MONDAY, Jan. 6, 2014 (HealthDay News) -- More than 20 percent of
at-risk seventh graders have "sexted" and those middle schoolers
were much more likely to also have engaged in some type of sexual
behavior, a new study finds.
Sexting is when someone sends sexually explicit messages and/or
pictures by cellphone. Seventeen percent of the children surveyed
said they had sent a sexually explicit message during the past six
months. Five percent of the seventh graders admitted to sending
sexual photos via cellphone.
Teens who sexted were almost three times more likely to have
oral sex and more than twice as likely to have vaginal sex,
according to the study.
"Sexting behavior was not uncommon among middle school youth and
co-occurred with sexual behavior. These data suggest that phone
behaviors, even flirtatious messages, may be an indicator of risk.
Clinicians, parents and health programs should discuss sexting with
early adolescents," the study authors wrote.
The findings were published online Jan. 6 in the journal
Many of today's teens and preteens have access to the Internet
and mobile devices, and this is changing the way kids communicate.
Seventy-one percent of 12- to 13-year-olds had access to a
cellphone, 68 percent had their own cellphone and 23 percent had a
smartphone, according to the study.
While teens may be more savvy with technology than their parents
are, young teens still lack the maturity to fully understand the
consequences of their actions, the researchers said.
In the study, 410 seventh graders from five urban public middle
schools in Rhode Island completed surveys between 2009 and 2012.
All of the children had been identified by school counselors,
nurses or administrators as having behavioral or emotional
The students completed written surveys about their sexting
behaviors, sexual risk behaviors and sexual activity. They were
also given written tests to assess their emotional competency.
Seventeen percent of the teens said they had sent sexual text
messages in the past six months, while 5 percent said they had sent
sexual photos by cellphone in the previous six months. Nine percent
of the teens said they had sent sexual messages via the Internet,
and 2 percent said they had sent sexual photos that way.
Those who engaged in sexting were more likely to have greater
physical maturity than their peers. Hispanic teens were more likely
than other groups to send sexual photos via text message, according
to the study. Girls were far more likely than boys to send sexual
photos by text message.
Teens who sexted struggled more with emotional competence, and
they had less emotional awareness than their peers, the study
indicated. Teens who sexted also were more likely to report
intentions to engage in sexual activity and they were more likely
to feel that their peers, family and the media approved of this
Teens who sexted were twice as likely to touch genitals over
clothing, 2.7 times more likely to have oral sex and 2.2 times more
likely to have vaginal sex than their non-sexting peers, the
One expert said the age at which this behavior is occurring is
probably surprising to many.
"Parents probably don't think about sexual behavior as much in
12- or 13-year-olds," said Dr. Hina Talib, an attending physician
in the division of adolescent medicine at The Children's Hospital
at Montefiore in New York City. "This study highlights that middle
school-aged teens can be vulnerable, and that doctors and parents
should be screening for these behaviors and talking about media
safety. This group is at risk by the way they make decisions. They
think they're invincible."
Talib said she suspected the rate of sexting would likely be
lower in middle school students who didn't have emotional or
behavioral difficulties, but she said it's still important for
parents to talk with their children about sexting.
"Sexting is almost normalized by their environment. Parents can
denormalize it and teach their kids that it's not normal, it's not
safe and it has ramifications and consequences that they probably
haven't considered. A discussion about sexting can be a way to
start talking about how healthy relationships should be," Talib
She suggested that parents could begin a discussion by saying
something like, "'I hear that some people get text messages with
sexual pictures. Have you heard about that? Do you know that you
can get in trouble for that?'"
Dr. Victor Fornari is director of the division of child and
adolescent psychiatry at North Shore-LIJ Health System in New Hyde
Park, N.Y. He said: "The prevalence of sexting behavior among this
high-risk group was one in five, including both messages and
photos. The significant prevalence of this behavior identifies a
new opportunity for prevention and intervention."
But, Fornari added, "How to discuss sexting with young people
without increasing the likelihood of the behavior is a new
question. As we have learned from other studies about efforts at
reducing risk-taking behaviors, youth are more likely to listen to
their peers than they are to the adults in the school. Effective
interventions need to be developed that can educate youth about the
risks of sexting behavior."
Learn more about how to talk to kids about sexting from