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Chaise RF, Cardoso CP, Wingert FF, Piltcher TT, Rocha KB, López MJM. Factors Associated with Sexually Explicit Internet Material Use among Adolescents: A Systematic Review. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:3993-4029. [PMID: 39424699 DOI: 10.1007/s10508-024-03002-4] [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] [Received: 04/27/2022] [Revised: 04/13/2024] [Accepted: 08/30/2024] [Indexed: 10/21/2024]
Abstract
The advent of the Internet has made pornography more accessible to many people, including teenagers. This systematic review aimed to synthesize data on factors associated with the consumption of sexually explicit internet materials (SEIM) among adolescents. A total of 753 records in Scopus, Embase, MEDLINE/PubMed, and PsycINFO databases were sorted. Forty-eight quantitative survey studies that presented original empirical results and addressed SEIM use among adolescents were included for data extraction, quality analysis, and synthesis. The prevalence of SEIM use varied substantially between studies due to inconsistencies between the operationalization methods used to assess the theoretical construct of SEIM, the period of use (days, months, years), and the age of the participants. SEIM use was highly related to being a boy and having an independent relational style. It was moderately associated with more sexual agency and hyperfemininity for girls and associated with small-to-moderate effect size, with more willingness to engage in casual sex. Sexual performance orientation, sexual permissiveness, bullying behavior, and Internet addiction might be associated with SEIM consumption, although the effect size of these associations was not calculated. Among developmental predictors with high and medium effect sizes, greater use of SEIM in adolescents was associated with being older or reaching puberty. Peer pressure or striving for peer popularity can account for boys' greater exposure to SEIM. The results described show the importance of standardizing the evaluation of SEIM use. Literacy in the use of pornography among teenagers is essential to prevent the possible negative impacts of SEIM consumption.
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Affiliation(s)
- Rodrigo Falcão Chaise
- Department of Psychology, Pontifícia Universidade Católica Do Rio Grande Do Sul, Ipiranga Avenue, 6681, Partenon Neighborhood, Porto Alegre, 90619-900, Brazil.
| | - Carolina Pestana Cardoso
- Department of Psychology, Pontifícia Universidade Católica Do Rio Grande Do Sul, Ipiranga Avenue, 6681, Partenon Neighborhood, Porto Alegre, 90619-900, Brazil
| | - Felipe Fiegenbaum Wingert
- Department of Psychology, Pontifícia Universidade Católica Do Rio Grande Do Sul, Ipiranga Avenue, 6681, Partenon Neighborhood, Porto Alegre, 90619-900, Brazil
| | - Tomás Treger Piltcher
- Department of Psychology, Pontifícia Universidade Católica Do Rio Grande Do Sul, Ipiranga Avenue, 6681, Partenon Neighborhood, Porto Alegre, 90619-900, Brazil
| | - Kátia Bones Rocha
- Department of Psychology, Pontifícia Universidade Católica Do Rio Grande Do Sul, Ipiranga Avenue, 6681, Partenon Neighborhood, Porto Alegre, 90619-900, Brazil
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Kuzma EK, Ammerman BA, Lee V, Baird J. Re-envisioning Youth Sexual Health Care: Supporting Sex Positivity in a Digital World. J Pediatr Health Care 2024; 38:310-322. [PMID: 38085200 DOI: 10.1016/j.pedhc.2023.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2023] [Revised: 11/05/2023] [Accepted: 11/20/2023] [Indexed: 05/04/2024]
Abstract
INTRODUCTION Youth in a digital world face challenges to the healthy development of their sexuality from exposure to sexting, pornography, and other sexually explicit media. School-based sexual health education does not cover digital sexual content and its impact on sexuality and sexual relationships. Youth often avoid discussing sexual health with parents or other trusted adults, thus often relying on peers, making them ill-prepared to navigate the complexities (e.g., socially, emotionally, and romantically) of sexually explicit content. METHOD A review of emerging evidence for application into clinical practice. RESULTS This paper provides nurse practitioners with resources and information to incorporate this re-envisioned approach to sexual health care into practice to provide current, timely, and holistic youth sexual health care. DISCUSSION Youth sexual health care must be re-envisioned. Nurse practitioners can improve youth sexual health by incorporating pornography and sexual media literacy, safe sexting, and concepts of consent into care using a sex-positive lens.
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Testa G, Mestre-Bach G, Chiclana Actis C, Potenza MN. Problematic Pornography Use in Adolescents: From Prevention to Intervention. CURRENT ADDICTION REPORTS 2023. [DOI: 10.1007/s40429-023-00469-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
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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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Shafaghi A, Vakili Shahrbabaki SS, Aminzadeh A, Heidari MR, Shamsi Meymandi M, Bashiri H. The effect of early handling on anxiety-like behaviors of rats exposed to valproic acid pre-and post-natally. Neurotoxicol Teratol 2021; 89:107050. [PMID: 34801733 DOI: 10.1016/j.ntt.2021.107050] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 10/23/2021] [Accepted: 11/15/2021] [Indexed: 12/28/2022]
Abstract
INTRODUCTION Autism spectrum disorder (ASD) is a complex, behaviorally defined disorder of the immature brain as a result of genetic and environmental risk factors, such as prenatal exposure to valproic acid (VPA). This syndrome is known for its high prevalence. On the other hand, postnatal manipulations have been shown to affect brain development, cortical neuroscience, and pituitary-adrenal activity. In early handling (EH) procedure, pups are removed from their mother on a daily basis from birth to lactation, are physically touched, and exposed to the (a) new environment. In the present study, the effect of EH on anxiety-like behaviors in rats exposed pre- and post-natally to valproic acid was investigated. METHODS Pregnant Wistar rats were randomly separated into six groups which are prenatal saline, Prenatal VPA, Prenatal VPA + EH and postnatal saline, Postnatal VPA, Postnatal VPA + EH. VPA administration was performed either on ED12.5 (600 mg/kg, i.p.) or PD 2-4 (400 mg/kg, s.c.). In the groups receiving EH, pups underwent physical handling from PD 1 to 21. On postnatal day 21 all offspring were weaned and the behavioral tests were performed on 30 and 31 days of age. Elevated plus maze and open field tests were used to investigate anxiety-like behaviors. RESULTS The results revealed that intraperitoneal injection of valrpoic acid (600 mg.kg) during pregnancy significantly reduced OAT% in males (p < 0.01) and females in a non-significant manner (p > 0.05). In comparison, rearing counts of prenatal VPA groups significantly increased in female sex (p < 0.05) in the EPM test. Following postnatal VPA administration (400 mg/kg), decrease in the time spent in central zone occurred in female rats in the open filed (p < 0.05), as well as a significant increase in the number of grooming of the male sex (p < 0.05). Applying Early Handling to male and female Wistar rats receiving prenatal VPA significantly reversed the OAT% fall (p < 0.05). EH in postnatally VPA exposed animals significantly decreased the OAT% and OAE% criteria, while increasing the locomotor activity of the female sex (p < 0.05). Compared with the postnatal VPA group, no significant change was reported in the EPM performance of postnatal VPA + EH group in neither of sexes (p > 0.05). CONCLUSION The findings of this study suggest that injections of valproic acid during pregnancy lead to anxiety-like behaviors in male offspring, which EH can improve (attenuate) to some extent. VPA injections on the second to the fourth day of infancy did not have a profound effect on anxiety level. Further behavioral studies need to be performed using other devices to investigate anxiety-like behaviors and to determine the mechanisms involved in these behaviors.
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Affiliation(s)
- Abouzar Shafaghi
- Department of Pharmaceutical Biotechnology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Seyyed Sajjad Vakili Shahrbabaki
- Department of Biology, University of Turku, Turku, Finland; Physiology Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
| | - Azadeh Aminzadeh
- Department of Toxicology and Pharmacology, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran.
| | - Mahmoud Reza Heidari
- Department of Toxicology and Pharmacology, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran; Pharmaceutical Research Center, Kerman University of Medical Sciences, Kerman, Iran.
| | - Manzumeh Shamsi Meymandi
- Pathology and Stem Cells Research Center, Kerman Medical School, Kerman University of Medical Sciences, Kerman, Iran.; Neuroscience Research Center, Institute of Neuropharmacology, Department of Physiology and Pharmacology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran..
| | - Hamideh Bashiri
- Neuroscience Research Center, Institute of Neuropharmacology, Department of Physiology and Pharmacology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.; Sirjan Faculty of Medical Science, Sirjan, Iran..
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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: 7] [Impact Index Per Article: 1.8] [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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Internet pornography exposures amongst young people in Malaysia: A cross-sectional study looking into the role of gender and perceived realism versus the actual sexual activities. Addict Behav Rep 2021; 14:100350. [PMID: 34041356 PMCID: PMC8144352 DOI: 10.1016/j.abrep.2021.100350] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 04/20/2021] [Accepted: 04/23/2021] [Indexed: 11/21/2022] Open
Abstract
High prevalence of pornography exposure among participants and mostly through internet. Easy accessibility to free internet especially at home facilitate pornography use among young people. Further evidence is needed on perceived realism as a protective factor of pornography exposure. Male participants had earlier exposure on pornography during early adolescence.
Despite the wide accessibility to internet, pornography activities among youths are not well described in conservative countries like Malaysia. This study aimed to determine the prevalence, elicit gender differences and identify associated factors of pornographic exposure including perceived realism among college students. This cross-sectional study was conducted among students aged 18 to 25 years from seven colleges in Penang, Malaysia. A self-administered questionnaire was used to obtain data on socio-demographic characteristics, pornography exposure, pattern of use, sexual exposure and perceived realism. Among 986 participants, the prevalence of lifetime pornography exposure was 74.5%. More males (71.7%) were exposed to pornography, had started at earlier age, were frequent users and using the internet alone at home (p < 0.001). Males had higher odds of having exposure (Adjusted odds ratio, AOR = 20.44, 95% CI: 12.50 – 33.42, p < 0.001), whilst those who perceived pornography as real had lower odds of having pornographic exposure (AOR = 0.64, 95% CI: 0.43–0.94, p = 0.02). There is a high prevalence of pornography exposure among Malaysian college students, especially involving males. Easy access to pornographic materials at home facilitates this activity. Gender and perceived realism determined their pornographic exposure. Thus, parental monitoring of online access and planning structured activities to occupy free time are recommended at an early age.
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Problematic and Non-problematic Pornography Use and Compulsive Sexual Behaviors Among Understudied Populations: Children and Adolescents. CURRENT ADDICTION REPORTS 2020. [DOI: 10.1007/s40429-020-00300-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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