{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:47:01Z","timestamp":1791398821598,"version":"4.3.3"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,4]],"date-time":"2018-02-04T00:00:00Z","timestamp":1517702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["CDC\u2010RFA\u2010PS13\u20101308"],"award-info":[{"award-number":["CDC\u2010RFA\u2010PS13\u20101308"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Sexting, the sharing of sexually suggestive photos, may be a gateway behavior to early sexual activity and increase the likelihood of social ostracism.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Youth Risk Behavior Survey (N\u2009=\u20096021) data from 2015 among Pennsylvania 9th\u201012th grade students were used to examine associations between consensual and nonconsensual sexting and substance use, mental health, neighborhood safety, and demographic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Almost one\u2010third (29%) of students reported consensual sexting, while 3% reported nonconsensual sexting. Female students were 49% less likely to report consensual sexting (OR\u2009=\u2009.69, 95% confidence interval [CI]: [0.54, 0.87]); consensual sexting was significantly more likely in students who reported depressive symptoms (OR\u2009=\u20091.39, 95% CI: [1.10, 1.75]), electronic bullying (OR\u2009=\u20091.46, 95% CI: [1.05, 2.04]), suicide attempts (OR\u2009=\u20091.96, 95% CI: [1.22, 3.17]), current tobacco use (OR\u2009=\u20091.99, 95% CI: [1.30, 3.03]), current alcohol use (OR\u2009=\u20094.23, 95% CI: [3.04, 5.89]), ever having sex (OR\u2009=\u20095.21, 95% CI: [3.87, 7.02]), and reported both ever having sex, <jats:italic>and<\/jats:italic> current alcohol use (OR\u2009=\u20097.74, 95% CI: [5.37, 11.14]).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>High school students, particularly men, that report sexting may be more likely to participate in other risk behaviors and experience negative mental health outcomes. Further research should clarify the temporality of links between sexting, cyberbullying, depression, and suicide to inform mental health screening and treatment availability in high schools.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12596","type":"journal-article","created":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T01:35:21Z","timestamp":1517794521000},"page":"190-199","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":90,"title":["Sexting, Risk Behavior, and Mental Health in Adolescents: An Examination of 2015 Pennsylvania Youth Risk Behavior Survey Data"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1979-750X","authenticated-orcid":false,"given":"Anne S.","family":"Frankel","sequence":"first","affiliation":[{"name":"Department of Social and Behavioral Sciences, College of Public Health Temple University, 1308 Cecil B. Moore Avenue, Philadelphia, PA 19122"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Bauerle","family":"Bass","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, Director of Risk Communication Laboratory College of Public Health, Temple University, 1308 Cecil B. Moore Avenue, Philadelphia, PA 19122"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freda","family":"Patterson","sequence":"additional","affiliation":[{"name":"Department of Behavioral Health and Nutrition Center of Biomedical Research Excellence (COBRE) in Cardiovascular Health, College of Health Sciences, University of Delaware, Newark, DE 19716"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Educational Psychology, College of Education University of Illinois at Chicago, 1040 W. Harrison Street, M\/C 147, Chicago, IL 60607"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanna","family":"Brown","sequence":"additional","affiliation":[{"name":"Roberts Center for Pediatric Research Children's Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.06.011"},{"key":"e_1_2_6_3_1","volume-title":"Polling Data, Sex and Tech: Results from a Survey of Teens and Young Adults","author":"The National Campaign to Prevent Teen and Unplanned Pregnancy","year":"2008"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0021"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-1157"},{"key":"e_1_2_6_6_1","volume-title":"Low Risk Associated With Most Teenage Sexting: A Study of 617 18\u2010Year\u2010Olds","author":"Englander E","year":"2012"},{"issue":"1","key":"e_1_2_6_7_1","first-page":"21","article-title":"Sexting among teenagers in the United States: a retrospective analysis of identifying motivating factors, potential targets, and the role of a capable guardian","volume":"8","author":"Martinez\u2010Prather K","year":"2014","journal-title":"Int J Cyber Criminol"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-1974"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-1730"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/cyber.2012.0452"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11199-013-0320-1"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsas.2002.s14.101"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0197-0070(86)80160-7"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(00)00169-5"},{"key":"e_1_2_6_15_1","first-page":"227","article-title":"Allegations of school district liability for bullying, cyberbullying, and teen suicides after sexting: are new legal standards emerging in the courts?","volume":"37","author":"Conn K","year":"2011","journal-title":"N Engl J Crim Civ Confin"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2013.10.008"},{"issue":"1","key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1080\/0144929X.2013.837099","article-title":"Under pressure to sext? Applying the theory of planned behaviour to adolescent sexting","volume":"33","author":"Walrave M","year":"2013","journal-title":"Behav Inform Technol"},{"key":"e_1_2_6_18_1","first-page":"2932","article-title":"Sexting in context: privacy norms and expectations","volume":"8","author":"Hasinoff A","year":"2014","journal-title":"Int J Commun"},{"issue":"1","key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1007\/s10508-012-9969-8","article-title":"Sexting by high school students: an exploratory and descriptive study","volume":"42","author":"Strassberg D","year":"2012","journal-title":"Arch Sex Behav"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-015-0380-3"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2010.05.017"},{"key":"e_1_2_6_22_1","volume-title":"Suicide: Facts at a Glance","author":"US Centers for Disease Control and Prevention (CDC)","year":"2015"},{"key":"e_1_2_6_23_1","volume-title":"QuickFacts: Pennsylvania","author":"United States Census Bureau","year":"2015"},{"key":"e_1_2_6_24_1","volume-title":"The Pennsylvania Health Care Landscape","author":"Kaiser Family Foundation","year":"2016"},{"key":"e_1_2_6_25_1","volume-title":"Content Analysis of Youth Internet Safety Programs: Are Effective Prevention Strategies Being Used?","author":"Jones L","year":"2014"},{"key":"e_1_2_6_26_1","volume-title":"Methodology of the Youth Risk Behavior Surveillance System\u20142013","author":"Brener N","year":"2013"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4603(01)00211-8"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/15546128.2012.650959"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(02)00385-3"},{"key":"e_1_2_6_30_1","volume-title":"Youth Risk Behavior Surveillance\u2014United States, 2013: Surveillance Summaries","author":"Kann L","year":"2013"},{"key":"e_1_2_6_31_1","volume-title":"Centers for Disease Control and Prevention (CDC)","author":"Web\u2010based Injury Statistics Query and Reporting System (WISQARS)","year":"2013"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(04)00124-2"},{"issue":"6","key":"e_1_2_6_33_1","first-page":"3","article-title":"Let's talk about sext: the challenge of finding the right legal response to teenage practice of \u201csexting.\u201d","volume":"13","author":"Corbett D","year":"2009","journal-title":"J Internet Law"},{"key":"e_1_2_6_34_1","volume-title":"Teens and Sexting: How and Why Minor Teens Are Sending Sexually Suggestive Nude or Nearly Nude Images Via Text Messaging","author":"Lenhart A","year":"2009"},{"key":"e_1_2_6_35_1","volume-title":"State Sexting Laws: A Brief Review of State Sexting and Revenge Porn Laws and Policies","author":"Hinduja S","year":"2015"},{"key":"e_1_2_6_36_1","unstructured":"Transmission of Sexually Explicit Images by Minor. 18 Pa. Con. Stat. \u00a7\u00a7 5702 6321 2014."},{"key":"e_1_2_6_37_1","volume-title":"A Thin Line: AP\u2010MTV Digital Abuse Study","author":"Associated Press (AP), MTV","year":"2009"},{"key":"e_1_2_6_38_1","first-page":"3","article-title":"Child's play or child pornography: the need for better laws regarding sexting","volume":"35","author":"Walker J","year":"2010","journal-title":"ACJS Today"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwp049"},{"key":"e_1_2_6_40_1","volume-title":"Cyberbullying: Bullying in the Digital Age","author":"Kowalski R","year":"2012"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2014.13101401"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.012809.103636"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.8.1276"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.18043\/ncm.73.5.358"},{"key":"e_1_2_6_45_1","first-page":"1","article-title":"Sexting at school: lessons learned the hard way","author":"Sorenen LE","year":"2010","journal-title":"Inquiry Anal"},{"key":"e_1_2_6_46_1","volume-title":"\u2018Before you Text\u2019 Sexting Prevention Course","author":"Texas School Safety Center","year":"2013"},{"key":"e_1_2_6_47_1","unstructured":"WatanabeTLA. Unified takes on sexting with education campaign not punishment.Los Angeles TimesJuly 7 2015. Available at:www.latimes.com\/local\/education\/la-me-sexting-20150707-story.html. Accessed February 5 2017."}],"container-title":["Journal of School Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjosh.12596","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/josh.12596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T15:44:28Z","timestamp":1695743068000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/josh.12596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,4]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/josh.12596"],"URL":"https:\/\/doi.org\/10.1111\/josh.12596","archive":["Portico"],"relation":{},"ISSN":["0022-4391","1746-1561"],"issn-type":[{"value":"0022-4391","type":"print"},{"value":"1746-1561","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,4]]},"assertion":[{"value":"2016-09-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-09-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}