Pornography Use and Sexual Risk Behaviors in Adolescents: A Systematic Review

  1. Tamara Ramiro-Sánchez 1
  2. Miguel Ángel Gallardo-Vigil 1
  3. María Teresa Ramiro 1
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    ROR https://ror.org/04njjy449

Revista:
ReiDoCrea: Revista electrónica de investigación y docencia creativa

ISSN: 2254-5883

Año de publicación: 2023

Volumen: 12

Páginas: 98-116

Tipo: Artículo

DOI: 10.30827/DIGIBUG.81001 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: ReiDoCrea: Revista electrónica de investigación y docencia creativa

Resumen

El objetivo de esta revisión sistemática fue determinar si existe una asociación entre el consumo de pornografía y las conductas sexuales de riesgo en adolescentes. Se realizó una búsqueda de artículos científicos en las bases de datos PsycINFO, PubMed, Scopus y Web of Science, obteniéndose un total de 706 estudios. Tras el proceso de selección, se incluyeron 20 estudios. En general, los resultados de los estudios incluidos muestran que el consumo de pornografía en adolescentes se asocia con conductas sexuales de riesgo como el inicio precoz de las relaciones sexuales, un mayor número de parejas sexuales, relaciones sexuales sin preservativo, mantener relaciones sexuales bajo los efectos del alcohol/drogas, entre otras. Sin embargo, estas asociaciones deben ser interpretadas teniendo en cuenta aspectos conceptuales y metodológicos, como la ausencia de conceptualización, identificación y evaluación de terceras variables que puedan explicar mejor esta asociación; así como la baja calidad metodológica de los estudios incluidos, en términos de validez externa e interna, dificultando la generalización y comparación de los resultados obtenidos. Por tanto, se sugiere la necesidad de investigar la asociación entre el uso de pornografía y las conductas sexuales de riesgo en adolescentes, teniendo en cuenta posibles terceras variables y utilizando muestras representativas, así como instrumentos válidos y fiables para evaluar el uso de pornografía.

Referencias bibliográficas

  • Albury, K (2014). Porn and Sex Education, Porn as Sex Education. Porn Studies, 1, 172-181. https://doi.org/10.1080/23268743.2013.863654
  • Alexandraki, K, Stavropoulos, V, Anderson, E, Latifi, MQ, & Gomez, R (2018). Adolescent pornography use: A systematic literature review of research trends 2000-2017. Cu Current Psychiatry Reviews, 14, 47- 58. https://doi.org/10.2174/2211556007666180606073617
  • Alexy, EM, Burgess, AW, & Prentky, RA (2009). Pornography use as a risk marker for an aggressive pattern of behavior among sexually reactive children and adolescents. Journal of the American Psychiatric Nurses Association, 14, 442-453.
  • Amare, T, Yeneabat, T, & Amare, Y (2019). A Systematic Review and Meta-Analysis of Epidemiology of Risky Sexual Behaviors in College and University Students in Ethiopia, 2018. Journal of Environmental and Public Health, 2019, 4852130. https://doi.org/10.1155/2019/4852130
  • Andrie, EK, Sakou, II, Tzavela, EC, Richardson, C, & Tsitsika, AK (2021). Adolescents’ Online Pornography Exposure and Its Relationship to Sociodemographic and Psychopathological Correlates: A Cross-Sectional Study in Six European Countries. Children, 8, 925. https://doi.org/10.3390/children8100925
  • Atwood, KA, Zimmerman, R, Cupp, PK, Fongkaew, W, Miller, BA, …, & Chookhare, W (2012). Correlates of Precoital Behaviors, Intentions, and Sexual Initiation Among Thai Adolescents. The Journal of Early Adolescence, 32, 364-386. https://doi.org/10.1177/0272431610393248
  • Baams, L, Overbeek, G, Dubas, JS, Doornwaard, SM, Rommes, E, & Van Aken, MA (2015). Perceived realism moderates the relation between sexualized media consumption and permissive sexual attitudes in Dutch adolescents. Archives of Sexual Behavior, 44, 743-754. https://doi.org/10.1007/s10508-014-0443-7
  • Baer, JL, Kohut, T, & Fisher, WA (2015). Is pornography use associated with anti-woman sexual aggression? Re-examining the Confluence Model with third variable considerations. The Canadian Journal of Human Sexuality, 24, 160-173. https://doi.org/10.3138/cjhs.242-A6
  • Bandura, A (1986). Social foundations of thought and action: a social cognitive theory. Prentice-Hall.
  • Bleakley, A, Hennessy, M, & Fishbein, M (2011). A model of adolescents’ seeking of sexual content in their media choices. The Journal of Sex Research, 48, 309-315.
  • Braun-Courville, DK, & Rojas, M (2009). Exposure to sexually explicit web sites and adolescent sexual attitudes and behaviors. Journal of Adolescence Health, 45, 156-62. https://doi.org/10.1016/j.jadohealth.2008.12.004
  • Brown, JD, & L'Engle, KL (2009). X-Rated: Sexual Attitudes and Behaviors Associated with U.S. Early Adolescents' Exposure to Sexually Explicit Media. Communication Research, 36, 129-151. https://doi.org/10.1177/0093650208326465
  • Campbell, L, & Kohut, T (2017). The use and effects of pornography in romantic relationships, Current Opinion in Psychology, 13, 6-10. https://doi.org/10.1016/j.copsyc.2016.03.004
  • Carpio, C, Bonilla-Algovia, E, & Carrasco, M (2021). Ambivalent sexism in adolescents of Castilla la Mancha. Revista de Educación, 392, 91-114. https://doi.org/10.4438/1988-592X-RE-2021-392-480
  • Chen, AS, Leung, M, Chen, CH, & Yang, SC (2013). Exposure to Internet pornography among Taiwanese adolescents. Social Behavior and Personality, 41, 157-164. https://doi.org/10.2224/sbp.2013.41.1.157
  • Chirinos, JL, Salazar, VC, & Brindis, CD (2000). A profile of sexually active male adolescent high school students in Lima, Perú. Cadernos de Saúde Pública, 16, 733-746. https://doi.org/10.1590/S0102-311X2000000300022
  • Cho, E (2016). Frequent Internet Pornography Use: Korean Adolescents’ Internet Use Time, Mental Health, Sexual Behavior, and Delinquency. International Journal of Human Ecology, 17, 27-37. https://doi.org/10.6115/ijhe.2016.17.1.27
  • Collins, WA, Welsh, DP, & Furman, W (2009). Adolescent romantic relationships. Annu. Rev. Psychol. 60, 631-652. https://doi.org/10.1146/annurev.psych.60.110707.163459
  • Crabbe, M, & Flood, M (2021). School-based education to address pornography’s influence on young people: A proposed practice framework. American Journal of Sexuality Education, 16, 1-37. https://doi.org/10.1080/15546128.2020.1856744
  • Davis, AC, Wright, CJ, Murphy, S, Dietze, P, Temple-Smith, MJ, Hellard, ME, & Lim, MS (2020). A Digital Pornography Literacy Resource Co-Designed with Vulnerable Young People: Development of "The Gist". Journal of Medical Internet Research, 22, e15964. https://doi.org/10.2196/15964
  • Dawson, K, Nic Gabhainn, S, & MacNeela, P (2020). Toward a model of porn literacy: Core concepts, rationales, and approaches. The Journal of Sex Research, 57, 1-15. https://doi.org/10.1080/00224499.2018.1556238
  • Department for Education UK (2019). Relationships Education, Relationships and Sex Education (RSE) and Health Education. Government of the United Kingdom.
  • Doornwaard, SM, van den Eijnden, RJ, Overbeek, G, & ter Bogt, TF (2015). Differential developmental profiles of adolescents using sexually explicit internet material. The Journal of Sex Research, 52, 269-281. https://doi.org/10.1080/00224499.2013.866195
  • Downs, SH, & Black, N (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health, 52, 377-384.
  • Farré, JM, Montejo, AL, Agulló, M, Granero, R, Chiclana, C, Villena, A, Maideu, E, Sánchez, M, Fernández-Aranda, F, Jiménez-Murcia, S, & Mestre-Bach, G (2020). Pornography Use in Adolescents and Its Clinical Implications. Journal of Clinical Medicine, 9, 3625. https://doi.org/10.3390/jcm9113625
  • Ferro, MA, & Speechley, KN (2009). Depressive symptoms among mothers of children with epilepsy: a review of prevalence, associated factors, and impact on children. Epilepsia, 50, 2344- 2354.
  • Fisher, WA, & Barak, A (2001). Internet pornography: a social psychological perspective on internet sexuality. The Journal of Sex Research, 38, 312-323.
  • Fisher, WA, & Kohut, T (2020). Reading Pornography: Methodological Considerations in Evaluating Pornography Research. The Journal of Sexual Medicine, 17, 195-209. https://doi.org/10.1016/j.jsxm.2019.11.257
  • Flood, M (2009). The harms of pornography exposure among children and young people. Child Abuse Review, 18, 384-400. https://doi.org/10.1002/car.1092
  • Furman, W, & Rose, AJ (2015). Friendships, romantic relationships, and peer relationships. In ME Lamb & RM Lerner (Eds.), Handbook of child psychology and developmental science: Socioemotional processes (7ª ed., 932-974). John Wiley.
  • Harkness, EL, Mullan, BM, & Blaszczynski, A (2015). Association Between Pornography Use and Sexual Risk Behaviors in Adult Consumers: A Systematic Review. C Cyberpsychology, Behavior, and Social Networking, 18, 59- 71. https://doi.org/10.1089/cyber.2014.0343
  • Kastbom, ÅA, Sydsjö, G, Bladh, M, Priebe, G, & Svedin, CG (2015). Sexual debut before the age of 14 leads to poorer psychosocial health and risky behaviour in later life. Acta Paediatrica, 104, 91- 100. https://doi.org/10.1111/apa.12803
  • Koletić, G, Kohut, T, & Štulhofer, A (2019). Associations between adolescents’ use of sexually explicit material and risky sexual behavior: A longitudinal assessment. PLoS ONE, 14, e0218962. https://doi.org/10.1371/journal.pone.0218962
  • Koletić, G, & Mehulić, J (2021). Pornography, attitudes toward condom use and condom use among the adolescents in the city of Rijeka. Socijalna Ekologija, 30, 177-196. https://doi.org/10.17234/SocEkol.30.2.1
  • Koletić, G, ŠtulhofeR, A, Tomić, I, & Knežević, J (2019). Associations between Croatian Adolescents’ Use of Sexually Explicit Material and Risky Sexual Behavior: A Latent Growth Curve Modeling Approach. International Journal of Sexual Health, 31, 77-91. https://doi.org/10.1080/19317611.2019.1567640
  • Lehmiller, J (2018). Tell Me What You Want. Robinson.
  • Litsou, K, Byron, P, McKee, A, & Ingham, R (2020). Learning from pornography: results of a mixed methods systematic review. Sex Education, 21, 236-252. https://doi.org/10.1080/14681811.2020.1786362
  • Luder, MT, Pittet, I, Berchtold, A, Akre, C, Michaud, PA, & Suris, JC (2011). Associations between online pornography and sexual behavior among adolescents: myth or reality? Archives of Sexual Behavior, 40, 1027-1035. https://doi.org/10.1007/s10508-010-9714- 0
  • Maas, MK, Gal, T, Cary, KM, & Greer, K (2022). Popular Culture and Pornography Education to Improve the Efficacy of Secondary School Staff Response to Student Sexual Harassment. American Journal of Sexuality Education, 17, 435-457. https://doi.org/10.1080/15546128.2022.2076757
  • Mañas, M, & González, B (2022). La educación afectivo sexual en los centros educativos. A propósito de un estudio con profesorado en formación. REIDOCREA, 11, 355-367.
  • Matkovic, T, Cohen, N, & Stulhofer, A (2018). The Use of Sexually Explicit Material and Its Relationship to Adolescent Sexual Activity. Journal of Adolescent Health, 62, 563-569. https://doi.org/10.1016/j.jadohealth.2017.11.305
  • Mattebo, M, Tydén, T, Häggström-Nordin, E, Nilsson, KW, & Larsson, M (2016). Pornography consumption among adolescent girls in Sweden. The European Journal of Contraception & Reproductive Health Care, 21, 1-8. https://doi.org/10.1080/13625187.2016.1186268
  • Mekonnen, A, Alene, GD, & Debelew, GT (2020). Does YouthFriendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia. Risk Management and Healthcare Policy, 13, 941-954. https://doi.org/10.2147/RMHP.S254685
  • Miller, DJ, & McBain, KN (2022) The Content of Contemporary, Mainstream Pornography: A Literature Review of Content Analytic Studies. American Journal of Sexuality Education, 17, 219-256. https://doi.org/10.1080/15546128.2021.2019648
  • Mitchell, KJ, & Wells, M (2007). Problematic Internet experiences: Primary or secondary presenting problems in persons seeking mental health care? Social Science & Medicine, 65, 1136-1141.
  • Moher, D, Liberati, A, Tetzlaff, J, Altman, DG, & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and metaanalyses: the PRISMA statement. BMJ, 339, b2535. https://doi.org/10.1136/bmj.b2535
  • Muhammad, T, Srivastava, S, Kumar, P, & Patel, SK (2021). What predicts the early sexual debut among unmarried adolescents (10– 19 years)? Evidence from UDAYA survey, 2015–16. PLoS ONE, 16, e0252940. https://doi.org/10.1371/journal.pone.0252940
  • Nelson, KM, Perry, NS, & Carey, MP (2019). Sexually Explicit Media Use Among 14–17-Year-Old Sexual Minority Males in the U.S. Archives of Sexual Behavior, 48, 2345-2355. https://doi.org/10.1007/s10508-019-01501-3
  • Ngabirano, TD, Saftner, MA, & McMorris, BJ (2020). Exploring Health Behaviors in Ugandan Adolescents Living in Rural Fishing Communities. The Journal of School Nursing, 38, 148-160. https://doi.org/10.1177/1059840520947142
  • Nik, ND, Che' Rus, S, Dahlui, M, & Al-Sadat, N (2013). Determinants of sexual intercourse initiation among incarcerated adolescents: a mixed-method study. Singapore Medical Journal, 54, 695-701. https://doi.org/10.11622/smedj.2013244
  • Van Oosten, JMF, Peter, J, & Vandenbosch, L (2016). Adolescents' Sexual Media Use and Willingness to Engage in Casual Sex: Differential Relations and Underlying Processes. Human Communication Research, 43, 127-147. https://doi.org/10.1111/hcre.12098
  • van Ouytsel, J, Ponnet, K, & Walrave, M (2014). The associations between adolescents’ consumption of pornography and music videos and their sexting behavior. Cyberpsychology, Behavior, and Social Networking, 17, 772–778. https://doi.org/10.1089/cyber.2014.0365
  • Page, MJ, McKenzie, JE, Bossuyt, PM, Boutron, I, Hoffmann, TC, Mulrow, CD, … Moher, D (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, 71. https://doi.org/10.1136/bmj.n71
  • Peter, J, & Valkenburg, PM (2011a). The influence of sexually explicit Internet material on sexual risk behavior: A comparison of adolescents and adults. Journal of Health Communication, 16, 750- 765.
  • Peter, J, & Valkenburg, PM (2011b). The use of sexually explicit Internet material and its antecedents: A longitudinal comparison of adolescents and adults. Archives of Sexual Behavior, 40, 1015- 1025. https://doi.org/10.1007/s10508-010-9644-x
  • Peter, J, & Valkenburg, PM (2016). Adolescents and pornography: A review of 20 years of research. The Journal of Sex Research, 53, 509-531. https://doi.org/10.1080/00224499.2016.1143441
  • Puglia, R, & Glowacz, F (2015). Consommation de pornographie à l’adolescence: quelles représentations de la sexualité et de la pornographie, pour quelle sexualité? Neuropsychiatrie de l'Enfance et de l'Adolescence, 63, 231-237. https://doi.org/10.1016/j.neurenf.2015.01.007
  • Ramiro-Sánchez, T, Ramiro, MT, Bermúdez, MP, & Buela-Casal, G (2018). Analysis of coital and non-coital sexual behavior in adolescents: Spain, 2016. Sexuality Research and Social Policy, 15, 409-420. https://doi.org/10.1007/s13178-018-0317-1
  • Rasmussen, K, & Bierman, A (2018). Risk or Release? Porn Use Trajectories and the Accumulation of Sexual Partners. Social Currents, 5, 566-582. https://doi.org/10.1177/2329496518780929
  • Roldán, P (2019). Guía para familias: Construyendo en Igualdad y Buen trato. http://www.madrid.org/bvirtual/BVCM050124.pdf
  • Roldán, P (2022). Pornografía, sexualidad y redes ¿nuevas violencias o nuevas máscaras? In M. J. Jiménez & C. López (Eds.), Violencia de género en la juventud. Las mil caras de la violencia machista en la población joven (pp. 77-94). INJUVE.
  • Rothman, EF, Adhia, A, Christensen, TT, Paruk, J, Alder, J, & Daley, N (2018). A Pornography Literacy Class for Youth: Results of a Feasibility and Efficacy Pilot Study. American Journal of Sexuality Education, 13, 1-17. https://doi.org/10.1080/15546128.2018.1437100
  • Rothman, EF, Daley, N, & Alder, J (2020). A pornography literacy program for adolescents. American Journal of Public Health, 110, 154-156. https://doi.org/10.2105/AJPH.2019.305468
  • Sahay, S, Nirmalkar, A, Sane, S, Verma, A, Reddy, S, & Mehendale, S (2013). Correlates of Sex Initiation among School Going Adolescents in Pune, India. Indian Journal of Pediatrics, 80, 814- 820. https://doi.org/10.1007/s12098-013-1025-8
  • Ševčíková, A, Šerek, J, Barbovschi, M, & Daneback, K (2014). The roles of individual characteristics and liberalism in intentional and unintentional exposure to online sexual material among European youth: A multilevel approach. Sexuality Research and Social Policy, 11, 104-115. https://doi.org/10.1007/s13178-013-0141-6
  • Seto, MC, Maric, A, & Barbaree, HE (2011). The role of pornography in the etiology of sexual aggression. Aggression and Violent Behavior, 6, 35-53.
  • Shulman, S, & Connolly, J (2015). The Challenge of Romantic Relationships in Emerging Adulthood: Reconceptualization of the Field. Emerging Adulthood, 1, 27-39. https://doi.org/10.1177/2167696812467330
  • Sinkovic, M, Stulhofer, A, & Bozic, J (2013). Revisiting the association between pornography use and risky sexual behaviors: The role of early exposure to pornography and sexual sensation seeking. The Journal of Sex Research, 50, 633-641. https://doi.org/10.1080/00224499.2012.681403
  • Simon, W, & Gagnon, JH (1986). Sexual scripts: permanence and change. Archives of Sexual Behavior, 15, 97-120.
  • Smith, LW, Liu, B, Degenhardt, L, Richters, …, & Guy, R (2016). Is sexual content in new media linked to sexual risk behaviour in young people? A systematic review and meta-analysis. Sex Health, 13, 501-515. https://doi.org/10.1071/SH16037
  • Strasburger, VC, & Hogan, MJ (2013). Children, adolescents, and the media. Pediatrics, 132, 958–961. https://doi.org/10.1542/peds.2013-2656
  • Svedin, CG, Åkerman, I, & Priebe, G (2011). Frequent users of pornography. A population based epidemiological study of Swedish male adolescents. Journal of Adolescence, 34, 779-788. https://doi.org/10.1016/j.adolescence.2010.04.010
  • Tokunaga, RS, Wright, PJ, & Vangeel, L (2020). Is Pornography Consumption a Risk Factor for Condomless Sex? Human Communication Research, 46, 273-299. https://doi.org/10.1093/hcr/hqaa005
  • Tsaliki, L (2011). Playing with porn: Greek children’s explorations in pornography. Sex Education, 11, 293-302.
  • UNICEF. (2011). The state of the world’s children 2011. http://www.unicef.org/sowc2011/pdfs/SOWC-2011-ExecutiveSummary-LoRes_EN_12132010.pdf
  • Vandenbosch, L, & Eggermont, S (2013). Sexually Explicit Websites and Sexual Initiation: Reciprocal Relationships and the Moderating Role of Pubertal Status. Journal of Adolescent Research, 23, 621- 634. https://doi.org/10.1111/jora.12008
  • Weinberg, MS, Williams, CJ, Kleiner, S, & Irizarry, Y (2010). Pornography, normalization, and empowerment. Archives of Sexual Behavior, 39, 1389-1401.
  • Wingood, GM, DiClemente, RJ, Harrington, K, Davies, S, Hook III, EW, & Oh, MK (2001). Exposure to X-Rated Movies and Adolescents' Sexual and Contraceptive-Related Attitudes and Behaviors. Pediatrics, 107, 1116-1119. https://doi.org/10.1542/peds.107.5.1116
  • Wolak, J, Mitchell, K, & Finkelhor, D (2007). Unwanted and wanted exposure to online pornography in a national sample of youth Internet users. Pediatrics, 119, 247-257.
  • Wong, ML, Chan, RKW, Koh, D, ..., & Bishop, G (2009). Premarital Sexual Intercourse Among Adolescents in an Asian Country: Multilevel Ecological Factors. Pediatrics, 124, e44-e52. https://doi.org/10.1542/peds.2008-2954
  • World Health Organization. (1986). La salud de los jóvenes un desafío para la sociedad. Geneva: World Health Organization.
  • Wright, PJ (2011). Mass media effects on youth sexual behavior. Annals of the International Communication Association, 35, 343- 386.
  • Wright, PJ, Herbenick, D, & Paul, B (2019). Adolescent Condom Use, Parent-adolescent Sexual Health Communication, and Pornography: Findings from a US Probability Sample. Health Communication, 35, 1576-1582. https://doi.org/10.1080/10410236.2019.1652392
  • Wrigth, PJ, & Å tulhofer, A (2019). Adolescent pornography uses and the dynamics of perceived pornography realism: Does seeing more make it more realistic? Computers in Human Behavior, 95, 37-47. https://doi.org/10.1016/j.chb.2019.01.024
  • Wright, PJ, Tokunaga, RS, & Kraus, A (2016). Consumption of Pornography, Perceived Peer Norms, and Condomless Sex. Health Communication, 31, 954-963. https://doi.org/10.1080/10410236.2015.1022936
  • Ybarra, ML, Mitchell, KJ, Hamburger, M, Diener-West, M, & Leaf, PJ (2011). X-rated material and perpetration of sexually aggressive behavior among children and adolescents: Is there a link? Aggressive Behavior, 37, 1-18.
  • Yunengsih, W, & Setiawan, A (2021). Contribution of Pornographic Exposure and Addiction to Risky Sexual Behavior in Adolescents. Journal of Public Health Research, 10, e2333. https://doi.org/10.4081/jphr.2021.2333