Results Participants totaled 41 723 from 23 included studies. Main Outcomes and Measures Sexual behavior (sexual activity, multiple sexual partners, lack of contraception use) and mental health risk factors (anxiety/depression, delinquent behavior, and alcohol, drug use, and smoking). Random-effects meta-analyses were used to derive odds ratios (ORs). Study Selection Studies were included if participants were younger than 18 years and an association between sexting and sexual behaviors or mental health risk factors was examined.ĭata Extraction and Synthesis All relevant data were extracted by 2 independent reviewers. Objective To provide a meta-analytic synthesis of studies examining the associations between sexting, sexual behavior, and mental health using sex, age, publication date, and study methodological quality as moderators.ĭata Sources Electronic searches were conducted in April 2018 in MEDLINE, PsycINFO, Embase, and Web of Science, yielding 1672 nonduplicate records. Although various studies have examined the association between sexting, sexual behaviors, and mental health, results are mixed. Importance Sexting is the exchange of sexual messages, photographs, or videos via technological devices and is common and increasing among youth.
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