222882 Sexual-Health Risk Behaviors and Sexually Explicit Media-Use by U. S. Adults

Tuesday, November 9, 2010 : 4:50 PM - 5:10 PM

James B. Weaver III, PhD MPH , National Center for Health Marketing, Centers for Disease Control and Prevention, Atlanta, GA
Stephanie Sargent Weaver, PhD MPH CHES , National Center for Health Marketing, Centers for Disease Control and Prevention, Atlanta, GA
Dogan Eroglu, PhD , National Center for Health Marketing, Centers for Disease Control and Prevention, Atlanta, GA
Dolf Zillmann, PhD , College of Communication and Information Sciences, University of Alabama, Fripp Island, SC
Objectives: Converging evidence from diverse cultures indicates that sexually explicit media-use (SEMU; i.e., pornography consumption) is associated with health-risky sexual behaviors (e.g., greater likelihood of having multiple sexual partners, having sex more frequently, engaging in anal sex, and less frequent condom use) among adolescents and emerging adults. Essentially unexplored, and the focus here, are relationships between SEMU and sexual health-risk behaviors among U.S. adults. Methods: Data (n=2,379) were from the 2008 General Social Survey. SEMU was measured by denial/affirmation of having watched porn during the last year. Five questions assessed sexual-health risk behaviors. All assessments were dichotomously coded. Unadjusted odds ratios were computed. Results: Sexually explicit media users (23.8%), compared to non-users, were more likely to report two or more sex partners during the previous year (OR 4.62, 95% CI 3.51-6.08), not being in a relationship with their last sex partner (OR 2.48, CI 1.82-3.39), having sex with someone other than their spouse while married (OR 2.49, CI 1.86-3.32), having paid for or been paid for sex (OR 2.69, CI 1.98-3.65), and using a condom during last sex (OR 1.79, CI 1.43-2.24). Conclusions: The findings, unique for U.S. adults, show that sexual-health risk behaviors vary significantly between sexually explicit media users and non-users. Specifically, with the exception of condom use, SEMU users appear to engage in substantially more risky behaviors than non-users. Further examination of these relationships may contribute to public health efforts targeting behaviors associated with high-risks of HIV/STD transmission and/or other preventable undesirable sexual health outcomes.

Learning Areas:
Communication and informatics
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
(1) Describe and summarize prior research on associations between sexually explicit media-use and sexual health-risk behaviors. (2) Demonstrate and assess associations between sexually explicit media use and five sexual health-risk behaviors within a general population sample of U.S. adults. (3) Discuss the application of this enhanced understanding of linkages between sexually explicit media-use and sexual health-risk behaviors in the tailoring and targeting of health promotion interventions for U.S. adults.

Keywords: Sexual Risk Behavior, Media

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted research, presented, and published on this topic extensively.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4379.0: Sexual health and sexuality