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Alvarez de Mon MA, Sánchez-Villegas A, Gutiérrez-Rojas L, Martinez-Gonzalez MA. Screen exposure, mental health and emotional well-being in the adolescent population: is it time for governments to take action ?. J Epidemiol Community Health 2024:jech-2023-220577. [PMID: 38964781 DOI: 10.1136/jech-2023-220577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 04/22/2024] [Indexed: 07/06/2024]
Abstract
During the last decade, a multitude of epidemiological studies with different designs have been published assessing the association between the use of digital media and psychological well-being, including the incidence of mental disorders and suicidal behaviours. Particularly, available research has very often focused on smartphone use in teenagers, with highly addictive potential, coining the term 'problematic smartphone use' and developing specific scales to measure the addictive or problematic use of smartphones. Available studies, despite some methodological limitations and gaps in knowledge, suggest that higher screen time is associated with impaired psychological well-being, lower self-esteem, higher levels of body dissatisfaction, higher incidence of eating disorders, poorer sleeping outcomes and higher odds of depressive symptoms in adolescents. Moreover, a significant association has also been found between screen time and higher suicide risk. Finally, problematic pornography has been shown to be highly prevalent and it is a strong cause of concern to many public health departments and national governments because it might be eventually associated with aggressive sexual behaviours.
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Affiliation(s)
- Miguel Angel Alvarez de Mon
- Psychiatry and Mental Health, Hospital Universitario Infanta Leonor, Madrid, Spain
- Psychiatry, University of Alcalá, Madrid, Spain
| | - Almudena Sánchez-Villegas
- Institute for Innovation and Sustained Development in Food Chain (ISFOOD), Public University of Navarra, Pamplona, Spain
| | - Luis Gutiérrez-Rojas
- Psychiatry Service, San Cecilio University Hospital, Andalusian Health Service, Granada, Spain
| | - Miguel A Martinez-Gonzalez
- Institute for Innovation and Sustained Development in Food Chain (ISFOOD), Public University of Navarra, Pamplona, Spain
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Mestre-Bach G, Villena-Moya A, Chiclana-Actis C. Pornography Use and Violence: A Systematic Review of the Last 20 Years. TRAUMA, VIOLENCE & ABUSE 2024; 25:1088-1112. [PMID: 37309642 DOI: 10.1177/15248380231173619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Pornography use is one of the factors that has been proposed to be associated with violence. We aimed to explore the literature of the last 20 years, with the objective of understanding the possible association between pornography use and violence. Two electronic databases (PsycINFO/PsycARTICLES and PubMed/Medline) were used. We included members of the general population, of any sex, age, and sexual orientation, who were direct users of pornography or have a partner who uses pornography. Only studies with pornography use and violence assessments, and that specifically evaluated the association between both factors, were included. In all, 59 studies met the inclusion criteria. An association between pornography use and nonsexual violence seems to exist, although the causality of this association remains unclear. Heterogeneity of results exists regarding the association between pornography use and intimate partner sexual assault and coercion: some studies have failed to demonstrate this association, while others have observed it partially or significantly. Contradictory results have also been observed when examining the association between pornography use, rape myths, and other beliefs/attitudes. The main limitation is the heterogeneity in the conceptualization of both constructs (pornography and violence). Multiple theoretical models, methodologies, and categorizations have been used in the studies, complicating the comparability of the findings. The association between different types of violence and pornography use requires further in-depth research to better understand the specific link between both constructs.CRD42021259874.
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Affiliation(s)
- Gemma Mestre-Bach
- Centro de Investigación, Transferencia e Innovación (CITEI) - Universidad Internacional de La Rioja, Logroño, Spain
| | - Alejandro Villena-Moya
- Centro de Investigación, Transferencia e Innovación (CITEI) - Universidad Internacional de La Rioja, Logroño, Spain
- Unidad de Sexología Clínica y Salud Sexual, Consulta Dr. Carlos Chiclana, Madrid, Spain
| | - Carlos Chiclana-Actis
- Centro de Investigación, Transferencia e Innovación (CITEI) - Universidad Internacional de La Rioja, Logroño, Spain
- Unidad de Sexología Clínica y Salud Sexual, Consulta Dr. Carlos Chiclana, Madrid, Spain
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Vasquez M, Daspe MÈ, Bőthe B, Brassard A, Lussier Y, Vaillancourt-Morel MP. Associations Between Pornography Use Frequency and Intimate Partner Violence Perpetration Among Young Adult Couples: A 2-Year Longitudinal Study. JOURNAL OF INTERPERSONAL VIOLENCE 2024:8862605241234656. [PMID: 38454619 DOI: 10.1177/08862605241234656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
Pornography use is a common sexual activity for many individuals including those in a romantic relationship. Some studies have shown that violent content depicted in pornography is a risk factor for perpetration of violence in real life. Even if most of these studies examined perpetration of violent behaviors in general, not specifically toward the intimate partner, some studies have shown that pornography use frequency is related to a greater perpetration of intimate partner violence (IPV), while other studies have found that it is not significantly related. However, most previous studies were cross-sectional, sampled individuals rather than couples, and did not include separately forms of IPV (e.g., physical, psychological, and sexual). The present study examined the associations between pornography use frequency and the perpetration of physical and psychological IPV, and sexual coercion among young adult couples. A convenience sample of 113 couples aged between 16 and 29 years old completed self-reported online questionnaires two times over a 2-year period. The results of autoregressive cross-lagged models showed that a person's pornography use frequency at Time 1 was related to their own higher sexual coercion perpetration 2 years later and that a person's sexual coercion perpetration was related to their partner's lower pornography use frequency 2 years later. However, no significant association between pornography use frequency and physical and psychological IPV emerged. In line with previous studies, our results suggest that pornography use represents an important risk factor for the perpetration of sexual coercion. Findings support the need to include education around pornography use in sexual violence prevention programs to avoid that young adults reproduce pornographic scripts in their sexuality.
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Díaz-Rodríguez MV, Perelló VBI, Granero-Molina J, Fernández-Medina IM, Ventura-Miranda MI, Jiménez-Lasserrotte MDM. Insights from a Qualitative Exploration of Adolescents' Opinions on Sex Education. CHILDREN (BASEL, SWITZERLAND) 2024; 11:110. [PMID: 38255423 PMCID: PMC10814457 DOI: 10.3390/children11010110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 01/10/2024] [Accepted: 01/16/2024] [Indexed: 01/24/2024]
Abstract
BACKGROUND Adolescence is a crucial time in the development of young people's identity, and sexuality is a key issue. Comprehensive sex education provides the knowledge and skills to help adolescents protect their sexual and reproductive health and rights. Policies on sex education in secondary schools are highly influential in the development of quality programmes that support comprehensive sex education. The aim of this study was to explore, describe and understand adolescents' experiences of sex education. METHODS A qualitative study based on Gadamer's phenomenology was used. Two focus groups and four in-depth interviews were conducted with 12 private school students, followed by inductive data analysis using ATLAS.ti software 9.0. RESULTS Two main themes were identified in the analysis: (1) sex education is a challenge for secondary schools and (2) student expectations of sex education. CONCLUSION It is essential for adolescents to have access to comprehensive sex education that is adapted to the different stages of their development, is provided by specialised teachers, and involves their families in the process.
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Affiliation(s)
| | - Vicent Bataller i Perelló
- Facultad Ciencias de la Salud, Universidad de Almería, 04120 Almería, Spain; (M.V.D.-R.); (V.B.i.P.)
| | - José Granero-Molina
- Department of Nursing Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain; (I.M.F.-M.); (M.I.V.-M.); (M.d.M.J.-L.)
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Santiago 7500000, Chile
| | - Isabel María Fernández-Medina
- Department of Nursing Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain; (I.M.F.-M.); (M.I.V.-M.); (M.d.M.J.-L.)
| | - María Isabel Ventura-Miranda
- Department of Nursing Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain; (I.M.F.-M.); (M.I.V.-M.); (M.d.M.J.-L.)
| | - María del Mar Jiménez-Lasserrotte
- Department of Nursing Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain; (I.M.F.-M.); (M.I.V.-M.); (M.d.M.J.-L.)
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Willoughby BJ, Dover CR. Context Matters: Moderating Effects in the Associations between Pornography Use, Perceived Addiction, and Relationship Well-being. JOURNAL OF SEX RESEARCH 2024; 61:37-50. [PMID: 36449353 DOI: 10.1080/00224499.2022.2148155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
While perceived addiction and religiosity have been key contextual factors in understanding the link between pornography use and personal distress, these contextual factors have been explored less in the relational literature. Using a large nonprobability convenience sample from the United States, a moderated mediation model of the association between pornography use alone and two key indicators of relationship quality (relationship satisfaction and relationship stability) was explored. Results suggested that both general and aggressive pornography use alone were associated with less relationship satisfaction and relationship stability even when accounting for a range of potentially confounding variables. Perceived addiction partially mediated these associations, while both religiosity and gender moderated them. Generally, higher religiosity and being male were linked to compounding negative associations between pornography use and lower relationship quality. Findings suggest the importance of considering both religiosity and perceived addiction as important contextual factors when studying associations between pornography use and both relational and individual outcomes.
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Mathews B, Finkelhor D, Pacella R, Scott JG, Higgins DJ, Meinck F, Erskine HE, Thomas HJ, Lawrence D, Malacova E, Haslam DM, Collin-Vézina D. Child sexual abuse by different classes and types of perpetrator: Prevalence and trends from an Australian national survey. CHILD ABUSE & NEGLECT 2024; 147:106562. [PMID: 38061281 DOI: 10.1016/j.chiabu.2023.106562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 11/09/2023] [Accepted: 11/15/2023] [Indexed: 01/13/2024]
Abstract
BACKGROUND Little evidence exists about the prevalence of child sexual abuse (CSA) inflicted by different relational classes of perpetrators (e.g., parents; institutional adults; adolescents), and by individual types of perpetrators (e.g., fathers and male relatives; male teachers and male clergy; known and unknown adolescents). OBJECTIVE To generate evidence of the prevalence of CSA by different perpetrators, and trends by victim gender and age group. PARTICIPANTS AND SETTING The Australian Child Maltreatment Study collected information about CSA victimisation from a nationally-representative sample of 8503 individuals aged 16 and over. METHODS We analysed data about 42 perpetrator types, collapsed into eight classes. We generated national prevalence estimates of CSA inflicted by each perpetrator class and individual perpetrator type, and compared results by victim gender and age group. RESULTS Australian CSA prevalence was 28.5%, with the following prevalence by perpetrator classes: other known adolescents (non-romantic): 10.0%; parents/caregivers in the home: 7.8%; other known adults: 7.5%; unknown adults: 4.9%; adolescents (current/former romantic partners): 2.5%; institutional caregivers: 2.0%; siblings: 1.6%; unknown adolescents: 1.4%. Women experienced more CSA by all perpetrator classes except institutional caregivers. Age group comparison showed significant declines in CSA by parents/caregivers, and other known adults; and increases in CSA by adolescents (current/former romantic partners). Individual perpetrator type comparison showed declines in CSA by fathers, male relatives living in the home, non-resident male relatives, and other known male adults; and increases in CSA by known male adolescents, current boyfriends, and former boyfriends. CONCLUSIONS CSA by adults has declined, indicating positive impacts of prevention efforts. However, CSA by adolescents has increased. Further declines in CSA by adults are required and possible. Targeted prevention of CSA by adolescents must be prioritised.
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Affiliation(s)
- Ben Mathews
- School of Law, Queensland University of Technology (QUT), Brisbane, Australia; Australian Centre for Health Law Research, School of Law, Queensland University of Technology (QUT), Australia; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
| | - David Finkelhor
- Crimes Against Children Research Center, Department of Sociology, University of New Hampshire, Durham, NH, USA
| | - Rosana Pacella
- Institute for Lifecourse Development, University of Greenwich, United Kingdom
| | - James G Scott
- Queensland Centre for Mental Health Research, Wacol, Australia; QIMR Berghofer, Medical Research Institute, Brisbane, Australia; Child Health Research Centre, The University of Queensland, Brisbane, Australia; Child and Youth Mental Health Service, Children's Health Queensland Hospital and Health Service, South Brisbane, Australia
| | - Daryl J Higgins
- Institute of Child Protection Studies, Australian Catholic University, Melbourne, Australia
| | - Franziska Meinck
- School of Social and Political Sciences, University of Edinburgh, United Kingdom; School of Public Health, University of the Witwatersrand, South Africa; OPTENTIA, Faculty of Humanities, North-West University, Vanderbijlpark, South Africa
| | - Holly E Erskine
- Queensland Centre for Mental Health Research, Wacol, Australia; School of Public Health, The University of Queensland, Brisbane, Australia; Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
| | - Hannah J Thomas
- Queensland Centre for Mental Health Research, Wacol, Australia; QIMR Berghofer, Medical Research Institute, Brisbane, Australia; Child Health Research Centre, The University of Queensland, Brisbane, Australia
| | | | - Eva Malacova
- QIMR Berghofer, Medical Research Institute, Brisbane, Australia
| | - Divna M Haslam
- School of Law, Queensland University of Technology (QUT), Brisbane, Australia; Australian Centre for Health Law Research, School of Law, Queensland University of Technology (QUT), Australia; Parenting and Family Suppport Centre, University of Queensland, Brisbane, Australia
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Huntington C, Willoughby B, Rhoades G. Associations of Adolescents' Pornography Viewing with their Romantic Relationship Skills and Behaviors. JOURNAL OF SEX RESEARCH 2024; 61:80-91. [PMID: 35856785 DOI: 10.1080/00224499.2022.2096844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Research into adolescent pornography use has identified numerous individual-level behavioral and attitudinal correlates. However, associations between adolescents' pornography viewing and their romantic relationships remain understudied. Furthermore, very little is known about adolescents' watching pornography with their romantic partners (i.e., joint pornography use). The present study of adolescents (n = 755, 59.9% girls, M age = 15.72 years old [SD = 1.34]) is among the first attempts to link adolescents' pornography viewing behaviors to their romantic relationship attitudes and behaviors. We hypothesized that adolescents' viewing would be associated with poorer self-reported relationship skills, more negative relationship behaviors, and increased involvement in sexual activity, such as sexting. Partial support for these hypotheses was found. Frequency of overall viewing was associated with lower relationship and refusal skills. Lifetime joint pornography viewing was associated with higher rates of dating violence victimization and perpetration in the past six months and with more abusive behaviors from one's partner and more verbal conflict in the current dating relationship. Results, though cross-sectional, suggest that pornography viewing in adolescence is associated with poorer romantic outcomes. Implications for adolescent development and for healthcare providers and educators are discussed.
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Nadrowski K. A New Flight from Womanhood? The Importance of Working Through Experiences Related to Exposure to Pornographic Content in Girls Affected by Gender Dysphoria. JOURNAL OF SEX & MARITAL THERAPY 2023; 50:293-302. [PMID: 38006227 DOI: 10.1080/0092623x.2023.2276149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2023]
Abstract
Parallel to the advent of social media and the easy access to online pornographic content there is a sharp increase in adolescent females expressing gender dysphoria worldwide. This paper argues that treatment of gender dysphoria in female adolescents must include explicit exploration into their use and exchange of pornographic content, as well as possible online or offline contacts with adults. Possible avenues of how pornographic content may increase the shame and fear of becoming a woman include the acquisition of misogynistic sexual scripts based on false assumptions on sexuality including the normalization of the violation of females as pleasurable for them, peer influence among female friendship groups, the susceptibility of our medical systems to "mass hysteria" phenomena, easier access of adults with sexually abusive intentions to youth through social media, sexual abuse and victim blaming on females, as well as the influence of pornography on mentalization capacities. As the influence of pornography on gender dysphoria in girls is understudied, this paper provides questions for qualitative and quantitative research, case studies and history taking. Especially the lack of an adequate other during exposure may aggravate false assumptions on gender roles and gender inequality seen in mainstream pornography. Girls affected by autism might be at higher risk because of their reduced mentalization capacities. Working through experiences associated with pornographic content and sexually abusive experiences may correct false beliefs about gender inequality and therefore might alleviate gender dysphoria.
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Fernández-Ruiz M, López-Entrambasaguas OM, Martínez-Linares JM, Granero-Molina J. Young Women's Attitudes and Concerns Regarding Pornography and Their Sexual Experiences: A Qualitative Approach. Healthcare (Basel) 2023; 11:2877. [PMID: 37958021 PMCID: PMC10649751 DOI: 10.3390/healthcare11212877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 10/19/2023] [Accepted: 10/29/2023] [Indexed: 11/15/2023] Open
Abstract
This study explores female university students' attitudes toward and concerns about pornography, based on their experience watching it and on sexual encounters with men. It used a qualitative descriptive design. Individual semi-structured interviews were conducted with 22 participants between March and April 2020. Thematic data analysis was performed using COREQ reporting guidelines. Three themes emerged from the data: (1) the sexual learning process, (2) the role of pornography in women's sexuality, and (3) sexual experiences. Participants reported how they learned about sexuality and how pornography influenced sexual experiences. Self-esteem issues and societal norms regarding hair removal and difficulty saying "no" to unwanted or humiliating sexual practices were found. The young women were not comfortable with women's representations in mainstream pornography. They blamed pornography for negative sexual experiences and claimed it influenced them and young men. Participants usually assumed submissive roles during sex and permitted aggressive sexual behaviors. The study reveals valuable information on how young women learn about sex and their difficulty in refusing unwanted sexual activities and even aggressive practices. Sexual education programs should include assertiveness training to improve sexual health, consent, and well-being.
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Affiliation(s)
- Mónica Fernández-Ruiz
- Nursing, Physiotheraphy and Medicine Department, University of Almería, 04120 Almería, Spain; (M.F.-R.); (J.G.-M.)
| | | | | | - José Granero-Molina
- Nursing, Physiotheraphy and Medicine Department, University of Almería, 04120 Almería, Spain; (M.F.-R.); (J.G.-M.)
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Mori C, Park J, Racine N, Ganshorn H, Hartwick C, Madigan S. Exposure to sexual content and problematic sexual behaviors in children and adolescents: A systematic review and meta-analysis. CHILD ABUSE & NEGLECT 2023; 143:106255. [PMID: 37343427 DOI: 10.1016/j.chiabu.2023.106255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 05/10/2023] [Accepted: 05/20/2023] [Indexed: 06/23/2023]
Abstract
BACKGROUND Exposure to sexual content, such as online pornography or live sexual content, has been posited in the literature as a risk factor for problematic sexual behaviors (PSBs) in children and adolescents, and has been identified as an important avenue for research and intervention, particularly given the ubiquitous access to technology among children. OBJECTIVE To examine the association between live/violent and non-violent sexual content exposure and PSB among children and adolescents. Objectives also include informing future research on sexual content exposure as a risk factor for PSB, and providing clinical recommendations related to prevention and intervention. PARTICIPANTS AND SETTING Results are based on 16,200 participants (28.65 % female; Mage = 14.26; range = 4.74-17.92) and 27 studies conducted in North America, Europe, Asia, and Africa. METHODS A systematic review was conducted of available literature published up to September 2021. Abstract and full-text review were conducted to assess whether studies met inclusion criteria. Random-effects meta-analyses were conducted on included studies. RESULTS Significant associations were found between exposure to non-violent sexual content and likelihood of engaging in PSB (OR = 1.82; p < .001; 95 % CI: 1.50-2.21), and between exposure to violent/live sexual content and PSB (OR = 2.52; p < .001; 95 % CI: 1.75-3.61). Sex emerged as a moderator of the association between exposure to non-violent sexual content and PSB, such that the association was stronger in studies with a greater proportion of females. CONCLUSIONS Results support the need for future research on risk factors and mechanisms implicated in PSB. Prevention and intervention programs for children with PSB and their families could benefit from incorporating education on sexual content exposure.
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Affiliation(s)
- Camille Mori
- Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4, Canada; Alberta Children's Hospital Research Institute, 28 Oki Dr NW, Calgary, Alberta T3B 6A8, Canada.
| | - Julianna Park
- Department of Psychology, Queen's University, 99 University Ave, Kingston, ON K7L 3N6, Canada.
| | - Nicole Racine
- School of Psychology, University of Ottawa, 136 Jean-Jacques Lussier, Vanier 4087, Ontario K1N 6N5, Canada.
| | - Heather Ganshorn
- Libraries and Cultural Resources, Taylor Family Digital Library, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada.
| | - Cailey Hartwick
- Child Abuse Service, Luna Child and Youth Advocacy Centre, 400-3820 24 Ave NW, Calgary, Alberta T3B 2X9, Canada.
| | - Sheri Madigan
- Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4, Canada; Alberta Children's Hospital Research Institute, 28 Oki Dr NW, Calgary, Alberta T3B 6A8, Canada.
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Sanz-Barbero B, Pérez-Martínez V, Estévez-García JF, Vives-Cases C. Is sexual attraction and place of origin a moderator of sex in pornography consumption? Cross-sectional study on a representative sample of young adults. BMC Public Health 2023; 23:1347. [PMID: 37442986 PMCID: PMC10339620 DOI: 10.1186/s12889-023-16216-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 06/29/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND Pornography consumption is higher in men, but we do not know if this association can be modified by different variables, such as sexual attraction and place of origin. Given the impact pornography has on minors, there are limited studies that analyze the use of pornography in representative samples of the adult population. The aim was analyze the prevalence and factors associated with using pornography in young adult men and women, living in Spain, with different sexual attractions and different places of birth. METHODS Cross-sectional study with an online survey conducted with 2515 men and women aged between 18 and 35 years of age. The prevalence of pornography consumption is described and analyzed in the total sample and stratified by sex, according to socio-demographic and sexual attraction variables. The association between covariates and pornography consumption at some point in life was estimated with prevalence ratios (PR) obtained with the Poisson models of robust variance. DEPENDENT VARIABLE voluntarily using pornography at some point in life. Socio-demographic variables were included in the analysis: age, sex, level of education, place of birth. Sexual attraction was also analyzed. RESULTS In Spain, 94.7% of men between 18 and 34 years and 74.6% of women have voluntarily used pornography at some point in their life. The mean age to start using it is earlier in men [Mean:14.2; Standard Deviation (SD):2.3]. Bisexual/homosexual attraction (reference: heterosexual) increases the probability of using pornography in women [(PR (95%CI): 1.30 (1.22; 1.38)]. Yet this is not observed in men. In both sexes, the probability of using pornography increases with age [(PR (95%CI): 1.01(1.00; 1.01)] and coming from abroad (reference: native), being the effect of country of birth significantly higher in women [(PR (95%CI): 1.17 (1.09; 1.26)] than in men [(PR (95%CI): 1.04 (1.01; 1.07). CONCLUSIONS Public health programmes aimed at improving affective-sexual health should consider the high use of pornography among young adults in Spain, as well as those variables that increase its use.
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Affiliation(s)
- Belén Sanz-Barbero
- National School of Public Health, Instituto de Salud Carlos III, Madrid, Spain
- CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Vanesa Pérez-Martínez
- Community Nursing, Preventive Medicine and Public health and History of Science Department, University of Alicante, Alicante, Spain.
| | | | - Carmen Vives-Cases
- CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Community Nursing, Preventive Medicine and Public health and History of Science Department, University of Alicante, Alicante, Spain
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Kostopoulou E. Impact of COVID-19 on adolescent sexual life and attitudes: have we considered all the possible secondary effects of the pandemic? Eur J Pediatr 2023:10.1007/s00431-023-04878-5. [PMID: 36939878 PMCID: PMC10026209 DOI: 10.1007/s00431-023-04878-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 02/06/2023] [Accepted: 02/14/2023] [Indexed: 03/21/2023]
Abstract
A significant increase in pornography use has been reported in the adolescent population worldwide over the past few years, with intensification of the phenomenon during the COVID-19 pandemic. The aim of the present review is to provide data on the frequency of pornography consumption among adolescents during the pandemic and raise awareness about its potential impact on personal beliefs and sexual attitudes in the long term. A comprehensive literature review was performed in two scientific databases using the crossmatch of the terms "pornography", "adolescents" and "COVID-19". A significant increase in pornography consumption in adolescents was documented during the COVID-19 pandemic as a result of social detachment. Fulfilment of sexual desires in the context of social distancing, alleviation of COVID-19-related boredom and psychological strain, and coping with negative emotions are some of the reported reasons for increased pornography use during the pandemic. However, concerns have been raised in the literature regarding potentially negative effects of excessive pornography use from an early age, including the development of pornography addiction, sexual dissatisfaction and aggressive sexual attitudes reinforced by gender preoccupations and sexual inequality beliefs. CONCLUSION The extent to which increased pornography consumption from an early age during the COVID-19 pandemic may have affected adolescents' mental well-being, personality construction and sexual behaviour is yet to be seen. Vigilance from the society as a whole is required so that potential negative adverse effects of adolescent pornography use and potential social implications are recognized early and managed. Further research is needed so that the full impact of the COVID-19-related pornography use in the adolescent population is revealed. WHAT IS KNOWN •A significant increase in pornography consumption has been documented in the adolescent population worldwide over the past decades due to its quick, affordable and easy access from electronic devices and the possibility of anonymous and private participation. •During the COVID-19 pandemic, this phenomenon was intensified as a coping mechanism to social isolation and increased psychosocial strain. WHAT IS NEW •Concerns have been raised regarding the risk of pornography addiction in adolescents during the COVID-19 pandemic, making the post-pandemic adaptation challenging. •Awareness is raised in parents, health care providers and policy makers about the potential negative impacts of pornography consumption from an early, vulnerable age, such as sexual dissatisfaction and development of aggressive sexual attitudes and sex inequality beliefs.
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Affiliation(s)
- Eirini Kostopoulou
- Department of Paediatrics, University General Hospital of Patras, University of Patras, Patras, 26504, Greece.
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Pathmendra P, Raggatt M, Lim MS, Marino JL, Skinner SR. Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review. J Med Internet Res 2023; 25:e43116. [PMID: 36853749 PMCID: PMC10015350 DOI: 10.2196/43116] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 01/29/2023] [Accepted: 01/31/2023] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Formative experiences in adolescence lay the foundation for healthy and pleasurable romantic and sexual relationships. Exposure to pornography may affect these experiences. OBJECTIVE We aimed to synthesize evidence published in the past decade on the relationship between exposure to pornography and sexual behavior (earlier age of first sex [<16 years], condomless sex, past-year multiple partners [>1], lifetime multiple partners [>1], group sex, sexual aggression including forced sex, paid sex, teenage pregnancy, and history of sexually transmitted infection) in adolescents aged between 10 and 19 years. METHODS We identified 19 eligible studies by searching MEDLINE, PsycINFO, Cochrane, CINAHL, Embase, and Web of Science databases from January 2010 to November 2022. RESULTS Out of 8 studies that assessed earlier age of first sex, 5 studies, including 1 longitudinal study, found a statistically significant association with exposure to pornography. Given that most studies were cross-sectional or had substantial limitations, causal inference could not be made. Also, exposure to pornography was not measured consistently. The evidence was conflicting or insufficient to draw any conclusions regarding other outcomes. CONCLUSIONS More quantitative research is needed to elucidate the association between pornography exposure and sexual behavior, and sex education should adopt evidence-based approaches to minimize the potential harms from pornography. TRIAL REGISTRATION PROSPERO International Prospective Register of Systematic Reviews CRD42021227390; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=227390.
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Affiliation(s)
- Pranujan Pathmendra
- Specialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
| | | | - Megan Sc Lim
- Burnet Institute, Melbourne, Australia
- School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
| | - Jennifer L Marino
- Specialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
- Department of Obstetrics and Gynaecology, Royal Women's Hospital and University of Melbourne, Parkville, Australia
- Centre for Adolescent Health, Murdoch Children's Research Institute, Parkville, Australia
- Department of Paediatrics, University of Melbourne, Parkville, Australia
| | - S Rachel Skinner
- Specialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
- Kids Research, Sydney Children's Hospitals Network, Westmead, Australia
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14
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Maas MK, Slaker J, Holt K, Ratan RA, Cary KM, Greer KM. Sexual Experiences and Beliefs Vary by Patterns of Pornography Genre Preferences Among Women. JOURNAL OF SEX & MARITAL THERAPY 2023; 49:659-672. [PMID: 36744624 PMCID: PMC10404303 DOI: 10.1080/0092623x.2023.2174225] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Pornography use is multidimensional, yet most studies of the topic use variable-oriented methods (e.g., frequency of use) that reduce the experience to a single dimension. In this study, we sought to identify different multidimensional patterns of pornography genre preferences among a sample of women (n = 206) and examine how those patterns are differentially associated with sexual experiences and beliefs examined in previous literature. Latent Class Analysis uncovered four patterns (or classes): Heterogeneous (39%), Traditionally Feminine (27%), Female Pleasure (23%) and Rough/violent (11%). Class membership was differentially predicted by prior sexual victimization, sexual esteem, and diverse sexual experiences while controlling for frequency of use. These findings suggest that genre preference could account for much of the mixed findings of prior work that measured pornography use with unidimensional approaches.
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Affiliation(s)
- Megan K Maas
- Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA
| | - Janine Slaker
- Department of Communication, University of Washington, Seattle, Washington, USA
| | - Karen Holt
- School of Criminal Justice, Michigan State University, East Lansing, Michigan, USA
| | - Rabindra A Ratan
- School of Media and Information, Michigan State University, East Lansing, Michigan, USA
| | - Kyla M Cary
- Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA
| | - Kirsten M Greer
- School of Public Health, Indiana University, Bloomington, Indiana, USA
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15
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Teen Pornography: An Emerging Mental Health Challenge. JOURNAL OF PSYCHOSEXUAL HEALTH 2023. [DOI: 10.1177/26318318231154230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023] Open
Abstract
Exposure to pornography is not an uncommon and unusual phenomenon in the digital era, with teens being no exception. Exposure to pornography among teens may happen accidentally, out of curiosity, or intentionally to derive sexual excitement. Many individuals exposed to pornography may later develop pornography addiction. Most parents who are aware that their children view pornography are often worried about such behavior and sometimes seek help from mental health professionals. So, it can be certainly said that exposure to pornography among teens may cause significant distress in them and their parents. As pornography is a major source of sex education for a large number of teens, lots of myth and misguided information are harbored from watching pornography. This article focuses on the mental health aspects of pornography exposure among teens and the possible remedial measures.
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16
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Hill AL, Miller E, Switzer GE, Abebe KZ, Chang JC, Pulerwitz J, Brush LD, Hill AV. Gender Equitable Attitudes Among Adolescents: A Validation Study and Associations with Sexual Health Behaviors. ADOLESCENT RESEARCH REVIEW 2022; 7:523-536. [PMID: 38895164 PMCID: PMC11185410 DOI: 10.1007/s40894-021-00171-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 08/27/2021] [Indexed: 06/21/2024]
Abstract
Gender inequitable attitudes are associated with violence perpetration and poor sexual health. There is limited diversity in U.S. samples used to validate gender attitudes measurements. This study assessed a 13-item gender equitable attitudes scale's validity among a sample of predominantly Black adolescent boys (n = 866; mean age = 15.5, range = 13-19 years) and examined associations with sexual health behaviors. Exploratory and confirmatory factor analyses tested construct validity. Logistic mixed-effects models were used to explore associations between gender equitable attitudes, adolescent relationship abuse, pornography use, and condom use behaviors; linear mixed-effects models explored associations between gender equitable attitudes and condom negotiation self-efficacy. By pooling data from two other gender transformative programs, Sisterhood 2.0 (n = 246, 13-19-year-old females (mean age = 15.2), 73.6% Black/African American) and Coaching Boys into Men Middle School (n = 958, 11-14-year-old males-6th grade: 10.4%, 7th grade: 36.5%, 8th grade: 53.1-56.6% white), measurement invariance was assessed across Black (n = 400) and white (n = 298) race and male (n = 429) and female (n = 246) gender. A three-factor 11-item scale showed construct validity among a sample of Black adolescent boys, weak factorial invariance across Black and white race, and configural invariance across male and female gender. Gender equitable attitudes were associated with less adolescent relationship abuse, higher condom negotiation self-efficacy, and less pornography use. These findings demonstrate some variability in measurements of gender equitable attitudes by race and gender. Targeting harmful gender norms may help prevent adolescent relationship abuse and improve sexual health behaviors.
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Affiliation(s)
- Amber L. Hill
- University of Pittsburgh School of Medicine, 3550 Terrace St, Pittsburgh, PA 15213, USA
- Division of Adolescent and Young Adult Medicine, UPMC Children’s Hospital of Pittsburgh, 120 Lytton Ave, Pittsburgh, PA 15213, USA
- Department of Pediatrics, Michigan Medicine, 1522 Simpson Road East, Ann Arbor, MI 48109, USA
| | - Elizabeth Miller
- University of Pittsburgh School of Medicine, 3550 Terrace St, Pittsburgh, PA 15213, USA
- Division of Adolescent and Young Adult Medicine, UPMC Children’s Hospital of Pittsburgh, 120 Lytton Ave, Pittsburgh, PA 15213, USA
| | - Galen E. Switzer
- Department of Medicine, University of Pittsburgh, 3550 Terrace St, Pittsburgh, PA 15213, USA
- Center for Health Equity Research and Promotion (CHERP), Veterans Affairs Pittsburgh Healthcare System, 151C University Drive, Pittsburgh, PA 15240, USA
| | - Kaleab Z. Abebe
- Department of Medicine, University of Pittsburgh, 3550 Terrace St, Pittsburgh, PA 15213, USA
| | - Judy C. Chang
- University of Pittsburgh School of Medicine, 3550 Terrace St, Pittsburgh, PA 15213, USA
- Department of Medicine, University of Pittsburgh, 3550 Terrace St, Pittsburgh, PA 15213, USA
- Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, 300 Halket St, Pittsburgh, PA 15213, USA
| | - Julie Pulerwitz
- Population Council, 4301 Connecticut Ave NW #280, Washington, DC 20008, USA
| | - Lisa D. Brush
- Department of Sociology, University of Pittsburgh, 230 S Bouquet St, Pittsburgh, PA 15213, USA
| | - Ashley V. Hill
- Division of Adolescent and Young Adult Medicine, UPMC Children’s Hospital of Pittsburgh, 120 Lytton Ave, Pittsburgh, PA 15213, USA
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 De Soto St, Pittsburgh, PA 15261, USA
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17
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Vertongen R, van Ommen C, Chamberlain K. Adolescent Dilemmas About Viewing Pornography and Their Efforts to Resolve Them. JOURNAL OF ADOLESCENT RESEARCH 2022. [DOI: 10.1177/07435584221133307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Concerns have been raised about how viewing Sexually Explicit Internet Material (SEIM) shapes adolescents’ understanding of sexual relationships and has potentially negative impacts. However, research frequently takes a narrow view of adolescent SEIM use and excludes their understandings. The present study explored how 13 participants, aged 14 to 15 years, made sense of their experiences with SEIM. In-depth individual interviews were conducted, and five dominant dilemmas faced by participants were abstracted using interpretive analysis. We discuss how these dilemmas were negotiated by adolescents using various strategies. The analysis provides new understandings on how adolescents interpret their SEIM experiences and highlight the limitations of understanding SEIM use solely through risk models. On a practical level, these findings can inform youth, parents and caregivers, and professionals as to how they might understand and help young people navigate the complex area of SEIM.
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18
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Vila-Cortavitarte E, Díaz-Gómez NM, Díaz-Gómez JM. Sexist Attitudes in Adolescents: Prevalence and Associated Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12329. [PMID: 36231629 PMCID: PMC9566571 DOI: 10.3390/ijerph191912329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Revised: 09/13/2022] [Accepted: 09/23/2022] [Indexed: 06/16/2023]
Abstract
Gender violence is a major public health issue. The aim of this study was to determine the prevalence of sexist attitudes that could be associated with said violence, and to identify some sociodemographic variables that predict sexism. A cross-sectional observational study was conducted with 723 adolescents between the ages of 14 to 19. Their explicit sexist attitudes were measured with the EVAMVE and EARG scales, and their implicit attitudes were measured with a series of assessment items regarding the behavior of the protagonists of a video and a story in which a young couple interacts. Explicit and implicit sexist attitudes were detected in adolescents of both sexes. Qualitatively, the assessment of the behavior of the female protagonist is striking. Regarding the sexism predictors, it was found that male adolescents, those born outside of Spain, those who were studying in a public school, those whose parents did not have university studies, and those who consumed the most pornography presented attitudes that were significantly more sexist. These results suggest that it is necessary to strengthen education in equality and prevention of gender violence in adolescents, and to develop affective-sexual education programs.
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Affiliation(s)
- Elena Vila-Cortavitarte
- Programa de Doctorado en Ciencias de la Salud, Línea Materno-Infantil, Universidad de la Laguna (Tenerife), 38200 San Cristóbal de La Laguna, Spain
| | - N. Marta Díaz-Gómez
- Facultad de Ciencias de la Salud, Universidad de la Laguna (Tenerife), 38200 San Cristóbal de La Laguna, Spain
| | - José Miguel Díaz-Gómez
- Facultad de Psicología, Universidad de la Laguna (Tenerife), 38200 San Cristóbal de La Laguna, Spain
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19
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Herbitter C, Norris AL, Nelson KM, Orchowski LM. Understanding Associations Between Exposure to Violent Pornography and Teen Dating Violence Among Female Sexual Minority High School Students. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP17023-NP17035. [PMID: 34215165 PMCID: PMC8720326 DOI: 10.1177/08862605211028314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Previous research indicates that teen dating violence (TDV) is more common among sexual minority than heterosexual adolescents, with approximately half of female sexual minority adolescents (SMA) endorsing TDV victimization in the last year. In samples of adolescents without regard to sexual orientation, exposure to violent pornography is associated with TDV, but this relationship has not been assessed in female SMA. The current study sample consisted of 10th-grade high school students aged 14-17 who identified as cisgender females (N = 1,276). Data were collected from a baseline survey prior to the delivery of a sexual assault prevention intervention. Female SMA had 2.54 times the odds (95%CI [1.75, 3.69]) of being exposed to violent pornography and 2.53 times the odds (95%CI [1.72, 3.70)]) of TDV exposure compared to heterosexual girls. Exposure to violent pornography was not associated with involvement in TDV among female SMA, controlling for episodic heavy drinking (aOR = 2.25, 95%CI [0.88,6.22]).Given the relatively higher rates of violent pornography and TDV exposure among female SMA compared to heterosexual girls, it is critical that sex education curricula address these experiences and meet the needs of adolescents of all sexual orientations. Future research can assess how these TDV interventions might be tailored for female SMA. Although we did not find that exposure to violent pornography was associated with TDV among female SMA, these investigations should be replicated with larger data sets, given that the association between exposure to violent pornography and engagement in TDV was in the expected direction.
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Affiliation(s)
- Cara Herbitter
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University
- Department of Psychology, University of Massachusetts Boston
| | - Alyssa L. Norris
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University
| | - Kimberly M. Nelson
- Department of Community Health Sciences, Boston University School of Public Health
| | - Lindsay M. Orchowski
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University
- Rhode Island Hospital
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20
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Maas MK, Gal T, Cary KM, Greer K. Popular Culture and Pornography Education to Improve the Efficacy of Secondary School Staff Response to Student Sexual Harassment. AMERICAN JOURNAL OF SEXUALITY EDUCATION 2022; 17:435-457. [PMID: 37274148 PMCID: PMC10237037 DOI: 10.1080/15546128.2022.2076757] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
As middle and high school students consume and create their own pornography or use it as a form of violence perpetration known as image-based sexual abuse, school staff struggle to find appropriate responses to these issues. As pornography use becomes more prevalent, and discourse on sexual violence more public, pornography education could become a tool for preventing sexual violence and promoting sexual health. In response, we explored the feasibility and preliminary efficacy of PopPorn, a 4-module pornography and IBSA professional development training program in a sample of staff who work for Midwestern public schools (i.e., schools providing free public education funded by tax dollars and maintained by local government). Results indicate that the majority of staff perceive student pornography use and IBSA perpetration to be critical problems that negatively impact school climate. Results also indicate that the PopPorn brief intervention increases staff knowledge of and efficacy in addressing pornography and IBSA-related problems and reduces harmful sexual double standard attitudes that have been linked to victim blaming in instances of sexual violence. This promising program adds to a growing number of media and pornography literacy interventions aimed at improving sexual violence prevention and response.
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Affiliation(s)
- Megan K Maas
- 13D Human Ecology Building, 552 West Circle Drive, Department of Human Development and Family Studies, Michigan State University, East Lansing, MI 48823
| | - Taryn Gal
- Michigan Organization of Adolescent Sexual Health, University of Washington
| | - Kyla M Cary
- 13D Human Ecology Building, 552 West Circle Drive, Department of Human Development and Family Studies, Michigan State University, East Lansing, MI 48823
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21
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Shi X, Zheng Y. Sexual Victimization in Adulthood and Associated Factors Among Men and Women: Cross-Sectional Evidence from Mainland China. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1001-1017. [PMID: 35041094 DOI: 10.1007/s10508-021-02257-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Revised: 11/29/2021] [Accepted: 11/30/2021] [Indexed: 06/14/2023]
Abstract
Limited empirical research addresses sexual victimization and related factors among the general adult population in China. To address this gap, we explored the association between sexual victimization in adulthood and associated factors (unwanted sexual experiences [USE] before age 18, binge drinking prior to sex, hooking up, violent pornography use, awareness and perceived behavioral control of consent, and sexual refusal assertiveness) among a convenience Chinese sample. A cross-sectional study was performed in September 2020 among 898 screened men and women from 29 provinces in mainland China. Overall, 52.5% of men and 57.9% of women experienced sexual victimization at least once in adulthood. Men and women differed in the severity of sexual victimization in adulthood, with the mean severity scores of women being significantly higher than those of men. Hierarchical ordinal logistic regression revealed that, after considering control variables, correlates of severity of sexual victimization in adulthood included gender (OR 3.17, 95% CI 2.30-4.40), severity of USE before age 18 (OR 2.28, 95% CI 1.92-2.73), binge drinking prior to sex (OR 2.52, 95% CI 1.83-3.49), hook-up history (OR 2.24, 95% CI 1.49-3.39), violent pornography use (OR 1.07, 95% CI 1.04-1.09), lack of perceived behavioral control of communicating consent (OR 1.04, 95% CI 1.01-1.07), and sexual refusal assertiveness (OR 0.92, 95% CI 0.89-0.95). These findings indicate that early adverse sexual experiences, potential risky sexual behaviors, violent pornography use, and beliefs about consent and refusal may play an important role in predicting sexual victimization among Chinese adults.
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Affiliation(s)
- Xin Shi
- Key Laboratory of Cognition and Personality (Ministry of Education), Southwest University, Chongqing, China
| | - Yong Zheng
- Key Laboratory of Cognition and Personality (Ministry of Education), Southwest University, Chongqing, China.
- Faculty of Psychology, Southwest University, Chongqing, 400715, China.
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22
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Aghamiri FS, Luetz JM, Hills K. Pornography addiction and its impacts on intimate female partner wellbeing-a systematic narrative synthesis. J Addict Dis 2022; 40:472-480. [PMID: 35000564 DOI: 10.1080/10550887.2021.2021058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Recent years have seen a surge of articles related to compulsive pornography consumption or pornography addiction, with experts warning of potentially detrimental consequences. Whereas much research has focused on the male consumers of pornography, fewer studies have examined the impacts of pornography-linked compulsive sexual behaviors (CSBs) on the wellbeing and experiences of female intimate partners. This paper addresses this gap in the literature. A review of peer-reviewed journal publications was carried out examining pertinent quantitative and qualitative studies. This narrative review concludes that compulsive pornography consumption is commonly identified in the literature as a stimulus for risky and uncontrolled sexual behaviors, which have the potential to spawn addictive behaviors, relationship challenges and cascading adverse societal repercussions. In synthesis, this review points to opportunities for in-depth qualitative empirical research on intimate female partner wellbeing.
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Affiliation(s)
| | - Johannes M Luetz
- School of Social Sciences, University of New South Wales, Sydney, Australia.,School of Law and Society, University of the Sunshine Coast, Sippy Downs, Australia
| | - Karenne Hills
- Australian Institute of Professional Counsellors, Brisbane, Australia
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23
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Ferguson CJ, Hartley RD. Pornography and Sexual Aggression: Can Meta-Analysis Find a Link? TRAUMA, VIOLENCE & ABUSE 2022; 23:278-287. [PMID: 32691692 DOI: 10.1177/1524838020942754] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Whether pornography contributes to sexual aggression in real life has been the subject of dozens of studies over multiple decades. Nevertheless, scholars have not come to a consensus about whether effects are real. The current meta-analysis examined experimental, correlational, and population studies of the pornography/sexual aggression link dating back from the 1970s to the current time. Methodological weaknesses were very common in this field of research. Nonetheless, evidence did not suggest that nonviolent pornography was associated with sexual aggression. Evidence was particularly weak for longitudinal studies, suggesting an absence of long-term effects. Violent pornography was weakly correlated with sexual aggression, although the current evidence was unable to distinguish between a selection effect as compared to a socialization effect. Studies that employed more best practices tended to provide less evidence for relationships whereas studies with citation bias, an indication of researcher expectancy effects, tended to have higher effect sizes. Population studies suggested that increased availability of pornography is associated with reduced sexual aggression at the population level. More studies with improved practices and preregistration would be welcome.
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Affiliation(s)
| | - Richard D Hartley
- Department of Criminology & Criminal Justice, University of Texas at San Antonio, TX, USA
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24
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Bertok E, Meško G, Schuster I, Tomaszewska P. Physical teen dating violence in high school students in Slovenia: Prevalence and correlates. New Dir Child Adolesc Dev 2021; 2021:59-77. [PMID: 34664777 DOI: 10.1002/cad.20436] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Although teen dating violence (TDV) is internationally recognized as a serious threat to adolescents' health and well-being, almost no data is available for Slovenian youth. Hence, the purpose of this study was to examine the prevalence and predictors of TDV among Slovenian adolescents for the first time. Using data from the SPMAD study (Study of Parental Monitoring and Adolescent Delinquency), 330 high school students were asked about physical TDV victimization and perpetration as well as about their dating history, relationship conflicts, peers' antisocial behavior, and informal social control by family and school. A substantial number of female and male adolescents reported victimization (16.7% of female and 12.7% of male respondents) and perpetration (21.1% of female and 6.0% of male respondents). Furthermore, the results revealed that lower age at the first relationship, relationship conflicts, and school informal social control were associated with victimization, whereas being female, relationship conflicts, having antisocial peers, and family informal social control were linked to perpetration. Implications of the study findings were discussed.
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Affiliation(s)
- Eva Bertok
- Faculty of Criminal Justice and Security, University of Maribor, Maribor, Slovenia
| | - Gorazd Meško
- Faculty of Criminal Justice and Security, University of Maribor, Maribor, Slovenia
| | - Isabell Schuster
- Department of Education and Psychology, Free University of Berlin, Berlin, Germany
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25
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Sharpe M, Mead D. Problematic Pornography Use: Legal and Health Policy Considerations. CURRENT ADDICTION REPORTS 2021; 8:556-567. [PMID: 34518793 PMCID: PMC8426110 DOI: 10.1007/s40429-021-00390-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/06/2021] [Indexed: 11/30/2022]
Abstract
Purpose of Review Reports of sexual violence, especially towards women and children, are rapidly increasing. At the same time, rates of problematic pornography use (PPU) are accelerating across the world too. The purpose of this review is to consider the recent research on PPU and its contribution to sexual violence. The article offers guidance to governments on possible health policy interventions and legal actions to prevent the development of PPU and to reduce the incidence of sexual violence in society. Recent Findings Working from the consumer’s point of view, we identify PPU and ask how much pornography is needed to cause PPU. We examine how PPU drives sexual offending in children, adolescents and adults. The impact of PPU on some consumers’ behaviour suggests significant links to domestic violence. Sexual strangulation is highlighted as an example. Artificial intelligence algorithms play a key role in the pornography industry and appear to be driving escalation to more violent material, inducing high levels of sexual dysfunction in consumers and creating appetites for viewing child sexual abuse material (CSAM). Summary Easy access to internet pornography has led to an increase in PPU and sexual violence. Diagnoses and treatments for PPU are examined, as are legal transgressions of a civil and criminal nature arising from PPU. Legal remedies and government policy implications are discussed from the point of view of the precautionary principle. Strategies covered include age verification for pornography, public health campaigns and embedded health and legal warnings for users at the start of pornography sessions along with lessons for pupils about pornography’s impact on the brain.
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Affiliation(s)
- Mary Sharpe
- The Reward Foundation, The Melting Pot, 15 Calton Road, Edinburgh, EH8 8DL UK.,Lucy Cavendish College, University of Cambridge, Cambridge, CB3 0BU UK
| | - Darryl Mead
- The Reward Foundation, The Melting Pot, 15 Calton Road, Edinburgh, EH8 8DL UK
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26
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Hedrick A. A Meta-analysis of Media Consumption and Rape Myth Acceptance. JOURNAL OF HEALTH COMMUNICATION 2021; 26:645-656. [PMID: 34641769 DOI: 10.1080/10810730.2021.1986609] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The prevalence of rape myths, or false beliefs about rape that blame victims of sexual violence and excuse perpetrators of sexual violence, has been documented throughout a wide range of media content. However, previous meta-analyses of media consumption and rape myth acceptance (RMA) have focused on pornography, and these studies are over ten years old. This research addresses this gap with a meta-analysis studying the relationship between the consumption of all types of media and RMA. Thirty-two studies (N = 12,016) met inclusion criteria. The overall weighted mean effect size was r = 0.09 (p < .001), indicating a small but statistically significant relationship, where media consumption is correlated with greater RMA. Sub-analyses indicated that a few media types, especially violent pornography and general pornography, drove this relationship. Results are discussed in terms of cultivation theory, social cognitive theory, and sexual scripting theory. The results highlight needs for: research exploring the relationship between diverse types of media consumption and RMA, pornography research distinguishing between violent and nonviolent pornographic content, and rape myth-focused media literacy interventions that target adolescents and young adults.
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Affiliation(s)
- Ashley Hedrick
- Hussman School of Journalism and Media, University of North Carolina at Chapel Hill, Chapel Hill, USA
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27
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Mestre-Bach G, Blycker GR, Actis CC, Brand M, Potenza MN. Religion, Morality, Ethics, and Problematic Pornography Use. CURRENT ADDICTION REPORTS 2021. [DOI: 10.1007/s40429-021-00388-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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28
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Beymer MR, Hill CG, Perry MA, Johnson LD, Jarvis BP, Pecko JA, Humphries JL, Watkins EY. Pornography Use and Intimate Partner Violence Among a Sample of U.S. Army Soldiers in 2018: A Cross-Sectional Study. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:2245-2257. [PMID: 34169377 DOI: 10.1007/s10508-021-01924-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 12/11/2020] [Accepted: 01/16/2021] [Indexed: 06/13/2023]
Abstract
The objective of the present study was to determine whether there is an association between pornography use and reported intimate partner violence (IPV) perpetration among a sample of soldiers in the US Army. The study was a secondary analysis of cross-sectional data collected from soldiers at a military installation in 2018 (n = 9,052). IPV was defined as any self-reported perpetration of physical, sexual, or psychological abuse of an intimate partner. Multivariable negative binomial regressions were used to assess the association between pornography use and any lifetime perpetration of IPV, controlling for gender, age group, race/ethnicity, relationship status, educational status, military rank, hazardous drinking, depression, stimulant use, depressant use, and post-traumatic stress disorder. Of the population analyzed, 41% of soldiers reported any pornography use per week, and 9.6% reported perpetrating any form of IPV. Soldiers who reported pornography use had between a 1.72- and 3.56-fold greater likelihood of reporting any lifetime perpetration of IPV, controlling for covariates. Given the prevalence and detrimental effects of IPV, longitudinal studies should be designed to further understand predictors of IPV in military populations.
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Affiliation(s)
- Matthew R Beymer
- U.S. Defense Health Agency, Building E-1570, 8252 Black Hawk Road, Aberdeen Proving Ground, MD, 21010-5403, USA
| | - Christopher G Hill
- Behavioral and Social Health Outcomes Program, U.S. Army Public Health Center, Building E-1570, 8252 Black Hawk Road, Aberdeen Proving Ground, MD, 21010-5403, USA
| | - Michelle A Perry
- Behavioral and Social Health Outcomes Program, U.S. Army Public Health Center, Building E-1570, 8252 Black Hawk Road, Aberdeen Proving Ground, MD, 21010-5403, USA
| | - Latoya D Johnson
- Behavioral and Social Health Outcomes Program, U.S. Army Public Health Center, Building E-1570, 8252 Black Hawk Road, Aberdeen Proving Ground, MD, 21010-5403, USA
| | - Brantley P Jarvis
- Behavioral and Social Health Outcomes Program, U.S. Army Public Health Center, Building E-1570, 8252 Black Hawk Road, Aberdeen Proving Ground, MD, 21010-5403, USA
| | - Joseph A Pecko
- Behavioral and Social Health Outcomes Program, U.S. Army Public Health Center, Building E-1570, 8252 Black Hawk Road, Aberdeen Proving Ground, MD, 21010-5403, USA
| | - Jennifer L Humphries
- Family Advocacy Program Behavioral Health Service Line, HCD, G3/5/7 HQ, US Army Medical Command, Garcia Federal Bldg, Suite 227, 615 E. Houston St @the Alamo Plaza, San Antonio, TX, 78205, USA
| | - Eren Youmans Watkins
- Behavioral and Social Health Outcomes Program, U.S. Army Public Health Center, Building E-1570, 8252 Black Hawk Road, Aberdeen Proving Ground, MD, 21010-5403, USA.
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Gerlinger J, Viano S, Gardella JH, Fisher BW, Chris Curran F, Higgins EM. Exclusionary School Discipline and Delinquent Outcomes: A Meta-Analysis. J Youth Adolesc 2021; 50:1493-1509. [PMID: 34117607 DOI: 10.1007/s10964-021-01459-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 04/11/2021] [Indexed: 11/25/2022]
Abstract
Excluding students from school remains a common form of punishment despite growing critique of the practice. A disparate research base has impeded the ability to make broader assessments on the association between exclusionary discipline (i.e., suspensions and expulsions) and subsequent behavior. This article synthesizes existing empirical evidence (274 effect sizes from 40 primary studies) examining the relationship between exclusionary discipline and delinquent outcomes, including school misconduct/infractions, antisocial behavior, involvement with the justice system, and risky behaviors. This meta-analysis identifies exclusionary discipline as an important and meaningful predictor of increased delinquency. Additional examinations of potential moderators, including race/ethnicity and type of exclusion, revealed no significant differences, suggesting the harm associated with exclusions is consistent across subgroups. These findings indicate exclusionary discipline may inadvertently exacerbate rather than mollify delinquent behaviors.
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Affiliation(s)
- Julie Gerlinger
- Department of Sociology, University of Oklahoma, 780 Van Vleet Oval, Kaufman Hall, Norman, OK, 73019-2033, USA.
| | - Samantha Viano
- College of Education and Human Development, George Mason University, 4400 University Drive, MS4c2, Fairfax, VA, 22030, USA
| | - Joseph H Gardella
- Department of Psychology, Drexel University, 3201 Chestnut Street, Stratton Hall, Suite 119, Philadelphia, PA, 19104, USA
| | - Benjamin W Fisher
- College of Criminology and Criminal Justice, Florida State University, 112 S. Copeland Street, Eppes Hall, Tallahassee, FL, 32306-1273, USA
| | - F Chris Curran
- College of Education, University of Florida, 2709J Norman Hall, PO Box 117049, Gainesville, FL, 32611, USA
| | - Ethan M Higgins
- Department of Sociology and Criminology, University of North Carolina Wilmington, 601S. College Road, Wilmington, NC, 28403, USA
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Dewitte M, Reisman Y. Clinical use and implications of sexual devices and sexually explicit media. Nat Rev Urol 2021; 18:359-377. [PMID: 33948009 DOI: 10.1038/s41585-021-00456-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2021] [Indexed: 12/14/2022]
Abstract
Given that sexual pleasure is a core component of sexual health, devices that are designed to enhance and diversify sexual pleasure are particularly useful in clinical practice. Despite their growing popularity and widespread use in various biopsychosocial circumstances, many taboos still seem to exist, as indicated by the paucity of scientific literature on the prevalence, application and effectiveness of sexual devices for therapeutic use. However, sex toys and sexual devices are commonly used and have a variety of indications to expand individual and partnered sexuality and to treat sexual difficulties. Different devices are associated with specific advantages and potential risks, opportunities, barriers and ethical challenges when used in a clinical context. Increased knowledge about the aim and functional possibilities of sexual devices might help health-care professionals overcome potential embarrassment, preconceptions and other barriers, learn which patients might benefit from which products, consider their use in treatment programmes, educate about correct use and safety issues, and facilitate open communication about sexual pleasure with their patients.
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Affiliation(s)
- Marieke Dewitte
- Department of Clinical Psychological Science, Maastricht University, Maastricht, Netherlands.
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Speed D, MacDonald J, Parks A, Doucette H, Munagapati K. Pornography Consumption and Attitudes Towards Pornography Legality Predict Attitudes of Sexual Equality. JOURNAL OF SEX RESEARCH 2021; 58:396-408. [PMID: 33428456 DOI: 10.1080/00224499.2020.1864263] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Some scholars argue that the existence of pornography is an ongoing assault on women and that it should be banned. However, the existing evidence suggests the connection between pornography consumption and sexism is overstated and may actually run in the opposite direction. Using data from the General Social Survey (2010-2018), the current study investigated if "pornography consumption" and "pornography tolerance" predicted sexism and whether these associations varied by sex. Results indicated that pornography consumption predicted lower levels of sexism, although these effects were rendered nonsignificant with the inclusion of sociodemographic, religious, and sociocultural covariates. When comparing the results of the current study to findings based on data from the 1970s-1990s, it appears that pornography consumption is now irrelevant to sexism rather than promoting egalitarianism. Our analyses focusing on "pornography tolerance" revealed that people who supported regulated pornography were more egalitarian than people who supported a pornography ban. Generally, men were more likely to report sexist attitudes than women, but sex moderated the relationship that pornography variables had with sexism in several of the models. Overall, pornography consumption and pornography tolerance were either irrelevant in predicting sexism or were associated with greater egalitarianism.
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Affiliation(s)
- David Speed
- Department of Psychology, University of New Brunswick
| | | | - Alyssa Parks
- Department of Psychology, University of New Brunswick
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Soriano-Ayala E, Sanabria-Vals M, Cala VC. Design and Validation of the Scale TDV-VP Teen Dating Violence: Victimisation and Perpetration [Violencia en Parejas Adolescentes: Victimización y Perpetración] for Spanish Speakers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020421. [PMID: 33430345 PMCID: PMC7825786 DOI: 10.3390/ijerph18020421] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 01/01/2021] [Accepted: 01/03/2021] [Indexed: 11/16/2022]
Abstract
Background: This study offers the design and validation of a scale for measuring violence in adolescent couples from the perspective of victimisation and perpetration for young Spanish speakers. Method: Validation study using exploratory and confirmatory factor analysis with online self-selected sampling and the participation of 422 subjects who met the requirements of being between 13 and 21 years old and currently or recently having a partner. Results: A scale of victimisation in adolescent partner relationships was obtained with 25 items and a scale of violence perpetration with 22 items. Both scales presented five factors: psychological violence, verbal violence, control, jealousy, and sexual violence. Significant differences were found between men and women in victimisation and perpetration of sexual violence. Conclusions: The Teen Dating Violence—Victimisation and Perpetration (TDV)—VP complies with the reliability and validity indices, constituting a very useful instrument for the detection and measurement of violence in Spanish-speaking adolescent couples in health-promotion work.
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Wright PJ, Paul B, Herbenick D. Preliminary Insights from a U.S. Probability Sample on Adolescents' Pornography Exposure, Media Psychology, and Sexual Aggression. JOURNAL OF HEALTH COMMUNICATION 2021; 26:39-46. [PMID: 33625313 DOI: 10.1080/10810730.2021.1887980] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Sexual aggression is now widely recognized as a public health crisis. Using the sexual script acquisition, activation, application model (3AM) as a guide, this paper reports findings on U.S. teenagers' exposure to pornography, motivation for viewing pornography, perceptions of pornography's realism, identification with pornographic actors, and sexual aggression risk from the National Survey of Porn Use, Relationships, and Sexual Socialization (NSPRSS), a U.S. population-based probability study. Sexual aggression was operationalized as pressuring another person into having sex despite their explicit declaration of nonconsent. Having been exposed to pornography and perceiving pornography as realistic were associated with increased sexual aggression risk. A stronger level of identification with pornographic actors was associated with an increased probability of sexual aggression for males, but not females. A motivation to learn about others' sexual expectations from pornography was unrelated to sexual aggression. Results interpretation and discussion focus on the need for additional theoretical nuance and measurement specificity in the media psychology literature on pornography and sexual aggression.
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Affiliation(s)
- Paul J Wright
- The Media School, Indiana University, Bloomington, Indiana, USA
| | - Bryant Paul
- The Media School, Indiana University, Bloomington, Indiana, USA
| | - Debby Herbenick
- The Center for Sexual Health Promotion in the School of Public Health, Indiana University, Bloomington, Indiana, USA
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Laird JJ, Klettke B, Hall K, Clancy E, Hallford D. Demographic and Psychosocial Factors Associated With Child Sexual Exploitation: A Systematic Review and Meta-analysis. JAMA Netw Open 2020; 3:e2017682. [PMID: 32960280 PMCID: PMC7509625 DOI: 10.1001/jamanetworkopen.2020.17682] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
IMPORTANCE Although research has examined factors associated with child sexual exploitation (CSE), consensus is lacking in regard to which factors should be prioritized, thereby hindering policy reform, prevention efforts, and development of early detection and intervention. OBJECTIVE To provide a meta-analytic synthesis of studies examining factors associated with CSE and to quantify their relative importance. DATA SOURCES Electronic databases searched to June 2019 included Medline, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature, EMBASE, and Informit, yielding 396 nonduplicative records. Literature search was performed in July 2019. STUDY SELECTION Inclusion criteria were quantitative investigations of sexual exploitation and mean sample age of 18 years or younger. DATA EXTRACTION AND SYNTHESIS Literature review and data extraction followed Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Thirty-seven studies met final inclusion criteria. Two independent reviewers extracted all relevant data. Random-effects meta-analyses were used to derive odds ratios (ORs) for each factor. Data were analyzed from September 1 to October 28, 2019, and prediction intervals calculated in June 2020. MAIN OUTCOMES AND MEASURES Child sexual exploitation, defined as coerced sexual acts between a child or a young person (aged ≤18 years) and an individual or a group in exchange for money, gifts, substances, or other commodities and associated factors. RESULTS Thirty-seven unique studies were included with a total of 67 453 unique participants (mean [SD] age of 16.2 [2.5] years; 49.9% female). Fifty-two factors associated with CSE were included in the meta-analysis. The strongest factors significantly associated with exposure to sexual exploitation were engagement in sexual risk behaviors (OR, 6.31 [95% CI, 3.12-12.76]; P < .001), having more than 5 sexual partners (OR, 5.96 [95% CI, 1.63-21.87]; P = .007), a diagnosis of posttraumatic stress disorder (OR, 5.29 [95% CI, 3.40-8.22]; P < .001), historical exposure to child pornography (OR, 5.50 [95% CI, 0.99-30.53]; P = .049), and a history of childhood sexual abuse (OR, 3.80 [95% CI, 3.19-4.52]; P < .001). A number of other potentially modifiable factors had moderate to strong associations. CONCLUSIONS AND RELEVANCE In this systematic review and meta-analysis, children and adolescents affected by sexual exploitation showed high levels of sexual risk taking, multiple sexual partners, posttraumatic stress disorder, exposure to child pornography, and childhood trauma. Accurate detection of CSE may prevent this type of sexual violence occurring to adolescents and/or provide opportunities for intervention and recovery. Therefore, prevention and intervention efforts will likely benefit from integrating these factors into screening, assessment, and treatment.
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Affiliation(s)
- Jessica J. Laird
- School of Psychology, Faculty of Health, Deakin University, Burwood, Australia
| | - Bianca Klettke
- School of Psychology, Faculty of Health, Deakin University, Burwood, Australia
- Center for Social and Early Emotional Development, Deakin University, Burwood, Australia
| | - Kate Hall
- School of Psychology, Faculty of Health, Deakin University, Burwood, Australia
- Addictive and Anti-Social Behaviour Research, Deakin University Centre for Drug Use, Geelong, Australia
| | - Elizabeth Clancy
- School of Psychology, Faculty of Health, Deakin University, Burwood, Australia
- Center for Social and Early Emotional Development, Deakin University, Burwood, Australia
| | - David Hallford
- School of Psychology, Faculty of Health, Deakin University, Burwood, Australia
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Fernández-Antelo I, Cuadrado-Gordillo I, Martín-Mora Parra G. Synergy between Acceptance of Violence and Sexist Attitudes as a Dating Violence Risk Factor. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17145209. [PMID: 32707658 PMCID: PMC7400527 DOI: 10.3390/ijerph17145209] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 07/14/2020] [Accepted: 07/17/2020] [Indexed: 11/16/2022]
Abstract
The normalization of aggressive behavior in teenage couples when they are dating is a phenomenon that is currently reaching very worrying proportions. The consequences are creating a serious public health problem and have hence aroused the interest of many researchers as to its causes. Most have centered on the role of the aggressor. However, the processes of aggression and victimization are inseparable, and relegating the victims to the background only contributes to increasing the prevalence, severity, and perdurability of the problem. The objectives of this study were to: (i) identify the types and frequency of abuse that adolescents suffer in their relationships; (ii) analyze the relationship between sexist attitudes, acceptance of violence, and victimization; and (iii) determine predictors of the violence suffered in adolescent dating relationships. The sample comprised 2577 adolescents (55.2% girls) of 14 to 18 years in age (M = 15.9, SD = 1.2). The instruments used were the dating violence questionnaire (Cuestionario de Violencia de Novios, CUVINO) and the Scale of detection of sexism in adolescents (Escala de Detección de Sexismo en Adolescentes, DSA). The results indicate that victims showed high tolerance towards gender violence. Acceptance was greater the more frequent the abuse or aggressions suffered. Regarding sexist attitudes, only those belonging to the benevolent dimension had predictive value. The results also show that the interaction between acceptance of the abuse suffered and the manifestation of benevolent sexist attitudes predicted victimization involving specific forms of aggression.
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