Sixteen-year-old Dahlia has engaged in sexting since she started high school. She has sent several nude photos of herself to boys with whom she was interested, and often sends sexually explicit messages to friends. Compared to her peers, Dahlia is______.

A) likely to be viewed as very outgoing and popular
B) more likely to have high self-esteem
C) more likely to use substances and report low self-esteem
D) less likely to be sexually active

Research has shown that teens who engage in sexting are more likely to report low self-esteem and substance use. They may also be at higher risk for further sexual behavior, including sexual activity. While Dahlia's specific behavior may impact her popularity among her peers, the given options do not provide enough information to support either A or B as the correct answer. Option D is incorrect because engaging in sexting does not necessarily correlate with being sexually active.