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Thus, people may agree not to develop a relationship, permitting themselves only virtual one-night stands, or an uncommitted affair, or a promise with a partner to tell each other about each online affair.

As one woman in a committed relationship remarks about her online sexual affairs: "I've had this discussion with my boyfriend and we both agree that as long as it's not with the same person more than twice, it is really masturbation.

Many of them believe cybersex to be similar to pornography—an extension of fantasy that actually helps to keep them from physical affairs with other people.

After controlling for the study covariates, there was no significant difference in the odds of feeling better (less worried) postchat between IM and text message users.

Feeling better postchat was associated with being younger (≤17 years: AOR 1.42, 95% CI 1.17-1.72; 18-24 years: AOR 1.20, 95% CI 1.02-1.42), being Latino/Hispanic (AOR 1.31, 95% CI 1.10-1.55), reporting that the service was very helpful (AOR 3.47, 95% CI 3.24-4.32), and asking about emergency contraception (AOR 1.35, 95% CI 1.13-1.61).

A bivariate analysis was conducted using chi-square tests for differences in the main covariates by mode of conversation.

In the multivariable analysis, logistic regression was used to identify factors that were independently associated with prechat levels of worry and changes in worry postchat.

Online sexual activity can involve various activities, such as viewing explicitly sexual materials, participating in an exchange of ideas about sex, exchanging sexual messages, and online interactions with at least one other person with the intention of becoming sexually aroused.