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. 2023 Feb 28:25:e43116.
doi: 10.2196/43116.

Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review

Pranujan Pathmendra  1 , Michelle Raggatt  2 , Megan Sc Lim  2   3   4 , Jennifer L Marino  1   4   5   6   7 , S Rachel Skinner  1   8
Affiliations

Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review

Pranujan Pathmendra et al. J Med Internet Res. .

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.

Keywords: adolescence; digital media; pornography use; risky behavior; sexual behavior; sexual debut; teenager.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart of systematic literature search on adolescent (aged 10-19 years) use of pornography.
See this image and copyright information in PMC

References

    1. Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, Arora M, Azzopardi P, Baldwin W, Bonell C, Kakuma R, Kennedy E, Mahon J, McGovern T, Mokdad AH, Patel V, Petroni S, Reavley N, Taiwo K, Waldfogel J, Wickremarathne D, Barroso C, Bhutta Z, Fatusi AO, Mattoo A, Diers J, Fang J, Ferguson J, Ssewamala F, Viner RM. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016 Jun 11;387(10036):2423–78. doi: 10.1016/S0140-6736(16)00579-1. https://europepmc.org/abstract/MED/27174304 S0140-6736(16)00579-1 - DOI - PMC - PubMed
    1. Ott MA, Pfeiffer EJ. "That's nasty" to curiosity: early adolescent cognitions about sexual abstinence. J Adolesc Health. 2009 Jun;44(6):575–81. doi: 10.1016/j.jadohealth.2008.10.139. https://europepmc.org/abstract/MED/19465322 S1054-139X(08)00588-0 - DOI - PMC - PubMed
    1. Meier A, Allen G. Romantic relationships from adolescence to young adulthood: evidence from the national longitudinal study of adolescent health. Sociol Q. 2009;50(2):308–35. doi: 10.1111/j.1533-8525.2009.01142.x. https://europepmc.org/abstract/MED/25332511 - DOI - PMC - PubMed
    1. Crandall A, Magnusson BM, Novilla ML. Growth in adolescent self-regulation and impact on sexual risk-taking: a curve-of-factors analysis. J Youth Adolesc. 2018 Apr;47(4):793–806. doi: 10.1007/s10964-017-0706-4.10.1007/s10964-017-0706-4 - DOI - PubMed
    1. Young H, Burke L, Nic Gabhainn S. Sexual intercourse, age of initiation and contraception among adolescents in Ireland: findings from the Health Behaviour in School-aged Children (HBSC) Ireland study. BMC Public Health. 2018 Mar 16;18(1):362. doi: 10.1186/s12889-018-5217-z. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-52... 10.1186/s12889-018-5217-z - DOI - DOI - PMC - PubMed

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