<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152026000100204</article-id>
<article-id pub-id-type="doi">10.29352/mill0229.44627</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Online sexual health information seeking, digital literacy, and risk behaviors among Brazilian university students]]></article-title>
<article-title xml:lang="pt"><![CDATA[Procura de informação digital sobre saúde sexual, literacia digital e comportamentos de risco entre estudantes universitários Brasileiros]]></article-title>
<article-title xml:lang="es"><![CDATA[Búsqueda de información digital sobre salud sexual, alfabetización digital y comportamientos de riesgo entre estudiantes universitarios Brasileños]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Couto]]></surname>
<given-names><![CDATA[Germano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[Maria Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nóbrega]]></surname>
<given-names><![CDATA[Maria do Perpétuo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escola Superior de Saúde Fernando Pessoa  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,RISE-Health  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Coimbra  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,UICISA: E - Unidade de Investigação em Ciências da Saúde: Enfermagem  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade de São Paulo  ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2026</year>
</pub-date>
<numero>29</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152026000100204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152026000100204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152026000100204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Social media are a central source of sexual and mental health information for young adults, yet the impact of this exposure on their practices and well-being remains unclear. It is necessary to understand how online sexual information seeking, digital health literacy, and problematic social media use relate to the knowledge, attitudes, and sexual behaviors of this population.  Objective: Analyze how exposure to digital content related to sexual and mental health influences the knowledge, attitudes, and behaviors of young adult college students.  Methods: A cross-sectional online survey was conducted with 65 Brazilian university students aged 18-30 years. The questionnaire assessed online sexual information seeking, digital health literacy (eHEALS), mental health literacy (MHLq), problematic social media use (SMDS), symptoms of depression, anxiety, and stress (DASS-21), and risky sexual behaviors. Data were analyzed using descriptive statistics, chi-square tests, and correlations, and multivariable logistic and linear regression models, controlling for relevant sociodemographic variables.  Results: Among the participants, most reported having searched for sexual information online, but this behavior was not associated with a lower likelihood of risky sexual practices. No significant associations were found between online sexual information seeking, digital health literacy, or perceived ability to evaluate online information and sexual risk behaviors. In contrast, older age and sexual minority status were associated with a higher probability of reporting at least one risky sexual behavior. Problematic social media use showed a consistent association with higher levels of depression, anxiety, and stress symptoms, with no clear link to sexual risk behaviors.  Conclusion:  In this sample of Brazilian university students, online sexual information seeking and higher perceived digital health literacy were not clearly associated with safer sexual practices. Sociodemographic factors such as age and sexual minority status played a more prominent role in explaining sexual risk, whereas problematic social media use emerged as an important marker of greater psychological distress.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  As redes sociais são hoje uma fonte central de informação sobre saúde sexual e mental para jovens adultos, mas o impacto desta exposição nas suas práticas e no bem-estar permanece pouco claro. É necessário compreender de que forma a procura de informação sexualonline, a literacia digital em saúde e o uso problemático das redes sociais se relacionam com o conhecimento, as atitudes e os comportamentos sexuais desta população.  Objetivo:  Analisar como a exposição a conteúdos digitais relacionados com saúde sexual e mental influencia o conhecimento, atitudes e comportamentos de jovens adultos universitários.  Métodos:  Realizou-se um estudo transversalonlinecom 65 estudantes universitários brasileiros, com idades entre 18 e 30 anos. O questionário incluiu medidas de procura de informação sexual na internet e nas redes sociais, literacia digital em saúde (eHEALS), literacia em saúde mental (MHLq), uso problemático das redes sociais (SMDS), sintomas de depressão, ansiedade e stress (DASS-21) e comportamentos sexuais de risco. Os dados foram analisados com estatística descritiva, testes de associação (qui-quadrado, correlações) e modelos de regressão logística e linear multivariada, considerando variáveis sociodemográficas relevantes.  Resultados:  Entre os participantes, a maioria referiu já ter procurado informação sobre sexo na internet, mas essa procura não se associou a menor probabilidade de comportamentos sexuais de risco. Também não se observaram associações significativas entre a procura de informação sexual online, a literacia digital em saúde ou a perceção de capacidade para avaliar a fiabilidade da informação e os comportamentos de risco. Em contraste, a idade mais elevada e a pertença a minorias sexuais estiveram associadas a maior probabilidade de pelo menos um comportamento sexual de risco. O uso problemático das redes sociais apresentou uma associação consistente com níveis mais elevados de sintomas de depressão, ansiedade e stress, sem relação clara com os comportamentos sexuais.  Conclusão:  Os resultados sugerem que, nesta amostra de estudantes universitários brasileiros, a procura de informação sexualonlinee a perceção de maior literacia digital em saúde não se associam de forma clara a práticas sexuais mais seguras. Fatores sociodemográficos, como a idade e a pertença a minorias sexuais, mostraram-se mais relevantes para explicar os comportamentos de risco, enquanto o uso problemático das redes sociais se destacou como um importante marcador de maior sofrimento psicológico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  Las redes sociales constituyen una fuente central de información sobre salud sexual y mental para los adultos jóvenes, pero el impacto de esta exposición en sus prácticas y bienestar sigue siendo poco claro. Es necesario comprender cómo la búsqueda de información sexual en línea, la alfabetización digital en salud y el uso problemático de las redes sociales se relacionan con el conocimiento, las actitudes y las conductas sexuales de esta población.  Objetivo:  Analizar cómo la exposición a contenidos digitales relacionados con la salud sexual y mental influye en los conocimientos, actitudes y comportamientos de los jóvenes adultos universitarios.  Métodos:  Se realizó una encuesta transversal en línea con 65 estudiantes universitarios brasileños de entre 18 y 30 años. El cuestionario evaluó la búsqueda de información sexual en internet y redes sociales, la alfabetización digital en salud (eHEALS), la alfabetización en salud mental (MHLq), el uso problemático de las redes sociales (SMDS), los síntomas de depresión, ansiedad y estrés (DASS-21) y las conductas sexuales de riesgo. Los datos se analizaron mediante estadísticos descriptivos, pruebas de chi-cuadrado y correlaciones, y modelos de regresión logística y lineal multivariable, controlando variables sociodemográficas pertinentes.  Resultados:  Entre los participantes, la mayoría informó haber buscado información sobre sexo en internet, pero dicha búsqueda no se asoció con una menor probabilidad de conductas sexuales de riesgo. Tampoco se encontraron asociaciones significativas entre la búsqueda de información sexual en línea, la alfabetización digital en salud o la percepción de capacidad para evaluar la fiabilidad de la información y las conductas de riesgo. En cambio, una mayor edad y la pertenencia a minorías sexuales se asociaron con una mayor probabilidad de al menos una conducta sexual de riesgo. El uso problemático de las redes sociales mostró una asociación consistente con niveles más elevados de síntomas de depresión, ansiedad y estrés, sin una relación clara con las conductas sexuales de riesgo.  Conclusión:  En esta muestra de estudiantes universitarios brasileños, la búsqueda de información sexual en línea y una mayor alfabetización digital percibida en salud no se asociaron claramente con prácticas sexuales más seguras. Los factores sociodemográficos, como la edad y la pertenencia a minorías sexuales, fueron más relevantes para explicar el riesgo sexual, mientras que el uso problemático de las redes sociales se destacó como un marcador importante de mayor malestar psicológico.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[media]]></kwd>
<kwd lng="en"><![CDATA[sexual health]]></kwd>
<kwd lng="en"><![CDATA[digital health literacy]]></kwd>
<kwd lng="en"><![CDATA[mental well-being]]></kwd>
<kwd lng="en"><![CDATA[young adults]]></kwd>
<kwd lng="pt"><![CDATA[sociais]]></kwd>
<kwd lng="pt"><![CDATA[saúde sexual]]></kwd>
<kwd lng="pt"><![CDATA[literacia digital em saúde]]></kwd>
<kwd lng="pt"><![CDATA[bem-estar mental]]></kwd>
<kwd lng="pt"><![CDATA[jovens adultos]]></kwd>
<kwd lng="es"><![CDATA[sociales]]></kwd>
<kwd lng="es"><![CDATA[salud sexual]]></kwd>
<kwd lng="es"><![CDATA[alfabetización digital en materia de salud]]></kwd>
<kwd lng="es"><![CDATA[bienestar mental]]></kwd>
<kwd lng="es"><![CDATA[adultos jóvenes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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