has not been extensively explored as an outcome of childhood externalizing problems. The two objectives of this study were to explore the links between parental and peer attachment and risky sexual behaviors and to examine the mediating effect of attachment on the links between behavior problems and risky sexual behaviors.

METHODS

Five hundred and ninety-eight French-Canadian adolescents (46.2% girls), Mage at T1 = 13.23; Mage at T2 = 14.28; Mage at T3 = 17.35) participated in this longitudinal study.

RESULTS

The quality of parental attachment at T2 was significantly and negatively associated with risky sexual behaviors 3 years later, at T3. More specifically, a lower quality parental attachment relationship was associated with having nonexclusive partners as well as with inconsistent condom use. Finally, parental attachment (T2) was a significant mediator between behavior problems (T1) and risky sexual behaviors (T3), but only for younger adolescents.

CONCLUSIONS

Findings suggest that in addition to behavior problems in adolescence, the quality of parental attachment relationships may help in understanding risky sexual behaviors in adolescence.

Social Media and Youth Mental Health

PURPOSE OF REVIEW

We review recent evidence regarding the relationship between the social media (SM) habits, experiences, and the mental health of youth. We examine effects of social media use (SMU) on specific diagnoses including depression and anxiety. The relationship between psychiatric illness, specific SM experiences, and the issue of SM mental health contagion is also explored.

RECENT FINDINGS

Youth engagement in SMU has increased dramatically in recent years, concurrent with increases in prevalence of depression and anxiety. The relationship between SMU and mental illness is complex and depends on characteristics of the user (e.g., social comparison and fear of missing out (FOMO) and their SM habits and experiences (e.g., cyberbullying, and sexting,). SM engagement has distinct impacts on anxiety, depression, and suicidality. Growing evidence documents how SM may be a medium for psychiatric contagion. Research findings are largely correlational and dependent on subjective report, limiting their interpretation. The mental health of youth is increasingly tied to their SMU, depending greatly on how youth engage with SM and resultant feedback. Future research must look to establish causality in relationships between SM and mental illness.

Estimating the Prevalence and Identifying the Correlates of Sexting Behaviors Among Cambodian Male Adolescents

Male youths are more likely to experience peer pressure that encourages them to engage in risky behaviors than female youths, and this pressure can lead to an increased risk of sexting among male youths. This study aimed to investigate the prevalence of and factors associated with sexting among Cambodian male youths. The correlational cross-sectional study design was utilized. This study surveyed 647 Cambodian male youths aged 15 to 24 years. The measurement included sending or receiving messages (sexts) that contain sexually explicit messages, images, or videos, and affecting factors to sexting. Around 32.5% of participants sent sexts, and 38.9% received them. Open relationships, pornographic website use, perception of friends' sexual activity, frequent thoughts about sex, higher sexual sensation-seeking tendencies, positive attitudes toward sex, and sexual experience were associated with increased likelihood of sending and receiving sexts. Based on the findings of this study, by offering suitable education, guidance, and intervention programs, we can effectively mitigate the adverse repercussions of sexting while fostering healthy sexual behaviors among youths.

Understanding the Dynamics of Unwanted Online Sexual Solicitation Among Youth in Taiwan: Vulnerability and Resilience Factors

The rise in online sexual exposure and solicitation among youth has heightened concerns. Youth, due to their limited socio-cognitive capacity, face greater risks of online sexual victimization compared to adults. Unwanted online sexual solicitation (UOSS) is a concerning aspect of sexual victimization, encompassing requests for unwanted sexual talks, activities, and sharing personal sexual information or images online. This study, based on target congruence theory, examined UOSS risk and protective factors using a national-representative youth sample in Taiwan. In 2020, 19,556 students (Grades 5-12, average age 15, 50% male) participated in the school-based online survey. Hierarchical linear regression was used to determine the significance of UOSS predictors. Findings revealed a 15.4% prevalence of UOSS. Accounting for age and gender, target-vulnerability variables (self-esteem, bullying victimization, psychological distress) and target-gratifiability variables (online self-disclosure, time spent online) significantly linked to UOSS. Youth who were bullied, had greater psychological distress and online self-disclosure, and increased Internet use were prone to UOSS, while self-esteem mitigated risks. Bullying victimization and online self-disclosure were the strongest correlates of UOSS in Taiwan's youth, followed by psychological distress, Internet usage, and self-esteem. In sum, this study enriches the understanding of UOSS among Taiwanese youth and suggests strategies to prevent online sexual victimization. Enhancing self-esteem, promoting social media education including online privacy and self-disclose, tackling bullying, addressing psychological distress, and furnishing relevant services are crucial preventive measures. These findings offer guidance to parents, educators, and health professionals for supervising and steering adolescents' online conduct, presenting an evidence-based framework to avert online sexual victimization.

Prevalence and risk factors for nonconsensual distribution of intimate images among Italian young adults: Implications for prevention and intervention

Nonconsensual distribution of intimate images (NCII), also known as revenge porn, has become a significant social issue in recent years, with severe consequences for victims. The present study aimed to investigate the prevalence and predictors of NCII victimization among young Italian adults, focusing on the role of sexting, intimate partner violence (IPV), impulsivity, and self-disclosure. An online survey was conducted among a sample of 2047 Italian young adults (F = 29.3 %, M = 53.4 %, Not Indicated=16.9 %; mean age = 24.4, SD = 4.4) using a convenience sample recruited through internet. The survey included questions on NCII victimization, sexting behavior, sextortion, and IPV. Our findings showed that 33.9 % of respondents reported engaging in sexting behavior, with females being three times more likely to engage in sexting than males. Furthermore, 3.3 % of participants reported being victims of NCII, with over one-third of victims experiencing three or more types of NCII victimization. Multiple regression analysis revealed that sexting and IPV were significant predictors of NCII victimization, and the interaction effect between self-disclosure and impulsivity was also a significant predictor. This study contributes to the understanding of NCII in Italy and highlights the need for interventions and prevention strategies to address both NCII and IPV, given their strong continuity. The results also suggest that the relationship between self-disclosure, impulsivity, IPV, and NCII victimization is complex and requires further investigation, suggesting a scenario where the climate of violence may impair the victim's decision-making.

Sexting Among Australian Adolescents: Risk and Protective Factors

Although consensual sending of sexts between adolescents is considered developmentally appropriate, it may also entail a range of negative consequences. Current sexting research lacks a comprehensive theoretical framework identifying a range of risk and protective factors underpinning adolescent consensual sending of sexts across individual, interpersonal, and distal levels. Further, there is a lack of systematic evaluation of how the importance of these factors may vary across adolescent age. This study investigated the utility of the Social Development Model to predict a range of risk and protective factors across individual, family, peer, school, and community-level factors. The sample included 1302 teenagers from Victoria, Australia (M_age = 14.54, SD = 1.14, 50.8% girls). Results indicated that 146 (11.7%) participants sent a sext (76 boys and 70 girls). Logistic regression analyses revealed that the Social Development Model accounted for 45.8% of variance in sexting, with greater likelihood of sending sexts being associated with older age, prior sexual activity, school sector, physical activity, lifetime substance use, greater depressive symptoms, sensation seeking, and perceived substance availability in the community. Multigroup analyses revealed that lifetime substance use was associated with a greater likelihood of sending sexts among younger teens. Among older adolescents, adaptive coping was associated with reduced engagement in sexting, while higher parental overcontrol and family conflict increased the odds of sending sexts. Overall, sexting is associated with a range of modifiable factors potentially amenable to intervention.

Adolescent experiences of sexting: A systematic review of the qualitative literature, and recommendations for practice

INTRODUCTION

Sexting among adolescents continues to garner interest across disciplines due to its prevalence in the lives of young people and the potential for extremely negative outcomes associated with the behavior. The present review aimed to integrate the existing qualitative research on adolescent sexting experiences, to provide empirically-supported recommendations for professionals working with adolescents.

METHODS

A search of four databases relating to adolescent experiences of sexting was conducted, resulting in the inclusion of 28 studies in the review. Quality appraisal of these studies was completed in line with the Critical Appraisal Skills Profile qualitative checklist.

RESULTS

Major themes in the qualitative studies were synthesized to generate recommendations for professionals. These recommendations are categorized as (a) "proactive" (enhancing positive and contextualized education and attempting to mitigate the likelihood of young people having negative experiences with sexting), (b) "responsive" (management of disclosures of distressing experiences with sexting, including image-based sexual abuse [IBSA]), and (iii) "clinical" (increasing awareness among clinicians of pertinent issues concerning intervention with young people who are engaging in sexting, or who have been victimized by IBSA).

CONCLUSIONS

The qualitative literature was found to provide rich insight into adolescent experiences of sexting, thus allowing for the generation of evidence-based recommendations which are consistent with young peoples' own interests and preferences. Limitations in the existing literature base were discussed (e.g., lack of specificity in methodological reporting), and suggestions were given for future research (including the need to explore sexting experiences of LGBTQ + adolescents in more depth).

Exploring the Protective Value of Using Sexting for Condom Negotiation on Condom use Determinants and Practices Among Forcibly Displaced Adolescents in the Slums of Kampala, Uganda

Given the global growth of adolescent texting, we evaluate texting-based sexual communication as a potential site for interventions encouraging condom use cascades, particularly among displaced adolescents-a population with disproportionate levels of sexually transmitted infections, including HIV. With data from 242 forcibly displaced adolescents in the slums of Kampala, Uganda, we used path analysis to examine pathways from gender/dating relationship to condom determinant (knowledge of where to access condoms) and practices (access/use of condoms), through sexting-based condom negotiation, controlling for sexting practices. We found direct pathways from gender (boys vs. girls) and from dating relationship (dating vs. not) to condom determinant. Sexting-based condom negotiation partially mediated the pathway from gender/dating relationship to condom determinant, and fully mediated the pathways from gender/dating relationship to condom practices. Future digital sexual health interventions should consider the utility of texting-based applications in promoting knowledge and use of condoms among adolescents.