Attitudes Toward Sexual and Digital Consent and Institutional Distrust as Determinants of Gender-Based Violence Prevention: Evidence from an Urban Adult Population
Highlights
- Gender-based and sexual violence are major public health concerns, and this study addresses an important preventive dimension: attitudes toward sexual and digital consent in an adult population.
- The study is particularly relevant to contemporary public health because the digitalization of intimate relationships has expanded the risks of consent violation and requires primary prevention strategies to be adapted accordingly.
- The findings show that attitudes toward offline sexual consent and digital consent are closely related, supporting an integrated prevention approach rather than treating these domains separately.
- The study also identifies two key factors for public health prevention: gender, as the most consistent sociodemographic correlate of attitudinal differences, and institutional reluctance, which is systematically associated with less supportive attitudes toward consent.
- The results suggest that prevention policies and campaigns should explicitly incorporate digital consent into affective-sexual education and primary prevention strategies for sexual violence.
- The findings also suggest that institutional interventions may benefit from more participatory approaches and greater attention to how messages are received, avoiding moralizing tones and strengthening public trust in order to enhance preventive effectiveness.
Abstract
1. Introduction
2. Theoretical Framework
2.1. Sexual Consent as a Multidimensional Construct
2.2. Gendered Sexual Scripts and Differences in Attitudes Toward Consent
2.3. Institutional Reluctance and Distrust Toward Public Messages
2.4. The Theory of Planned Behavior as an Integrative Framework
- (1)
- (2)
- (3)
- (4)
- Trust or distrust in institutions shapes the context in which the population receives and processes preventive messages [42].
- ⋅
- RQ1: How are attitudes toward sexual consent related to those toward digital consent?
- ⋅
- RQ2: Which sociodemographic factors are associated with attitudes toward sexual and digital consent?
- ⋅
- RQ3: Which sociodemographic profiles display higher or lower reluctance toward institutional messages on consent?
- ⋅
- RQ4: To what extent does reluctance predict less egalitarian or more permissive attitudes toward the absence of consent?
3. Materials and Methods
3.1. Study Design and Context
3.2. Instruments
3.2.1. Attitudes Toward Sexual Consent
3.2.2. Digital Sexual Consent
3.2.3. Reluctance
3.3. Data Analysis Strategy
4. Results
4.1. Attitudes Toward Consent and Digital Consent
- (1)
- (Lack of) perceived behavioral control (SCS-F1), and
- (2)
- Positive attitude toward establishing consent (SCS-F2).
4.2. Sociodemographic Factors Associated with Attitudes Toward Consent
4.3. Reluctance and Associated Factors
5. Discussion
5.1. Continuity Between Sexual Consent and Digital Consent
5.2. Gender as a Structural Factor in Attitudes Toward Consent
5.3. Institutional Reluctance as a Predictor of Less Egalitarian Attitudes
5.4. Implications for Primary Prevention and Social Policies
- ⋅
- More participatory campaigns, co-designed with target groups, that minimize moralizing tone and increase identification.
- ⋅
- Institutional reforms that reduce gaps between discourse and practice, for example, by improving responses to reports of offline and digital sexual violence, enhancing access to support resources, or strengthening inter-institutional coordination. In this way, consent messages are perceived as part of a structural commitment rather than as isolated gestures. It is also necessary to strengthen institutional accountability mechanisms so that the public perceives coherence between campaigns and the actual actions of public bodies.
6. Conclusions and Social Policy Directions
- ⋅
- Systematically integrate digital consent into primary prevention strategies, linking it to affective-sexual education and critical digital literacy, so that offline and online dimensions of consent are addressed jointly.
- ⋅
- Design campaigns and programs that challenge unequal gender scripts, with particular attention to male socialization. This implies combining messages aimed at young and adult men with deeper spaces for reflection, in coordination with educational institutions, community organizations, and social movements.
- ⋅
- Review the tone and formats of institutional campaigns on consent, avoiding moralizing or overly simplistic approaches. It is crucial to move toward co-design and co-creation models with target groups, allowing language, images, and examples to be adapted to their real experiences and, at the same time, helping rebuild trust in institutions.
- ⋅
- Embed campaigns within broader structural change strategies, including reforms in education, health, justice, and social services systems, so that messages about consent do not appear as isolated communicative “islands” disconnected from everyday institutional practices. In this sense, the articulation between communication and institutional coherence—highlighted in the literature on institutional legitimacy [10]—is essential for preventive messages to be perceived as part of an ongoing commitment rather than as one-off interventions.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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| Variable | Category | n | % |
|---|---|---|---|
| Gender | Men | 175 | 43.3% |
| Women | 229 | 56.7% | |
| Education | Lower Secondary Education/Compulsory Secondary Education | 58 | 14.4% |
| Upper Secondary Education (Baccalaureate) or Intermediate Vocational Training | 74 | 18.3% | |
| Higher Vocational Training | 83 | 20.5% | |
| University Degree | 46 | 11.4% | |
| Postgraduate Degree | 143 | 35.4% | |
| Social media use | Never or almost never | 33 | 8.2% |
| Occasionally | 17 | 4.2% | |
| Two to three times per week | 30 | 7.4% | |
| Four to five days per week | 22 | 5.4% | |
| Every day or almost every day | 302 | 74.8% | |
| Household income | Less than €1000 per month | 20 | 5.0% |
| €1000 to €2000 per month | 134 | 33.2% | |
| €2000 to €3000 per month | 105 | 26.0% | |
| €3000 to €4000 per month | 73 | 18.1% | |
| €4000 to €5000 per month | 30 | 7.4% | |
| More than €5000 per month | 16 | 4.0% | |
| na | 26 | 6.4% | |
| Relationship status | Partner | 287 | 71.0% |
| No partner | 110 | 27.2% | |
| na | 7 | 1.7% | |
| Age | Mean | 42.3 | 42.3 |
| sd | 12.9 | 12.9 |
| Item Original Number | Items Used in: Rollero et al. [34]. | Translation into Spanish by: Moyano et al. [26] |
|---|---|---|
| D2 (Lack of) perceived behavioral control (i.e., how much behavioral control over sexual consent negotiations do participants perceive) | ||
| Item 5 | I think that verbally asking for sexual consent is awkward. | Pienso que pedir consentimiento sexual de forma verbal es incómodo |
| Item 6 | I have not asked for sexual consent (or given my consent) at times because I felt that it might backfire and I wouldn’t end up having sex. | No he pedido consentimiento sexual (ni he dado mi consentimiento) algunas veces porque pensé que entonces no tendría relaciones sexuales |
| Item 7 | I believe that verbally asking for sexual consent reduces the pleasure of the encounter. | Creo que pedir consentimiento sexual de forma verbal reduce el placer del encuentro |
| D2 Positive attitude toward establishing consent | ||
| Item 14 | I think it is equally important to obtain sexual consent in all relationships regardless of whether or not they have had sex before. | Pienso que es importante obtener el consentimiento sexual en todas las relaciones sexuales, indistintamente de si se han tenido o no relaciones sexuales con esa persona |
| Item 17 | I believe that it is just as necessary to obtain consent for genital fondling as it is for sexual intercourse. | Creo que es tan necesario obtener consentimiento para caricias genitales como para las relaciones sexuales coitales |
| Item 20 | I feel it is the responsibility of both partners to make sure sexual consent is established before sexual activity begins. | Opino que es responsabilidad de ambos miembros de la pareja asegurarse de que se establezca el consentimiento sexual antes de que comience la actividad sexual |
| D3 Indirect behavioral approach to consent (i.e., the use of indirect, nonverbal ways to negotiate sexual consent) | ||
| Item 25 | Typically I ask for consent by making a sexual advance and waiting for a reaction, so I know whether or not to continue. | Por lo general, pido consentimiento haciendo un acercamiento sexual y esperando una reacción, para saber si continuar o no |
| Item 26 | I don’t have to ask or give my partner sexual consent because my partner knows me well enough. | No tengo que pedir ni dar mi consentimiento sexual a mi pareja porque mi pareja me conoce suficientemente bien |
| Item 27 | I don’t have to ask or give my partner sexual consent because I have a lot of trust in my partner to “do the right thing.” | No tengo que pedir ni dar mi consentimiento sexual a mi pareja porque tengo mucha confianza en que él/ella “hará lo correcto” |
| D4: Sexual consent norms (i.e., beliefs about the norms that regulate sexual consent negotiations) | ||
| Item 31 | I believe that the need for asking for sexual consent decreases as the length of an intimate relationship increases. | Creo que la necesidad de pedir consentimiento sexual disminuye a medida que aumenta la duración de una relación de pareja |
| Item 32 | I believe it is enough to ask for consent at the beginning of a sexual encounter. | Creo que es suficiente pedir el consentimiento al comienzo de un encuentro sexual |
| Item 35 | If consent for sexual intercourse is established, petting and fondling can be assumed. | Si existe consentimiento sexual para relaciones sexuales coitales, se asume que también existe para otras actividades (caricias y tocamientos) |
| D5 Awareness and discussion | ||
| Item 36 | I have discussed sexual consent issues with a friend. | He debatido sobre cuestiones relacionadas con el consentimiento sexual con un amigo/a |
| Item 38 | I have discussed sexual consent issues with my current (or most recent) partner at times other than during sexual encounters. | He debatido sobre cuestiones de consentimiento sexual con mi pareja actual (o la más reciente) en momentos distintos a los encuentros sexuales |
| Item 39 | I have not given much thought to the topic of sexual consent. | No he pensado mucho en el tema del consentimiento sexual |
| Predictor | DC~GASC | DC~GASC | DC~GASC (Controlled) | DC~GASC (Controlled) | DC~SCS-F1 | DC~SCS-F1 | DC~SCS-F1 (Controlled) | DC~SCS-F1 (Controlled) | DC~SCS-F2 | DC~SCS-F2 | DC~SCS-F2 (Controlled) | DC~SCS-F2 (Controlled) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Intercept | 3.122 *** (0.345) | 3.122 *** (0.345) | 2.636 *** (0.521) | 2.636 *** (0.521) | 6.562 *** (0.138) | 6.562 *** (0.138) | 6.082 *** (0.436) | 6.082 *** (0.436) | 1.437 *** (0.295) | 1.437 *** (0.295) | 1.176 ** (0.384) | 1.176 ** (0.384) |
| GASC | 0.593 *** (0.070) | 0.593 *** (0.070) | 0.577 *** (0.072) | 0.577 *** (0.072) | — | — | — | — | — | — | — | — |
| SCS-F1 | — | — | — | — | −0.254 *** (0.043) | −0.254 *** (0.043) | −0.235 *** (0.044) | −0.235 *** (0.044) | — | — | — | — |
| SCS-F2 | — | — | — | — | — | — | — | 0.740 *** (0.047) | 0.740 *** (0.047) | 0.732 *** (0.048) | 0.732 *** (0.048) | |
| Gender (Woman) | — | 0.319 * (0.137) | 0.319 * (0.137) | — | — | 0.333 * (0.147) | 0.333 * (0.147) | — | — | 0.152 (0.110) | 0.152 (0.110) | |
| Age | — | 0.008 (0.005) | 0.008 (0.005) | — | — | 0.003 (0.005) | 0.003 (0.005) | — | — | 0.003 (0.004) | 0.003 (0.004) | |
| Education (ordinal) | — | 0.098 (0.053) | 0.098 (0.053) | — | — | 0.105 (0.054) | 0.105 (0.054) | — | — | 0.035 (0.042) | 0.035 (0.042) | |
| Social media use (ordinal) | — | −0.071 (0.051) | −0.071 (0.051) | — | — | −0.066 (0.052) | −0.066 (0.052) | — | — | −0.027 (0.038) | −0.027 (0.038) | |
| Income (ordinal) | — | 0.024 (0.069) | 0.024 (0.069) | — | — | 0.027 (0.073) | 0.027 (0.073) | — | — | 0.041 (0.044) | 0.041 (0.044) | |
| Relationship status (no partner) | — | −0.139 (0.172) | −0.139 (0.172) | — | — | −0.145 (0.181) | −0.145 (0.181) | — | — | −0.036 (0.125) | −0.036 (0.125) | |
| N | 404 | 371 1 | 371 | 404 | 404 | 371 | 371 | 404 | 404 | 371 | 371 | |
| R2 | 0.141 | 0.184 | 0.184 | 0.085 | 0.085 | 0.122 | 0.122 | 0.430 | 0.430 | 0.479 | 0.479 | |
| RMSE | 1.33 | 1.28 | 1.28 | 1.37 | 1.37 | 1.32 | 1.32 | 1.08 | 1.08 | 1.02 | 1.02 |
| Predictor | GASC | Digital Consent | SCS-F1 | SCS-F2 |
|---|---|---|---|---|
| Constant | 4.436 *** (0.298) | 5.194 *** (0.431) | 3.777 *** (0.560) | 5.485 *** (0.395) |
| Gender (Women) | 0.240 * (0.097) | 0.458 ** (0.149) | −0.531 ** (0.173) | 0.417 ** (0.137) |
| Age | −0.006 (0.004) | 0.005 (0.006) | −0.005 (0.007) | 0.002 (0.005) |
| Education (ordinal) | 0.035 (0.036) | 0.118 * (0.056) | −0.053 (0.065) | 0.112 * (0.050) |
| Social media use (ordinal) | 0.011 (0.040) | −0.064 (0.054) | −0.005 (0.078) | −0.051 (0.051) |
| Income (ordinal) | 0.011 (0.045) | 0.030 (0.075) | −0.011 (0.080) | −0.015 (0.065) |
| Relationship status (no partner) | 0.015 (0.108) | −0.130 (0.184) | −0.063 (0.193) | −0.128 (0.166) |
| N | 371 | 371 | 371 | 371 |
| R2 | 0.030 | 0.051 | 0.031 | 0.046 |
| RMSE | 0.90 | 1.38 | 1.61 | 1.26 |
| Predictor | R1 | R2 | R3 |
|---|---|---|---|
| Interceptor | 5.542 *** (0.637) | 4.037 *** (0.553) | 3.403 *** (0.678) |
| Gender (Women) | −0.768 *** (0.197) | 0.344 (0.191) | −0.114 (0.212) |
| Age | −0.018 * (0.008) | 0.009 (0.008) | 0.008 (0.009) |
| Education (ordinal) | −0.126 (0.073) | 0.036 (0.068) | −0.119 (0.077) |
| Social media use (ordinal) | −0.137 (0.085) | 0.083 (0.073) | 0.016 (0.089) |
| Income (ordinal) | −0.031 (0.093) | −0.042 (0.092) | 0.021 (0.102) |
| Relationship status (no partner) | −0.048 (0.234) | −0.127 (0.238) | −0.046 (0.243) |
| N | 371 | 371 | 371 |
| R2 | 0.076 | 0.019 | 0.010 |
| RMSE | 1.82 | 1.79 | 1.97 |
| Predictor | GASC | SCS-F2 | Digital Consent |
|---|---|---|---|
| Interceptor | 5.841 *** (0.205) | 5.035 *** (0.359) | 5.151 *** (0.389) |
| R1 | −0.164 *** (0.025) | −0.063 (0.035) | −0.139 *** (0.041) |
| R2 | 0.028 (0.022) | 0.231 *** (0.039) | 0.192 *** (0.045) |
| R3 | −0.194 *** (0.023) | −0.107 *** (0.028) | −0.092 * (0.037) |
| Gender (Women) | 0.066 (0.071) | 0.241 * (0.119) | 0.181 (0.137) |
| Age | −0.008 ** (0.003) | 0.003 (0.004) | 0.008 (0.005) |
| N | 404 | 404 | 404 |
| R2 | 0.439 | 0.212 | 0.183 |
| RMSE | 0.68 | 1.13 | 1.30 |
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Share and Cite
Uceda, E.G.; Errazu, D.V.; Aguerri, J.C. Attitudes Toward Sexual and Digital Consent and Institutional Distrust as Determinants of Gender-Based Violence Prevention: Evidence from an Urban Adult Population. Int. J. Environ. Res. Public Health 2026, 23, 480. https://doi.org/10.3390/ijerph23040480
Uceda EG, Errazu DV, Aguerri JC. Attitudes Toward Sexual and Digital Consent and Institutional Distrust as Determinants of Gender-Based Violence Prevention: Evidence from an Urban Adult Population. International Journal of Environmental Research and Public Health. 2026; 23(4):480. https://doi.org/10.3390/ijerph23040480
Chicago/Turabian StyleUceda, Esperanza García, Diana Valero Errazu, and Jesús C. Aguerri. 2026. "Attitudes Toward Sexual and Digital Consent and Institutional Distrust as Determinants of Gender-Based Violence Prevention: Evidence from an Urban Adult Population" International Journal of Environmental Research and Public Health 23, no. 4: 480. https://doi.org/10.3390/ijerph23040480
APA StyleUceda, E. G., Errazu, D. V., & Aguerri, J. C. (2026). Attitudes Toward Sexual and Digital Consent and Institutional Distrust as Determinants of Gender-Based Violence Prevention: Evidence from an Urban Adult Population. International Journal of Environmental Research and Public Health, 23(4), 480. https://doi.org/10.3390/ijerph23040480

