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      Relación de la pornografía mainstream con la salud sexual y reproductiva de los/las adolescentes. Una revisión de alcance Translated title: Sexual and reproductive health effects of mainstream pornography use in adolescents

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          Abstract

          RESUMEN Fundamentos: La visualización de pornografía de tipo mainstream puede conllevar en algunas situaciones un perjuicio para la salud sexual y reproductiva de los/las adolescentes. Este consumo genera desigualdades de género al desvirtuar la imagen que se tiene sobre las mujeres. El objetivo de este estudio fue revisar la literatura existente acerca de los efectos que tiene el uso de pornografía mainstream, en la salud sexual y reproductiva en adolescentes y universitarios/as. Métodos: Se realizó una revisión de alcance para examinar la literatura existente acerca de los efectos en la salud sexual y reproductiva que tiene el uso de pornografía mainstream en adolescentes y universitarios/as. La revisión de alcance propuesta se llevó a cabo de acuerdo con la metodología del Joanna Briggs Institute (JBI). Resultados: Se identificaron 14 estudios donde se puso de manifiesto que el consumo de pornografía mainstream puede tener una repercusión a corto y largo plazo en la salud sexual de los/las adolescentes. La exposición de estos a un entorno de medios sexualizados estuvo asociada con creencias más fuertes de que las mujeres son objetos sexuales. Conclusiones: La visualización de pornografía influye en la salud sexual y reproductiva de los/las adolescentes. La distorsión sexual sobre las mujeres que provoca la visualización de material pornográfico de tipo dominante constituye un serio problema que puede incrementar la desigualdad de género. La pornografía mainstream debe abordarse en los programas de educación sexual en los colegios, así como en los diferentes estamentos de Salud Pública.

          Translated abstract

          ABSTRACT Background: The viewing of mainstream pornography can in some situations be detrimental to the sexual and reproductive health of adolescents. This consumption generates gender inequalities by distorting the image of women. The aim of this study was to review the existing literature on the effects of mainstream pornography use on sexual and reproductive health in adolescents and university students. Methods: A scoping review was conducted to examine the existing literature on the sexual and reproductive health effects of mainstream pornography use in adolescents and college students. The purpose of this review is to explore the evidence on this topic by assessing a wide range of articles and study designs. The proposed scoping review has been conducted in accordance with the Joanna Briggs Institute methodology (JBI). Results: We identified 14 studies showing that mainstream pornography consumption may have a short- and long-term impact on adolescent sexual health. Adolescent exposure to a sexualized media environment is associated with stronger beliefs that females are sexual objects. Conclusions: Pornography viewing influences adolescent sexual and reproductive health. The sexual misrepresentation of women caused by viewing mainstream pornographic material is a serious problem that can increase gender inequality. Mainstream pornography should be addressed in sexual education programs in schools, as well as in the different Public Health institutions.

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          Most cited references54

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          Scoping studies: towards a methodological framework

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            Report of findings in a DSM-5 field trial for hypersexual disorder.

            Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for hypersexual disorder (HD) have been proposed to capture symptoms reported by patients seeking help for out-of-control sexual behavior. The proposed criteria created by the DSM-5 Work Group on Sexual and Gender Identity Disorders require evaluation in a formal field trial. This DSM-5 Field Trial was designed to assess the reliability and validity of the criteria for HD in a sample of patients seeking treatment for hypersexual behavior, a general psychiatric condition, or a substance-related disorder. Patients (N = 207) were assessed for psychopathology and HD by blinded raters to determine inter-rater reliability of the HD criteria and following a 2-week interval by a third rater to evaluate the stability of the HD criteria over time. Patients also completed a number of self-report measures to assess the validity of the HD criteria. HD and psychopathology were measured by structured diagnostic interviews, the Hypersexual Behavior Inventory, Sexual Compulsivity Scale, and Hypersexual Behavior Consequences Scale. Emotional dysregulation and stress proneness were measured by facets on the NEO Personality Inventory-Revised. Inter-rater reliability was high and the HD criteria showed good stability over time. Sensitivity and specificity indices showed that the criteria for HD accurately reflected the presenting problem among patients. The diagnostic criteria for HD showed good validity with theoretically related measures of hypersexuality, impulsivity, emotional dysregulation, and stress proneness, as well as good internal consistency. Patients assessed for HD also reported a vast array of consequences for hypersexual behavior that were significantly greater than those diagnosed with a general psychiatric condition or substance-related disorder. The HD criteria proposed by the DSM-5 Work Group on Sexual and Gender Identity Disorders appear to demonstrate high reliability and validity when applied to patients in a clinical setting among a group of raters with modest training on assessing HD. © 2012 International Society for Sexual Medicine.
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              Sexy media matter: exposure to sexual content in music, movies, television, and magazines predicts black and white adolescents' sexual behavior.

              To assess over time whether exposure to sexual content in 4 mass media (television, movies, music, and magazines) used by early adolescents predicts sexual behavior in middle adolescence. An in-home longitudinal survey of 1017 black and white adolescents from 14 middle schools in central North Carolina was conducted. Each teen was interviewed at baseline when he or she was 12 to 14 years old and again 2 years later using a computer-assisted self interview (audio computer-assisted self-interview) to ensure confidentiality. A new measure of each teen's sexual media diet (SMD) was constructed by weighting the frequency of use of 4 media by the frequency of sexual content in each television show, movie, music album, and magazine the teen used regularly. White adolescents in the top quintile of sexual media diet when 12 to 14 years old were 2.2 times more likely to have had sexual intercourse when 14 to 16 years old than those who were in the lowest SMD quintile, even after a number of other relevant factors, including baseline sexual behavior, were introduced. The relationship was not statistically significant for black adolescents after controlling for other factors that were more predictive, including parental disapproval of teen sex and perceived permissive peer sexual norms. Exposure to sexual content in music, movies, television, and magazines accelerates white adolescents' sexual activity and increases their risk of engaging in early sexual intercourse. Black teens appear more influenced by perceptions of their parents' expectations and their friends' sexual behavior than by what they see and hear in the media.
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                Author and article information

                Journal
                resp
                Revista Española de Salud Pública
                Rev. Esp. Salud Publica
                Ministerio de Sanidad, Consumo y Bienestar social (Madrid, Madrid, Spain )
                1135-5727
                2173-9110
                2021
                : 95
                : e202108102
                Affiliations
                [3] Bizkaia País Vasco orgnameUniversidad del País Vasco orgdiv1Grupo de Investigación en Determinantes Sociales de la Salud y Cambio Demográfico-OPIK Spain
                [2] Bizkaia País Vasco orgnameUniversidad del País Vasco orgdiv1Departamento de Sociología 2 Spain
                [1] Bilbao orgnameHospital Universitario de Basurto (Osakidetza) España
                Article
                S1135-57272021000100603 S1135-5727(21)09500000603
                30a99262-b865-4a2e-8325-0c4adca94384

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 21 January 2021
                : 09 June 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 55, Pages: 0
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                SciELO Public Health


                Sexual behavior,Adolescentes,Comportamiento sexual,Salud sexual y reproductiva,Pornografía mainstream,Adolescents,Sexual and reproductive health,Mainstream pornography

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