Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review

BackgroundFormative experiences in adolescence lay the foundation for healthy and pleasurable romantic and sexual relationships. Exposure to pornography may affect these experiences. ObjectiveWe aimed to synthesize evidence published in the past decade on the rela...

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Main Authors: Pranujan Pathmendra, Michelle Raggatt, Megan SC Lim, Jennifer L Marino, S Rachel Skinner
Format: Article
Language:English
Published: JMIR Publications 2023-02-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2023/1/e43116
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author Pranujan Pathmendra
Michelle Raggatt
Megan SC Lim
Jennifer L Marino
S Rachel Skinner
author_facet Pranujan Pathmendra
Michelle Raggatt
Megan SC Lim
Jennifer L Marino
S Rachel Skinner
author_sort Pranujan Pathmendra
collection DOAJ
description BackgroundFormative experiences in adolescence lay the foundation for healthy and pleasurable romantic and sexual relationships. Exposure to pornography may affect these experiences. ObjectiveWe 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. MethodsWe identified 19 eligible studies by searching MEDLINE, PsycINFO, Cochrane, CINAHL, Embase, and Web of Science databases from January 2010 to November 2022. ResultsOut 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. ConclusionsMore 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 RegistrationPROSPERO International Prospective Register of Systematic Reviews CRD42021227390; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=227390
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spelling doaj.art-72690cb8926b4884a080c6edad0a20182023-08-28T23:48:01ZengJMIR PublicationsJournal of Medical Internet Research1438-88712023-02-0125e4311610.2196/43116Exposure to Pornography and Adolescent Sexual Behavior: Systematic ReviewPranujan Pathmendrahttps://orcid.org/0000-0002-9425-6271Michelle Raggatthttps://orcid.org/0000-0002-3186-8959Megan SC Limhttps://orcid.org/0000-0003-3136-6761Jennifer L Marinohttps://orcid.org/0000-0001-6742-1940S Rachel Skinnerhttps://orcid.org/0000-0003-1970-9792 BackgroundFormative experiences in adolescence lay the foundation for healthy and pleasurable romantic and sexual relationships. Exposure to pornography may affect these experiences. ObjectiveWe 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. MethodsWe identified 19 eligible studies by searching MEDLINE, PsycINFO, Cochrane, CINAHL, Embase, and Web of Science databases from January 2010 to November 2022. ResultsOut 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. ConclusionsMore 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 RegistrationPROSPERO International Prospective Register of Systematic Reviews CRD42021227390; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=227390https://www.jmir.org/2023/1/e43116
spellingShingle Pranujan Pathmendra
Michelle Raggatt
Megan SC Lim
Jennifer L Marino
S Rachel Skinner
Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review
Journal of Medical Internet Research
title Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review
title_full Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review
title_fullStr Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review
title_full_unstemmed Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review
title_short Exposure to Pornography and Adolescent Sexual Behavior: Systematic Review
title_sort exposure to pornography and adolescent sexual behavior systematic review
url https://www.jmir.org/2023/1/e43116
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