TY - JOUR T1 - TEen sexting and its association with sexual behaviors AU - Temple JR, Paul JA, van den Berg P, Le V, McElhany A, Temple BW Y1 - 2012/09/01 N1 - 10.1001/archpediatrics.2012.835 JO - Archives of Pediatrics & Adolescent Medicine SP - 828 EP - 833 VL - 166 IS - 9 N2 - Objective  To examine the prevalence of sexting behaviors as well as their relation to dating, sex, and risky sexual behaviors using a large school-based sample of adolescents.Design  Data are from time 2 of a 3-year longitudinal study. Participants self-reported their history of dating, sexual behaviors, and sexting (sent, asked, been asked, and/or bothered by being asked to send nude photographs of themselves).Setting  Seven public high schools in southeast Texas.Participants  A total of 948 public high school students (55.9% female) participated. The sample consisted of African American (26.6%), white (30.3%), Hispanic (31.7%), Asian (3.4%), and mixed/other (8.0%) teens.Main Outcome Measure  Having ever engaged in sexting behaviors.Results  Twenty-eight percent of the sample reported having sent a naked picture of themselves through text or e-mail (sext), and 31% reported having asked someone for a sext. More than half (57%) had been asked to send a sext, with most being bothered by having been asked. Adolescents who engaged in sexting behaviors were more likely to have begun dating and to have had sex than those who did not sext (all P < .001). For girls, sexting was also associated with risky sexual behaviors.Conclusions  The results suggest that teen sexting is prevalent and potentially indicative of teens' sexual behaviors. Teen-focused health care providers should consider screening for sexting behaviors to provide age-specific education about the potential consequences of sexting and as a mechanism for discussing sexual behaviors. SN - 1072-4710 M3 - doi: 10.1001/archpediatrics.2012.835 UR - http://dx.doi.org/10.1001/archpediatrics.2012.835 ER -