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Using logistic regression models, we assessed CSH in relation to substance use, poor mental health outcomes and STI history.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants were, on average, 17 years of age and half were currently in a relationship. The majority of girls (68%) reported at least one form of CSH, which included receiving unwanted sexual messages\/photos (53%), receiving unwanted messages asking them to do something sexual (49%), being pressured to send sexual photos (36%), and having sexual photos shared without permission (6%). Perpetrators included known and unknown males; almost a third (27%) reported perpetration by a relationship partner. In logistic regression models adjusting for race, CSH was associated with: past 30\u2010day alcohol use, drug use (ever), feeling depressed (past 30 days), and feeling anxious (past 30 days) (Odds Ratios ranged: 2.9\u20137.5). CSH was also associated with past\u2010year suicidal thoughts and STI diagnosis (ever) (p\u202f&lt;\u202f0.05, ORs not presented due to small numbers).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings suggest that in some subgroups, CSH appears to be affecting the majority of girls, which is especially concerning given its association with multiple poor health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.adolescence.2019.07.005","type":"journal-article","created":{"date-parts":[[2019,7,22]],"date-time":"2019-07-22T17:20:49Z","timestamp":1563816049000},"page":"53-62","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":76,"title":["Cyber Sexual Harassment: Prevalence and association with substance use, poor mental health, and STI history among sexually active adolescent girls"],"prefix":"10.1002","volume":"75","author":[{"given":"Elizabeth","family":"Reed","sequence":"first","affiliation":[{"name":"San Diego State University School of Public Health 5500 Campanile Dr. San Diego CA 92128 USA"},{"name":"University of California San Diego Division of Global Public Health Center on Gender Equity and Health 9500 Gilman Dr. La Jolla CA 92093 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa","family":"Salazar","sequence":"additional","affiliation":[{"name":"San Diego State University School of Public Health 5500 Campanile Dr. San Diego CA 92128 USA"},{"name":"University of California San Diego Division of Global Public Health Center on Gender Equity and Health 9500 Gilman Dr. La Jolla CA 92093 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alma I.","family":"Behar","sequence":"additional","affiliation":[{"name":"San Diego State University School of Public Health 5500 Campanile Dr. San Diego CA 92128 USA"},{"name":"University of California San Diego Division of Global Public Health Center on Gender Equity and Health 9500 Gilman Dr. La Jolla CA 92093 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niloufar","family":"Agah","sequence":"additional","affiliation":[{"name":"University of California San Diego Division of Global Public Health Center on Gender Equity and Health 9500 Gilman Dr. La Jolla CA 92093 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay G.","family":"Silverman","sequence":"additional","affiliation":[{"name":"University of California San Diego Division of Global Public Health Center on Gender Equity and Health 9500 Gilman Dr. La Jolla CA 92093 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra M.","family":"Minnis","sequence":"additional","affiliation":[{"name":"RTI International Women's Global Health Imperative USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie 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