Mental Health
Pornography: A Concealed Behavior with Serious Consequences.
Open Access: Yes.
Abstract
Objectives: The purpose of the current study was to estimate prevalence of pornography use and addiction in Rhode Island young adults, identify sociodemographic disparities, and determine if use and addiction were associated with mental illness.
Methods: Data from n=1022 participants of the Rhode Island Young Adult Survey were used. Pornography use and addiction, depression, anxiety, and suicide ideation were assessed. Multivariable logistic regressions controlled for age, social status, sex, gender, sexual orientation, and race/ethnicity.
Results: 54% indicated pornography use; 6.2% met the criteria for addiction. Odds of pornography use were 5 times higher (95%CI=3.18,7.71), and addiction 13.4 times higher (95%CI=5.71,31.4) among heterosexual cis-males. Pornography addiction was associated with increased odds of depression (OR=1.92, 95%CI=1.04,3.49) and suicide ideation (OR=2.34, 95%CI=1.24,4.43).
Conclusions: Pornography use is highly prevalent, and addiction may be associated with mental illness. New screenings, media literacy training, and developing new therapeutic interventions should be considered.
Relevance
Pornography addiction was “significantly associated” with depression and suicidal ideation.
“The link between pornography addiction and poor mental health is alarming…Because pornography is part of the entertainment industry, it is often changed to fit and capture the most interest and is unlikely to depict realistic or healthy sexual behaviors. Consequently, excessive pornography use may lead to irrational perspectives on sex and relationships. When the relationships and behaviors depicted in pornography are not realized in real-world dating environments, men may be more likely to experience insecure attachments, fear of being single, loneliness, and depressive symptoms.”
Citation
Noel, J. K., Jacob, S., Swanberg, J. E., & Rosenthal, S. R. (2023). Pornography: A Concealed Behavior with Serious Consequences. Rhode Island medical journal, 106(3), 29–34. http://www.rimed.org/rimedicaljournal/2023/04/2023-04-29-yamhc-noel.pdf
