Digital technologies are widely used by youth for sexual exploration and relationships. Adolescents spend significant time texting and use their phones to access sexual health information anonymously. They also use the internet and social media to discuss sexuality, share sexual content, and engage in virtual relationships and sexual activities. While online exploration allows learning, it can also expose youth to explicit content without age verification. Research shows both benefits and risks of technology use for youth sexuality and reproductive health. Positive impacts include increased access to sexual health resources, while risks include early exposure to pornography and casual online relationships without commitment. Experts recommend addressing both opportunities and risks to promote a safe and positive digital environment for youth.

1. DIGITAL YOUTH AND SEXUAL AND
REPRODUCTIVE HEALTH
Pan American
Health
Organization

2. Cell Phones and Text Messages
• Adolescents 14-19
years of age in the
USA spend as much
time texting as talking
• Altered sleep pattern

3. NET SPEAK
TEXT SPEAK
P 911
POS
www.noslang.
com (slang
translator)

19. Avenues for Learning : USA Study
ü Source: ISIS Inc. TECHsex USA: Youth Sexuality and Reproductive Health in the Digital Age. Oakland: ISIS; 2011.

21. Internet Sexuality
Sexual exploration, romantic partners, involved
in interpersonal relationships and initiate
sexual activity, sexuality needs developing.
Use the internet to control their sexuality (in
development) and become sexual beings.
Sex talk , share jokes, literature and use of
sexual slang y for their need of information,
communication, body exploration and
confusion, ambivilance towards the use of
emergency contraceptives, performance
anxiety
Sexual content on the internet is accessible,
anonymous, and doesn’t cost anything.

22. Sexual Exploration
• Frequent Questions (related to
body change)
• Access information and interact
with people
• Dictionary of sexual terms
• Sex in different states of the US
(rights of adolescents to sexual
education, emergency
contraceptives and others)

23. CONSTRUCTING SEXUALITY ONLINE
Adolescents use the content online (chats and
mobiles) and different tools (avatars,
nicknames ,photos, ect) to explore their
sexuality
Analysis of chat y texts demonstrates that
adolescents discuss a wide variety of themes:
premarital sex, contraceptive methods,
aboriton.( 2006)
Using nicknames allows them to explore
*Experts says that this reflects adolescents
interest in the theme.

24. Internet Sexuality
National Teen Pregnancy campaign ( 2008)
adolescent survey 13-19:
• 22% girls y 18% boys say they have uploaded
content, or sent videos or photos of
themselves semi-naked ( 11% among 13-16
year olds).
Sexting : explicit material or photos on the cell
phone.
Cyber sex (definitions vary: pornography,
explicit communication) conversation
between people that includes or does not
include role playing activities or
masturbation( NETSEX)

25. Internet Sexuality
Surveys of 681 adol 12 - 20 years of age in
Checkoslovakia 16% men y 15% women
engage in virtual sexual activities
Researchers postulate that they are involved in
virtual sex to gain knowledge and although it
may be seen as undesirable (superficial,
impersonal, or not natural), adolescents
explore to gain knowledge and experience
(risk revels their identity)

26. Access at Explicit Contents and
Pornography
420 million pornography websites and 28 million
users view pornography
Industry of $97billion dollars per yar
Different definitions: explicit sexual content
( photos that show genitalia, films that show
genitalia, erotic websites)
23 - 71 % of adolescents exposed to
pornography ( 25 % involuntarily)
Swedish youth 15-25 years of age report that
46% of boy sand 23% of girls view
pornography (but they consider it degrading)

27. Exposicion a Pornografia / Impacto
USA estudio longuitudinal exposicion
pornografia ( Brown & Lengle 2009):
• Mayor permisividad sexual y conducta
permisiva (2 anos de seguimiento) en hombres
• Mujeres roles de genero progresan menos
• Hombre mas acoso a mujeres ( sin impacto en
mujeres)
• Hombres y mujeres mas frecuencia de sexo
oral y RS ( 2 anos de seguimiento)
Holanda hombres que acceden mas a
pornografia y la consideran real tienen actitud
mas positiva a la exploracion sexual sin
compromiso

28. Noviazgo en Internet
Checoslovaquia 2008 12-18 anos : 43% visita
sitio de dating y han contactado a otra
persona ( id hombres y mujeres)
23% tiene perfil en internet, 1/3 llama por
telefono , 9% usan web camaras, 8%
intercambia fotos eroticas , 35% ha conocido
en persona
Carisma virtual = proximidad, intereses,
visiones , sentido del humor, creatividad ,
inteligencia
Solo 22% busca relacion seria, 66% relacion sin
compromiso, 46% solo virtual, 7% offline.
Explorar, entretenerse ,interactuar sin
compromiso

29. Mobile Optimised Features
• Reminder service
• Allows visitors to
sign up for sexual
health check
reminders by email
or SMS according to
appropriate testing
schedule.

30. ü Teen Source
ü http://www.teensource.org/ts/

31. ü Hookup

32. ü © 2009 ISIS, Inc. All rights ü 32
Estadisticas de USO
• 4500 interacciones las primeras 25 semanas
• Preguntas mas frecuentes TOP
1. Q’ HACER CUANDO EL CONDON SE
ROMPE
2. SABER MAS DE ITS
3. QUE HACER SI UNO PIENSA QUE ESTA
EMBARAZADA

33. PROMOTION

34. CONVERSATION TOPICS
TOPIC PERCENTAGE
Abortion 45%
Emergency contraception 17%
Pregnancy testing 17%
STI testing 9%
Other 11%

35. RESULTS

36. RESULTS

37. Cambios de Conducta y
Resultados en Salud
American Journal of Preventative Medicine, 2009
Behavior change interventions delivered by mobile telephone short message service. Fjeldsoe,
Brianna, Marshall, Alison and Miller, Yvette: American Journal of Preventative Medicine, 2009,
Vol. 36.
• Revisión de la literatura de los cambios de
conducta usando mensajes de texto
• Cambios positivos en 13 de los 14 estudios
• Claves del éxito
– Contenido a la medida audiencia
– Interactivos
– ISIS http://www.isis-inc.org/sextech-main.php

38. PREGUNTELE AL MEDIATRA ( PEDIATRA)
Rol de los proveedores de salud en Promover
un Mundo Digital Positivo y Seguro
• Jóvenes oportunidad de
interactuar ,acceso a
Información y recursos
• Pornografía, violencia
victimización
• Sociedades científicas : leyes
de protección niños y
adolescentes
.
ü ASK THE MEDIATRICIAN HARVARD MEDUCAL SCHOOL

39. “Frisky” or “Clumsy”?