Experiences with health care services and HIV testing after sexual assault in cisgender gay, bisexual and other men who have sex with men and transgender people.

OBJECTIVES: This qualitative sub-study aimed to explore how cisgender gay, bisexual, and other men who have sex with men (cis-GBMSM) and transgender people who reported non-consensual sex (NCS) accessed health care services, what barriers they faced, and how this experience influenced subsequent HIV testing. METHODS: SELPHI is an online randomized controlled trial evaluating both acceptability and efficiency of HIV-self testing among cis-GBMSM and transgender people. Semi-structured interviews were conducted, audio-recorded, transcribed, and analysed through a framework analysis, as a qualitative sub-study. We identified narratives of NCS from interviews and investigated experiences of cis-GBMSM and transgender people accessing health care services following sexual assault. RESULTS: Of 95 participants, 15 (16%) spontaneously reported NCS. Participants reported a broad range of NCS, including partner's coercive behaviours, non-consensual removal of condoms, and rapes. All feared HIV transmission, leading them to test for HIV, underlining a marked lack of awareness of post-exposure prophylaxis (PEP). Most had negative experiences in communicating with reception staff in sexual health clinics following these incidents. A lack of confidentiality and empathy was described in these situations of psychological distress. Clinic visits were primarily focused on testing for HIV and sexually transmitted infection, and generally no specific psychological support was offered. Getting a negative HIV result was a key step in regaining control for people who experienced NCS. CONCLUSIONS: Sexual health care providers should take care to more fully address the issue of NCS with cis-GBMSM and transgender people when it arises. Recognizing and managing the emotional impact of NCS on affected patients would prevent negative experiences and increase confidence in care.

Risk Factors for Non-Consensual Sexting Among Adolescents and Emerging Adults: An Extension of the Routine Activity Theory Perspective.

Adolescence and emerging adulthood are developmental phases in which the exploration of one's own sexuality takes on a high priority, which can increase the risk of risky sexual behavior. Due to technological advances, (non-consensual) sexting has increased among young people and has become an integral part of their sexual socialization. Therefore, the main objective of this study was to examine non-consensual sexting (both victimization and perpetration) among adolescents and emerging adults and to identify potential risk factors associated with non-consensual sexting using routine activity theory. The sample consisted of a total of 3514 adolescents aged 10-17 years (43% males; 57% females) and 3674 emerging adults aged 18-25 years (23% males; 77% females) from Bosnia and Herzegovina and Croatia. The results showed that both male adolescents and emerging adults were at higher risk for experiencing non-consensual sexting victimization. Personal factors such as gender, age, social bond, and routine cell phone activity predicted the risk of becoming a victim of non-consensual sexting in adolescents. For emerging adults, gender, social connection to friends, and routine cell phone use predicted the risk of becoming a victim of non-consensual sexting. Relationship status and routine cell phone activity predicted the forwarding of other sexts for both age groups. According to international scientific research and the findings of this particular study, we can conclude that the study of personal factors and routine variables helps understand non-consensual sexting among youth but is also essential in planning educational resources and preventive activities.

A Latent Profile Analysis of Greek University Students' Sexting Profiles: Associations with Big Five Personality Traits.

The aim of this study was to examine the associations between sexting profiles and five factor model (FFM) personality traits among Greek university students. A sample of 2913 participants predominantly aged between 18 and 25 years (M = 22; SD = 3.54; 69.6% females) completed a self-report online questionnaire that measured sexting behaviors and FFM traits. Latent profile analysis identified five distinct profiles which were labeled uninvolved, consensual sexters, non-consensual sexters, unwanted sexters, and highly involved sexters. The different sexting profiles were associated with distinct patterns of FFM trait scores. Specifically, the uninvolved scored higher on agreeableness, conscientiousness, and openness than those highly involved in sexting, consensual, non-consensual, and unwanted sexters. Furthermore, those who sent unwanted sexts were more likely to be emotionally unstable than the consensual sexters and those not involved. These findings indicate that sexting behaviors may be related to certain personality traits and emphasize the importance of considering individual differences when studying sexting behaviors. The practical implications of the findings are discussed.

Understanding Social Judgments of and Proclivities to Commit Upskirting.

Against a backdrop of legislative change that sees the taking of private sexual images underneath the clothing of a non-consenting other being made a criminal offence - upskirting - there is a need to understand the public's judgments of and motivations to perpetrate said behavior. In this study (N = 490), we investigated whether judgments of upskirting differed as a function of the sex of the person who was upskirted (male, female) and their perceived attractiveness (attractive, unattractive), as well as how variation in voyeuristic interest, belief in a just world, and dark personality traits predicted judgments of and proclivity to engage in upskirting. We consistently observed more lenient judgments of upskirting behavior when the person who was upskirted was attractive and male, with such judgements predicted by older age across all conditions. Moreover, proclivity to engage in upskirting was predicted by past voyeuristic behaviors, higher psychopathic personality, and being male and of older age. We discuss our findings in the context of needing to qualitatively understand the rationale underpinning these judgments, combating barriers to disclose victimization, and practitioner implications.

Behavioral Intentions of Bystanders to Image-Based Sexual Abuse: A Preliminary Focus Group Study with a University Student Sample.

Image-based sexual abuse (IBSA) represents a form of technology-facilitated sexual abuse that encompasses the taking, creating, and/or sharing (including threats to share) of nude or sexual images without consent. Unlike physical sexual violence contexts, little is known regarding if and how bystanders intervene in IBSA contexts. The current preliminary study aimed to address this gap in the literature. Specifically, seven focus groups with a sample of 35 university students (31 females, 4 males) were conducted to explore how they think they would behave (i.e., their behavioral intentions) if they were bystanders to three different IBSA scenarios: non-consensual taking, non-consensual sharing, and threatening to share nude or sexual images. Transcripts were analyzed using thematic analysis and the following themes were identified: perpetrator-centered action, victim-centered action, justice-centered action, and intervention as a well-informed and controlled process. Participants discussed how they would intervene by approaching the perpetrator, either in a confrontational or non-confrontational way, or approach the victim to inform them of what was happening, provide advice, or to support them. They also discussed involving the police. However, some group members were against these forms of intervention, particularly approaching the perpetrator and involving the police. Finally, many participants indicated that their actions need to be well-informed. These findings highlight a wide range of bystander actions in IBSA contexts that have implications for the development of policies, educational materials, and measures of bystander intervention behavior in future research.

"It is painful and unpleasant": experiences of sexual violence among married adolescent girls in Shinyanga, Tanzania.

BACKGROUND: While the situation of married adolescent girls in Tanzania is increasingly documented, empirical evidence concerning the ways in which child marriage impacts girls' and young women's sexual lives is limited. Specifically, little is known about lived experiences on sexual violence among married adolescent girls in Tanzania. METHODS: This article reports on a qualitative study using a phenomenological approach to describe married girls' experiences of sexual violence in the Shinyanga Region, an area with the highest prevalence (59%) of child marriage in Tanzania. Data were collected from 20 married girls aged 12-17 years. RESULTS: The study identified four analytical themes regarding the experience of sexual violence, namely: forced sex; rape; struggling against unpleasant and painful sex; and inculcation of the culture of tolerance of sexual violence. CONCLUSION: The study highlights the voices of married adolescents on an important but a neglected topic of relevance to Tanzania's public health. Findings from this study suggest that married adolescent girls suffer sexual coercion in silence. Child marriage is a major public health problem in sub-Saharan Africa in general and in Tanzania in particular. However, there is limited research on the ways in which it impacts sexual lives of married adolescent girls. In response to the inadequacy of information, married adolescent girls in Shinyanga Region of Tanzania were requested to voice out their experiences of sexual violence. Three themes were identified from the responses, namely: forced sex; rape, struggling against unpleasant and painful sex; and the inculcation of the culture of tolerance of sexual violence. In conclusion, this study has echoed voices of married adolescent girls on the sexual troubles they experience. Their main concern is that they suffer sexual coercion in silence, which increases their risk of acquiring sexually transmitted infections and/or unwanted pregnancies. Recommendations for sexual violence prevention strategies are discussed.

DEPRIVATION OF REPRODUCTIVE RIGHT OF SEX OFFENDERS: SOCIAL OPINION AND LEGISLATIVE REGULATION.

OBJECTIVE: The aim: The purpose of this article is to illustrate the social demand for the need to discriminate against perpetrators of sexual crimes by depriving them of reproductive rights. PATIENTS AND METHODS: Materials and methods: The authors of the research used the legislation of various world countries, scientific papers, caselaw, the provisions of international legal acts, in particular, the Convention for the Protection of Human Rights and Fundamental Freedoms. The authors of the research used a complex set of general and special methods of cognition such as dialectical, comparative, analytical, generalization method, statistical and sociological method (questionnaire method). RESULTS: Results: The survey conducted by the authors highlights the attitude of physicians and law enforcement officials (100 people) to the sterilization of criminals as a measure necessary to prevent the commission of sexual crimes both by such persons and by others who are prone to committing such crimes but will refrain from their commission due to the fear of sterilization. The questionnaire shows the gap between awareness and recognition of natural human rights such as the right to reproduce and the desire to deprive a certain deviant category of people of this right for their safety. CONCLUSION: Conclusion: Based on the conducted analysis, the authors have formulated that there is currently a great social demand for radical measures to prevent the commission of sexual crimes by sterilizing those who committed such crimes. At the same time, the legislation of some countries also embodies such a desire of society in the relevant norms and provides the use of sterilization of criminals for special and general prevention of crimes against sexual freedom and inviolability. The research also demonstrates the erroneousness of this approach and proves the inadmissibility and medical inexpediency of depriving perpetrators of sexual crimes of their reproductive rights.

Adolescent and non-consensual anal sexual debut among Chinese men who have sex with men: a cross-sectional study.

BACKGROUND: Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex. METHODS: A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut (< 18 years old) and non-consensual sex at sexual debut were evaluated. We defined adolescent sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual. RESULTS: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD = 4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06-1.15) and condomless anal sex in the last three months (AOR = 1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR = 1.76, 95% CI 1.17-2.66), and to have reported an adolescent sexual debut (AOR = 2.72, 95% CI 1.75-4.21). CONCLUSIONS: Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut.

Non-Consensual Sexual Contact at Electronic Dance Music Parties.

Non-consensual sexual contact in bars is common, but few studies have focused on the extent of this problem at electronic dance music (EDM) parties, which are growing in popularity. We aimed to estimate prevalence and correlates of non-consensual sexual contact among individuals who attend EDM parties in New York City (NYC). Adults (ages 18-40 years) entering EDM parties in NYC were surveyed in 2018 using time-space sampling. Participants (n = 1005) were asked whether they had experienced unwanted or uninvited sexual contact including unwanted groping, kissing, or touching at an EDM party. We estimate that 15.2% of EDM party attendees in NYC have experienced non-consensual sexual contact at such parties. The majority (62.5%) of those reported that it occurred 1-2 times and 49.1% were usually or always drunk or high during the encounter(s). Almost all women experiencing non-consensual contact (99.5%) were all or mostly touched by men; 38.6% of men were all or mostly touched by other men. Women were at more than twice the odds of reporting non-consensual sexual contact than men (aOR = 2.38, p < .05) with 21.8% of women reporting experiencing non-consensual sexual contact compared to 11.0% of men. Among women, those ages 18-24 were at over twice the odds (aOR = 2.75, p < .05) of experiencing non-consensual sexual contact than those ages 25-40. EDM party environments can increase susceptibility to non-consensual sexual contact. Prevention needs to be geared toward those at risk, and education is needed for those likely to commit non-consensual sexual contact.

Service- and practitioner-level variation in non-consensual dropout from child mental health services.

Non-attendance of mental health service appointments is an international problem. In the UK, for example, the estimated cost of non-attendance in child mental health services is over £45 million (US dollar 60.94 million) per annum. The objective of this study was to examine whether there were service- and practitioner-level variation in non-consensual dropout in child mental health services. This was an analysis of routinely collected data. Service-level variation (as services covered different geographic areas) and practitioner-level variation were examined in N = 3622 children (mean age 12.70 years; SD 3.62, 57% female, 50% white or white British) seen by 896 practitioners across 39 services. Overall, 35% of the variation in non-consensual dropout was explained at the service level and 15% at the practitioner level. Children were almost four times more likely to drop out depending on which service they attended (median odds ratio = 3.92) and were two-and-a-half times more likely to drop out depending on which practitioner they saw (median odds ratio = 2.53). These levels of variation were not explained by levels of deprivation in areas covered by services or by children's demographic and case characteristics. The findings of the present research may suggest that, beyond service-level variation, there is also practitioner-level variation in non-consensual dropout in child mental health services.

Professional and family caregivers' attitudes towards involuntary treatment in community-dwelling people with dementia.

AIMS: The aim of this study was to gain insight into professional and family caregivers' attitudes towards involuntary treatment in community-dwelling people with dementia (PwD). BACKGROUND: The number of PwD with complex care needs living at home is increasing rapidly. In some situations, caregivers provide care against the will of PwD, referred to as involuntary treatment, which includes non-consensual care, psychotropic medication and physical restraints. DESIGN: A cross-sectional study. METHODS: A total of 228 professional (nursing staff, general practitioners (GPs) and other healthcare professionals such as physical therapists and psychologists) and 77 family caregivers of PwD completed the Maastricht Attitude Questionnaire-Home Care. This questionnaire measures attitudes towards involuntary treatment and perceived restrictiveness of and experienced discomfort in using involuntary treatment. Data were collected in the Netherlands between June and November 2016. RESULTS: Family caregivers and GPs had more positive attitudes towards involuntary treatment than nursing staff and other healthcare professionals, indicating that they are more accepting of involuntary treatment. A more positive attitude was associated with higher perceived caregiver burden and being a family caregiver. Family caregivers and GPs found the use of involuntary treatment less restrictive and indicated feeling more comfortable when using these measures. CONCLUSION: It is important to account for the differences in attitudes and foster dialogue among professional and family caregivers to find common ground about alternatives to involuntary treatment. These results will inform the development of an intervention that aims to prevent involuntary treatment in home care.

Gender role attitudes, awareness and experiences of non-consensual sex among university students in Shanghai, China.

BACKGROUND: Non-consensual sex (NCS) among young people, an important subject with public health and human rights implications, was less studied in China. This study is to investigate the NCS awareness and victimization of university students in Shanghai, China and whether they were associated with adolescent gender-role attitudes. METHODS: Gender-role attitudes, awareness and victimization of different forms of NCS were examined among 1099 undergraduates (430 males and 669 females) in four universities in Shanghai using computer-assisted self-interview approach. RESULTS: University students held relatively egalitarian attitude to gender roles. Gender difference existed that girls desired to be more equal in social status and resource sharing while more endorsed the submissiveness for women in sexual interaction than boys. They held low vigilance on the risk of various forms of NCS, with the mean score on perception of NCS among boys (5.67) lower than that among girls (6.37). Boys who adhered to traditional gender norms were less likely to aware the nature of NCS (ß = - 0.6107, p = 0.0389). Compared with boys, higher proportion of girls had been the victims of verbal harassment, unwanted touch, fondling, and penetrative sexual intercourse. Multivariable analysis revealed that girls who held more traditional gender-role attitudes were more vulnerable to physical NCS (OR = 1.41, p = 0.0558). CONCLUSIONS: The weakening but still existing traditional gender norms had contributions in explaining the gender difference on the low vigilance of NCS and higher prevalence of victimization among university students in Shanghai, China. Interventions should be taken to challenge the traditional gender norms in individual and structural level, and promote the society to understand the nature of NCS better as well as enhance negotiation skills of adolescents and young people that prevent them from potentially risky situations or relationships.

Legalised non-consensual sterilisation - eugenics put into practice before 1945, and the aftermath. Part 2: Europe.

This article deals with the nine European nations which legalised non-consensual sterilisation during the interwar years, thus completing the review, the first part of which was published in an earlier issue of this Journal. Like we did for North America, Japan and Mexico, countries concerned are addressed in chronological order, as practices in one of these influenced policies in others, involved later. For each, we assess the continuum of events up to the present time. The Swiss canton of Vaud was the first political entity in Europe to introduce a law on compulsory sterilisation of people with intellectual disability, in 1928. Vaud's sterilisation Act aimed at safeguarding against the abusive performance of these procedures. The purpose of the laws enforced later in eight other European countries (all five Nordic countries; Germany and, after its annexation by the latter, Austria; Estonia) was, on the contrary, to effect the sterilisation of large numbers of people considered a burden to society. Between 1933 and 1939, from 360,000 [corrected] to 400,000 residents (two-thirds of whom were women) were compulsorily sterilised in Nazi Germany. In Sweden, some 32,000 sterilisations carried out between 1935 and 1975 were involuntary. It might have been expected that after the Second World War ended and Nazi legislation was suspended in Germany and Austria, including that regulating coerced sterilisation, these inhuman practices would have been discontinued in all nations concerned; but this happened only decades later. More time still went by before the authorities in certain countries officially acknowledged the human rights violations committed, issued apologies and developed reparation schemes for the victims' benefit.

Legalised non-consensual sterilisation - eugenics put into practice before 1945, and the aftermath. Part 1: USA, Japan, Canada and Mexico.

In the late 19th century, eugenics, a pseudo-scientific doctrine based on an erroneous interpretation of the laws of heredity, swept across the industrialised world. Academics and other influential figures who promoted it convinced political stakeholders to enact laws authorising the sterilisation of people seen as 'social misfits'. The earliest sterilisation Act was enforced in Indiana, in 1907; most states in the USA followed suit and so did several countries, with dissimilar political regimes. The end of the Second World War saw the suspension of Nazi legislation in Germany, including that regulating coerced sterilisation. The year 1945 should have been the endpoint of these inhuman practices but, in the early post-war period, the existing sterilisation Acts were suspended solely in Germany and Austria. Only much later did certain countries concerned - not Japan so far - officially acknowledge the human rights violations committed, issue apologies and develop reparation schemes for the victims' benefit.

Best Interests and Non-consensual Research.

The issue of clinical research on adults who are unable to provide consent (non-consensual research - NCR) is a challenging area of law, which has gained prominence in New Zealand and elsewhere. In New Zealand, the legality of such research depends on a best interests test. It has been claimed, however, that a best interests test cannot be satisfied in NCR, and that a new legal standard is required to allow valuable research to appropriately proceed. This article argues that a best interests test can be satisfied in NCR and should be reconsidered as a suitable benefit-harm standard. Furthermore, there is a possibility of maintaining a best interests test as well as adopting a new, more specific standard and other recommendations for reform. These two components could be seen as consistent, or even synergistic, and this dual approach should be considered in current discussion.

[Sexting as a risk? : On consensual and non-consensual distribution of personal erotic pictures using digital media]. / Sexting als Risiko? : Zum konsensuellen und nichtkonsensuellen Versand persönlicher erotischer Fotos mittels digitaler Medien.

BACKGROUND: Digital media are used for the purpose of various sexual experiences. In recent years the exchange of erotic text messages or images ("sexting") has gained the attention of academic research and has increasingly been the center of public discussion on sexual boundary violations and violence via digital media. The unwanted forwarding of images to a third party is especially relevant in this respect. In contrast to media reports about sexting as a risk behavior with serious consequences, there is little empirical analysis about the actual sexting practice of adolescents and adults in Germany. OBJECTIVE: This paper is the first to describe sexting behavior of young adults in Germany on the basis of a large representative student sample. MATERIAL AND METHODS: Data were collected in 2012 in the course of a nationwide study. Students from 15 universities were asked among other things about their experiences with sending erotic text messages or images, the non-consensual forwarding of images and its consequences. RESULTS: More than half of the student sample reported sending erotic text messages, 26.8% of women and 16.8% of men had sent erotic images to someone, in most cases to their partner. Of the sexters, 2% mentioned that their images had been forwarded to another person without their consent. CONCLUSION: The results indicate that in Germany sexting is mostly practiced in the context of a romantic relationship. Only a small percentage experience unwanted forwarding of images, and negative consequences are not reported for all incidents; however, this does not relativize the impact of those events implicating serious negative consequences for the involved person.

Legal Protection of Revenge and Deepfake Porn Victims in the European Union: Findings From a Comparative Legal Study.

The use of images of persons in a pornographic context (without the prior consent of the person concerned) on the internet is an increasingly widespread infringement. Unlawful activities carried out with the use of generated images and artificial intelligence are a variant of this phenomenon. "Revenge porn" and "deepfake porn" illustrate the inadequacy of legal systems vis a vis the fast-changing reality. Using the comparative law method, a comparison was made between the current laws of nine EU Member States to create a map of protection for victims of revenge porn. As the results showed, in three of the studied countries there is a separate incrimination of revenge porn; however, the conceptual scope of its definition is significantly different and it is these differences that determine the legal way for the victims to assert their rights. This article is a comparison of the current legal regulations of selected European Union countries and the means of legal protection used by the victims. The text presents the differences occurring in the legal systems adopted in the countries subject to analysis, as well as an assessment of possible solutions at the legal and technological level to face the existing problem.

School prevention of non-consensual sexting among middle adolescents: Does sexual preoccupation awareness matter?

Although non-consensual sexting seems to concern not only adults but also middle adolescent students, with detrimental consequences on their well-being, the related research-based effective school prevention programs are almost absent. Furthermore, there is an unanswered research question as to whether sex-related issues, such as sexual preoccupation, matters in adolescents' non-consensual sexting and its prevention. The present study investigated the effectiveness of a school-based intervention against non-consensual sexting among middle adolescents, based on the European funded program TABBY (Threat Assessment of Bullying Behavior in Youth). Furthermore, the predictive role of sexual preoccupation was examined. Overall, 280 Greek students from randomly selected junior high school responded to self-report scales on non-consensual sexting and sexual preoccupation. Based on an experimental longitudinal research design, only the experimental (N = 131), but not the control group of students (N = 149), participated in the intervention. To test the effectiveness of the intervention, both student groups completed the scales before (1st phase), immediately after (2nd phase), and six months after the intervention (3rd phase), which was implemented by trained teachers. The results showed both, the short-term and long-term effectiveness of the intervention. Also, the study highlighted the significant contribution of sexual preoccupation awareness in reducing non-consensual sexting, especially immediately after and six months after the intervention. The study implies the necessity to adapt existed prevention programs to the specific parameters of non-consensual sexting, integrating at the same time sexual preoccupation awareness activities to better address this issue.

Uncovering young people's situational construction of sexual consent.

Aim: To investigate how young Danes construct sexual consent generally, but also specifically in relation to heavy alcohol intoxication. Methods: Drawing on 30 qualitative in-depth interviews with young people, aged 19-25 years, and adopting a critical discursive psychological framework, we explored the interpretative repertoires that the participants made use of to construct sexual consent and the subject positions those repertoires enabled. Results: The participants made use of three interpretative repertoires that we named as follows: (1) sexual consent as an agreement between rational individuals; (2) sexual consent as a heteronormative practice; and (3) intoxicated sexual consent. Discussion: Young people draw on different repertoires when discussing sexual consent in general, sexual consent in relation to gendered practices and expectations, and sexual consent in relation to heavy alcohol intoxication. Conclusion: It is vital to keep the situational nature of young people's constructions of sexual consent in mind if we wish to understand and eventually reduce the number of non-consensual sexual experiences.

Adverse childhood experiences, sexual risk-taking and non-consensual sexual experiences in a nationally representative study of 15-29-year-old Danes.

BACKGROUND: Adverse childhood experiences (ACEs) have been linked with risky health-related behaviors and poor health. OBJECTIVE: This study aimed to investigate associations of ACEs with a broad panel of sexual risk-taking behaviors and non-consensual sexual experiences among young people in Denmark. PARTICIPANTS AND SETTING: Baseline questionnaire data from 15 to 29-year-old participants in the nationally representative cohort study Project SEXUS were used in combination with data from Danish national registers to include a total of 13,132 individuals. METHODS: In logistic regression analyses, confounder-adjusted odds ratios (aORs) with 95 % confidence intervals (CIs) were obtained for associations of five ACE categories (Household challenges, Loss or threat of loss, Material deprivation, Abuse, and Neglect) and a cumulative ACE score with measures of sexual risk-taking and non-consensual sexual experiences. RESULTS: Statistically significant associations were observed between ACEs and multiple sexual risk-taking behaviors and non-consensual sexual experiences with particularly increased odds among individuals with a history of Abuse, Neglect, or an ACE score of 3 or more. Specifically, Abuse was associated with having received payment for sex (women: aOR 5.38; 95 % CI 2.73-10.61; men: aOR 2.11; 95 % CI 1.22-3.64), with having paid for sex (men: aOR 1.88; 95 % CI 1.41-2.51), and with having been the victim of a sexual assault after age 18 years (women: aOR 3.33; 95 % CI 2.36-4.68). CONCLUSIONS: In this Danish study, multiple measures of sexual risk-taking and non-consensual sexual experiences were markedly more common among young people with ACEs than in those without ACEs. This knowledge should be considered in future initiatives to promote sexual health among young people.