National School of Public Health, Instituto de Salud Carlos III, Madrid, Spain.
CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
BMC Public Health. 2023 Jul 13;23(1):1347. doi: 10.1186/s12889-023-16216-3.
Pornography consumption is higher in men, but we do not know if this association can be modified by different variables, such as sexual attraction and place of origin. Given the impact pornography has on minors, there are limited studies that analyze the use of pornography in representative samples of the adult population. The aim was analyze the prevalence and factors associated with using pornography in young adult men and women, living in Spain, with different sexual attractions and different places of birth.
Cross-sectional study with an online survey conducted with 2515 men and women aged between 18 and 35 years of age. The prevalence of pornography consumption is described and analyzed in the total sample and stratified by sex, according to socio-demographic and sexual attraction variables. The association between covariates and pornography consumption at some point in life was estimated with prevalence ratios (PR) obtained with the Poisson models of robust variance.
voluntarily using pornography at some point in life. Socio-demographic variables were included in the analysis: age, sex, level of education, place of birth. Sexual attraction was also analyzed.
In Spain, 94.7% of men between 18 and 34 years and 74.6% of women have voluntarily used pornography at some point in their life. The mean age to start using it is earlier in men [Mean:14.2; Standard Deviation (SD):2.3]. Bisexual/homosexual attraction (reference: heterosexual) increases the probability of using pornography in women [(PR (95%CI): 1.30 (1.22; 1.38)]. Yet this is not observed in men. In both sexes, the probability of using pornography increases with age [(PR (95%CI): 1.01(1.00; 1.01)] and coming from abroad (reference: native), being the effect of country of birth significantly higher in women [(PR (95%CI): 1.17 (1.09; 1.26)] than in men [(PR (95%CI): 1.04 (1.01; 1.07).
Public health programmes aimed at improving affective-sexual health should consider the high use of pornography among young adults in Spain, as well as those variables that increase its use.
男性更倾向于观看色情内容，但我们尚不清楚这种关联是否会受到性吸引力和出生地等不同变量的影响。鉴于色情内容对未成年人的影响，目前针对成年人群体代表性样本中使用色情内容的研究还很有限。本研究旨在分析居住在西班牙的不同性吸引力和不同出生地的年轻成年男性和女性使用色情内容的流行率及其相关因素。
这是一项横断面研究，通过在线调查对 2515 名年龄在 18 至 35 岁之间的男性和女性进行调查。在总样本中描述和分析了使用色情内容的流行率，并根据社会人口统计学和性吸引力变量对其进行了分层。使用稳健方差的泊松模型获得率比（PR）来估计生活中某个时间点的协变量与色情内容使用之间的关联。
生活中某个时间点自愿使用色情内容。分析中纳入了社会人口统计学变量：年龄、性别、教育水平、出生地。还分析了性吸引力。
在西班牙，18 至 34 岁的男性中有 94.7%，女性中有 74.6%在生活中的某个时间点自愿使用过色情内容。开始使用的平均年龄在男性中更早[平均年龄：14.2 岁；标准差 (SD)：2.3]。双性恋/同性恋吸引力（参考：异性恋）增加了女性使用色情内容的概率[比值比 (95%置信区间)：1.30 (1.22；1.38)]。然而，在男性中并未观察到这种情况。在两性中，使用色情内容的概率随着年龄的增长而增加[比值比 (95%置信区间)：1.01(1.00；1.01)]，且来自国外（参考：本地），女性的出生地效应显著高于男性[比值比 (95%置信区间)：1.17 (1.09；1.26)][比值比 (95%置信区间)：1.04 (1.01；1.07)]。
旨在改善情感-性健康的公共卫生计划应考虑到西班牙年轻成年人中色情内容的高使用率，以及增加其使用率的那些变量。
