Exploring the Role of Social Media Content on Sexual Health Behaviors and Decision-Making Among Young Black Females

Abstract

The current study aims to explore the impact of social media platforms on sexual health and decision-making among young Black females. With the vast amount of information available through social media platforms, many lack restrictions that protect young females from harmful information. This study is necessary to understand how to intervene at the micro, meso, and macro level of Black adolescent female experiences, often characterized by stereotypical social scripts of hypersexuality. A qualitative research design was used to engage young Black females regarding sexual health knowledge and factors related to their decision-making processes. Building upon Braun and Clarke’s six-step thematic analysis process, which has been widely utilized and tested by Maquire and Delahunt, semi-structured interviews were used to explore the sexual health experiences of 27 young Black females ages 15 to 24. Four themes emerged: the broad landscape of sexual content on social media, motivation for engaging with sexual content online, the influence of social media, and mechanisms that influence sexual activity. Practitioners must propose policy changes that challenge the ill effects of social media engagement and promote optimal sexual health and positive youth development, specifically for young Black females.

Keywords

social media decision-making sexual health Black girls qualitative

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References

Anderson

L. E.

Dingle

G. A.

O’Gorman

Gullo

M. J.

(2020). Young adults’ sexual health in the digital age: Perspectives of care providers. Sexual & Reproductive Health, 25, 100534. https://doi.org/10.1016/j.srhc.2020.100534

Bell

B. T.

Cassarly

J. A.

Dunbar

(2018). Selfie-objectification: Self-objectification and positive feedback (“likes”) are associated with frequency of posting sexually objectifying self-images on social media. Body Image, 26(1), 83–89.

Bleakley

Hennessy

Fishbein

Jordan

(2008). It works both ways: The relationship between exposure to sexual content in the media and adolescent sexual behavior. Media Psychology, 11(4), 443–461. https://doi.org/10.1080/15213260802491986

Bleakley

Hennessey

Fishbein

Jordan

(2011). Using the integrative model to explain how exposure to sexual media content influences adolescent sexual behavior. Health Education & Behavior, 38(5), 530–540.

Boyd

(2008). Why youth (heart) social network sites: The role of networked publics in teenage social life. In Buckingham

(Ed.), Youth, identity, and digital media (Vol. 7641, pp. 119–142). MIT Press.

Burnette

C. B.

Kwitowski

M. A.

Mazzeo

S. E.

(2017). I don’t need people to tell me I’m pretty on social media: A qualitative study of social media and body image in early adolescent girls. Body Image, 23, 114–125. https://doi.org/10.1016/j.bodyim.2017.09.001

Choukas-Bradley

Roberts

S. R.

Maheux

A. J.

Nesi

(2022). The perfect storm: A developmental-sociocultural framework for the role of social media in adolescent girls’ body image concerns and mental health. Clinical Child and Family Psychology Review, 25(4), 681–701. https://doi.org/10.1007/s10567-022-00404-5

Corbin

Strauss

(2008). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory (3rd ed.). Thousand Oaks, CA: Sage.

Cornelius

J. B.

Whitaker-Brown

Neely

Kennedy

Okoro

(2019). Mobile phone, social media usage, and perceptions of delivering a social media safer sex intervention for adolescents: Results from two countries. Adolescent Health, Medicine and Therapeutics, 10(1), 29–37.

10.

Crooks

King

Tluczek

(2020). Protecting young Black female sexuality. Culture, Health & Sexuality, 22(8), 871–886. https://doi.org/10.1080/13691058.2019.1632488

11.

Dooley

O’Conoor

Fitzgerald

O’Reilly

(2019). My world survey-2: The national study of youth mental health in Ireland. University College Dublin, School of Psychology. http://www.myworldsurvey.ie/content/docs/My_World_Survey_2.pdf. Accessed June 19, 2023.

12.

Döring

Krämer

Mikhailova

Brand

Krüger

T. H. C.

Vowe

(2021). Sexual interaction in digital contexts and its implications for sexual health: A conceptual analysis Frontiers in Psychology, 12(769732), 1–18. https://doi.org/10.3389/fpsyg.2021.769732

13.

Dorsey

Craddock

Howard-Howell

(2022). “I don’t really need you. I got a body that’s going to get me what I need”: A case study on sexual autonomy and agency through camming and social media engagement among Black young adult females.

14.

Dorsey

M. S.

Craddock

Howard-Howell

(2024). “I don’t really need you. I got a body that’s going to get me what I need”: A case study on sexual autonomy and ageny through camming and social media engagement among Black young adult females. Journal of the Society for Social Work and Research, 14(2). https://doi.org/10.1086/719849

15.

Dorsey

M. S.

King

Howard-Howell

Dyson

(2022). Culturally responsive sexual health interventions for Black adolescent females in the United States: A systematic review of the literature, 2010–2020. Children and Youth Services Review,137(1), 106480. https://doi.org/10.1016/j.childyouth.2022.106480

16.

Fredrickson

B. L.

Roberts

T.-A.

(1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x

17.

Garofalo

Herrick

Mustanski

B. S.

Donenberg

G. R.

(2007). Tip of the Iceberg: Young men who have sex with men, the Internet, and HIV risk. American Journal of Public Health, 97(6), 1113–1117. https://doi.org/10.2105/AJPH.2005.075630

18.

Gilligan

(1983). In a different voice. Harvard University Press.

19.

Hasinoff

A. A.

(2013). Sexting as media production: Rethinking social media and sexuality. New Media & Society, 15(4), 449–465. https://doi.org/10.1177/1461444812459171

20.

Hamilton

Soneji

McDonald

Redmiles

E. M.

(2023, April 23–28). “Nudes? Shouldn’t I charge for these?”: Motivations of new sexual content creators on OnlyFans. In Proceedings of the 2023 CHI conference on Human Factors in Computing Systems (CHI’23), Hamburg, Germany. ACM.

21.

Hartikainen

Razi

Wisniewski

(2021, October). ‘If you care about me, you’ll send me a pic’-examining the role of peer pressure in adolescent sexting. In Companion publication of the 2021 conference on computer supported cooperative work and social somputing (pp. 67–71).

22.

Johnson

(2010) (Ed.), Social work with African American males: Health, mental health and social policy. Oxford Press.

23.

Kelleher

Moreno

M. A.

(2020). Hot topics in social media and reproductive health. Journal of Pediatric & Adolescent Gynecology, 33(6), 619–622.

24.

Keery

van den Berg

Thompson

J. K.

(2004). An evaluation of the tripartite influence model of body dissatisfaction and eating disturbance with adolescent girls. Body Image, 1(3), 237–251. https://doi.org/10.1016/j.bodyim.2004.03.001

25.

Lawler

Nixon

(2011). Body dissatisfaction among adolescent boys and girls: the effects of body mass, peer appearance culture and internalization of appearance ideals. Journal of Youth and Adolescence, 40(1), 59–71. https://doi.org/10.1007/s10964-009-9500-2

26.

Levine

M. P.

Smolak

(2006). The prevention of eating problems and eating disorders: Theory, research, and practice. Mahwah, NJ: Lawrence Earlbaum Associates.

27.

Leary

M. P.

Clegg

E. N.

Santella

M. E.

Murray

P. J.

Downs

J. S.

Olfert

M. D.

(2019). Consumption of health-related content on social media among adolescent girls: Mixed-methods pilot study. JMIR Formative Research, 3(1), e11404. https://doi.org/10.2196/11404

28.

Malik

Dhir

Nieminen

(2016). Uses and gratifications of digital photo sharing on Facebook. Telematics and Informatics, 33(1), 129–138.

29.

Manduley

A. E.

Mertens

Plante

Sultana

(2018). The role of social media in sex education: Dispatches from queer, trans, and racialized communities. Feminism & Psychology, 28(1), 152–170.

30.

Maquire

Delahunt

(2017). Doing a thematic analysis: A practical, step-by-step guide for learning and teaching scholars. All Ireland Journal of Teaching and Learning in Higher Education, 8(3), 3351–3359. http://ojs.aishe.org/index.php/aishe-j/article/view/335

31.

Maughan

Collishaw

Stringaris

(2013). Depression in childhood and adolescence. Journal of the Canadian Academy of Child and Adolescent Psychiatry [Journal de l’Academie canadienne de psychiatrie de l’enfant et de l’adolescent], 22(1), 35–40.

32.

McFarlane

Bull

S. S.

Rietmeijer

C. A.

(2002). Young adults on the Internet: risk behaviors for sexually transmitted diseases and HIV(1). The Journal of Adolescent Health, 31(1), 11–16. https://doi.org/10.1016/s1054-139x(02)00373-7

33.

Opara

Abrams

J. A.

Cross

Amutah-Onukagha

(2021). Reframining sexual health for Black girls and women in HIV/STI prevention work: Highlighting the role of identity and interpersonal relationships. International Journal of Environmental Research and Public Health, 18(22), 12088.

34.

Opara

Weser

Sands

Fernandes

C. F.

Hussett-Richardson

Hieftje

(2022). Feeling invisible and unheard: A qualitative exploration of gendered-racist stereotypes influence on sexual decision making and mistreatment of Black teen girls. Youth & Society, 54(4), 527–546.

35.

Ouytsel

J. V.

Walrave

Ojeda

Del Ray

Ponnet

(2020). Adolescents’ sexy self-presentation on Instagram: An investigation of their posting behavior using a prototype willingness model perspective. International Journal of Environmental Research and Public Health, 17(21), 8106. https://doi.org/10.3390/ijerph17218106

36.

Papageorgiou

Fisher

Crossa

(2023). “It just sends the message that you’re nothing but your body” A qualitative exploration of adolescent girls’ perceptions of sexualized images on social media. Sexuality & Culture, 27, 462–481.

37.

Patton

M. Q.

, (1980). Qualitative Evaluation Methods. Beverly Hills: Sage Publications.

38.

Ramsey

L. R.

Horan

A. L.

(2018). Picture this: Women’s self-sexualization in photos on social media. Personality and Individual Differences, 133(15), 85–90.

39.

Rice

Winetrobe

Holloway

I. W.

Montoya

Plant

Kordic

(2015). Cell phone internet access. Online Archives of Sex Behaviour, 44, 755–763.

40.

Saha

Paul

Yaya

Banke-Thomas

(2022). Association between exposure to social media and knowledge of sexual and reproductive health among adolescent girls: Evidence from the UDAYA survey in Bihar and Uttar Pradesh, India. Reproductive Health, 19(1), 178. https://doi.org/10.1186/s12978-022-01487-7

41.

Scully

Swords

Nixon

(2023). Social comparisons on social media: Online appearance-related activity and body dissatisfaction in adolescent girls. Irish Journal of Psychological Medicine, 40(1), 31–42. https://doi.org/10.1017/ipm.2020.93

42.

Shroff

Thompson

J. K.

(2006). The tripartite influence model of body image and eating disturbance: A replication with adolescent girls. Body Image, 3(1), 17–23. https://doi.org/10.1016/j.bodyim.2005.10.004

43.

Siegel

Chen

Schrimshaw

E. W.

(2023). Dating and hookup apps and websites as facilitators of entry into sex work. Sexuality Research and Social Policy, 20(4), 1430–1447. https://doi.org/10.1007/s13178-023-00809-z

44.

Smith

Technology trends among people of color. Washington, DC: Pew Internet & American Life Project; 2010.

45.

Stevens

J. W.

(1998). A question of values in social work practicr: Working with the strengths of black adolescent females. Families in Society, 79(3), 288–296.

46.

Stevens

Gilliard-Matthews

Dunaev

Todhunter-Reid

Brawner

Stewart

(2017). Social media use and sexual risk reduction behavior among minority youth: Seeking safe sex information. Nursing Research, 66(5), 368–377. https://doi.org/10.1097/NNR.0000000000000237

47.

Tiggemann

Slater

(2014). NetTweens: The internet and body image concerns in preteenage girls. The Journal of Early Adolescence, 34(5), 606–620. https://doi.org/10.1177/0272431613501083

48.

Uttarapong

Bonifacio

Jereza

Wohn

D. Y.

(2022). Social support in digital patronage: OnlyFans adult content creators as an online community. In CHI EA ’22: Extended abstracts of the 2022 CHI conference on human factors in computing systems, United States (Vol. 333, pp. 1–7).

49.

Veinot

T. C.

Campbell

T. R.

Kruger

Grodzinski

Franzen

(2011). Drama and danger: The opportunities and challenges of promoting youth sexual health through online social networks. AMIA Annual Symposium Proceedings, 2011, 1436–1445.

50.

Williams

(2022). I need a distinction between the good in me and the not as good in me: Black adolescent girls’ binary use of Instagram and its impact on identity expression. Journal of African American Studies, 26(1), 81–99.

51.

Williams

W. S.

Moody

(2019). Analyzed selfie: Stereotype enactment, projection, and identification among digitally native Black girls. Women & Therapy, 42(3–4), 366–384.

52.

Williams-Butler

Dorsey

Lateef

Howard

Amoako

E. O.

Nortey

(2022). Black girl well-being: A scoping review of culturally and gender responsive interventions. Research on Social Work Practice, 34(1), 1–17. DOI: 10.1177/10497315221147531

53.

Ybarra

M. L.

Strasburger

V. C.

Mitchell

K. J.

(2014). Sexual media exposure, sexual behavior, and sexual violence victimization in adolescence. Clinical Pediatrics, 53(13), 1239–1247. https://doi.org/10.1177/0009922814538700