ArticleJMIR public health and surveillance2021
Associations Between Online Pornography Consumption and Sexual Dysfunction in Young Men: Multivariate Analysis Based on an International Web-Based Survey.
Article in JMIR public health and surveillance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Pornography Consumption and Male Sexual Dysfunction: A Systematic Review.Advances in experimental medicine and biology · 2026Pooled it
- Psychotherapy for problematic pornography use: A comprehensive meta-analysis.Journal of behavioral addictions · 2025Pooled it
- E-cigarettes and erectile dysfunction: biological mechanisms and research challenges.International journal of impotence research · 2026Review
- Sexual Well-Being of Young People in Times of Widespread Pornography Use: Protocol for a Multidisciplinary Research Framework.JMIR research protocols · 2026Article
- Compulsive sexual behavior disorder (CSBD) and problematic pornography use (PPU): A comprehensive, interdisciplinary, and expert-informed narrative review with suggested future directions.Journal of behavioral addictions · 2026Review
- Violent Content in Online Pornography Is Associated with Sexual Health of Women and Men.Behavioral sciences (Basel, Switzerland) · 2025Article
- Review
- Erectile Function and Sexual Activity Are Declining in the Younger Generation: Results from a National Survey in Japan.The world journal of men's health · 2025Article
- A Cross-Sectional Study on Pornography Use and Sex Differences Among High School Students.Cureus · 2024Article
- Problematic Pornography Use, Mental Health, and Suicidality among Young Adults.International journal of environmental research and public health · 2024Article
- Need for Sexual, Reproductive, and Mental Health Promotion Among Diverse College Students in a COVID-19 Era.Clinical child and family psychology review · 2023Review
- Impact of Internet Addiction, Social Media Use and Online Pornography on the Male Sexual Function in Times of the COVID-19 Pandemic.Journal of clinical medicine · 2023Article
- Do pornography use and masturbation play a role in erectile dysfunction and relationship satisfaction in men?International journal of impotence research · 2023Article
- Is sexual attraction and place of origin a moderator of sex in pornography consumption? Cross-sectional study on a representative sample of young adults.BMC public health · 2023Article
- Physiological, Psychosocial and Substance Abuse Effects of Pornography Addiction: A Narrative Review.Cureus · 2023Review
- Article
- History and future perspectives of male aesthetic genital surgery.International journal of impotence research · 2022Review
- Sexual Addiction, Hypersexual Behavior and Relative Psychological Dynamics during the Period of Social Distancing and Stay-at-Home Policies Due to COVID-19.International journal of environmental research and public health · 2022Article
- The Interplay Between Problematic Online Pornography Use, Psychological Stress, Emotion Dysregulation and Insomnia Symptoms During the COVID-19 Pandemic: A Mediation Analysis.Nature and science of sleep · 2022Article
- The Actual State of Sexual Dysfunction in Newlywed Men Starting to Try for a Baby in Japan.Reproductive medicine and biologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExpanding access to the internet has resulted in more and earlier consumption of online pornography. At the same time, a higher prevalence of erectile dysfunction (ED) among young men is seen. Increased pornography consumption has been suggested as a possible explanation for this rise.
objectiveThe aim of this study was to better understand associations between problematic pornography consumption (PPC) and ED.
methodsA 118-item survey was published online, and data collection took place between April 2019 and May 2020. Of the 5770 men who responded, the responses from 3419 men between 18 years old and 35 years old were analyzed. The survey used validated questionnaires such as the Cyber Pornography Addiction Test (CYPAT), International Index of Erectile Function (IIEF-5), and Alcohol Use Disorders Identification Test-Concise (AUDIT-C). The estimated amount of porn watching was calculated. Univariable and multivariable analyses were performed. For the multivariable analysis, a logistic regression model using a directed acyclic graph was used.
resultsAccording to their IIEF-5 scores, 21.48% (444/2067) of our sexually active participants (ie, those who attempted penetrative sex in the previous 4 weeks) had some degree of ED. Higher CYPAT scores indicating problematic online pornography consumption resulted in a higher probability of ED, while controlling for covariates. Masturbation frequency seemed not to be a significant factor when assessing ED.
conclusionsThis prevalence of ED in young men is alarmingly high, and the results of this study suggest a significant association with PPC.
trial registrationResearch Registry researchregistry5111; https://tinyurl.com/m45mcaa2.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.