Background One of the possible negative consequences of sexting is the non-consensual sharing of received-intimate content. This study aimed to determine the characteristics and motives of youths who shared received-intimate images without consent. Methods: Data were obtained from a self-administrated Swiss survey on sexual behaviours among young adults (aged 24–26 years). Out of the 7142 participants, 5175 responded to the question ‘Have you ever shared (forwarding or showing) a sexy photograph/video of someone else (known or unknown) without consent’?; 85% had never shared (Never), 6% had shared once (Once) and 9% had shared several times (Several). Data are presented as relative risk ratios with 95% confidence intervals. Results: Participants who had shared received-intimate content without consent had higher odds of being male [2.73 (2.14–3.47)], foreign-born [1.45 (1.04–2.03)], reporting a non-heterosexual orientation [1.46 (1.10–1.93)], having sent one’s own intimate image [1.76 (1.32–2.34)] and receiving a shared-intimate image of someone unknown [4.56 (3.28–6.36)] or known [2.76 (1.52–5.01)] compared with participants who had never shared. The main reported motivations were for fun (62%), showing off (30%) and failure to realise what they were doing (9%). Conclusions: Given the reported motivations, it appears crucial to remind youths of the seriousness of non-consensual sharing. Although females may also be perpetrators, the behaviour was more prevalent among males. Prevention and education need to consider a broad range of young people in their scenarios. Even if a particular focus on understanding and preventing males’ perpetration must be considered, overall perpetration, including female’s, must be discussed.

Purpose Youths are particularly at risk of experiencing sexual victimization but research tends to focus on the most violent forms (i.e. rape or child sexual abuse) and on female cases. This study aimed at identifying factors associated to different types of unwanted sexual experiences (USE) among young females and males as well as estimating probabilities of experiencing sexual victimization among gender.Methods Data were drawn from a cross-sectional survey on sexual health and behaviors using a nationally representative sample of youths aged 24-26 living in Switzerland. Respondents (N=5290) were divided in three categories of reported USE, ordered by conceptualized severity. The fourth group was constituted of those never having experienced any. Weighted bivariate and multivariate analyses were performed using demographic characteristics and risk behavior indicators.Results At the multivariate level, the higher the severity of USE the higher the number of associated factors, revealing the complexity of this issue. Females had a higher probability of experiencing sexual victimization than of never experiencing any, with a probability of two out of three. They faced higher probabilities of sexual victimization than males, although males' probability of USE were not as marginal as expected, further considering that they are found to face higher rates of non-disclosure than females. ConclusionWhen investigating sexual victimization, there is a need to consider the diverse forms of USE and adopt a gendered approach in order to better comprehend sexual victimization and effectively intervene on the social, legal and public health levels to prevent sexual victimization among youths.

Anal intercourse (AI) among heterosexuals is an understudied and taboo subject. This 2017 Swiss national study aims to describe the characteristics and motivations of heterosexual young adults practicing AI. Participants with any same-sex experience, same-sex attraction or non-heterosexual identity were excluded. The Federal Statistical Office provided the initial sample and potential participants were recruited through postal mail inviting them to an online survey (response rate 15.1%). According to our research question, the sample used in this paper constituted of 3892 participants (52% males; 54% of the overall sample, mean age 26.3 years). Overall, 55% of women and 56% of men had never experienced AI, respectively 17% and 12% had done it once and 28% and 32% more than once. We found that participants engaging in AI had higher odds of practicing intercourse while intoxicated, being younger at first sexual experience, not using condom at last intercourse and reporting a history of sexual transmitted infections. The main reason reported by both genders for engaging in their first AI was being curious followed by being in love. In conclusion, AI is a widespread practice among heterosexual young adults and health professionals should be especially attentive to it.

Background Studies on virgins remain scarce. This study explores the characteristics of virgin young adults, the reasons for remaining virgin, and its potential social and health implications. Methods: Data were drawn from the 2017 Swiss study on sexual health and behaviour among young adults. A total of 5175 participants (mean age 26 years ± 0.01) were divided into virgins and non-virgins. Virginity was defined as never having had a sexual partner, defined as a person with whom the participant has had sexual contact with or without penetration. Results: A total of 275 (5.3% (95% CI: 4.7–6.0), 58% males) were virgins. Virgins had higher odds of being male (aOR: 2.27 (95% CI: 1.62–3.17)) and reporting poorer health (1.43 (1.07–1.92)). They had lower odds of living on their own (0.24 (0.18–0.32)), being satisfied with their social life (0.78 (0.72–0.85)), having experimented with substances (e.g. drunkenness, 0.27 (0.19–0.67)) and having used online dating (0.52 (0.26–1.12)) or pornography (0.67 (0.42–0.94)). The main reason for remaining virgin was ‘I have not found the right person’ for females, and ‘I have not had the occasion’ for males. Conclusions: Among young adults, 1 in 20 is a virgin. Virgins do not seem to have gone through the usual experimentations of adolescence, are less socially driven and reported more health challenges. The main reason for remaining a virgin reveals gender-stereotyped responses. Sexual inactivity among young adults should be considered by health professionals to ensure the absence of distress and open discussion for potential questions.

Abstract Background Adolescence and early adulthood are periods of experimentation during which health detrimental behaviours might be acquired. Objective This study’s purpose is to evaluate physicians’ likelihood of addressing health risk behaviours with youths depending on the youths’ wishes, risk behaviours and personal characteristics. Methods Data were drawn from the third wave (2017–18) of the GenerationFRee longitudinal study carried out on a sample of 1970 youths aged 17–26 in Switzerland. Analysed risk behaviours were: eating disorders, substance use, emotional wellbeing, problematic Internet use and gambling. Bivariate and multivariate analyses were performed, results are presented as adjusted odds ratios (aORs). Results Physicians discussed most risk behaviours with less than half of the youths. The odds of addressing risk behaviours were seldom raised when the risk behaviour was present, or when the youth wished to discuss it. Emotional wellbeing was addressed with half as many males as females (aOR 0.47), and drugs were found to be addressed more frequently with youths reporting a low family socio-economic status (aOR 6.18). When a risk behaviour is addressed it is mostly alongside an extended screening. Conclusions This study confirmed the low levels of health risk behaviours screening, regardless of the youths’ wish to discuss the topic with their physician. Despite the low levels, physicians do tend to screen systematically, especially when discussing substance use. There is a need to improve physicians training in risk behaviour screening and counselling in order to increase this practice.

OBJECTIVE: To compare the characteristics of and use of the healthcare system by healthy youths depending on whether they had discussed transition to adult health care with their paediatrician or not. METHODS: Data were drawn from the fourth wave of the GenerationFRee study (2018–2019) conducted in the 11 post-mandatory schools of the canton of Fribourg, Switzerland. The sample included 931 young people (mean age 19.4 years). Participants were categorised into three groups: those who had discussed transition with their p ediatrician (n = 176; 19%), those who had not (n = 286; 31%) and those who did not know (n = 469; 50%). Analyses were stratified by gender through bivariate analysis and post-hoc tests with a Bonferroni-type adjustment. RESULTS: The majority of participants did not know whether or not they had discussed transition. Across all groups, it was found that youths met their primary care physician at a higher rate through family. Meeting with the primary care physician through the paediatrician occurred at a higher rate when youths had discussed transition. Girls with a below average socioeconomic status and boys with advanced puberty onset were more likely to have discussed transition.  CONCLUSION: Our results show that youths are not well informed about the transition process. However, youths who have discussed transition appear to be more involved with the healthcare system as they are more likely to have a primary care provider. In order to avoid discontinuity of care, professionals should approach transition to adult care systematically with all their patients.

WHAT IS KNOWN ON THE SUBJECT: To date, research on emotional wellbeing among youths has been mostly based on cross-sectional studies, and little is known about its evolution over time.WHAT DOES THIS ARTICLE ADD: Our study adds a longitudinal approach to emotional wellbeing and defines different groups of youths according to their evolution over a two-year period. Stress and perceived health status seem to be the most important factors related to emotional wellbeing. Our research shows the importance of health care professionals exploring psychological health, especially when a youth has atypical somatic complaints. This could allow the early detection of psychological problems and the provision of proper timely treatment. AIM OF THE STUDY:To assess how emotional wellbeing evolves over a two-year period among youths in Switzerland, and to assess their characteristics. METHODS: Data were obtained from the first and third waves of the GenerationFRee study (n = 1311, aged 15-24 at baseline). The sample was divided into four groups according to the evolution of their emotional wellbeing (WB): good at both waves (GoodWB: 67.9%), poor at T1 and good at T3 (BetterWB: 8.4%), good at T1 and poor at T3 (WorseWB: 13.2%), or poor at both waves (PoorWB: 10.4%). Significant variables at the bivariate level were included in a multinomial regression analysis using GoodWB as the reference category. Results are given as relative risk ratios (RRRs). RESULTS:The BetterWB group reported more stress at T1 (RRR 1.34), as did the WorseWB group at T3 (1.43). Those in the WorseWB group were more likely to report poorer health status at T3 (6.51). Finally, the PoorWB group reported more stress at T1 (1.33) and T3 (1.44), and poorer health status at T1 (9.39) and T3 (5.75). Other variables not significant in all groups were perceived onset of puberty, having a chronic condition, area of residence and relationships with parents. CONCLUSION: Using a longitudinal approach, stress and perceived health status seem to be the main factors that change with emotional wellbeing among youths. Inquiring about stress could be a good proxy for emotional wellbe-ing, especially among males, who tend to underestimate their emotional worries.

ObjectivesThe rate of condom and other contraception use varies depending on social, personal and sexual characteristics. We present a study covering various contraceptive means, considering sexual orientation and considering a large panel of co-variables among Swiss resident young adults.MethodsData were obtained from a self-administrated national survey on sexual behavior. Participants (N=4703, 49% males) were divided into three groups based on the mean of contraception used at last intercourse: CONDOM (55.1, 54.3% males), CONTRACEPTIVE (34.3, 43.1% males) and NON-USE (10.5, 50.7% males). By gender, groups were compared on sociodemographic and personal characteristics, contraception used at first intercourse (FI) and sexual life.ResultsGlobally, 90% of participants used a reliable contraception at last intercourse. Compared to the CONDOM group, participants in the CONTRACEPTIVE group were more likely to have already used a contraceptive at FI, and individuals in the NON-USE group were more likely to have had a non-use or to have used a contraceptive only at FI.ConclusionsContraception at FI seems to have a considerable impact on the further use of contraception. It seems thus essential to make all necessary efforts in order to promote the best contraception and protection at FI.