Ybarra Michele L, Mitchell Kimberly J
Center for Innovative Public Health Research, 555 El Camino Real #A347, San Clemente, CA, 92672, USA.
Crimes Against Children Research Center, University of New Hampshire, Durham, NH, USA.
Arch Sex Behav. 2016 Aug;45(6):1357-72. doi: 10.1007/s10508-015-0491-7. Epub 2015 Apr 18.
Online and in-person sexual behaviors of cisgender lesbian, gay, queer, bisexual, heterosexual, questioning, unsure, and youth of other sexual identities were examined using data from the Teen Health and Technology study. Data were collected online between August 2010 and January 2011 from 5,078 youth 13-18 years old. Results suggested that, depending on sexual identity, between 4-35 % of youth had sexual conversations and 2-24 % shared sexual photos with someone online in the past year. Among the 22 % of youth who had oral, vaginal, and/or anal sex, between 5-30 % met one of their two most recent sexual partners online. Inconsistent condom use was associated with increased odds of meeting one's most recent partner online for heterosexual adolescent men. For gay and queer adolescent men, having an older partner, a partner with a lifetime history of sexually transmitted infections (STI), and concurrent sex partners were each significantly associated with increased odds of having met one's most recent sex partner online. None of the examined characteristics significantly predicted meeting one's most recent sexual partner online versus in-person for heterosexual; bisexual; or gay, lesbian, and queer women. The Internet is not replacing in-person exploration and expression of one's sexuality and meeting sexual partners online appears to be uncommon in adolescence across sexual identities. Healthy sexuality programming that acknowledges some youth are meeting partners online is warranted, but this should not be a main focal point. Instead, inclusive STI prevention programming that provides skills to reduce risk when engaging in all types of sex is critical.
利用青少年健康与技术研究的数据，对顺性别女同性恋、男同性恋、酷儿、双性恋、异性恋、性取向存疑、不确定以及具有其他性身份的青少年的线上和线下性行为进行了调查。数据于2010年8月至2011年1月期间通过线上方式收集，来自5078名13 - 18岁的青少年。结果表明，根据性身份不同，在过去一年中，4% - 35%的青少年进行过性方面的交谈，2% - 24%的青少年与他人在线分享过性照片。在有过口交、阴道性交和/或肛交的22%的青少年中，5% - 30%的人最近的两个性伴侣中有一个是在网上认识的。对于异性恋青少年男性来说，不一致地使用避孕套与在网上结识最近性伴侣的几率增加有关。对于男同性恋和酷儿青少年男性来说，拥有年龄较大的伴侣、有性传播感染（STI）终生病史的伴侣以及同时拥有多个性伴侣，均与在网上结识最近性伴侣的几率增加显著相关。对于异性恋、双性恋或女同性恋、男同性恋和酷儿女性而言，所研究的特征均未显著预测其是在网上还是线下结识最近的性伴侣。互联网并没有取代线下对性取向的探索和表达，而且在不同性身份的青少年中，通过网络结识性伴侣的情况似乎并不常见。有必要开展承认一些青少年会在网上结识伴侣的健康性教育项目，但这不应该是主要关注点。相反，提供在进行各类性行为时降低风险技能的包容性性传播感染预防项目至关重要。
