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Adolescents who themselves sexted were more likely to report being sexually active (OR = 7.17, 95% CI: 5.01–10.25).Nonheterosexual students were more likely to report sexting (OR = 2.74, 95% CI: 1.86–4.04), sexual activity (OR = 1.52, 95% CI: 1.07–2.15), and unprotected sex at last sexual encounter (OR = 1.84, 95% CI: 1.17–2.89).There has been variation across studies as to the operational definition of sexting, resulting in discrepancies in reported rates of sexting behavior, 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.Students older than 18 were removed from our analyses, yielding a final sample of 1839 students.Data were weighted with respect to race/ethnicity to reflect the demographic distribution of students attending LAUSD.Yet, decades of school-based research on adolescents have repeatedly demonstrated that adolescents’ perceptions of the norms and values of their peers are strongly associated with their risk-taking and antisocial behaviors.It is important that we examine not only the rates of sexting, but that we understand how such behaviors are tied to adolescents’ perceptions of the sexting behaviors of their peers or other persons whom they know.

Sexting itself does not pose a direct risk for transmission of STIs or unwanted pregnancy, and could, in fact, be considered a “safe” alternative to actual sexual behavior, if sexting behavior remained strictly “online” and was not associated with physical sex risk behavior.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.RESULTS: Fifteen percent of adolescents with cell phone access reported sexting, and 54% reported knowing someone who had sent a sext.Adolescents whose peers sexted were more likely to sext themselves (odds ratio [OR] = 16.87, 95% confidence interval [CI]: 9.62–29.59).




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