Porn Sex versus Real Sex: Sexual Behaviors Reported by a U.S. Probability Survey Compared to Depictions of Sex in Mainstream Internet-Based Male-Female Pornography

Cardiovascular Disease and All-Cause Mortality Among Individuals with Low Sexual Frequency

Introduction: Sexual frequency is an important indicator of overall health and plays a vital role in various health conditions. There is a wide array of physical and mental health benefits that are associated with sexual activity. Cardiovascular disease (CVD) is the most common cause of mortality each year. The purpose of this study was to explore a connection between CVD and all-cause mortality and if sexual frequency modified this effect. Methods: For this study, we utilized the 2005-2016 National Health and Nutrition Examination Survey (NHANES) and the NDI-linked all-cause mortality data of US adults aged between 20-59 years. Low sexual frequency was determined by individuals who had sexual intercourse less than once a month. Survival curves showed the combined effect of sexual frequency and all-cause mortality, using the Kaplan-Meier product-limit method to estimate the percent survival of the subject at each point in time. Results: For all-cause mortality, the unadjusted hazard ratio (HR) for CVD to no CVD was HR = 5.1. The adjusted HR was elevated HR = 2.3 among individuals who had CVD and low sexual frequency but close to 1.0 among individuals who had a history of CVD but reported moderate-to-high/high sexual frequency after adjusting for demographic and health variables. Conclusions: From a nationally representative sample, our study was the first to demonstrate, in unadjusted and adjusted models, that CVD and low sexual frequency combined have worse outcomes than CVD alone. This finding indicates the need to conduct a sexual history among individuals with CVD or other chronic diseases.

United States Women and Pornography: Methodological Experiment Update

Pornography is one of the most popular forms of media and pornography research is common in high impact sexological journals. Many studies on U.S. adults' pornography consumption have utilized the National Science Foundation funded General Social Survey (GSS), which has provided nationally representative publicly available data since the early 1970s; however, there are multiple reasons to question the validity and predictive capacity of the GSS's traditional pornography measure. The present study compared the traditional GSS pornography measure with a new, experimental GSS pornography measure following the methodology of an early study of adult U.S. women's pornography use published in this journal. The results supported the validity and predictive capacity of the traditional GSS measure while simultaneously suggesting the superiority of the GSS's new measure. Implications for the GSS and pornography measurement beyond the GSS are discussed.

Adolescent Pornography Exposure, Condom Use, and the Moderating Role of Parental Sexual Health Communication: Replication in a U.S. Probability Sample

Following calls for an increase in replication studies in communication science as well as multiple other disciplines, the present study provides a direct replication of a pragmatically and theoretically important investigation of U.S. adolescents' pornography exposure, parent-adolescent sexual health communication, and condomless sex published in this journal. Parent-adolescent sexual health communication has been suggested as a sexual risk-reduction mechanism, but condomless sex among U.S. adolescents is increasing. Simultaneously, pornography remains an extremely popular media genre and condomless sex is the norm in pornographic depictions. The findings of the present study replicated the findings of the original study, with the most notable replicated finding being an interaction between pornography exposure and parent-adolescent sexual health communication on the likelihood of condomless sex. Both in the original and present study, the association between U.S. adolescents' pornography exposure and likelihood of condomless sex decreased as parental-adolescent sexual health communication increased. Results are discussed in terms of the challenges to examining these particular relationships among U.S. youth and the state of replication in the pornography effects literature.

Experiences of young women in the practice of squirting: a descriptive qualitative study

BACKGROUND

While female ejaculation is viewed as a potential enhancer of women's sexual experiences and their relationships with their sexual partners, existing studies to date emphasize the need for further exploration of the squirting phenomenon.

AIM

The study sought to explore experiences and perceptions about the phenomenon of squirting in young adult women.

METHODS

A descriptive qualitative study was conducted. Semi-structured, in-depth interviews were conducted between December 2022 and March 2023. Seventeen young adult women who experienced squirting were recruited using a convenience and snowball sampling. ATLAS.ti v.9 software was used for a thematic analysis of the interview data. The study adhered to the recommendations for reporting qualitative research (Standards for Reporting Qualitative Research).

OUTCOMES

The outcomes included (1) exploring factors influencing initial squirting experiences, (2) insights gained through squirting experiences, (3) communication as the cornerstone in sexual relationships, and (4) resources and sources for knowledge on the squirting phenomenon.

RESULTS

After the analysis of the results, the following subthemes emerged: (1) first perceptions on squirting, (2) facilitating factors, (3) physical sensations and psychological aspects in squirting experience, (4) sources of information about squirting and (5) addressing squirting in comprehensive sex education.

CLINICAL IMPLICATIONS

Frontline healthcare providers should undergo specific training to address anxiety related to squirting among certain individuals and enhance societal awareness while offering emotional support for diverse sexual response variations.

STRENGTHS AND LIMITATIONS

Acknowledging limitations in our study of young women's experiences with squirting, a more diverse sample could provide alternative insights. Despite this, our findings contribute valuable knowledge, suggesting avenues for professional training to promote sexual and reproductive health in a more realistic and sensitive manner.

CONCLUSION

This study explored the emotional and psychological effects of squirting on women's sexual experiences, ranging from heightened arousal to feelings of humiliation and embarrassment. It emphasized the importance of a partner's reaction in interpreting the event and the limited understanding of squirting, often influenced by pornography.

Pornography, identification, alcohol, and condomless sex

Using national probability data from the 2022 National Survey of Sexual Health and Behavior, the present study evaluated whether moderators of the association between frequency of pornography exposure and condomless sex are consistent with the sexual script acquisition, activation, application model's (3AM) suppositions about the facilitating effects of wishful identification and decreased self-regulation and forethought capacity. Consistent with the 3AM, two-way interaction effect analysis indicated that the strength of the positive association between exposure frequency and condomless sex increased as identification intensified. Inconsistent with the 3AM, two-way interaction effect analysis indicated that the association between exposure frequency and condomless sex was not significantly different among those who had and had not consumed alcohol before their last sexual encounter. However, the three-way interaction between exposure frequency, identification, and alcohol use did suggest a role for each 3AM moderator, as the catalyzing effect of identification was operable among those who had consumed alcohol only.

Sexual Behaviors and Aggression in Gay Pornography

Previous studies have suggested a substantial number of men who have sex with men (MSM) have consumed and used pornography to learn about same-sex sexual behaviors. Yet, past research has focused almost exclusively on condom-use in the category of Gay pornography and ignored the types of sexual behaviors and aggression depicted within the content. This study examined aggression and sexual behaviors depicted in Gay online pornography (N = 415). We found fellatio and anal sex were the most common behaviors, occurring in roughly two-thirds of scenes, while kissing occurred in less than a third of scenes. Additionally, sexual aggression occurred in 31% of scenes, with spanking being the most common, occurring in 20% of scenes. Anal sex and forced fellatio were found to be predictors of physical aggression. These findings point to normalization of aggression and narrow sexual behaviors in Gay pornography, which may have implications for MSM's norm perceptions related to sexuality.

Is Sex Cam Use a Substitute for "Real Sex?" Attitudes and Experiences of Consumers Using Adult Cam Platforms

Adult webcam sites with live performers who provide viewer interactive experiences are a rapidly increasing form of sexual entertainment or "sextech." The opportunity to engage with performers during synchronous contact without health risks represents a novel form of transactional sex. This study sought to understand viewer preferences in performers, and how viewers perceive webcam use is affecting their sex lives and their mood. Participants (N = 10,570) responded to a link on the adult webcam platform Chaturbate.com and completed a 93-item survey. Simple frequencies and descriptive statistics were used to characterize responses. Most viewers identified as heterosexual (75.1%) men (94.2%). Two-fifths (40.3%) had no sexual partners over the past 12 months. Exploratory factor analysis showed that respondents' preferred qualities in performers clustered around an ideal sexual partner, an emotional connection, power dynamics, and compliance with viewers' wishes. Respondents generally agreed that webcam use made them better educated about sex (66.0%) and feel better about their sex lives (54.6%), though about one-fourth reported less positive experiences. The majority (72.2%) felt watching cams was less satisfying than sex away from screen and only 19.1% defined watching cams as "real sex." Over half (64.0%) perceived their webcam use as having positive effects on their mood, while a moderate proportion perceived negative emotional consequences. Findings suggest that a majority of viewers experience their webcam activities as a means of obtaining sexual release, but that this is not considered actual sex. Future research should explore additional consequences of long-term use of transactional webcam sex.

Good servant, bad master: How eighty women perceive the influence of pornography on sexual scripts

Women are often portrayed as the victims of pornography. Their active consumption and the ways in which pornography shapes their sexuality are still under-researched. This article has three goals: to explore how and why young women watch pornography; to analyse how they perceive the influence of pornography on their sexual scripts; and to determine related positive and negative factors. Guided by sexual script theory, I thematically analysed responses from an open-ended form completed by 80 young Czech women (18-30 years old). The analysis resulted in six themes related to cultural, interpersonal and intrapsychic sexual scripts - in other words, the domains of what is societally appropriate, interpersonal relationships, and inner desires. These findings have important implications: pornography simultaneously influences several domains of sexuality. Findings show that under certain conditions, pornography may be beneficial for sexual empowerment and sexual satisfaction, but at the same time, it may also produce negative effects - providing a complex and often contradictory experience for the individual.

Learning on OnlyFans: User Perspectives on Knowledge and Skills Acquired on the Platform

OnlyFans is a digital patronage platform on which over two million content creators produce sexually explicit content for more than 130 million users. Increased Internet access and innovative technologies that enhance sexuality via connections and knowledge are changing the ways people navigate their sexual lives. OnlyFans is unique due to its position between digital sex work and social media and its high degree of cultural assimilation. We explored with a mixed-method approach how OnlyFans users perceive the effects of their OnlyFans use on their sexual learning and sexual lives. A diverse sample of 425 OnlyFans users participated in our online survey. The quantitative results revealed that participants reported mostly positive influences of OnlyFans on their sexual lives, and that they learned new things in terms of sexual practices, sexual preferences, relationships, and sexual health. Participants also reported that they tried new things, including toy use, sexual identity exploration, sexual and relationship practices, and gender identity exploration. Thematic analysis for the qualitative question revealed increases in declarative/conceptual and procedural knowledge in terms of sexual improvements/expansion; improvements in relationships; self-improvement/expansion; skill acquisition; connecting with others through OnlyFans; and value-related learning outcomes. These results provide insight into the ways users engage with OnlyFans for sexual learning, exploration, and expansion at individual and partner-levels. Findings have implications for sex education and research and practice in digital spaces.

Physiological, Psychosocial and Substance Abuse Effects of Pornography Addiction: A Narrative Review

Internet pornography provides explicit content in various forms and can progress from habit to addiction. The consumption of online porn has risen due to the general use of current technology. The main reasons people consume it are sexual arousal and sexual enhancement. We planned this review study to identify the reasons for online pornography utilization, the mechanisms involved in its addiction, and its physiological, emotional, behavioral, social, and substance abuse effects. After a detailed literature search using PubMed Central and Google Scholar, four case studies and nine original articles from 2000 to 2022 were included. The main findings of the literature demonstrated that watching porn was most frequently done out of boredom, for sexual gratification, and to pick up new fashion and behavior ideas from these movies. In all facets of the users' lives, negative consequences were seen. Due to the explosion of new technologies, online pornography has risen to an alarming level, which has very injurious effects on societies and individuals. Therefore, it is high time to get rid of this addiction to protect our lives from its harmful effects.

Does Pornography Misinform Consumers? The Association between Pornography Use and Porn-Congruent Sexual Health Beliefs

Pornography may contribute to sexual health illiteracy due to its often fantastical and unrealistic depictions of sex. This cross-sectional study investigated whether pornography use was associated with holding porn-congruent sexual health beliefs among a sample of 276 Australian and Singaporean university students (Mage = 23.03, SDage = 7.06, 67.9% female, 47.8% Australian). The majority of participants (95.5% of males and 58.9% of females) reported viewing pornography in the past six months. Perceived realism of pornography and prior sexual experience were tested as potential moderators of the relationship between pornography use frequency and sexual health beliefs. Pornography use frequency showed no zero-order association with sexual health beliefs in the overall sample (although a significant zero-order association was observed among female participants). However, a significant positive association between porn use and porn-congruent sexual health beliefs was found in the overall sample, after controlling for demographic variables. Neither perceived realism nor sexual experience were found to act as moderators. Interestingly, prior sexual experience showed a significant zero-order association with sexual health beliefs, such that prior sexual experience was associated with holding porn-congruent beliefs. Perceived realism was unrelated to porn-congruent sexual health beliefs. The study provides some preliminary support for pornography having a misinformation effect on the sexual health knowledge of consumers.

Cyber pornography use and masturbation outburst. Considerations on 150 italian patients complaining erectile dysfunction and trying to solve it

OBJECTIVE

We aimed to verify the rate of masturbation (Mst) in a group of 150 Italian patients complaining Erectile Dysfunction (ED).

MATERIALS AND METHODS

Our diagnostic protocol for penile and sexual problems included the collection of the patient's history, general and local clinical examination, and metabolic and hormonal analyses. Selected patients were also submitted to nocturnal penile tumescence test (Rigiscan), Duplex ultrasound of the penis, Magnetic Resonance Imaging, neurological tests and cardiological examination. A group of 150 Italian males (aged between 20 and 86 years) who complained ED and who presented to our Andrological Center to research the possibility of correcting their ED and being able to recover adequate sexual erectile activity were included in this study. In this group of patients suffering from ED we decided to evaluate the practice of Mst by asking specific questions: 1. Do you sometimes practice Mst? 2. How often in a week? 3. Is Mst hidden or known by the partner? 4. What do you use as a masturbatory sexual stimulus? The frequency of Mst was assessed according to a Likert scale as follow: a: No Mst; b:1-2/week; c: 2-3/week; d: > 3/week; e: daily or more. We also asked if it was possible to have penetrative marital intercourse on the same day as Mst (1-10 hours). We also asked what they used as a triggering sexual stimulus: press magazines, TV movies, the WEB.

RESULTS

Only 5/150 patients did not report Mst while 27/145 pts (aged 20-30 years) reported it more than 3 times a week; 44/145 (aged 31-50 years) 1-3 times a week and 27/145 (51-86 years) 1-2 times a week. Almost all patients used WebPorn as a stimulus for Mst. A group of patients over the age of 50 said they were quite satisfied with the physical results of Mst even though they would prefer to have sex as part of a couple relationship.

CONCLUSIONS

The outburst of Mst in this web-dominated era could affect the sexual activity of individual males and couples.