Singareddy Chithra, Shrestha Sambid, Zheng Amy, Harlow Bernard L, Barrington-Trimis Jessica L, Harlow Alyssa F
Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Department of Population and Public Health Sciences, University of Southern California, 1845 N. Soto Street, Los Angeles, CA, 90032, USA.
Arch Sex Behav. 2025 Feb;54(2):749-759. doi: 10.1007/s10508-024-03024-y. Epub 2024 Nov 1.
Young adulthood is a critical development period when mental health problems such as anxiety and depression become more prevalent. Likewise, there is evidence to suggest that depression and anxiety may lead to increased pornography usage. We examined the association of depression and anxiety symptoms with pornography viewing frequency among a prospective cohort of young adults (n = 1864) from California. Multinomial logistic regression models estimated the association of depression symptoms only, anxiety symptoms only, and comorbid depression and anxiety with pornography viewing frequency (never, < 3 times/month, one to several times/week, one to several times/day) at a 6-month follow-up. Models adjusted for gender, sexual orientation, sexual satisfaction, and adverse childhood experiences. Participants with comorbid depression and anxiety (vs. no depression or anxiety symptoms) had 2.72 (95% CI: 1.66-4.46) times the odds of frequent pornography viewing (one to several times/day) compared to never watching pornography. There was an association of depression symptoms only with frequent pornography viewing but it did not reach statistical significance (OR: 1.95, 95% CI: 0.78-4.89). Anxiety symptoms alone (vs. no depression and anxiety symptoms) were not associated with pornography viewing at any frequency in the full sample. However, in gender-stratified models, anxiety symptoms alone were associated with pornography viewing among women (OR: 1.44. 95% CI: 1.00-2.07), but not men (1.12, 95% CI: 0.65-1.96). Findings suggest comorbid depression and anxiety symptoms are associated with frequent pornography viewing among young adults, and anxiety symptoms alone are associated with pornography viewing among women, but not men.
青年期是一个关键的发育阶段，此时焦虑和抑郁等心理健康问题变得更加普遍。同样，有证据表明抑郁和焦虑可能导致色情内容使用增加。我们在一个来自加利福尼亚的青年成年人前瞻性队列（n = 1864）中，研究了抑郁和焦虑症状与色情内容观看频率之间的关联。多项逻辑回归模型估计了仅抑郁症状、仅焦虑症状以及合并的抑郁和焦虑与6个月随访时色情内容观看频率（从不、每月<3次、每周一至几次、每天一至几次）之间的关联。模型对性别、性取向、性满意度和童年不良经历进行了调整。与从不观看色情内容相比，合并抑郁和焦虑的参与者（相对于无抑郁或焦虑症状者）频繁观看色情内容（每天一至几次）的几率是其2.72倍（95%置信区间：1.66 - 4.46）。仅抑郁症状与频繁观看色情内容存在关联，但未达到统计学显著性（比值比：1.95，95%置信区间：0.78 - 4.89）。在整个样本中，仅焦虑症状（相对于无抑郁和焦虑症状）与任何频率的色情内容观看均无关联。然而，在按性别分层的模型中，仅焦虑症状与女性观看色情内容有关联（比值比：1.44，95%置信区间：1.00 - 2.07），但与男性无关（1.12，95%置信区间：0.65 - 1.96）。研究结果表明，合并的抑郁和焦虑症状与青年成年人频繁观看色情内容有关联，且仅焦虑症状与女性观看色情内容有关联，但与男性无关。
