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Article

Technology-Facilitated Online Sexual Violence, Consent Negotiation, and Coping Among Adult Women: A Qualitative Study

by
Azucena Martínez-Díaz
1,
Pedro José López-Barranco
2,*,
Ascensión Pilar Guillén-Martínez
2,
Pedro Simón Cayuela-Fuentes
3,
Gabriel Segura-López
3,
Isabel María Pérez-Franco
3,
César Leal-Costa
4,* and
Ismael Jiménez-Ruiz
5
1
Asociación Columbares, 30570 Beniaján, Spain
2
Faculty of Social and Health Sciences, University of Murcia, 30800 Lorca, Spain
3
Faculty of Nursing, University of Murcia, 30120 Murcia, Spain
4
ICEBE: Research in Nursing Care and Evidence-Based Practice, Faculty of Nursing, University of Murcia, 30120 Murcia, Spain
5
Advanced Nursing Care Research Group, Faculty of Nursing, University of Murcia, 30120 Murcia, Spain
*
Authors to whom correspondence should be addressed.
Healthcare 2026, 14(7), 863; https://doi.org/10.3390/healthcare14070863
Submission received: 4 February 2026 / Revised: 22 March 2026 / Accepted: 25 March 2026 / Published: 27 March 2026
(This article belongs to the Section Women’s and Children’s Health)

Abstract

Background/Objectives: Online sexual violence is an increasingly prevalent form of gender-based harm facilitated by digital technologies, with significant consequences for the health, well-being, and rights of adult women. Despite growing attention to this phenomenon, women’s lived experiences remain underexplored, particularly regarding sexual consent and institutional responses. This study aimed to examine how adult women experience online sexual violence, how consent is negotiated or constrained in digital contexts, and how coping and institutional mechanisms are perceived. Methods: A qualitative study with a hermeneutic phenomenological approach was conducted. Data were collected through three focus groups with 23 women aged 21 to 42 years who were active users of social media. Results: Participants reported diverse forms of online sexual violence, including unsolicited sexual messages and images, persistent harassment, coercion, blackmail, and threats. Sexual consent was often undermined by emotional manipulation, social pressure, and fear, placing women in vulnerable positions. These experiences negatively affected well-being, contributing to anxiety, reduced self-esteem, fear, and difficulties in sexual and emotional relationships. Coping strategies were mainly individual, such as blocking perpetrators or reporting content, while social support was frequently perceived as insufficient. A generalized distrust of institutional responses emerged, with formal mechanisms viewed as ineffective or inaccessible. Conclusions: For the study participants, online sexual violence is increasingly normalized and concealed within digital environments, reinforced by anonymity and impunity. The findings highlight the need for continued research and the development of interventions that include early sexual and emotional education, awareness-raising initiatives, digital regulation, specialized professional training, and the strengthening of victim-centered support networks.
Keywords: social media; sexual violence; violence against women; consent; qualitative research social media; sexual violence; violence against women; consent; qualitative research

Share and Cite

MDPI and ACS Style

Martínez-Díaz, A.; López-Barranco, P.J.; Guillén-Martínez, A.P.; Cayuela-Fuentes, P.S.; Segura-López, G.; Pérez-Franco, I.M.; Leal-Costa, C.; Jiménez-Ruiz, I. Technology-Facilitated Online Sexual Violence, Consent Negotiation, and Coping Among Adult Women: A Qualitative Study. Healthcare 2026, 14, 863. https://doi.org/10.3390/healthcare14070863

AMA Style

Martínez-Díaz A, López-Barranco PJ, Guillén-Martínez AP, Cayuela-Fuentes PS, Segura-López G, Pérez-Franco IM, Leal-Costa C, Jiménez-Ruiz I. Technology-Facilitated Online Sexual Violence, Consent Negotiation, and Coping Among Adult Women: A Qualitative Study. Healthcare. 2026; 14(7):863. https://doi.org/10.3390/healthcare14070863

Chicago/Turabian Style

Martínez-Díaz, Azucena, Pedro José López-Barranco, Ascensión Pilar Guillén-Martínez, Pedro Simón Cayuela-Fuentes, Gabriel Segura-López, Isabel María Pérez-Franco, César Leal-Costa, and Ismael Jiménez-Ruiz. 2026. "Technology-Facilitated Online Sexual Violence, Consent Negotiation, and Coping Among Adult Women: A Qualitative Study" Healthcare 14, no. 7: 863. https://doi.org/10.3390/healthcare14070863

APA Style

Martínez-Díaz, A., López-Barranco, P. J., Guillén-Martínez, A. P., Cayuela-Fuentes, P. S., Segura-López, G., Pérez-Franco, I. M., Leal-Costa, C., & Jiménez-Ruiz, I. (2026). Technology-Facilitated Online Sexual Violence, Consent Negotiation, and Coping Among Adult Women: A Qualitative Study. Healthcare, 14(7), 863. https://doi.org/10.3390/healthcare14070863

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