Is Pornography Consumption a Risk Factor for Condomless Sex?

Abstract

This paper presents meta-analytic findings on the association between pornography consumption and condomless sex. Results were based on 45 reports spanning two decades. Data from 18 countries, with a participant total of over 35,000, were located. Higher levels of pornography consumption were associated with an elevated likelihood of engaging in condomless sex. A model-based meta-analysis did not support the viewpoint that the pornography use–condomless sex association is spurious and confounded by sensation seeking. Instead, a path analysis suggested that pornography use energizes consumers' sensation seeking desires, in turn making them more likely to engage in condomless sex. Although the results indicated homogeneity of effect sizes across most contexts tested, the type of pornography content consumed moderated the pornography use–condomless sex relationship. Viewing pornography that does not show condoms was associated with an increased risk for having sex without condoms, whereas consuming pornography showing condoms was unrelated to sexual risk.