Adolescents and self-taken sexual images: A review of the literature

A Latent Profile Analysis of the Consensual and Non-Consensual Sexting Experiences among Canadian Adolescents

Different patterns of sexting behaviors were examined to provide a more nuanced understanding of the context in which sexting occurs among adolescents. Participants were 1,000 Canadian adolescents (50.2% girls) between 12 and 18 years (Mage = 15.21, SD = 2.00) who completed measures of sexting, cyber bullying and victimization, problematic social media use, self-regulation, and demographics. Contrary to our hypotheses, three latent profiles of sexting represented the frequency of sexting rather than whether the sexting was consensual versus non-consensual or with a partner versus non-partner. Participants in the moderate and high sexting profiles representing one fifth of youth, reported less self-regulation, experienced more cyber victimization, and engaged in more cyber bullying and problematic social media use than those in the no/low sexting profile. Our findings support the normalcy approach to education, which considers some sexting among healthy developmental behaviors.

The impact of Internet pornography on children and adolescents: A systematic review

OBJECTIVES

Young people's exposure to online pornographic material has increased in the past years. Its impact is a complex topic but an important issue due to growing concerns. Therefore, we reviewed the literature on Internet pornography consumption and its impact on children and adolescents. Furthermore, we examined young people's thoughts about pornography and their reasons for consumption.

METHOD

We performed a systematic literature search in the online databases ERIC, PsycARTICLES, PsycINFO, and PSYNDEX for peer-reviewed articles in English, published between 2000 and 2022 and additionally identified secondary references.

RESULTS

We could determine associations between pornography consumption and demographic variables (e.g., age, gender), personal characteristics (e.g., [sexual] sensation seeking, sexual interest and experience, general risk behavior), environmental variables (e.g., peers, family), attitudes (e.g., gender role attitudes, permissive sexual attitudes), behavior (e.g. sexual risk behaviour, sexting) and sexual aggression (e.g., sexual cybervictimization, grooming). Moreover, we found that girls have a more negative attitude towards pornography than boys who have an ambivalent opinion on the subject. Most adolescents are aware that the majority of pornographic material is exaggerated and unrealistic. Furthermore, pornography is not only watched out of curiosity and for sexual arousal but also used as a source of sexual information, especially by minority groups.

DISCUSSION

Many effects that impair children's development have been documented. The results found in this review are often contradictory. Therefore, further replication studies are needed. In addition, we propose several preventive measures, e.g., sexual health education at schools for both heterosexuals and LGBT (Lesbian, Gay, Bisexual, and Transgender) people.

Young Love "Locked Down": Adolescent and Young Adult Perspectives on Sexting During the Covid-19 Pandemic in England

There were limited opportunities for in-person social, intimate, and sexual interactions in England during 2020-2021, due to restrictions imposed by the UK government in response to the Covid-19 pandemic. While previous studies examined the effects of lockdown on intimate relationships, there is less qualitative research regarding young people's perspectives on and experiences of digitally mediated intimacy (sexting) during the period. This paper discusses findings from focus groups with 80 adolescents and interviews with 38 young adults that explored the topic. Analysis identified a normalization of non-consensual distribution of intimate images within adolescent peer culture and a reluctance to report or intervene in response to incidents of non-consensual distribution that are witnessed or experienced. The adolescent girls and young adult women also described other forms of unwanted and invasive image-sharing and requests for images. Young adults held various perspectives on sexting during lockdown, with some describing sexting as unfulfilling and/or "risky" and others sharing experiences of using sexting to generate intimacy and, among some, engaging in unwanted sexting with partners. By considering both adolescent and young adult perspectives obtained through focus groups and interviews, the study highlighted how group-level norms and meanings surrounding the risks and rewards of sexting may be reproduced or reworked as individuals transition from adolescence to young adulthood. The study underscores the need to support adolescents and young adults in cultivating healthy digital sexual cultures and interpersonal relationships.

A Qualitative Examination of School Counselors' Experiences of Sextortion Cases of Female Students in Israel

Sextortion (a portmanteau of "sexual" and "extortion") is a relatively new phenomenon of sexual exploitation, which occurs when a person threatens another with the distribution of sexual content on the Internet, to obtain more pictures or videos, money, or have some other demand met. The current study examined how school counselors in Israel perceive the phenomenon of online sextortion. To this end, we conducted a qualitative study based on 20 semi-structured in-depth interviews with school counselors working in middle schools and high schools in Israel, who treated adolescent girls blackmailed over the Internet on sexual grounds. Findings indicate that the school counselors had difficulty in identifying and defining the cases they treated as instances of sextortion, and that in their view the harm was slight. Findings also indicate that school counselors associated the causes of sextortion with the victims and their backgrounds. We found differences between the Arab and secular and national-religious state education in the way Jewish counselors treated the victims and involved additional actors such as the victim's parents and the police. This underscores the importance of providing educational staff with adequate knowledge and tools that are culturally suited to the victims.

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.

A Qualitative Study of How Israeli Arab Educational Counselors Handle Image-Based Sexual Abuse of Female Adolescents

Image-based sexual abuse (IBSA) refers to the nonconsensual production, dissemination, or threat of dissemination of private sexual images of another. Arabs belong to a conservative society where the distribution of a nude photo constitutes a violation of the dignity of the family and may have serious consequences. Based on semistructured in-depth interviews, the present study examined how 32 Arab educational counselors in Israel handle IBSA. Findings suggest that counselors identified the victim as experiencing difficulties that allowed her to be harmed. Also, it was found that counselors were afraid it might harm the victims on the grounds of family honor. These findings indicate that it is necessary to find culturally sensitive solutions both for the prevention and treatment of this phenomenon.

Prevalence and Impact of Revenge Pornography on a Sample of Portuguese Women

Victims of revenge pornography (RP) suffer long-term psychological, personal, and social consequences, given that the spread of explicit content may continue to disturb them throughout their lives. However, there is a scarcity of studies on this phenomenon in Portugal. The present study aims to identify the prevalence of RP and analyze its impact on self-esteem, humiliation, depression, and anxiety, and compare victims and non-victims of RP on these same variables. The sample comprises 274 Portuguese women aged between 18 and 82. The data was collected through an online protocol consisting of a sociodemographic questionnaire, the Rosenberg Self-Esteem Scale, the Humiliation Inventory, and the Brief Symptoms Inventory. From the total sample, 45 (16.4%) participants reported at least one experience of RP. RP victims reported higher levels of humiliation, anxiety, and depression and lower levels of self-esteem than non-victims. However, only humiliation distinguished RP victims and non-victims. RP is a growing phenomenon enhanced by the intensified use of technology. Along with this phenomenon comes the impact on victims, which has long-term consequences. This study contributes to the scientific community since the scientific study of RP and its impact on victims is still incipient.

Predictors of Online Child Sexual Abuse in a U.S. National Sample

As technology has become increasingly integrated into the everyday lives of young people and social interactions have moved online, so too have the opportunities for child sexual abuse. However, the risk factors for online sexual abuse, and their similarities or differences with those of offline sexual abuse have not been clarified, making it difficult to design prevention strategies. Using a nationally representative online survey panel of young adults ages 18 to 28, the current study sought to identify risk factors for online childhood sexual abuse and compare their relevance and strength in predicting offline sexual abuse. The 2,639 participants, ages 18 to 28, were sampled from the Ipsos KnowledgePanel and were asked questions about 11 different kinds of technology-facilitated online sexual abuse that occurred in childhood, follow-up questions about their dynamics and offenders, and a variety of potential risk factors. Results indicated that: (1) being cisgender female, nonheterosexual, and having parents with less than a high school education emerged as important demographic predictors of online child sexual abuse (OCSA); and (2) early offline sexual abuse was the strongest predictor of OCSA, when considering both its direct and indirect effects through online risky behavior. Findings suggest that prevention programs directed at reducing risk of sexual abuse, in general, are likely to be effective against online sexual abuse, provided they also incorporate efforts to educate youth on the need to avoid risky online behaviors.

Sexting among British adults: a qualitative analysis of sexting as emotion work governed by 'feeling rules'

Sexting has generated considerable public and professional interest with concerns centring on young people, and potential harms to mental and sexual health. Little research thus far has explored the practice among adults and none has focused on the cultural norms relating to the emotional experience of sexting across different ages and genders. We conducted 40 semi-structured interviews with a diverse sample of adults aged 18-59 years in Britain on the role of digital technologies in participants' sexual lives. In this paper, we draw on the accounts of 34 people with experience of sexting. We identified three main themes in participants' accounts related to the emotional aspects of sexting: (1) trust, (2) desire/intimacy and (3) shame. Under each theme, we identified motivations, 'feeling rules', and examples of 'emotion work' relating to the self, the other and the dyad. We conclude that there are shared cultural norms that constitute what appropriate sexting should feel like. Interventions aiming to minimise harms arising from sexting need to build on commonly held cultural conventions regarding the 'rules of the game' concerning feelings as well as behaviours.

The role of sexting in couple wellbeing for Italian women during the second wave of the COVID-19 pandemic

The social isolation due to the COVID-19 pandemic had an impact on the sexuality and quality of life of people around the world. A particularly negative effect was detected on women’s sexual health. As a consequence, many women began to use social media not only to stay in touch with their social networks, but as a way of maintaining sexual contact. The main aim of this research is to observe the positive effects of sexting in women’s wellbeing as a strategy to manage the negative effects of a condition of forced isolation. We collected all our data between November 2020 and March 2021 during a period of strict restrictions in Italy due to the second wave of the COVID-19 pandemic. In Study 1, the relationship between loneliness, sexting behaviors, and sexual satisfaction was tested on 312 adult women. The results showed the mediator role of motivation for sexting in the relationship between loneliness and sexual satisfaction. In Study 2, 342 adult women were organized into two groups (women who had sexting at least once during the second wave of the pandemic = 203, and women who did not have sexting during the pandemic = 139) and were assessed on a couple’s wellbeing (intimacy, passion, commitment, and couple satisfaction) and electronic surveillance. The results show that women who had sexting during isolation had higher scores on intimacy, passion, couple satisfaction, and electronic surveillance. These findings suggest the important role of sexting as an adaptive coping strategy during particular conditions of social isolation.

Sexting at an Early Age: Patterns and Poor Health-Related Consequences of Pressured Sexting in Middle and High School

BACKGROUND

Sexting is sending, receiving, or forwarding sexually explicit messages, images, or videos through electronic means. Research has examined sexting in high school and college students. This study seeks to add to the existing literature by exploring the nature of pressured or problematic sexting in middle school-aged subjects.

METHODS

We asked participants in public colleges in Massachusetts, Colorado, and Virginia, to recall their sexting-related experiences in middle and high school. We utilized an online survey tool for data collection. We performed bivariate quantitative statistical analyses to examine attitudinal and behavioral differences, as well as motivations and consequences of adolescent sexting.

RESULTS

The study revealed unique patterns of early-onset sexting compared to sexting in later adolescence. Early-onset adolescents typically start sexting before they become sexually active and are at a higher risk for poor outcomes associated with sexting, they are more likely to seek therapy. Early sexting is significantly more pressured than sexting in later adolescence.

CONCLUSIONS

The study is an important contribution to the existing research on pressured sexting. Exploring pressured sexting at very early ages finds that early sexting activity is more likely pressured, creates more stress than later in life, and hence, it needs attention from school mental health professionals and education programs. The authors suggest that comprehensive sex education, including sexting should begin earlier than middle school to prevent risky online sexual behavior and provide for learning coping mechanisms for adolescents.

Sexual Victimization in the Digital Age: A Population-Based Study of Physical and Image-Based Sexual Abuse Among Adolescents

Adolescents increasingly use social media platforms, and these practices open up new forms of sexual victimization, in particular image-based sexual abuse (IBSA). Few studies have examined prevalence rates and correlates of both physical sexual victimization (PSV) and these new forms of victimization in representative samples. We used data from 5,245 adolescent girls (53%) and 4,580 adolescent boys (47%) from the population-based Young in Oslo Study (mean age 17.1 years, SD = 0.9). Of all respondents, 2.9% had experienced IBSA, 4.3% PSV, and 1.7% both IBSA and PSV in the course of the previous 12 months. Multivariate analyses revealed that PSV victims, after control for other variables, had many characteristics described in previous studies of sexual victimization. Girls had higher prevalence rates than boys, many had been victims of other types of violence, and were part of peer groups with much use of alcohol and drugs. PSV victims also reported early intercourse onset and a higher proportion had been commercially sexually exploited. Lesbian, gay, and bisexual adolescents had higher victimization rates. Victims of both PSV and IBSA had a similar but even more pronounced profile. The IBSA victims were different: They lacked many of the traditional risk factors for sexual victimization, there were no significant gender differences in this group, and IBSA victims more often came from high socioeconomic backgrounds. In conclusion, we observe a reconfigured landscape of sexual victimization patterns among Norway adolescents due to their increasing participation on social media and digital platforms.

Young people's perceptions of young women's engagement in sexting

Young women are increasingly engaging with digital sexual media, yet discussion of female desire remains absent or is vilified. This paper examines young women's online sexual expression, as seen through the eyes of both young men and young women. Based on small friendship group interviews conducted with 106 12-16-year-old young women and men in Aotearoa New Zealand, I analysed perceptions of young women's sexual expression. Framed through patriarchal ideals and underpinned by competitive masculinity, young women's sexuality and opportunities for sexual expression were policed and regulated. Young women were expected to be passive yet digitally heterosexy, but not slutty. Perceptions of young women's sexual expression continue to be framed within silencing and absent pleasure discourses, which ultimately compromises both young men and women's development of sexual subjectivities.

A Preventive Intervention to Reduce Risk of Online Grooming Among Adolescents

Sexual abuse of adolescents by adults on the Internet is a severe risk with negative consequences for the victims. However, there is an important gap in the development of preventive interventions to address this problem. This study evaluated the efficacy of a brief (less than one hour) educational intervention on online grooming (less than one hour) in reducing adolescents' sexual interaction behaviors with adults when they are sexually solicited. A sample of 856 Spanish adolescents (48% girls, ages 11-17 years) was randomized into two intervention conditions (educational intervention about online grooming and a resilience control intervention). Adolescents completed measures of online sexual solicitation by adults and sexualized interactions with adults at pretest and at three- and six-month follow-ups. Measures of their knowledge about online grooming were taken at pretest, postintervention, and at three- and six-month follow-ups. The results of multilevel analyses indicated that the intervention reduced sexualized interactions when adolescents were sexually solicited by adults (β = -.16, SD = .07, t = -2.44, p = .015). Moreover, the intervention increased adolescents' knowledge about online grooming over time (β = 1.95, SD = .19, t = 10.52, p < .001). These findings suggest that a brief educational intervention about online grooming may be a promising, low-cost intervention to reduce the risks of sexual abuse on the Internet.

Understanding online grooming: An interpretative phenomenological analysis of adolescents' offline meetings with adult perpetrators

BACKGROUND

It is the norm for adolescents to form friendships online but connecting with strangers poses risks of online grooming. Adult perpetrators take advantage of the internet's anonymity and accessibility to befriend and groom young people for sexual abuse. Much of the existing research has focused on the offender's perspective and grooming tactics, while extensive studies on victim profiles have focused on risk factors and young people's vulnerabilities to online grooming.

OBJECTIVE

This research takes an in-depth look into grooming processes from the perspective of the adolescent victim and explores how the relationships progressed online-to-offline, resulting in sexual abuse. It aims to understand young people's motivations and mindsets by exploring their lived experiences of offline meeting with adult perpetrators.

PARTICIPANTS AND SETTING

The sample consisted of adolescents aged 14-21 in the UK and EU.

METHODS

Using data from the Risk-taking Online Behavior Empowerment through Research and Training Project, six interviews were examined using an interpretative phenomenological analysis.

RESULTS

Four themes emerged: 1) Varied interpretations of risk 2) Taking control 3) Seeking security and validation; and 4) Shifts in perspective. The subtleties of online grooming were masked by the adolescents' misplaced trust as they displayed agency in pursuing opportunities for online friendships or sexual activities.

CONCLUSIONS

Findings suggest an insufficient knowledge of grooming and the need to more clearly define risks among adolescents. Safety guidelines should highlight the subtleties of grooming tactics and harmful behaviours that may not be readily perceived as abuse.

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.

Support for Texting-Based Condom Negotiation Among Forcibly Displaced Adolescents in the Slums of Kampala, Uganda: Cross-sectional Validation of the Condom Use Negotiated Experiences Through Technology Scale

Background

Promoting sexual health among forcibly displaced adolescents is a global public health priority. Digital sexual communication strategies (eg, sexting) may increase adolescents’ confidence in discussing sexual health issues and negotiating condom use. However, limited evidence exists describing validated measures for text-based condom negotiation in the literature.

Objective

This study helps fill this gap by adapting and examining the psychometric properties of a condom use experience through technology (condom use negotiated experiences through technology [CuNET]) scale.

Methods

Using peer network sampling, 242 forcibly displaced adolescents (aged 16-19 years) living in Kampala’s slums were recruited for participation between January and March 2018. A subscale (embarrassment to negotiate condom use) of the Multidimensional Condom Attitudes Scale was adapted to incorporate sexting, yielding CuNET. Participants were randomly assigned to calibration and validation subsamples to conduct exploratory and confirmatory factor analyses to establish and validate the scale. CuNET measured participants’ support levels for texting-based condom negotiation via sexting based on gender, and multivariable logistic regression was used to explore its associations with sexual health outcomes (recent consistent condom use, access to sexual and reproductive health services, and lifetime sexually transmitted infection testing).

Results

The one-factor CuNET with the validation sample was valid (χ²₄=5.3; P=.26; root mean square error of approximation=0.05, 90% CI 0.00-0.16; comparative fit index=0.99; Tucker-Lewis index=0.99; standardized root mean square residual=0.006), and reliability (Cronbach α=.98). Adolescent girls showed significantly lower levels of support for using sexting to negotiate condom use (mean 13.60, SE 0.70 vs mean 21.48, SE 1.23; P=.001). In multivariable analyses, a 1-point increase in the CuNET score was associated with increased odds of recent consistent condom use (adjusted odds ratio [aOR] 1.73, 95% CI 1.24-2.41) but not with access to sexual and reproductive health services (aOR 1.51, 95% CI 0.99-2.30) or lifetime sexually transmitted infection testing (aOR 0.90, 95% CI 0.64-1.26).

Conclusions

The unidimensional CuNET scale is valid and reliable for forcibly displaced adolescents living in slums in Kampala, gender-sensitive, and relevant for predicting consistent condom use among urban displaced and refugee adolescents. Further development of this scale will enable a better understanding of how adolescents use digital tools for condom negotiation.

Lines of Action for Sexting Prevention and Intervention: A Systematic Review

Sexting has become a new form of intimate interaction in line with contemporary communication methods. This phenomenon often leads to positive outcomes, but it can also have negative repercussions depending on the situation, such as the context of the relationship, and whether it is consensual or coercive. Despite this, the main types of sexting behaviors (sending, receiving, and third-party forwarding) must be addressed in order to promote safe and healthy practices. However, the approach to tackling this phenomenon remains unclear. This systematic review sought to summarize the lines of action proposed or conducted in the scientific literature to address sexting, to help researchers and educators create and evaluate effective programs. A systematic search of 21 databases was conducted; only articles relating to sexting education, prevention, and intervention among child and adolescent populations were considered. In total, 456 articles were identified, 91 of which were included for the purposes of this research. The results highlighted a need to respond to the aforementioned sexting behaviors and to tackle the resulting conflict situations. Although interventions across different areas are recommended (e.g., health, family, policies, legal advice, law enforcement, technology experts, and even society as a whole), most studies agree that school is the most practical setting for intervention. Thus, the 15 lines of action identified in this systematic review must all be considered to effectively address sexting in childhood and adolescence.

Dysfunctional Parent-Child Communication About Sexting During Adolescence

Sexting (sending, receiving, and forwarding nude, semi-nude, or sexually explicit content) entails risks for adolescents; therefore, it is important for parents to be able to communicate with their children about its implications. The goal of the present study was to identify parental characteristics that lead to dysfunctional communication (lower quality of communication) about sexting, on a sample of 427 parents (336 mothers and 91 fathers) of Israeli adolescents aged 10-18 years and to determine whether parents' perceived severity of sexting and the degree to which they perceive their adolescent to be susceptible to sexting function as mediating factors. Parents completed a set of questionnaires online. Findings indicated that authoritarian and permissive parenting styles were positively associated with dysfunctional parent-child communication about sexting. Authoritative style was inversely related to dysfunctional communication and was mediated by positive attitudes toward sex education. Additionally, authoritative parents were capable of assessing the severity of their children's sexting activities, and the degree to which their children were susceptible to engage in sexting. The quality of the discussion initiated by authoritative parents appears to have enabled them to be aware of adolescent behaviors and to adjust their communication about the inherent risks. Findings suggest that the perception of sexting as too risky diminishes parents' ability to conduct a high-quality discussion about it. In conclusion, research findings emphasize parents' role in mediation of the online experiences of their children and conducting a constructive discussions with them about sexting.

Associations between sexting motivations and consequences among adolescent girls

INTRODUCTION

Approximately 15% of adolescent girls in the United States have engaged in sexting. Although sexting frequency is similar across genders, adolescent girls report more negative consequences. To date, the majority of sexting research focuses on demographic and behavioral predictors of sexting frequency or onset and there is limited research on the associations between different sexting motivations and consequences. This cross-sectional study draws upon approach-avoidance motivation theory to examine how different sexting motivations serve as risk and protective factors related to negative sexting consequences and which motivations promote more positive experiences.

METHOD

A sample of 200 cisgender girls, 14-18 years, diverse with respect to race/ethnicity and geographical region, who had sexted a male recipient in the past year completed an online survey.

RESULTS

Regression analyses indicated that avoidance motivations sexting in response to peer pressure and popularity and sexting in response to male coercion were risk factors for negative sexting consequences. Sexual subjectivity (sexual body-esteem, entitlement to sexual pleasure, and sexual self-reflection) was a protective factor against negative sexting consequences and, along with sexting for sexual or romantic reasons, an approach motivation, was associated with experiencing more positive sexting consequences.

CONCLUSION

These findings support previous recommendations that schools incorporate ways to counter pressured sexting into existing cyberbullying or dating violence curricula and also align with a positive sexual development framework that acknowledges the importance of consensual and healthy sexual experiences during adolescence that minimize risks and vulnerabilities.

Talking About Sexting: Association Between Parental Factors and Quality of Communication About Sexting With Adolescent Children in Jewish and Arab Society in Israel

Sexting (sending and receiving sexual messages online), a legitimate means of communication if there is mutual consent, may put adolescent users at risk. Hence, parents must be able to address their children's sexuality and be capable of mediating the implications of sexting for them. Cultural differences may play a role in this important discourse. The current study sought to identify parental factors that lead to low-quality communication about adolescent sexting in Jewish and Arab societies in Israel. Participants included 427 Israeli parents (Jewish N = 242, 56.7%, Arab N = 185, 43.3%) who answered seven online questionnaires. Results revealed ethnic differences between Arab and Jewish parents with regard to the quality of parent-child communication about sexting. Arab parents tended more toward low-quality communication about sexting than did Jewish parents. Perceived severity of sexting and perceived susceptibility to sexting led to more low-quality communication by Arab than by Jewish parents. Mothers in both societies were better able to mediate sexting and displayed higher parental efficacy than did the fathers. These findings provide useful insights for therapists and parents into the link between parental factors and the quality of communication about sexting with adolescent children.

Relationships between Coerced Sexting and Differentiation of Self: An Exploration of Protective Factors

Pressure to send sexually explicit messages, or ‘sexting coercion’ is associated with adverse mental health outcomes and sexual risk behaviors. This study explores Differentiation of Self (DoS) as a potential protective factor to reduce susceptibility to sexting coercion. A convenience sample of 399 Australian participants, aged 18 to 21 years (Mage = 19.63; SD = 1.14, 68.2% women) completed an online survey measuring sexting behaviors and DoS. Women were four times more likely to send willing unwanted sexts, and seven times more likely to engage in coerced unwanted sexting than men. Participants with low DoS were four times more likely to engage in coerced unwanted sexting. DoS significantly mediated the relationship between gender and coerced unwanted sexting. Results support the proposal of a sexting coercion typology encompassing discrete sub-types of sexting coercion. Results also indicate DoS may operate as a protective factor for young people in Australia, reducing compliance with sexting when coerced.

Four Problems in Sexting Research and Their Solutions

Despite over 10 years of research, we still know very little about people’s sexting behaviours and experiences. Our limited and, at times, conflicting knowledge about sexting is due to re-searchers’ use of inconsistent conceptual definitions of sexting, dubious measurement practices, and atheoretical research designs. In this article, we provide an overview of the history of sex-ting research and describe how researchers have contributed to the ‘moral panic’ narrative that continues to surround popular media discourse about sexting. We identify four key problems that still plague sexting research today: (1) imprudent focus on the medium, (2) inconsistent conceptual definitions, (3) poor measurement practices, and (4) a lack of theoretical frameworks. We describe and expand on solutions to address each of these problems. In particular, we focus on the need to shift empirical attention away from sexting and towards the behavioural domain of technology-mediated sexual interaction. We believe that the implementation of these solu-tions will lead to valid and sustainable knowledge development on technology-mediated sexual interactions, including sexting.

Physically distant, virtually close: Adolescents' sexting behaviors during a strict lockdown period of the COVID-19 pandemic

This study contextualizes Belgian adolescents' (12-18 years old) sexting behaviors between romantic and non-romantic partners during a strict lockdown period of the COVID-19 pandemic. An online survey among 543 Belgian respondents (M _age  = 15.29, 68% girls) showed that 40.9% of the adolescents engaged in at least one type of sexting (i.e., type one = textual, type two = visual content with underwear/swimwear, type three = visual depiction of private parts, type four = visual depiction of sexual acts). Arousal needs were the most common reasons to sext (M = 3.33, SD = 1.89). Generalized ordered logit analyses show that higher arousal needs were linked to higher frequencies of the first three sexting types. Relational affirmation needs were related to the engagement in sexting type two, whereas partner pressure was related to sexting type three and four. Regarding the latter, a significant link was also found with stress regulation. Conditional relations emerged according to adolescents' sex, developmental status, and relationship status. The current study's findings not only help to inform practitioners in terms of behavioral advice for future pandemics or periods after social isolation, but can also offer explanations for (changes in) adolescents' sexting behaviors after the pandemic and the possible dual nature of its effects.

Sexual Behaviors and HIV/STI Prevention Strategies Among Sexual Minority Men in Ecuador Who Use Geosocial Networking Apps

Around the world, geosocial networking apps have become widely popular among sexual minority men (SMM). This research analyzed the sexual behaviors and HIV and STI prevention strategies (HIV/STI testing, HIV/STI inquiry, and HIV/STI disclosure) of an online-recruited sample of 284 SMM living in Ecuador. Sexting and oral sex were the most common sexual behaviors among SMM in the sample. Most participants had low perceptions of HIV and STI risk; 85% reported being tested for HIV and 70% for STIs. Being older predicted higher odds of being tested for either HIV or STIs at least once. Being single also predicted HIV testing. Future interventions in the country should explore apps' utility as intervention tools to spread information about sexual health and HIV prevention strategies, such as condom use and event-driven PrEP. Apps can also facilitate connections to sexual health services, including programs for PrEP initiation and linkage to HIV treatment. They should also focus on promoting sexual harm reduction conversations among potential app-met sexual partners.

The outcomes of sexting for children and adolescents: A systematic review of the literature

INTRODUCTION

Given associated risks, sexting among children and adolescents has yielded significant interest in recent years. Several previous reviews have examined data on the prevalence, determinants, and correlates of sexting behaviour, however, in an ever-changing digital media context, a comprehensive overview of findings regarding its outcomes is warranted. This novel review aimed to systematically identify and conduct a narrative synthesis of empirical evidence regarding the outcomes of sexting involvement for children and adolescents.

METHODS

Four databases were searched for peer-reviewed literature on sexting, and 54 articles were identified for inclusion in the review. The quality of included studies was appraised using Dixon-Woods et al. (2006) five question prompts.

RESULTS

Four 'outcomes' categories were derived, namely, psychological (victimisation; sexual abuse/victimisation; mental health and quality of life; and emotional outcomes), behavioural (sexual activity, risk behaviours, and perpetration of abuse and harassment), relational (personal connections with others & reputational outcomes), and systems-level (distribution/public exposure of sexting content).

CONCLUSIONS

Findings indicate that the outcomes of sexting for children and adolescents (aged ≤19 years) are wide-ranging, some positive and desirable, others negative and unwanted. Furthermore, identified outcomes were located along a continuum spanning benefits for adolescents' well-being and relationships, stigma and associated difficulties, and serious harm or trauma. Limitations (e.g., methodological constraints of studies) and implications (e.g., informing harm prevention/intervention initiatives; further large-scale and replication studies) are discussed within.

Teens' Experiences with Sexting: A Grounded Theory Study

INTRODUCTION

To explore and understand the relationship between sexting behavior and adolescent mental health and well-being.

METHOD

A constructivist grounded theory study was conducted. Seventeen 18-22-year-old participants provided recollective and reflective accounts of sexting experiences throughout their adolescence.

RESULTS

Engaging in the Culture of Teen Sexting materialized as the central process and title for the grounded theory that emerged. Six primary processes included Engaging in the Culture of Teen Sexting, Identifying Motivating Factors, Forming Perceptions and Feelings, Acknowledging and Managing Risks, Connecting Mental Health and Sexting, and Finding a Sexual Self.

DISCUSSION

The findings suggested sexting is part of teen culture and normal adolescent sexual growth and development. Acknowledging sexting as a culture and normal part of sexual growth and development will assist pediatric nurse practitioners in engaging teens in conversations about sexting, helping them to navigate the risks of sexting and find healthy ways to manage sexting behavior.

Patterns of love and sexting in teen dating relationships: The moderating role of conflicts

According to the triangular love theory, this study investigated the roles of three components of love (i.e., passion, intimacy, commitment) and the moderating role of conflicts in predicting different forms of sexting (i.e., experimental, nonconsensual, under pressure) in teen dating relationships. Participants were 409 adolescents (M_age = 17.20, SD_age = 1.61; 62.6% girls) who completed an online questionnaire. Three moderated regressions were performed. Conflicts positively predicted all forms of sexting. Passion positively predicted experimental sexting. Intimacy negatively predicted experimental and nonconsensual sexting, and positively predicted sexting under pressure. Three interaction effects emerged, pointing out the moderating role of conflicts. Passion positively predicted nonconsensual sexting in the presence of high conflicts, while this relationship became negative when conflicts were low. Commitment negatively predicted nonconsensual sexting and sexting under pressure in the presence of high conflicts, but these relationships were not significant when conflicts were low. Research and applicative implications are discussed.

What Do Peers Think About Sexting? Adolescents’ Views of the Norms Guiding Sexting Behavior

This study examined the content of injunctive peer norms (i.e., perceived peer approval) of sexting among Swedish adolescents. Written answers from 808 adolescents ( Mage = 14.22) to an open-ended question about peers’ views of sexting were analyzed qualitatively using content analysis. Eight categories were distinguished for when and why sexting is acceptable or not in the peer group. A substantial share of adolescents believed their peers approve of sexting, especially if sexting occurs within trusted relationships and when all parties have consented. A large share of adolescents described that peers were non-accepting of sexting, emphasizing that it can be spread to others. The participants also suggested that sexting is seen as a gendered phenomenon surrounded by sexual double standards, with girls at more risk of negative consequences. Some participants emphasized the peer view that adolescents sext to seek attention, and some emphasized that sexting is viewed as an enjoyable activity. Several of these categories’ likelihood to be mentioned was related to the adolescents’ age, gender, and prior experience of sexting. We concluded that adolescents might have a hard time navigating the social context of sexting, given the conflicting and gendered messages from peers.

Patterns of sexting and sexual behaviors in youth: A Latent Class Analysis

INTRODUCTION

A sizable minority of youth are sexting; however there are likely large individual differences in sexting and sexual behaviors, yet to be captured. A Latent Class Analysis was used to identify subgroups of youth characterized by differential engagement in sexting and sexual behaviors.

METHODS

Participants were an ethnically diverse sample of 894 youth (55.8% female; Mage = 17.04, SD = 0.77) from a longitudinal survey study in southeast Texas. Latent classes were identified through participants' responses to the following indicator variables: sending, receiving, and requesting sexts, sexual activity, contraception use, ≥ three partners, and substance use prior to sexual activity. Gender, ethnicity, impulsivity, and living situation were analyzed as predictors, and depressive symptoms as an outcome, of class membership.

RESULTS

The analysis revealed four distinct classes: No sexting-Low sex (42.2%), Sexting-Low sex (4.5%), No sexting-Moderately risky sex (28.3%), and Sexting-Moderately risky sex (24.9%). Gender and ethnicity predicted class membership wherein females and ethnic minority youth were less likely to be in groups displaying higher rates of sexting. Impulsivity and living situation predicted class membership, such that youth reporting higher impulsivity and living in a situation other than with two biological parents were less likely to be in classes displaying low sexting and sexual behaviors. Group membership predicted depressive symptoms.

CONCLUSIONS

Results suggest that not all youth who are sexting are having sex, and not all youth who are having sex are sexting. Evidence of individual differences in youth sexual behaviors should inform educational initiatives aimed at teaching youth about sexual and online health.

Abusive Sexting in Adolescence: Prevalence and Characteristics of Abusers and Victims

Sexting has been defined as sending, receiving, or forwarding sexually explicit messages, images, or photos to others through digital platforms, and can assume more consensual or more abusive and violent forms. This study aims to explore the prevalence of abusive sexting in Portuguese adolescents and the psychological characteristics of sexting abusers in terms of emotional and behavioral problems, potential markers of psychopathy, childhood trauma and maltreatment, and different forms of aggression. A cross-sectional study was conducted with 4,281 participants, aged 12-20 years (2,264 girls and 2,017 boys), of whom 204 (4.8%) engaged in abusive sexting behaviors and 182 (4.3%) self-identified as being a non-consensual sexting victim. Abusive sexting was more common among boys and middle adolescents, and abusive sexting victims were more likely to be children of single-parent families. Engaging in abusive sexting and being a victim of abusive sexting were also related to behavioral and emotional problems, callousness, experiences of neglect and abuse in childhood, and various forms of aggression. Implications for future research and intervention are discussed.

Prevalence of sending, receiving and forwarding sexts among youths: A three-level meta-analysis

By systematic review with a three-level, mixed-effects meta-analysis, this paper examines the prevalence of sexting experiences among youths aimed at analyzing conceptual and methodological moderators that might explain its heterogeneity. A search was conducted of five bibliographic databases and grey literature up until February 2020. The risk of bias in primary studies was assessed. A total of seventy-nine articles met the set inclusion criteria. Mean prevalences for sending, receiving and forwarding sexts were .14 (95% CI: .12, .17), .31 (95% CI: .26, .36) and .07 (95% CI: .05, .09), respectively, expressed as fractions over one. Moderator analyses showed that all sexting experiences increased with age (e.g., the mean prevalence for sending sexts at the age of 12 was .04, whereas, at the age of 16, it was .21) and year of data collection (e.g., the mean prevalence for sending sexts in studies collecting data in 2009 was .07, whereas, in studies collecting data in 2018, it was .33). Subgroup analysis revealed that studies with probabilistic samples led to significantly lower mean prevalences for the sexting experiences of sending (.08, 95% CI: .06, .11), receiving (.19, 95% CI: .15, .24) and forwarding sexts (.04, 95% CI: .03, .07). Self-reported administration procedures also led to more homogeneous prevalence estimates than interviews. Prevalence estimates also varied according to the type of media content (e.g., the mean prevalence for sending sexual text messages was .22, whereas, for sending sexual images or videos, it was .12). Overall, our meta-analysis results suggest high and increasing prevalences of sending and receiving sexts among youths.

Pornography use and sexting amongst children and young people: a systematic overview of reviews

BACKGROUND

Young people's use of pornography and participation in sexting are commonly viewed as harmful behaviours. This paper reports findings from a 'review of reviews', which aimed to systematically identify and synthesise the evidence on pornography and sexting amongst young people. Here, we focus specifically on the evidence relating to young people's use of pornography; involvement in sexting; and their beliefs, attitudes, behaviours and wellbeing to better understand potential harms and benefits, and identify where future research is required.

METHODS

We searched five health and social science databases; searches for grey literature were also performed. Review quality was assessed and findings synthesised narratively.

RESULTS

Eleven reviews of quantitative and/or qualitative studies were included. A relationship was identified between pornography use and more permissive sexual attitudes. An association between pornography use and stronger gender-stereotypical sexual beliefs was also reported, but not consistently. Similarly, inconsistent evidence of an association between pornography use and sexting and sexual behaviour was identified. Pornography use has been associated with various forms of sexual violence, aggression and harassment, but the relationship appears complex. Girls, in particular, may experience coercion and pressure to engage in sexting and suffer more negative consequences than boys if sexts become public. Positive aspects to sexting were reported, particularly in relation to young people's personal relationships.

CONCLUSIONS

We identified evidence from reviews of varying quality that linked pornography use and sexting amongst young people to specific beliefs, attitudes and behaviours. However, evidence was often inconsistent and mostly derived from observational studies using a cross-sectional design, which precludes establishing any causal relationship. Other methodological limitations and evidence gaps were identified. More rigorous quantitative studies and greater use of qualitative methods are required.

Development and Validation of the Adolescent Sexting Scale (A-SextS) with a Spanish Sample

“Sexting” is generally defined as the exchange of sexual media content via the internet. However, research on this topic has underscored the need to seek greater consensus when considering different conceptual elements that make up this definition. The aim of this study was to develop and validate an instrument for measuring sexting among adolescents, in order to cover a gap identified in the previous literature. The Adolescent Sexting Scale (A-SextS for short) was developed for validation on a sample of 579 Spanish secondary school pupils between the ages of 11 and 18. Evidence for face, content, concurrent, and criterion validity were assessed. A comprehensive set of 64 items, covering six defining characteristics of sexting (e.g., actions, recipient, media format, degree of sexual explicitness), was constructed after conducting an extensive literature review, two discussion groups, and a pilot study. Sexting prevalence rates measured by A-SextS were mostly concurrent with those found in previous studies. A-SextS subscales produced statistically significant positive associations with pornography consumption and physical sexual intercourse. The study shows that A-SextS can be an integrating instrument that facilitates a rigorous and comprehensive assessment of adolescent sexting experiences, as well as the formulation of an operationalized definition of the practice of sexting.

Consensual Sexting among College Students: The Interplay of Coercion and Intimate Partner Aggression in Perceived Consequences of Sexting

Recent empirical data suggests that the majority of adolescents and emerging adults utilize digital technology to engage with texting and social media on a daily basis, with many using these mediums to engage in sexting (sending sexual texts, pictures, or videos via digital mediums). While research in the last decade has disproportionately focused on the potential risk factors and negative consequences associated with sexting, the data are limited by failing to differentiate consensual from non-consensual sexting and account for potential influences of intimate partner aggression (IPA) and sexting coercion in these contexts. In the current study, we assessed the positive and negative consequences associated with sexting, using behavioral theory as a framework, to determine the relationship between an individual's personal history of IPA victimization and the perceived consequences. Undergraduate students (N = 536) who reported consensual sexting completed a series of measures examining their most recent sexting experience, including perceived sexting consequences, and their history of sexting coercion and IPA. Results suggested that those reporting a history of any type of IPA victimization endorsed more negative reinforcing consequences after sending a sext, and those with a history of physical or sexual IPA victimization endorsed more punishing consequences after sending a sext than those without such history. Additionally, experience with IPA was found to be positively correlated with perceived pressure/coercion to send a sext. The implications of these data for research, policy, prevention, and intervention are explored.

What are you sexting? Parental practices, sexting attitudes and behaviors among Italian adolescents

BACKGROUND

Sexting has recently emerged as a public health and social issue. The present study had two aims: a) to preliminarily test adolescent gender differences on parental practices regarding adolescent online life, parental monitoring, adolescent attitude towards sexting and sexting behaviors; b) to separately test for male and female adolescents a conceptual model in which sexting behaviors are explained by the parental practices and monitoring, with the mediation of adolescent negative attitude towards sexting.

METHODS

Direct and indirect links between the variables in the model were investigated. The study was carried out with 541 participants. Participants were Italian adolescents (60% males; 40% females) aged 14 to 19 years (M_age = 16,19 years, SD_age = 1,31).

RESULTS

Results suggested that females sent more multimedia sexts, had a higher perception of risk associated with sexting and reported higher scores for both parental practices regarding adolescent online life and parental monitoring. Rules on Contents, Parental Knowledge, Adolescent Disclosure, and Parental Control resulted to be linked to both sexting attitudes and behaviors for male and female adolescents.

CONCLUSIONS

Findings emphasize the important role that parents play in shaping attitudes and behaviors of both daughters and sons during adolescence.

Prevalence and Correlates of Sexting Behaviors in a Provincially Representative Sample of Adolescents

OBJECTIVES

To examine the prevalence and correlates of sending and receiving sexts (i.e., sexually explicit images) in a provincially representative sample of adolescents in Canada.

METHODS

Data from the 2014 Ontario Child Health Study, a provincial survey of households with children in Ontario, which includes a sample of 2,537 adolescents aged 14 to 17 years (mean age = 15.42, male = 51.6%) were used to address the research objectives.

RESULTS

The past 12 months prevalence of sending and receiving sexts was 14.4% and 27.0%, respectively. In unadjusted logistic regression analyses, non-White adolescents and those living in low-income households were less likely to send or receive sexts compared to White and non-low-income adolescents. Adolescents who disclosed their sexual and/or gender minority identities were 3 to 4 times more likely to send and receive sexts than youth who had not disclosed these identities. Higher levels of mental health problems generally observed among adolescents who sent or received sexts. In fully adjusted models, low income and ethnic minority status were associated with reduced odds of sending and receiving sexts, while sexual and/or gender minority disclosure status was associated with increased odds. Social anxiety was associated with reduced odds of sending and receiving sexts, while conduct disorder was associated with elevated odds.

CONCLUSION

The prevalence of sexting behavior was higher among adolescents who disclosed their sexual or gender minority identities. Sexting behaviors were associated with higher levels of mental health problems. Identifying vulnerable populations and the potential mental health ramifications associated with sexting behavior is vital to mitigating negative sequelae.

Internet Addiction in the Web of Science Database: A Review of the Literature with Scientific Mapping

Information and communication technologies (ICT) is a major element of today’s society with great potential that can offer both advantages and disadvantages. Addiction to the Internet and social networks is a growing problem in all age groups. Education is the context in which to work and train in the correct use of these media. The objective of the study focuses on knowing the scientific production and the performance of the concepts “addiction” and “internet” (ADIN). A bibliometric methodology complemented with the scientific mapping technique was followed. Different processes related to the quantification, analysis, evaluation, and estimation of scientific documents were carried out. The literature was analyzed by specific programs such as SciMAT, Analyze Results, and Creation Citation Report. The unit of analysis was specified in 5644 scientific publications extracted from Web of Science (WoS), belonging to the period of years between 1996 and 2019. The results showed that the evolution in the study of the addiction to the Internet is constant and continuous, with articles in English being the most used means to present the information on the part of the investigators. In addition, the subject of study was based on time, given that the coincidence of key words between the periods analyzed was high. In conclusion, the importance of promoting healthy living habits that include responsible use of the Internet are discussed.

A Qualitative Exploration of Electronic Image Sharing Among Young People: Navigating the Issues of Conformity, Trust, Intention, and Reputation

This research sought to explore the main factors affecting young people's image-sharing behaviors, particularly in the context of peer relationships and norms. Ten focus groups were held with young people aged 13 to 14 years (Grade 9) with a total of 68 participants (39 females and 29 males) across 15 Australian schools contributing to the discussions. Focus groups were divided into either all-girls (n = 4), all-boys (n = 4), or mixed gender (n = 2) participants to observe gender-specific issues. Thematic analysis of the data revealed the considerable complexities that young people encounter daily when sharing images in the online environment, including how they navigate issues of conformity, trust, intention, and reputation. Gender-specific differences in young people's perceptions of risky image sharing were also observed. These findings have important implications for the design of school-based interventions to prevent and reduce harm from image-sharing behaviors, including the appointment and training of cyber ambassadors in schools to help positively influence peer-level norms about image sharing.

What Young People Need to Make Better-Informed Decisions When Communicating With Digital Images: Implications for Mental Health and Well-Being

Sixty-eight young people contributed to a Design Thinking Challenge created to elicit a better understanding of their electronic image-sharing experiences, the helpful and harmful consequences of image-sharing to adolescent mental health and safety, and promising interventions that allow young people to make more positive decisions and minimize their risks when sharing images through electronic devices. Through this collaborative group-based process, each co-design group engaged in a four-phase process to discover, define, develop, and deliver an intervention that took the form of a paper-based mobile app prototype. Young people reported that they need information and advice to support their and others' online decision making, help making situational decision-making skills for managing online interactions, and means to control information and images that can be accessed and distributed. Detailed app features that they required to address their decision-making needs are also discussed. These app intervention features highlight what young people need to make better-informed decisions when communicating through images electronically.

Visual gossiping: non-consensual 'nude' sharing among young people in Denmark

The practice of sending and receiving nude and semi-nude images without consent is gaining increasing public attention and has been identified as a new form of digital sexual violence, framing sexting as a risk behaviour. In order to account for the existence of non-consensual nude sharing among young people in Denmark, we set out to conduct an ethnographic exploration of the social processes, gender dynamics and social implications of the practice. Our analysis suggests that non-consensual sharing acts as a form of visual gossip to maintain social bonds and gendered recognition. The practice often has gendered implications as it rests on and reproduces gendered values, forming the basis for judging girls' and boys' sexual activities differently. By using the framework of visual gossip, we draw attention to how the social dynamics of gossiping shape the different violating actions tied to the nude across time and context.

Management of non-consensually shared youth-produced sexual images: A Delphi study with adolescents as experts

There is an increased availability of online child abuse images, a proportion of which is created by young people in coercive and non- coercive relationships (sexting).

OBJECTIVES

This Delphi study with adolescents as "experts" who had taken and shared sexual images, was conducted to identify appropriate responses to sexting where images are shared without consent and identify indicators of distress and ways to facilitate disclosure when the sharing of images causes anxiety or is associated with further victimization.

PARTICIPANTS AND SETTING

124 adolescents from the United Kingdom completed an online survey. All self-identified as taking and sharing sexual images of themselves. 45 provided full survey responses (73% female; mean age 16.24) and of these 23 completed the second round. Recruitment was through social media and local schools.

METHODS

An online two-round Delphi method was completed using a vignettes-based questionnaire. To assess consensus, a defined average percentage agreement (80% cut-off) was used. Qualitative content analysis identified relevant themes in responses to Round 1 which informed the Round 2 items.

RESULTS

In the first round 60 items were identified that endorsed views of problem identification, facilitation of disclosure, proportionate responding, and problem management. Overall, participants agreed that the clear majority of statements identified in Round 2 were important and thus achieved consensus.

CONCLUSIONS

This study represents a novel and inclusive approach through the formation of an expert panel of young people. These views may inform appropriate victim-centered management of cases where images have been shared without permission.