{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T18:34:39Z","timestamp":1786732479991,"version":"build-2736575974"},"reference-count":72,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescent sexual and reproductive health remains a major public health concern in sub-Saharan Africa. In Togo, evidence on risky sexual behaviours (RSBs) among in-school adolescents is limited. This study examined patterns of RSB and associated sociodemographic, relational, and digital factors among high school students in Lom\u00e9.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted from December 2023 to March 2024 among 461 high school students aged 15\u201323 years. Participants were selected through multistage sampling and completed a structured, self-administered questionnaire. RSB was defined as reporting at least one of the following: inconsistent condom use, overlapping sexual partnerships, substance-influenced sex, or casual sexual encounters. Descriptive statistics and logistic regression analyses were used to examine patterns and associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nearly half of respondents (47.3%) reported sexual intercourse during the past 12 months. Among sexually active students, 58.7% reported sexual debut before age 18, 56.4% inconsistent condom use, 40.8% overlapping sexual relationships, and 27.5% coerced first sex. Gendered patterns were observed, with females more likely to report coerced first sex, older partners, and transactional sex. In adjusted analyses, higher odds of RSB were associated with personal mobile phone ownership (AOR\u2009=\u200911.35, 95% CI: 3.11\u201341.34), sexual debut at age 18 or older (AOR\u2009=\u20095.54, 95% CI: 1.55\u201319.82), and coerced first sex (AOR\u2009=\u20095.84, 95% CI: 1.15\u201329.49). Lower odds were observed among students with one to two agemates in the household (AOR\u2009=\u20090.23, 95% CI: 0.05\u20130.98), those identifying with other religions (AOR\u2009=\u20090.07, 95% CI: 0.01\u20130.37), and those living alone (AOR\u2009=\u20090.04, 95% CI: 0.00\u20130.39).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RSBs among high school students in Lom\u00e9 highlight gaps in sexual health literacy, consent negotiation, condom-use skills, and online safety. Strengthening comprehensive sexuality education, integrating digital literacy into school curricula, and expanding gender-responsive, youth-friendly SRH interventions are essential to promote safer, informed, and equitable adolescent sexual practices in Togo.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0335879","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:57:13Z","timestamp":1786730233000},"page":"e0335879","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risky sexual behaviours and associated factors among high school students in Lom\u00e9, Togo: A cross-sectional study"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2511-5002","authenticated-orcid":true,"given":"Essi Edjodjinam","family":"Kpegba-Fiaboe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"issue":"3","key":"pone.0335879.ref001","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1111\/cdep.12279","article-title":"The Development of Self and Identity in Adolescence: Neural Evidence and Implications for a Value-Based Choice Perspective on Motivated Behavior","volume":"12","author":"JH Pfeifer","year":"2018","journal-title":"Child Dev Perspect"},{"key":"pone.0335879.ref002","first-page":"36","article-title":"Erik Erikson\u2019s stages of psychosocial development","volume-title":"SimplePsychology","author":"S McLeod","year":"2025"},{"issue":"9826","key":"pone.0335879.ref003","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.1016\/S0140-6736(12)60072-5","article-title":"Adolescence: a foundation for future health","volume":"379","author":"SM Sawyer","year":"2012","journal-title":"Lancet"},{"key":"pone.0335879.ref004","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1080\/1047840X.2020.1820214","article-title":"Beyond screen time: Identity development in the digital age","volume":"31","author":"I Granic","year":"2020","journal-title":"Psychol Inq"},{"issue":"1","key":"pone.0335879.ref005","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/s12978-021-01183-y","article-title":"Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review","volume":"18","author":"LR Ninsiima","year":"2021","journal-title":"Reprod Health"},{"key":"pone.0335879.ref006","article-title":"African Charter on the Rights and Welfare of the Child","author":"African Union","year":"1999"},{"key":"pone.0335879.ref007","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1186\/s12978-021-01145-4","article-title":"Adolescent sexual and reproductive health for all in sub-Saharan Africa: a spotlight on inequalities","volume":"18","author":"V Chandra-Mouli","year":"2021","journal-title":"Reprod Health"},{"issue":"1","key":"pone.0335879.ref008","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1186\/s12905-023-02298-z","article-title":"Prevalence and associated factors of early sexual initiation among youth female in sub-Saharan Africa: a multilevel analysis of recent demographic and health surveys","volume":"23","author":"TA Ferede","year":"2023","journal-title":"BMC Womens Health"},{"key":"pone.0335879.ref009","author":"WHO"},{"issue":"1","key":"pone.0335879.ref010","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s12905-023-02169-7","article-title":"Prevalence of teenage pregnancy and its associated factors in high fertility sub-Saharan Africa countries: a multilevel analysis","volume":"23","author":"DB Asmamaw","year":"2023","journal-title":"BMC Womens Health"},{"key":"pone.0335879.ref011","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2019-002231","article-title":"Adolescent sexual and reproductive health in sub-Saharan Africa: who is left behind?","volume":"5","author":"DY Melesse","year":"2020","journal-title":"BMJ Global Health"},{"issue":"9941","key":"pone.0335879.ref012","doi-asserted-by":"crossref","DOI":"10.1016\/S0140-6736(14)61190-9","article-title":"Sexual and reproductive health and rights: a global development, health, and human rights priority","volume":"384","author":"M Temmerman","year":"2014","journal-title":"Lancet"},{"key":"pone.0335879.ref013","article-title":"The social and educational consequences of adolescent childbearing","author":"The World Bank","year":"2022"},{"issue":"6","key":"pone.0335879.ref014","first-page":"726","article-title":"Prevention of Adolescent Pregnancy in Anglophone Sub-Saharan Africa: A Scoping Review of National Policies","volume":"11","author":"BO Ahinkorah","year":"2022","journal-title":"Int J Health Policy Manag"},{"issue":"4","key":"pone.0335879.ref015","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.4314\/ahs.v21i4.41","article-title":"Factors associated with risky sexual behaviour among secondary and preparatory students in Wolaita Sodo town, Southern Ethiopia; Institution based cross-sectional study","volume":"21","author":"GA Azeze","year":"2021","journal-title":"Afr Health Sci"},{"issue":"12","key":"pone.0335879.ref016","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1016\/j.addbeh.2007.06.011","article-title":"Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study","volume":"32","author":"JL Brown","year":"2007","journal-title":"Addict Behav"},{"issue":"2","key":"pone.0335879.ref017","doi-asserted-by":"crossref","first-page":"121","DOI":"10.4314\/ajbr.v25i2.2","article-title":"Sexual and Reproductive Health Knowledge, Attitude and Behaviours of in-School Adolescents in Benin City, Nigeria","volume":"25","author":"AR Isara","year":"2022","journal-title":"Afr J Biomed Res"},{"issue":"6","key":"pone.0335879.ref018","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0326869","article-title":"Factors associated with early sexual debut among adolescents and youth in Mozambique: A geo-additive survival analysis of the Mozambique 2021 AIDS indicator survey","volume":"20","author":"R Muleia","year":"2025","journal-title":"PLoS One"},{"key":"pone.0335879.ref019","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1108\/JHR-10-2018-0119","article-title":"Barriers on access to and use of adolescent health services in Ghana","volume":"33","author":"AA Abuosi","year":"2019","journal-title":"J Heal Res"},{"issue":"1","key":"pone.0335879.ref020","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1186\/s12889-025-21585-y","article-title":"Association between social media use and adolescents\u2019 sexual behaviours: a cross-sectional study among high school students in Drobo, Ghana","volume":"25","author":"CO Gyane","year":"2025","journal-title":"BMC Public Health"},{"key":"pone.0335879.ref021","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/0145935X.2025.2516652","article-title":"Barriers to Parent-Adolescent Communication About Sexual and Reproductive Health Issues in Enugu State, Nigeria: A Multi-Level Qualitative Analysis","author":"I Igwe","year":"2025","journal-title":"Child & Youth Services"},{"key":"pone.0335879.ref022","author":"Minist\u00e8re de la Sant\u00e9","year":"2018"},{"key":"pone.0335879.ref023","author":"Education Ministry","year":"2023"},{"key":"pone.0335879.ref024","doi-asserted-by":"crossref","first-page":"1169180","DOI":"10.3389\/fpubh.2023.1169180","article-title":"Unmet needs for modern contraceptive methods among sexually active adolescents and young women in Togo: a nationwide cross-sectional study","volume":"11","author":"S Alidou","year":"2023","journal-title":"Front Public Health"},{"key":"pone.0335879.ref025","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1186\/s12978-024-01822-0","article-title":"Adolescent sexual and reproductive health needs and utilisation of health services in the Bono East Region, Ghana","volume":"21","author":"J Okyere","year":"2024","journal-title":"Reprod Health"},{"issue":"6","key":"pone.0335879.ref026","first-page":"80","article-title":"Adolescents\u2019 knowledge and use of sexual and reproductive health services in the Federal Capital Territory, Nigeria","volume":"26","author":"NH Ugwu","year":"2022","journal-title":"Afr J Reprod Health"},{"issue":"1","key":"pone.0335879.ref027","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1186\/s12889-023-15562-6","article-title":"\u201cIf your mother does not teach you, the world will\u2026\u201d: a qualitative study of parent-adolescent communication on sexual and reproductive health issues in Border districts of eastern Uganda","volume":"23","author":"P Ndugga","year":"2023","journal-title":"BMC Public Health"},{"key":"pone.0335879.ref028","first-page":"156","article-title":"Teenage pregnancies in schools in Togo: Lack of communication between parents and children?","volume":"31","author":"AS Toudeka","year":"2022","journal-title":"Sexologies"},{"issue":"1","key":"pone.0335879.ref029","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/s12978-020-00938-3","article-title":"Parent-child sexual and reproductive health communication among very young adolescents in Korogocho informal settlement in Nairobi, Kenya","volume":"17","author":"BW Maina","year":"2020","journal-title":"Reprod Health"},{"key":"pone.0335879.ref030","doi-asserted-by":"crossref","first-page":"79","DOI":"10.2147\/OAJC.S226481","article-title":"Are Women In Lom\u00e9 Getting Their Desired Methods Of Contraception? Understanding Provider Bias From Restrictions To Choice","volume":"10","author":"E Pleasants","year":"2019","journal-title":"Open Access J Contracept"},{"key":"pone.0335879.ref031","doi-asserted-by":"crossref","first-page":"100062","DOI":"10.1016\/j.conx.2021.100062","article-title":"Stigma surrounding contraceptive use and abortion among secondary school teachers: A cross-sectional study in Western Kenya","volume":"3","author":"ME Meurice","year":"2021","journal-title":"Contracept X"},{"issue":"2","key":"pone.0335879.ref032","first-page":"122","article-title":"Unsafe abortion: unnecessary maternal mortality","volume":"2","author":"LB Haddad","year":"2009","journal-title":"Rev Obstet Gynecol"},{"key":"pone.0335879.ref033","doi-asserted-by":"crossref","first-page":"984303","DOI":"10.3389\/frph.2022.984303","article-title":"Adolescent pregnancy in sub-Saharan Africa \u2013 a cause for concern","volume":"4","author":"NR Maharaj","year":"2022","journal-title":"Front Reprod Heal"},{"issue":"1","key":"pone.0335879.ref034","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/s12889-023-15054-7","article-title":"Association between public health emergencies and sexual and reproductive health, gender-based violence, and early marriage among adolescent girls: a rapid review","volume":"23","author":"S Shukla","year":"2023","journal-title":"BMC Public Health"},{"key":"pone.0335879.ref035","first-page":"85","article-title":"Sante sexuelle des adolescents collegiens: Connaissances, attitudes, et pratiques face aux risques des infections sexuellement transmissibles au Nord-Est de Lome","volume":"4","author":"K Segbedji","year":"2016","journal-title":"Rev Cames Sante"},{"issue":"3","key":"pone.0335879.ref036","doi-asserted-by":"crossref","first-page":"70","DOI":"10.2307\/3583259","article-title":"Gender differences in cues that affect condom use among adolescents in Lom\u00e9, Togo","volume":"6","author":"IS Speizer","year":"2002","journal-title":"Afr J Reprod Health"},{"key":"pone.0335879.ref037","volume-title":"Sampling techniques","author":"WG Cochran","year":"1977","edition":"3"},{"issue":"5","key":"pone.0335879.ref038","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.jadohealth.2013.03.002","article-title":"WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries","volume":"52","author":"V Chandra-Mouli","year":"2013","journal-title":"J Adolesc Health"},{"key":"pone.0335879.ref039","doi-asserted-by":"crossref","first-page":"100253","DOI":"10.1016\/j.puhip.2022.100253","article-title":"Sexual and reproductive health-related knowledge, attitudes and support network of Italian adolescents","volume":"3","author":"L Brunelli","year":"2022","journal-title":"Public Health Pract (Oxf)"},{"key":"pone.0335879.ref040","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1155\/2020\/3719845","article-title":"Risky sexual behavior and associated factors among adolescents aged 15-19 years at governmental high schools in Aksum town, Tigray, Ethiopia, 2019: An institution-based, cross-sectional study","volume":"2020","author":"M Srahbzu","year":"2020","journal-title":"Biomed Res Int"},{"key":"pone.0335879.ref041","doi-asserted-by":"crossref","first-page":"1608357","DOI":"10.3389\/phrs.2025.1608357","article-title":"Determinants of Adolescent Sexual Behavior in Sub-Saharan Africa: A Systematic Review of In-School and Out-of-School Adolescents","volume":"46","author":"R-J Koumba Maguena","year":"2025","journal-title":"Public Health Rev"},{"issue":"1","key":"pone.0335879.ref042","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s12978-024-01775-4","article-title":"\u201cYou cannot stay with one person once you begin having sex at a young age\u201d: the prevalence, correlates and effects of early sexual debut among children in Ghana","volume":"21","author":"F Kyei-Arthur","year":"2024","journal-title":"Reprod Health"},{"issue":"3","key":"pone.0335879.ref043","doi-asserted-by":"crossref","first-page":"614","DOI":"10.4314\/ahs.v17i3.3","article-title":"Early sexual debut: prevalence and risk factors among secondary school students in Ido-ekiti, Ekiti state, South-West Nigeria","volume":"17","author":"KA Durowade","year":"2017","journal-title":"Afr Health Sci"},{"key":"pone.0335879.ref044","doi-asserted-by":"crossref","first-page":"1191722","DOI":"10.3389\/fpubh.2023.1191722","article-title":"Association between early sexual initiation and sexually transmitted infections among Peruvian reproductive-age women","volume":"11","author":"J Perez-Fernandez","year":"2023","journal-title":"Front Public Health"},{"issue":"5","key":"pone.0335879.ref045","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1177\/0272431615620666","article-title":"Long-term consequences of early sexual initiation on young adult health: A causal inference approach","volume":"37","author":"KC Kugler","year":"2017","journal-title":"J Early Adolesc"},{"issue":"1","key":"pone.0335879.ref046","doi-asserted-by":"crossref","first-page":"23249","DOI":"10.1038\/s41598-025-06360-8","article-title":"Adolescent sexuality education, sexual debut, and associated factors in Nigerian public secondary schools","volume":"15","author":"TM Ipinnimo","year":"2025","journal-title":"Sci Rep"},{"issue":"2","key":"pone.0335879.ref047","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s10964-006-9128-4","article-title":"Adolescent Sexual Debut and Later Delinquency","volume":"36","author":"S Armour","year":"2006","journal-title":"J Youth Adolescence"},{"issue":"5","key":"pone.0335879.ref048","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s10964-019-00984-6","article-title":"Adolescents\u2019 Social Norms across Family, Peer, and School Settings: Linking Social Norm Profiles to Adolescent Risky Health Behaviors","volume":"48","author":"Y Wang","year":"2019","journal-title":"J Youth Adolesc"},{"issue":"4","key":"pone.0335879.ref049","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1177\/26318318241306188","article-title":"Experiences and Predictors of First Sex Initiation among Early Adolescents in Koforidua Municipality, Ghana: A Convergent Parallel Mixed-Method Study","volume":"6","author":"R Ofori","year":"2024","journal-title":"Journal of Psychosexual Health"},{"issue":"6","key":"pone.0335879.ref050","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1037\/a0031658","article-title":"Changes in health risk behaviors for males and females from early adolescence through early adulthood","volume":"32","author":"JR Mahalik","year":"2013","journal-title":"Health Psychol"},{"issue":"5","key":"pone.0335879.ref051","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.whi.2008.04.002","article-title":"Partnership concurrency status and condom use among women diagnosed with Trichomonas vaginalis","volume":"18","author":"B Lichtenstein","year":"2008","journal-title":"Womens Health Issues"},{"issue":"1","key":"pone.0335879.ref052","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/QAI.0b013e3182a9c22a","article-title":"Characteristics of multiple and concurrent partnerships among women at high risk for HIV infection","volume":"65","author":"AA Adimora","year":"2014","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"9787","key":"pone.0335879.ref053","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/S0140-6736(11)60779-4","article-title":"Effect of concurrent sexual partnerships on rate of new HIV infections in a high-prevalence, rural South African population: a cohort study","volume":"378","author":"F Tanser","year":"2011","journal-title":"Lancet"},{"issue":"1","key":"pone.0335879.ref054","doi-asserted-by":"crossref","first-page":"400","DOI":"10.4314\/ahs.v23i1.42","article-title":"Prevalence and determinants of inconsistent condom use among unmarried sexually active youth. a secondary analysis of the 2016-2017 Eswatini HIV incidence measurement survey","volume":"23","author":"MS Simelane","year":"2023","journal-title":"Afr Health Sci"},{"issue":"3","key":"pone.0335879.ref055","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1080\/14616734.2012.672282","article-title":"Teacher-student interactions and attachment states of mind as predictors of early romantic involvement and risky sexual behaviors","volume":"14","author":"R Kobak","year":"2012","journal-title":"Attach Hum Dev"},{"issue":"3","key":"pone.0335879.ref056","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1111\/jora.12303","article-title":"Early Sexual Initiation and Mental Health: A Fleeting Association or Enduring Change?","volume":"27","author":"R Wesche","year":"2017","journal-title":"J Res Adolesc"},{"key":"pone.0335879.ref057","first-page":"41","article-title":"Understanding sexual consent among adolescents","volume":"6","author":"C O\u2019Connor","year":"2022","journal-title":"Soc Sci Protoc"},{"issue":"5","key":"pone.0335879.ref058","doi-asserted-by":"crossref","DOI":"10.1016\/S2214-109X(17)30103-1","article-title":"Pathways between childhood trauma, intimate partner violence, and harsh parenting: findings from the UN Multi-country Study on Men and Violence in Asia and the Pacific","volume":"5","author":"E Fulu","year":"2017","journal-title":"Lancet Glob Health"},{"key":"pone.0335879.ref059","article-title":"Impact of childhood sexual abuse on the emotions and behaviours of adult men from three ethnic groups in the USA","author":"JS Payne","year":"2014","journal-title":"Cult Health Sex"},{"key":"pone.0335879.ref060","doi-asserted-by":"crossref","first-page":"93","DOI":"10.29063\/ajrh2024\/v28i8s.10","article-title":"Gender socialization and adolescent pregnancies in Togo","volume":"28","author":"AS Toudeka","year":"2024","journal-title":"Afr J Reprod Health"},{"key":"pone.0335879.ref061","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/s12978-025-01990-7","article-title":"Gender differences and factors affecting opinions on condom use and sexual experiences among adolescents in a high teenage pregnancy setting in the Volta Region, Ghana","volume":"22","author":"D Klu","year":"2025","journal-title":"Reprod Health"},{"key":"pone.0335879.ref062","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1080\/00224499.2017.1421607","article-title":"Sexual Self-Efficacy and Gender: A Review of Condom Use and Sexual Negotiation Among Young Men and Women in Sub-Saharan Africa","volume":"55","author":"K Closson","year":"2018","journal-title":"J Sex Res"},{"key":"pone.0335879.ref063","doi-asserted-by":"crossref","DOI":"10.54675\/NFEK1277","article-title":"The journey towards comprehensive sexuality education: global status report","author":"UNESCO","year":"2021"},{"issue":"3","key":"pone.0335879.ref064","first-page":"140","article-title":"Sexual coercion among in-school adolescents in Rwanda: prevalence and correlates of victimization and normative acceptance","volume":"16","author":"E Van Decraen","year":"2012","journal-title":"Afr J Reprod Health"},{"issue":"2","key":"pone.0335879.ref065","first-page":"65","article-title":"\u201cYour Friends Do Matter\u201d: Peer Group Talk in Adolescence and Gender Violence Victimization","volume":"8","author":"S Racionero-Plaza","year":"2021","journal-title":"Children (Basel)"},{"key":"pone.0335879.ref066","doi-asserted-by":"crossref","DOI":"10.2196\/63309","article-title":"Exploring the Use of Digital Educational Tools for Sexual and Reproductive Health in Sub-Saharan Africa: Systematic Review","volume":"11","author":"RH Abdul Hamid Alhassan","year":"2025","journal-title":"JMIR Public Health Surveill"},{"key":"pone.0335879.ref067","article-title":"Investigating risks and opportunities for children in a digital world: A rapid review of the evidence on children\u2019s internet use and outcomes","author":"M Stoilova","year":"2021"},{"issue":"8","key":"pone.0335879.ref068","doi-asserted-by":"crossref","first-page":"3223","DOI":"10.1007\/s10508-025-03217-z","article-title":"Online Pornography Consumption, Risky Behaviors, and Sexist Attitudes in Adolescence: A Cross-Sectional Survey Study","volume":"54","author":"S Feij\u00f3o","year":"2025","journal-title":"Arch Sex Behav"},{"key":"pone.0335879.ref069","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1057\/s41599-024-03482-8","article-title":"Internet usage, access, and supervision among Ghanaian children: a cross-sectional study","volume":"11","author":"F Kyei-Arthur","year":"2024","journal-title":"Humanit Soc Sci Commun"},{"issue":"3","key":"pone.0335879.ref070","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0119050","article-title":"Risky sexual behaviors among female youth in Tiss Abay, a semi-urban area of the Amhara Region, Ethiopia","volume":"10","author":"G Tadesse","year":"2015","journal-title":"PLoS One"},{"key":"pone.0335879.ref071","doi-asserted-by":"crossref","first-page":"100144","DOI":"10.1016\/j.caeo.2023.100144","article-title":"Developing digital resilience: An educational intervention improves elementary students\u2019 response to digital challenges","volume":"5","author":"AY Lee","year":"2023","journal-title":"Computers and Education Open"},{"key":"pone.0335879.ref072","doi-asserted-by":"crossref","first-page":"100462","DOI":"10.1016\/j.ijedro.2025.100462","article-title":"Trends in digital technologies to address children\u2019s online safety education: A systematic scoping review","volume":"9","author":"M Esfandiari","year":"2025","journal-title":"International Journal of Educational Research Open"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0335879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:57:25Z","timestamp":1786730245000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0335879"}},"subtitle":[],"editor":[{"given":"Adewale Olufemi","family":"Ashimi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":72,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8,14]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0335879","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]}}}