Social Media Use and its Association with Sexual Risk and Parental Monitoring among a Primarily Hispanic Adolescent Population

J Pediatr Adolesc Gynecol. 2017 Aug;30(4):466-473. doi: 10.1016/j.jpag.2017.02.004. Epub 2017 Feb 17.

Abstract

Study objective: In this study we assessed the association between social media (SM) use with sexual risk, and with parental monitoring among Hispanic adolescents.

Design: Self-administered anonymous survey.

Setting: Urban primary care clinics.

Participants: Primarily Hispanic adolescents ages 13-21 years old.

Interventions and main outcome measures: Chi-square and regression analyses controlling for age and gender were used to assess associations between SM use or sexting and sexual behaviors (kissing, touching genitals, vaginal oral, and anal sex), sexual risk (≥4 lifetime partners, >1 recent partner, inconsistent condom use, and history of sexually transmitted infection diagnosis) and contraceptive use. Similar analyses were used to assess relationships between adolescent-reported parental monitoring and SM use, and sexting.

Results: Participants with frequent SM use (social networking sites or apps) had greater odds of all sexual activity. Ever sexters had greater odds of penetrative sex only (oral, vaginal, and anal sex) as well as use of hormonal contraception (except long-acting reversible contraception). Approximately half of the participants reported parental access to profiles on SM. Female participants had higher odds of parental access to online profiles and having a parental discussion of privacy settings. Those having privacy discussions had greater odds of "private" profiles on SM and lower odds of ever sexting.

Conclusion: Frequent SM use and sexting was associated with an increase in all types of sexual behaviors; sexting alone was associated with more lifetime and recent sexual partners. Parental discussion of privacy settings was found to be protective. Providers and parents should be aware of the effect of SM use on sexual behaviors.

Keywords: Adolescent social media; Mobile apps; Parental social media monitoring; Sexting; Sexual risk behaviors; Social networking sites.

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Contraception Behavior
  • Female
  • Hispanic or Latino
  • Humans
  • Male
  • Parenting
  • Parents
  • Risk-Taking
  • Sexual Behavior / ethnology
  • Sexual Behavior / statistics & numerical data*
  • Sexual Partners
  • Social Media / statistics & numerical data*
  • Surveys and Questionnaires
  • Young Adult