As many as 15% have of youth have sent or received a “sext” (a graphic video, picture, or text of themselves). Sexting may represent a normal variant of teen relationship development but carries risks of personal communications being shared with others and is associated with other risk behaviors such as sexual activity and substance use. Access to pornography and to more extreme pornographic content has expanded as pornography has moved online, creating greater potential for unhealthy changes in exposed youths’ sexual expectations and beliefs