Sexual media exposure, sexual behavior, and sexual violence victimization in adolescence

Risk Factors for Early Sexual Intercourse in Adolescence: A Systematic Review of Cohort Studies

This systematic review provides a comprehensive assessment of risk factors related to early sexual intercourse (ESI) among adolescents. We used PRISMA guidelines to identify eligible cohort studies published between January 1999 and December 2020. We searched on three databases: PubMed, Embase and LILACS. Studies were screened for quality and eligibility. Of 2787 identified studies, seven met our inclusion criteria. The studies examined a range of factors, which were organized into four dimensions - individual, family, social and environmental, and sociodemographic. Risk factors with strong associations for ESI were: adolescent and parental substance use, aggression and conduct disorders, family attachment, school achievement, family living situation, and maternal education. Three studies were birth cohorts. This review demonstrates the important roles of substance use, family attachment and academic factors in shaping adolescents' sexual behavior. A strength of this review is its focus on longitudinal studies, enabling exploration of exposures collected before initiation of sexual intercourse.

Associations Between Sexualized Media Consumption, Sexual Double Standards, and Sexual Coercion Perpetration and Victimization in Late Adolescent Sexually Active Boys and Girls from The Netherlands

This study examined associations between sexualized media consumption, sexual double standard (SDS) norms, and sexual coercion perpetration and victimization in late adolescence and whether these associations were moderated by gender. Participants were sexually active Dutch secondary school students aged 16-20 years (N = 255, 58.4% girls). Data were collected using a self-report questionnaire at a single time-point. Overall, more sexualized media consumption was associated with higher odds of both sexual coercion perpetration and victimization. These associations did not differ by gender. Specifically, viewing online pornography and sexually oriented reality television more frequently were associated with higher odds of sexual coercion perpetration, whereas viewing others' sexy social media posts more frequently was associated with higher odds of sexual coercion victimization. Finally, stronger endorsement of SDS norms was associated with lower odds of sexual coercion perpetration in girls, but with comparatively higher odds of sexual coercion perpetration in boys. Results indicate that consuming sexualized media and societal sexual double standards is associated with an increased risk of sexual coercion experiences in adolescence.

Measuring Electronically Shared Rape Myths: Scale Creation and Correlates

Increased access to information online (e.g., social media) provides opportunities for exposure to rape myths (i.e., false beliefs about incidents of sexual assault). Social media, in particular, may serve a critical role in shaping rape culture. Thus, it is important to identify ways to assess online exposure to rape myths, especially given the influence online exposure may have on offline behaviors. Data were analyzed from 2,609 18-25-year-old participants (mean age = 20.9 years; 46.1% male; 71.6% White) recruited in 2017 through social media to complete an online survey on experiences and perceptions of sexual violence. We used exploratory and confirmatory factor analyses (EFA, CFA) to evaluate the relatedness of nine items adapted to reflect rape myths posted by friends on social media. We split the sample into training (50%) and testing (50%) sets for the EFA and CFA, respectively, then evaluated the correlation between experiences of sexual violence, substance use, and social media use and exposure to online rape myths. Eigenvalues (1-factor: 5.509; 2-factor: 0.803; 3-factor: 0.704; 4-factor: 0.482), factor loadings, fit statistics (RMSEA: 0.03; CFI: 0.99; TLI: 0.99; SRMR: 0.057), interpretability, and existing theory supported a 1-factor solution, which was supported by CFA fit statistics (RMSEA: 0.021; CFI: 0.99; TLI: 0.99; SRMR: 0.038). Cronbach's alpha of the nine items was .77. Greater exposure to online rape myths was associated with greater likelihood of attempted rape perpetration (β = .052, SE = .016, p < .005), rape victimization (β = .045, SE = .009, p < .005), use of illicit drugs (β = .021, SE = 0.008, p < .05), being male (β = .017, SE = .008, p < .05), and being younger (β = -.008, SE = .002, p < .005). Our findings support assessing exposure to online rape myths, which may be important for informing sexual violence prevention and intervention efforts.

Adults and Family as Supportive of Adolescent Sexual Development in the Age of Smartphones? Exploring Cybersexual Violence Victimization, Pornography Use, and Risky Sexual Behaviors

Among adolescents, engagement in risky sexual behavior is an important public health concern. Research has begun to explore the impact of adolescents' online experiences with their social and behavioral health as approximately 95% of adolescents have access to a smartphone connected to the internet. However, little research has specifically examined how online experiences impact sexual risk behaviors among adolescence. To fill gaps in the existing research, the current study sought to investigate the association between two potential risk factors and three sexual risk behavior outcomes. We examined how experiencing cybersexual violence victimization (CVV) and using pornography during early adolescence was associated with condom use, birth control use, and use of alcohol and drugs before sex among U.S. high school students (n = 974). Additionally, we explored multiple forms of adult support as potential protective factors of sexual risk behaviors. Our findings suggest that CVV and porn use may be associated with risky sexual behaviors for some adolescents. In addition, parental monitoring and support from adults at school may be two ways to support healthy adolescent sexual development.

"I Can Tell You Wanna F***": A Content Analysis of Sexual Communication in Popular Song Lyrics

Given that exposure to sexual messages in song lyrics can influence sociocultural norms and expectations surrounding consent communication between partners, we sought to understand the types of messages regarding sexual initiation and consent language that are available to media consumers. Through the lens of sexual script theory, we conducted a quantitative content analysis of sexual consent in pop (n = 197), hip-hop (n = 193), and country songs (n = 194) from 2016 to 2019. Differences in these messages were examined across singer gender, music genre, and time (pre- vs. post-#MeToo). Results indicated that references to sexual demands (e.g., "Strip that down") and sexual preferences (e.g., "I want it slow") were the most common types of sexual communication, appearing in approximately one-third of the singing parts included in the sample. Sexual suggestions (e.g., "Let's get nasty") and sexual requests (e.g., "Can I hit it?"), on the other hand, were the least common. References to inferred consent (e.g., "I can tell you wanna f***") appeared in approximately one-fifth of the singing parts. Both sexual demands and sexual preferences were more likely to appear in pop compared to hip-hop and country songs; however, these sexual communication messages did not significantly differ by male and female singers. Sexual requests were significantly more likely to appear in pre-#MeToo song lyrics. The messages embedded in popular songs may help to reinforce problematic scripts around sexual consent.

Impacts of electronic device use on adolescents' sexual knowledge, attitude and perception during the COVID-19 pandemic: A representative sexuality survey

Background

COVID-19 pandemic has led to school closure and social distancing measures for infection control. Many young people thus spent more time on electronic devices and the Internet. This study aimed to determine if and how sexual knowledge, perception and behavior as well as sexuality among Hong Kong adolescents were affected as a result.

Methods

Youth Sexuality Study conducted by The Family Planning Association of Hong Kong (FPAHK) evaluated the sexual knowledge, attitudes and behaviors and sexual health of youth every 5 years since 1981 with adaptations made to the changing environment. We analyzed this cross-sectional data on sexual knowledge, attitude, and experiences as well as the impacts of COVID-19 on daily life, health and relationships. Univariate analysis was conducted to investigate the relationships between the time spent on electronic devices and sexuality, while mediation analyses using the PROCESS procedure were performed to further explore differences in time spent on electronic devices.

Results

During the COVID-19 pandemic, the majority of our participants spent more time on social media and browsing the Internet on electronic devices with less time for extracurricular activities and learning. Nonetheless, there was better overall sexual knowledge and a lower degree of sexual stigma with a higher overall acceptance of sexual minorities. The mediation analyses found that sexual content [Conditional effect = 0.024 (95% CI 0.008, 0.043)] and engagement online [Conditional effect = 0.036 (CI 0.021, 0.053)] could indirectly influence the effect of screen time on the frequency of sexual practices.

Conclusion

Policymakers and frontline professionals should re-examine the pedagogy of the present sex education and consider online sex education as the key mode of delivery while guiding the proper use of electronic devices in the learning and exploration of sexual knowledge.

School Bullying Victimization and Associated Factors Among School-Aged Adolescents in China

There has been a significant amount of research on correlates of bullying victimization, but most prior studies are descriptive and do not distinguish between different types of bullying. The current study used a case-control study design to explore factors related to different types of bullying victimization, including physical, relational, verbal, sexual, property, and poly-bullying victimization. This study was conducted in a southern city in China, including 3054 cases who self-reported being victims of school bullying and 3054 controls who reported not being involved in any school bullying in the past 12 months. Each victim case was matched with a control on gender, school, and grade level. Univariate logistic analyses and multivariate conditional logistic regression analyses were used to identify factors associated with being a victim of school bullying. Results suggest physical bullying victimization was only associated with a family-level characteristic (parenting style) while the other four types of bullying victimization (relational, verbal, sexual, and property bullying) and poly-bullying victimization were associated with multiple social domain variables at individual, family, and school levels. Findings from this study provide evidence of factors for different types of bullying victimization and have implications for potential measures to prevent bullying. Measures from multiple social domains, including individual, family and school (e.g., developing healthy behaviors, improving social skills, positive parent-child interactions, building trust between teachers and peers, and forming strong friendships), should be considered in order to effectively prevent adolescent victimization from bullying.

Perceived Realism and Wishful Identification: College Students' Perceptions of Alcohol Ads and Their Intentions to Sexually Coerce with or Without Using Alcohol

Sexual coercion is a serious health problem in the United States, and it is the most prevalent form of sexual victimization that occurs on college campuses. The present study aimed to identify factors, such as exposure to objectified women in alcohol advertisements, that may contribute to college students' intentions to sexually coerce with alcohol use and without alcohol use. We also investigated the potential effects of gender stereotypes, wishful identification of alcohol ads, perceived realism of alcohol ads, and alcohol expectancies related to sexual enhancement on students' intentions to coerce. An online experiment was conducted with 1208 students from a large Northwestern university. Participants were randomly assigned to two conditions in which they were exposed to alcohol advertisements that included either highly objectified images of women or low-objectified images of women. The regression analyses indicate beliefs in gender stereotypes were the most consistent predictor across women and men's sexually coercive intentions, regardless if alcohol was used. Wishful identification with models in alcohol advertisements was positively associated with intentions to coerce, and perceived realism of alcohol ads was negatively associated with intentions to coerce. For college men's intentions to sexually coerce using alcohol, there were significant interaction effects between exposure to highly objectified advertisements and gender stereotypes. For women's intentions to sexually coerce using alcohol, the interaction between wishful identification and perceived realism was significant. Education efforts are needed to deal with the endorsement of gender stereotypes on college campuses. Media literacy may help college students critically evaluate portrayals of women in the media, and thus, in turn, may help lower intentions to sexually coerce.

Sexual Victimization in Adulthood and Associated Factors Among Men and Women: Cross-Sectional Evidence from Mainland China

Limited empirical research addresses sexual victimization and related factors among the general adult population in China. To address this gap, we explored the association between sexual victimization in adulthood and associated factors (unwanted sexual experiences [USE] before age 18, binge drinking prior to sex, hooking up, violent pornography use, awareness and perceived behavioral control of consent, and sexual refusal assertiveness) among a convenience Chinese sample. A cross-sectional study was performed in September 2020 among 898 screened men and women from 29 provinces in mainland China. Overall, 52.5% of men and 57.9% of women experienced sexual victimization at least once in adulthood. Men and women differed in the severity of sexual victimization in adulthood, with the mean severity scores of women being significantly higher than those of men. Hierarchical ordinal logistic regression revealed that, after considering control variables, correlates of severity of sexual victimization in adulthood included gender (OR 3.17, 95% CI 2.30-4.40), severity of USE before age 18 (OR 2.28, 95% CI 1.92-2.73), binge drinking prior to sex (OR 2.52, 95% CI 1.83-3.49), hook-up history (OR 2.24, 95% CI 1.49-3.39), violent pornography use (OR 1.07, 95% CI 1.04-1.09), lack of perceived behavioral control of communicating consent (OR 1.04, 95% CI 1.01-1.07), and sexual refusal assertiveness (OR 0.92, 95% CI 0.89-0.95). These findings indicate that early adverse sexual experiences, potential risky sexual behaviors, violent pornography use, and beliefs about consent and refusal may play an important role in predicting sexual victimization among Chinese adults.

Addressing Military Sexual Violence by Proposing a Social Media Influencer Model

Military sexual violence (MSV) is a prevalent issue that uniquely affects mission readiness. Although research on MSV and social media is growing, examinations of possible interventions like those employing social media in this population are scant. Given the growing interest in targeting MSV, the present systematic review was conducted. The PRISMA framework was used to conduct a systematic review of MSV and social media (N = 71). Queries were limited to articles published between 2010 and 2020. SAGE Journals, PubMed, and JSTOR were utilized. Terms and potential combinations were entered into the databases in varying Boolean combinations. Additional recorders were identified for inclusion via the reference sections of relevant records. After removing duplicates from the query results, we selected records of suspected relevance by title and screened abstracts. Finally, articles with relevant abstracts were reviewed thoroughly to determine whether they met inclusion criteria for the review. The employments of military leaders in a social media intervention puts into practice the military's central values and development of its leadership core. This intervention promotes group solidarity while maximizing conversations around meaningful messages. Findings in this review suggest military leaders could feasibly employ a cost-effective global intervention using social media, as a tool to help actively address MSV.

Association Among Television and Computer/Video Game Use, Victimization, and Suicide Risk Among U.S. High School Students

With the increasing popularity of mobile Internet devices, the exposure of adolescents to media has significantly increased. There is limited information about associations between the types and frequency of media use and experiences of violence victimization and suicide risk. The current study sought to examine the association of bullying and teen dating violence (TDV) victimization, suicide risk with different types of media use (i.e., television and computer/video game use), and number of total media use hours per school day. Data from the nationally representative 2015 Youth Risk Behavior Survey (n = 15,624) were used to examine the association between media use and violence victimization and suicide risk. Logistic regression models generated prevalence ratios adjusted for demographic characteristics and substance use behaviors to identify significant associations between media use and victimization and suicide risk, stratified by gender. Media use was associated with TDV victimization for male students only, while media use was related to experiences of bullying and suicide risk for both male and female students. In addition, limited (2 or fewer hours) and excessive (5 or more hours) media use emerged as significant correlates of suicide risk and bullying victimization, with limited media use associated with decreased risk and excessive media use with increased risk. Comprehensive, cross-cutting efforts to prevent different forms of victimization should take into account media use and its potential association with adolescent victimization and suicide risk. The current study results suggest limiting adolescent media use, as part of comprehensive prevention programming, might relate to reductions in risk for victimization and suicide.

Parent-Child Discrepancies in Reports of Exposure to Violence/Pornography on Mobile Devices and the Impact on Children's Psychosocial Adjustment

This study assessed the discrepancies between reports from parents and children concerning children's exposure to violence/pornography on mobile devices and the impact on the psychosocial adjustment of children. Data were obtained from a sample of 2,230 parent-child dyads recruited from 16 elementary schools (1,140 dyads) in Taiwan and 9 schools (1,090 dyads) in China. A self-administered questionnaire was used. The results showed that about 30 percent of children reported being exposed to violence on mobile devices. Approximately 70 percent of their parents were unaware of their child's exposure to violence on mobile devices. About 16 percent of children reported exposure to pornography on mobile devices, and 80 percent of their parents were unaware of this exposure. Multinomial logistic regression results showed that after controlling for parent and child sociodemographic variables, factors related to parental unawareness of child exposure to violence on mobile devices included a child's ownership of mobile devices, smartphone/tablet use time, a lower level of parental understanding, and a residence in China or in a rural area, whereas the parent-child relationship and a child's smartphone/tablet use time were associated with parents who were unaware of their child's exposure to pornography. Multiple regression results showed that children who were living with household poverty, had a poor parent-child relationship, spent much time using a smartphone/tablet, and with parents who were unaware of their exposure to violence/pornography on mobile devices were more likely to have emotional and behavioral problems.

Children who engaged in interpersonal problematic sexual behaviors

BACKGROUND

Over one-third of inappropriate sexual contact experienced by children is initiated by other children. Many studies examined child initiators (CIs) of interpersonal problematic sexual behaviors (IPSBs). This study uniquely links CI information with types of sexual contact as described by children they engaged in IPSBs.

OBJECTIVE

Describe CIs' characteristics and types of sexual acts they initiated.

PARTICIPANTS/SETTING

Medical charts of CIs and children they engaged in IPSBs. Examinations occurred between 2002 and 2013.

METHODS

Retrospective chart review.

RESULTS

Most CIs were male (83%) and related to the child they engaged in IPSBs (75%); mean age was 10 years (range 4-17); 58% reported viewing sexually explicit media; 47% experienced sexual abuse. Most CIs (68%) engaged in multiple types of IPSBs. Children who experienced IPSBs initiated by males reported engagement in greater numbers of invasive acts (t(216) = 2.03, p = .043). Older CIs were more likely than younger CIs to report viewing sexually explicit media (χ²(1) = 7.81, p = .007) and those who did were more likely to initiate more invasive acts (t(169) = 2.52, p = .013) compared to CIs who did not.

CONCLUSIONS

In this study, most CIs were young and experienced multiple adverse events; the most common types of IPSBs were invasive; and over half the CIs had been exposed to sexually explicit media, which was associated with initiating invasive sexual acts. These findings suggest aiming prevention efforts at young children to help them manage exposure to sexually explicit media and redress victimization experiences.

A Digital Pornography Literacy Resource Co-Designed With Vulnerable Young People: Development of "The Gist"

BACKGROUND

The impact of viewing pornography at a young age on the sexual health of subgroups of young people is an important public health issue. However, the topic is complex and extremely sensitive, and best practices for research and harm reduction are yet to be defined. Drawing on cross-disciplinary approaches, such as co-design, is one way to achieve a better understanding of the issue among vulnerable young people and to create needs-based and evidence-informed digital resources to promote pornography literacy.

OBJECTIVE

The objective of this study was to co-design a relevant, usable, and acceptable digital prototype to address the pornography literacy needs of vulnerable young people.

METHODS

In total, 17 young people aged between 14 and 23 years who were engaged in youth services programs or alternative education programs were recruited to participate in 4 co-design workshops with a multidisciplinary design team.

RESULTS

Although the participants could identify problems with pornography and critique its messages, they lacked the information to understand alternative healthy attitudes and behaviors. A digital resource that provides detailed and practical information about sex, sexual ethics, and relationships may help vulnerable young people to identify and contrast with any problematic messages they receive from both pornography and society. Embedding this information with pornography literacy messages may be a more effective way of addressing underlying attitudes. Acknowledging information-seeking patterns and leveraging user interaction patterns from commonly used digital platforms among users may enhance engagement with resources. Importantly, digital platforms are perceived among this group as a source of anonymous secondary information but would not be organically accessed among this group without face-to-face conversations as an access point.

CONCLUSIONS

This paper highlights the potential for pornography literacy to be embedded within real and practical information about having sex, navigating sexuality, and healthy relationships. The study findings include important recommendations for the conceptualization of digital pornography literacy programs and opportunities for cross-disciplinary co-design research to address complex and emerging health issues.

Exposure to sexually explicit media in early adolescence is related to risky sexual behavior in emerging adulthood

Background

Sexually explicit media exposure during early adolescence has been found to be associated with risky sexual behavior. However, previous study suffered from methodological issue, such as selection bias. Furthermore, little is known about the effect of multi-modality sexually explicit media exposure on risky sexual behavior, and how this relationship can be applied to non-western societies.

Objectives

This study aimed to improve upon previous studies by using instrumental variable estimation. In addition, this study also included multi-modality of sexually explicit media and three risky sexual behavior measure from a sample of Taiwanese adolescents.

Methods

Participants were recruited from a prospective longitudinal study (Taiwan Youth Project). All were in 7^th grade (mean age = 13.3) when the study was initiated in 2000. Sexually explicit media exposure, including ever-exposure and number of modalities exposed to, was measured in wave 2 (8^th grade). Risky sexual behavior was measured in waves 8 (mean age = 20.3) and 10 (mean age = 24.3). A two-stage least squares regression was employed, with pubertal timing as the instrumental variable.

Results

About 50% of participants had been exposed to sexual media content by 8^th grade, from an average of one modality. Sexually explicit media exposure predicted early sexual debut, unsafe sex, and multiple sexual partners (all: p < .05). Furthermore, exposure to more media modalities increased the likelihood of risky sexual behaviors. However, only the effect on early sexual debut was gender invariant.

Conclusions

Exposure to sexually explicit media in early adolescence had a substantive relationship with risky sexual behavior in the emerging adulthood. Knowledge of this causal like effect provides a basis for building better preventive programs in early adolescence. One prominent way is early education on media literacy, and physicians themselves may need to be familiar with such content to initiate it.

Study protocol for a randomized controlled trial to evaluate a web-based comprehensive sexual health and media literacy education program for high school students

BACKGROUND

School-based comprehensive sexual health education can improve adolescent health outcomes, and web-based programs are a promising approach to overcoming challenges associated with teacher-led formats by ensuring that students receive content that is consistent, unbiased, and medically accurate. However, many adolescents do not receive high-quality sexual health education and turn to the media for information about sex and relationships. Consumption of sexual media messages is related to early and risky sexual behaviors. Media literacy education (MLE) is a proven approach to adolescent sexual health promotion, yet there are no rigorously evaluated web-based MLE programs to promote sexual and relationship health among high school students.

METHODS

This study will test the efficacy, in a randomized controlled trial, of Media Aware, a web-based comprehensive sexual health promotion program for high school students that uses an MLE approach. Participants will be students in 9th and 10th grade health classes in participating schools. Randomization will take place at the school level, and data collection will take place at three time points (i.e., pretest, posttest, and 3 months follow-up). Students in the intervention classrooms will receive Media Aware between pretest and posttest, and students in the delayed-intervention classrooms will receive Media Aware after study completion (i.e., after 3 months follow-up data collection). Students in the delayed-intervention classes will receive their standard health education programming, and teachers in the delayed-intervention classes will be asked to refrain from teaching sexual health or MLE during the study timeframe. The primary outcome variables are intentions, willingness, and behaviors related to sexual health and sexual activity.

DISCUSSION

There are currently no evidence-based comprehensive sexual health programs for high school students that are web-based and use an MLE approach. Media Aware has the potential to be an engaging, less expensive, and effective sexual and relationship health program for high school students. Media Aware is unique in two important ways: (1) the web-based format reduces many of the challenges to fidelity of implementation associated with teacher-led sexual health education; and (2) the MLE approach addresses a commonly ignored influence on adolescent sexual and relationship health, namely, media.

TRIAL REGISTRATION

ClinicalTrials.gov, NCT04035694. Registered on 29 July 2019. Contact for Scientific Queries: Tracy Scull, PhD (Principal Investigator); innovation Research & Training at 5316 Highgate Drive, Suite 121, Durham, North Carolina, USA 27713; tscull@irtinc.us.

The Impacts of Sexual Media Exposure on Adolescent and Emerging Adults' Dating and Sexual Violence Attitudes and Behaviors: A Critical Review of the Literature

Dating violence (DV) and sexual violence (SV) are widespread problems among adolescents and emerging adults. A growing body of literature demonstrates that exposure to sexually explicit media (SEM) and sexually violent media (SVM) may be risk factors for DV and SV. The purpose of this article is to provide a systematic and comprehensive literature review on the impact of exposure to SEM and SVM on DV and SV attitudes and behaviors. A total of 43 studies utilizing adolescent and emerging adult samples were reviewed, and collectively the findings suggest that (1) exposure to SEM and SVM is positively related to DV and SV myths and more accepting attitudes toward DV and SV; (2) exposure to SEM and SVM is positively related to actual and anticipated DV and SV victimization, perpetration, and bystander nonintervention; (3) SEM and SVM more strongly impact men's DV and SV attitudes and behaviors than women's DV and SV attitudes and behaviors; and (4) preexisting attitudes related to DV and SV and media preferences moderate the relationship between SEM and SVM exposure and DV and SV attitudes and behaviors. Future studies should strive to employ longitudinal and experimental designs, more closely examine the mediators and moderators of SEM and SVM exposure on DV and SV outcomes, focus on the impacts of SEM and SVM that extend beyond men's use of violence against women, and examine the extent to which media literacy programs could be used independently or in conjunction with existing DV and SV prevention programs to enhance effectiveness of these programming efforts.

Pornography Use by Sex Offenders at the Time of the Index Offense: Characterization and Predictors

The purpose of this study was to characterize and predict sex offenders' pornography consumption at the time of the index offense. Participants were 146 male sex offenders incarcerated in a Portuguese prison establishment. A semi-structured interview and the Wilson Sex Fantasy Questionnaire were administered. While for some individuals pornography did not appear to play a role in their offenses, there were others whose prolonged use led to more sex fantasies and urges to enact the visualized contents. As pornography does not have the same effects on all people, management officials should bear this in mind when tailoring specific treatment programs.

Age, Aggression, and Pleasure in Popular Online Pornographic Videos

This article analyzes the content of 172 popular videos from the pornographic website PornHub.com . Although I found no difference between the levels of aggression in videos featuring teenage performers and those featuring adult performers, the former were more likely to have a title that suggests aggression and to include anal penetration and facial ejaculation. In addition, although all female performers were more likely to express pleasure following aggression, this association was stronger in videos featuring teenage performers. These videos portray aggression and degradation as both consensual— i.e., men dominating willing women—and sensual— i.e., producing pleasure for both men and women.

Pornography, Sexual Coercion and Abuse and Sexting in Young People's Intimate Relationships: A European Study

New technology has made pornography increasingly accessible to young people, and a growing evidence base has identified a relationship between viewing pornography and violent or abusive behavior in young men. This article reports findings from a large survey of 4,564 young people aged 14 to 17 in five European countries which illuminate the relationship between regular viewing of online pornography, sexual coercion and abuse and the sending and receiving of sexual images and messages, known as "sexting." In addition to the survey, which was completed in schools, 91 interviews were undertaken with young people who had direct experience of interpersonal violence and abuse in their own relationships. Rates for regularly viewing online pornography were very much higher among boys and most had chosen to watch pornography. Boys' perpetration of sexual coercion and abuse was significantly associated with regular viewing of online pornography. Viewing online pornography was also associated with a significantly increased probability of having sent sexual images/messages for boys in nearly all countries. In addition, boys who regularly watched online pornography were significantly more likely to hold negative gender attitudes. The qualitative interviews illustrated that, although sexting is normalized and perceived positively by most young people, it has the potential to reproduce sexist features of pornography such as control and humiliation. Sex and relationships education should aim to promote a critical understanding of pornography among young people that recognizes its abusive and gendered values.

The influence of T-shirt graphics on perceptions and behavioral intentions

Do graphics on clothing drive perceptions? We used a between group design to test if athletic, academic, or suggestive graphics on clothing differentially influence perceptions and behavioral intentions. In study 1, participants (N = 199) rated five female t-shirt models, and in study 2 and 3, participants rated five male t-shirt models (N = 120) or university students (N = 50). Analyses of variance controlling for sex (ANCOVA) showed participants were least likely to want to interact with models/students wearing sexually suggestive graphics: Study 1, F(3,165) = 30.263, p < .001, η_p² = .30, power = 1.00; Study 2, F (3,119) = 11.630, p < .000, η_p² = .234, and Study 3, F(1, 42) = 12.578, p < .000. Participants did not rate models in the academic and athletic graphic shirts differently from models with plain white shirts. Results support the concept that people form different perceptions based upon the clothing a person wears, changing behavioral intentions. Neither sex role ideation (Study 1) or sexism (Study 2) were significant covariates of perceptions and intentions.

What Behaviors Do Young Heterosexual Australians See in Pornography? A Cross-Sectional Study

This study investigated how frequently a group of young heterosexual Australians (ages 15 to 29) saw a range of behaviors represented in pornography over the previous 12 months. Participants were recruited to an anonymous online survey. Those who reported having viewed pornography in the past 12 months (n = 517) indicated how frequently they saw each of a list of 17 behaviors when they watched pornography in the past 12 months. Men's pleasure (83%) was seen frequently by the highest proportion of young people surveyed, followed by a man being portrayed as dominant (70%). Women were more likely to report frequently seeing violence toward a woman (p < 0.01). Men were more likely to report frequently seeing heterosexual anal sex (p < 0.01), ejaculation onto a woman's face (p < 0.01), women portrayed as dominant (p < 0.01), a man being called names or slurs (p < 0.01), and violence toward a man that appears consensual (p < 0.01). Younger age was significantly associated with frequently seeing women's pleasure (p < 0.05), violence toward women which appeared consensual, and all types of violence (p < 0.01). Older age was associated with frequently seeing men's pleasure (p < 0.01) and heterosexual anal sex (p < 0.05). Our findings draw attention to the gendered ways that behaviors in pornography are seen and identified by young heterosexual audiences.

Sexual Media and Childhood Well-being and Health

Sexual content is highly prevalent in traditional media, and portrayals rarely depict the responsibilities and risks (eg, condom use, pregnancy) associated with sexual activity. Exposure to such content is linked with shifts in attitudes about sex and gender, earlier progression to sexual activity, pregnancy, and sexually transmitted infection among adolescents. However, little information is available about moderators and mediators of these effects. We also know little about digital media, their sex-related content, and their potential influence on youth. Data from a few studies of older youth indicate that sexual displays on social media sites are related to problematic beliefs and behaviors among those who post this content and among viewers. Online pornography appears to be more problematic for youth than off-line sources. Given the vast and increasing amount of time youth spend online and their developmental openness to influence, more research attention to digital sexual media is needed. Those who undertake this work should identify potential negative consequences of use and opportunities to improve adolescent sexual health through digital media. Studies of on- and off-line media in which researchers examine younger media audiences, identify processes explaining sexual media effects on behavior, and moderators of effects are needed. Such studies could be used to inform interventions to reduce negative outcomes and increase positive media effects. Policy makers should stimulate the development of such interventions, including tools to help parents identify and manage negative media influences on their children's sexual well-being and development and dissemination of innovative media literacy programs related to sexual health.

Social Media Use and Sexual Risk Reduction Behavior Among Minority Youth: Seeking Safe Sex Information

BACKGROUND

Sexual health is an important area of study-particularly for minority youth and youth living in disadvantaged neighborhoods.

OBJECTIVES

The purpose of the research was to examine the sources of sexual health information associated with youth adopting sexual risk reduction behaviors.

METHODS

Data collection took place in a small city in the Northeastern United States using cross-sectional behavioral surveys and modified venue-based sampling. Participants included 249 African American and Latino youth aged 13-24. Participants reported their sources of information about contraception and human immunodeficiency virus/sexually transmitted disease, such as TV/movies, parents, social media; their intentions to have sex; and condom and contraception use during their last sexual activity. Social media use, past pregnancy experience, past sexual history, age, and gender were also measured. Standard tests of bivariate association (chi-square and F tests) were used to examine initial associations between sexual risk reduction behavior and exposure to sexual risk reduction information on social media. Logistic regression models were used to test multivariate relationships between information sources and sexual risk reduction behavior.

RESULTS

Youth who were exposed to sexual health messages on social media were 2.69 times (p < .05) and 2.49 times (p < .08) more likely to have used contraception or a condom at last intercourse, respectively. Parents, schools, or traditional media as information sources were not significantly associated with contractive use or condom use at last intercourse.

DISCUSSION

Youth sexual behavior is increasingly informed by social media messages. Health practitioners should utilize social media as an important health promotion tool.

The Dual Role of Media Internalization in Adolescent Sexual Behavior

Sexualizing media content is prevalent in various media types. Sexualizing media messages and portrayals emphasize unattainable body and appearance ideals as the primary components of sexual desirability. The internalization of these ideals is positively related to self-objectification and sexual body consciousness. In turn, self-objectification and sexual body consciousness affect adolescents' sexual behavior, albeit in opposing directions. While objectifying self-perceptions are linked to higher levels of sexual behavior, body consciousness during physical intimacy is linked to lower levels of sexual behavior. Based on this knowledge, the present three-wave panel study of 824 Belgian, predominant heterosexual adolescents (M _age = 15.33; SD = 1.45) proposes a dual-pathway model that investigates two different pathways through which the internalization of media ideals may impact adolescents' sexual behavior. An inhibitory pathway links media internalization to lower levels of sexual behavior through sexual body consciousness, and a supportive pathway links media internalization to higher levels of sexual behavior through self-objectification. Structural equation analyses supported the proposed dual-pathway, showing that the impact of media internalization on adolescents' sexual behavior proceeds through an inhibitory pathway and a supportive pathway. Regarding the supportive pathway, media internalization (W1) positively predicted sexual behavior (W3), through valuing appearance over competence (W2). Regarding the inhibitory pathway, media internalization (W1) positively predicted body surveillance, which, in turn, positively predicted sexual body consciousness (all W2). Sexual body consciousness (W2) is negatively related to sexual behavior (W3). From a sexual developmental perspective, these findings emphasize the importance of guiding adolescents in interpreting and processing sexualizing media messages.

Revisiting the Association Between Television Viewing in Adolescence and Contact With the Criminal Justice System in Adulthood

A substantial number of previous studies have reported significant associations between television viewing habits and a host of detrimental outcomes including increased contact with the criminal justice system. However, it remains unclear whether the results flowing from this literature are generalizable to other samples and whether previously observed associations are confounded due to uncontrolled genetic influences. The current study addresses these limitations using the National Longitudinal Study of Adolescent to Adult Health (Add Health). The results of the preliminary models, which do not include controls for genetic influences, produced a pattern of results similar to those previously reported in the extant literature. The results of the genetically informed models revealed that the associations between television viewing and antisocial outcomes are not causal, but rather are driven by uncontrolled genetic influences. Further replication is required, but these findings suggest that results drawn from the extant literature may not be trustworthy.

Games for Health for Children-Current Status and Needed Research

Videogames for health (G4H) offer exciting, innovative, potentially highly effective methods for increasing knowledge, delivering persuasive messages, changing behaviors, and influencing health outcomes. Although early outcome results are promising, additional research is needed to determine the game design and behavior change procedures that best promote G4H effectiveness and to identify and minimize possible adverse effects. Guidelines for ideal use of different types of G4H by children and adolescents should be elucidated to enhance effectiveness and minimize adverse effects. G4H stakeholders include organizational implementers, policy makers, players and their families, researchers, designers, retailers, and publishers. All stakeholders should be involved in G4H development and have a voice in setting goals to capitalize on their insights to enhance effectiveness and use of the game. In the future, multiple targeted G4H should be available to meet a population's diverse health needs in developmentally appropriate ways. Substantial, consistent, and sophisticated research with appropriate levels of funding is needed to realize the benefits of G4H.

Factors Affecting Sexually Transmitted Infections in South Korean High School Students

OBJECTIVE

This study identified factors affecting sexually transmitted infections (STIs) among high school students in South Korea.

DESIGN AND SAMPLE

This study was a secondary data analysis using data from the eighth annual Korea Youth Risk Behavior Web-based Survey conducted in 2012. Data from 2,387 high school students who reported having sexual intercourse were analyzed using descriptive statistics, chi-square tests, and logistic regression by gender.

MEASURES

The survey questionnaire measured drug experience, Internet pornography preference, age at first intercourse, and method of contraception.

RESULTS

Overall, 7.2% of participants had experienced STIs. The common significant predictors of STIs in male and female students were drug experience, Internet pornography preference, and age at first intercourse. Contraceptive methods were statistically significant only for males; living arrangements and Internet usage were significant only for females.

CONCLUSIONS

Drug experiences, Internet pornography preference, and age at first intercourse were strong factors that affected both male and female students, suggesting the necessity to reinforce laws and regulations prohibiting drug use and pornography. Moreover, precise and detailed information on intercourse, sexual behaviors, and STIs offered by public health nurses should be officially provided starting in elementary school. For male students, the practice of condom use should be emphasized.

Perceived realism moderates the relation between sexualized media consumption and permissive sexual attitudes in Dutch adolescents

This study examined whether the development of sexualized media consumption and permissive sexual attitudes would be more strongly interrelated when adolescents perceived sexualized media images as highly realistic. We used data from a three-wave longitudinal sample of 444 Dutch adolescents aged 13-16 years at baseline. Results from parallel process latent growth modeling multigroup analyses showed that higher initial levels of sexualized media consumption were associated with higher initial level of permissive sexual attitudes. Moreover, increases of sexualized media consumption over time were associated with increases of permissive sexual attitudes over time. Considering the moderation by perceived realism, we found these effects only for those who perceived sexualized media as more realistic. Findings for male and female adolescents were similar except for the relations between initial levels and subsequent development. Among male adolescents who perceived sexualized media images to be realistic, higher initial levels of permissive sexual attitudes were related to subsequent less rapid development of sexualized media consumption. For male adolescents who perceived sexualized media to be less realistic, higher initial levels of sexualized media consumption were related to a subsequent less rapid development of permissive sexual attitudes. These relations were not found for female adolescents. Overall, our results suggest that, in male and female adolescents, those with a high level of perceived realism showed a correlated development of sexualized media consumption and permissive sexual attitudes. These findings point to a need for extended information on how to guide adolescents in interpreting and handling sexualized media in everyday life.