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Associations Between Sexting and Sexual Behaviours in Adolescents: A Systematic Review and Meta-Analysis
Thea Nicholla Everille Benjamin1,2, Wilailak Saengsri1,3, Wen-Hsu Lin4
1International Health Program, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Journal of Adolescence
|December 30, 2025
Summary
Adolescent sexting is linked to various sexual behaviors, including intercourse and multiple partners, especially in older teens and those in relationships. Interventions should address both risks and developmental aspects of sexting.
Area of Science:
- Adolescent sexual health research
- Digital communication and behavior studies
- Public health interventions
Background:
- Adolescent sexting is prevalent but its association with diverse sexual behaviors requires further examination.
- Previous reviews focused narrowly on sexual intercourse or risks, overlooking broader behavioral links.
- This review synthesizes evidence on sexting and specific sexual behaviors in adolescents.
Purpose of the Study:
- To examine the associations between adolescent sexting and a range of specific sexual behaviors.
- To synthesize findings from existing literature using meta-analysis.
- To inform public health strategies regarding adolescent digital sexual behavior.
Main Methods:
- Systematic review and meta-analysis of 17 studies (N=54,373 adolescents) published in English.
- Searches conducted across PubMed, PsycInfo, Web of Science, CMMC, and MEDLINE.
- Random-effects meta-analysis used, with quality assessed by JBI Critical Appraisal Checklist.
Main Results:
- Sexting was significantly associated with sexual intercourse (OR=5.69), oral sex (OR=12.50), vaginal intercourse (OR=9.50), anal intercourse (OR=12.30), and multiple partners (OR=2.10).
- Associations were stronger among older adolescents, LGBTQ+ youth, and those in romantic relationships.
- Specific measures of vaginal intercourse showed more consistent estimates than general sexual intercourse.
Conclusions:
- Findings underscore the need for multisystem interventions addressing sexting risks and its role in adolescent sexual development.
- Policy, education, and health strategies must integrate both the risks and developmental aspects of sexting.
- A balanced approach is crucial for supporting adolescent sexual health in the digital age.
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