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However, to date, no published data from a probability-based sample has examined associations between sexting and sexual activity. A probability sample of students was collected alongside the Youth Risk Behavior Survey in Los Angeles high schools. Logistic regressions were used to assess the correlates of sexting behavior and associations between "Sex messaging" and sexual Sex messaging. We recommend that clinicians discuss sexting as an adolescent-friendly way of engaging patients in conversations about sexual activity, prevention of sexually transmitted infections, and unwanted pregnancy.

We further recommend that discussion about sexting and its associated risk behavior be included in school-based sexual health curricula. This study is the first to examine sexting among Sex messaging probability sample of adolescents and found that sexting is associated with sexual activity, sexual risk behavior, and knowing other person s who have sent a sext.

Very little is known about the possible health consequences related to sexting among adolescents. In a study of young Hispanic women at a university in the southern United States, engaging in sexting was related to unprotected sex. There has been variation across studies as to the operational definition of sexting, resulting in discrepancies in reported rates of sexting Sex messaging, in addition to differences driven by study design and target population.

In some studies the focus was on the sending of nude or semi-nude photos and videos, in others it was the sending of sexually explicit text messages, whereas others included both. Although the exchange of sexually explicit content is not a new phenomenon, technological advances have expanded the availability of this material and weakened restrictions on access to such content ie, age verification. Sexts differ from other types of sexually explicit material because of the ease with which an individual can create and widely distribute material via portable digital devices.

Sexting may be another means of adolescents exploring their sexuality, engaging in sexual experimentation, identity and Sex messaging, and determining his or her moral and sexual values. Some adolescents perceive that sexting is a safer substitute to real life sexual activity, 2 but Sex messaging suggest that sexting may be viewed as a future expectation for engaging in sexual intercourse.

Much of the research on sexting has focused on the sending and receiving of Sex messaging explicit images and texts via cell phone. Few studies have collected data on the perceptions of peer engagement in such practices. The data analysis was granted an exemption from review by the University "Sex messaging" Southern California Institutional Review Board. First, schools within the district are selected with a probability proportional to their student enrollment.

Second, classes within schools are selected with equal probability. All students in grades 9 through 12 are eligible, including those in special education classes or who have low English-language proficiency.

Students older than 18 were removed from our analyses, yielding a final sample of students. The sample demographic profile is presented in Table 1. It is important to note that the supplemental questionnaire and the YRBS could not be linked, as both questionnaires were anonymous Sex messaging did not include identifiers.

Check all that apply: Please choose the best answer for you: Three logistic regression models were conducted with SAS 9. The second model thus assesses the associations among demographics, personal sexting behavior, and lifetime history of sexual intercourse ie, ever having had oral, vaginal, or anal sex. Logistic "Sex messaging" of Sexting Behaviors: Models 2 and 3 examine the correlates of being sexually active and, among those who are sexually active, having had unprotected sex at the last sexual encounter.

There are several important results to emerge from this study. This percentage is comparable to recent work that also included the sending and receiving of explicit text messages in the operational definition of sexting.

Our study defined sexting as images or text messages, rather than just images, and included ages 12 to 18 versus 10—17 in the nationally representative study, which found lower rates of sexting.

Second, more than Sex messaging of the students reported knowing at least 1 person whom they know who engaged in sexting.

This rate is somewhat "Sex messaging" than was found in other work 7 ; although the findings rely on perceptions of peer behavior and not necessarily observed behavior.

Sexting thus falls in line with many other health-related behaviors in which adolescents who engage in such behaviors typically report that their peers do so as well. Third, and most importantly, these data reveal that sexting is associated with physical sexual risk taking. Unlike work that has suggested that sexting Sex messaging a low-risk, or healthy alternative to sexual risk taking, 21112 we find that there is a clustering of sexual risk behaviors, which includes sexting.

Sexting was statistically significantly associated with sexual activity and showed a near-significant trend with reports of unsafe sex ie, not using a condom at last intercourse. The findings with respect to LGBTQ students are particularly alarming as these youth are more "Sex messaging" to be involved in sexting, to be sexually active, and to engage in unsafe sex and thus are at increased risk for the transmission of HIV and other STIs.

As with any study, there are several limitations. Because of the causality limitations inherent in cross-sectional studies, we are unable to conclude that sending sexts causes one to engage in sexual activity or engage in unsafe sex practices. The examination of the correlates of sexting is limited because we did not explore the reasons for sexting; doing so might shed Sex messaging on the causal relationship between sexting and sexual risk behavior.

As with all self-reported data, there is the possibility of both under- and overreporting of sexting and risk behaviors. However, because this was an anonymous questionnaire, social desirability Sex messaging may have been reduced.

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