隨著數位媒體與網路使用普及，青少年暴露於網路性相關議題的風險日益增加，其衍生的身心影響已成為醫療人員須正視之課題。本文介紹常見的網路中具有風險的性議題，包括非自身意願地接觸、發送或接收露骨性意涵的訊息、以及瀏覽未成年人不宜之性主題網頁與影片。此外，由臺灣在地研究顯示高比例的青少年曾有相關暴露經驗，且多發生於青少年中期，惟其主觀感受危險性低。此外，青少年的年齡、性別以及追求樂趣、低毅力與自制力、好奇追尋、決策匆促等特質，皆為影響暴露風險的重要因子，面對網路世代，應結合醫療系統的早期評估、個人化的預防策略以及家庭教育的防護，共同為青少年建構安全的數位環境。

With the widespread use of digital media and the Internet, adolescents are at an increasing risk of exposure to sexually explicit content online. Such exposure has several physical and mental health effects that have become a key concern for healthcare professionals. This article introduces common online sexual risks, such as being involuntarily exposed, sending or receiving sexually explicit messages, and accessing sex-themed websites or videos unsuitable for minors. In Taiwan, many adolescents are exposed to sexually explicit content online, with this often occurring during mid adolescence; however, adolescents’ subjective perception of the risks associated with such exposure is low. Furthermore, adolescents’ age, gender, and traits such as fun-seeking, lack of perseverance and self-control, novelty-seeking, and rapid decision-making are significant factors influencing the risk of exposure. In the current digital era, integrating early health assessments, personalized prevention strategies, and protective family education is essential for establishing a safe digital environment for adolescents.