PT - JOURNAL ARTICLE AU - Temple, Jeff R. AU - Choi, HyeJeong TI - Longitudinal Association Between Teen Sexting and Sexual Behavior AID - 10.1542/peds.2014-1974 DP - 2014 Nov 01 TA - Pediatrics PG - e1287--e1292 VI - 134 IP - 5 4099 - http://pediatrics.aappublications.org/content/134/5/e1287.short 4100 - http://pediatrics.aappublications.org/content/134/5/e1287.full SO - Pediatrics2014 Nov 01; 134 AB - BACKGROUND: This study examines the temporal sequencing of sexting and sexual intercourse and the role of active sexting (sending a nude picture) in mediating the relationship between passive sexting (asking or being asked for a nude picture) and sexual behaviors.METHODS: Data are from Wave 2 (spring 2011) and Wave 3 (spring 2012) of an ongoing 6-year longitudinal study of high school students in southeast Texas. Participants included 964 ethnically diverse adolescents with a mean age of 16.09 years (56% female; 31% African American, 29% Caucasian, 28% Hispanic, 12% other). Retention rate for 1-year follow-up was 93%. Participants self-reported history of sexual activity (intercourse, risky sex) and sexting (sent, asked, been asked). Using path analysis, we examined whether teen sexting at baseline predicted sexual behavior at 1-year follow-up and whether active sexting mediated the relationship between passive sexting and sexual behavior.RESULTS: The odds of being sexually active at Wave 3 were 1.32 times larger for youth who sent a sext at Wave 2, relative to counterparts. However, sexting was not temporally associated with risky sexual behaviors. Consistent with our hypothesis, active sexting at Wave 2 mediated the relationship between asking or being asked for a sext and having sex over the next year.CONCLUSIONS: This study extends cross-sectional literature and supports the notion that sexting fits within the context of adolescent sexual development and may be a viable indicator of adolescent sexual activity.