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Why Is Porn Being Considered a Public Health Concern?

With an increasing number of resolutions to consider porn a public health crisis, more people are wondering about the potential harms of pornography. But what does the research say?

By December 13, 2018No Comments

If you’ve been following along with current events, you’ve probably seen that a few states have declared porn a “public health concern” and pushed forward resolutions to give visibility to the research.

But you may be asking, how are states allowed to do this, what do resolutions mean, and what’s the point of them?

To show you an example of an actual resolution, here’s a part of Tennesee’s resolution, passed in June of 2016. A lot of the other states’ resolutions sound just like it:

“…in recognizing the public health crisis created by pornography, the State of Tennessee is acknowledging the need for education, prevention, research, and policy change at the community and societal level in order to address the epidemic that is harming the people of our State and our country as a whole.”

In other words, it’s all about education, giving a platform to the research that already exists, and paving the way for further research in the future—not censorship.

Porn in politics

As you might know, porn has been a hot topic in the political sphere for a while. To clarify, Fight the New Drug is not a legislative or religious organization—we’re not out to ban porn, and we believe that education about porn’s potential harms is important no matter who you vote for. We do, however, consider these state and federal resolutions to be a direct growth representation of the movement to de-normalize porn’s toxic narratives in our society.

Related: Is It An Overstatement To Label Porn A Public Health Concern?

But what’s the evidence that porn is a public health concern? And what even is a “public health concern” anyway? Great question, and we’re glad you asked.

What makes something a public health concern?

A public health concern is a situation or substance that affects people in multiple areas around the world. They negatively impact the health of a community, as well as individuals’ health within the community.

You’ve probably heard the term “public health concern” used to describe epidemics or the aftereffects of a natural disaster. For example, in the past few years, we’ve heard about the COVID-19 pandemic, the opioid epidemic, obesity, the Ebola virus epidemic, the Zika virus outbreak, or the Haiti clean water crisis after the earthquake.

Related: The Problem With Saying “There Are Bigger Problems Than Porn To Fight”

We want to be clear that we are in no way trying to minimize the devastating effects that these public health issues have had. The results are tragic and awful, and—unlike pornography—these public health crises have directly taken lives. Pornography doesn’t do liver damage, cause birth defects, or wipe out your immune system. Standing next to these brutal epidemics, it can be difficult to see just why porn should be declared a public health concern, but there are legitimate concerns attached to the unquestioned and widespread normalization of porn in our society.

1. Porn affects most everyone.

According to a 2020 study, an estimated 91.5% of men and 60.2% of women consume porn.Solano, I., Eaton, N. R., & O'Leary, K. D. (2020). Pornography Consumption, Modality and Function in a Large Internet Sample. Journal of sex research, 57(1), 92–103. https://doi.org/10.1080/00224499.2018.1532488Copy  Even more concerning, a nationally representative survey of U.S. teens found that 84.4% of 14 to 18-year-old males and 57% of 14 to 18-year-old females have viewed pornography.Wright, P. J., Paul, B., & Herbenick, D. (2021). Preliminary insights from a U.S. probability sample on adolescents’ pornography exposure, media psychology, and sexual aggression. J.Health Commun., 26(1), 39-46. doi:10.1080/10810730.2021.1887980Copy 

In other words, there are a lot of people consuming porn, regardless of age, gender, or any other diversifying factor. Even children are being exposed to porn—usually before they’ve developed a healthy understanding of sex, which is a huge problem considering that porn is a massively unhealthy depiction of sex. So whether an individual consumes porn themselves, has a partner who consumes porn, or is a parent of kids navigating a porn-saturated culture, porn is affecting most everyone.

The negative effects of porn don’t discriminate—all you have to have is an internet signal, and a device to see the most hardcore images available. And that can happen regardless of geographical location, socioeconomic status, or age.

2. Porn is associated with aggression and violence.

Researchers who have analyzed the content in porn found that at least 1 in 3 and as many as 9 in 10 porn videos shows physical violence or aggression.Fritz, N., Malic, V., Paul, B., & Zhou, Y. (2020). A descriptive analysis of the types, targets, and relative frequency of aggression in mainstream pornography. Archives of Sexual Behavior, 49(8), 3041-3053. doi:10.1007/s10508-020-01773-0Copy Bridges, A. J., Wosnitzer, R., Scharrer, E., Sun, C., & Liberman, R. (2010). Aggression and sexual behavior in best-selling pornography videos: a content analysis update. Violence against women, 16(10), 1065–1085. https://doi.org/10.1177/1077801210382866Copy  Not only that, but nearly half of porn videos include verbal aggression.Bridges, A. J., Wosnitzer, R., Scharrer, E., Sun, C., & Liberman, R. (2010). Aggression and sexual behavior in best-selling pornography videos: a content analysis update. Violence against women, 16(10), 1065–1085. https://doi.org/10.1177/1077801210382866Copy  And unsurprisingly, women are almost always the targets of aggressive acts.Fritz, N., Malic, V., Paul, B., & Zhou, Y. (2020). A descriptive analysis of the types, targets, and relative frequency of aggression in mainstream pornography. Archives of Sexual Behavior, 49(8), 3041-3053. doi:10.1007/s10508-020-01773-0Copy Bridges, A. J., Wosnitzer, R., Scharrer, E., Sun, C., & Liberman, R. (2010). Aggression and sexual behavior in best-selling pornography videos: a content analysis update. Violence against women, 16(10), 1065–1085. https://doi.org/10.1177/1077801210382866Copy  Another 2021 study found that 1 out of every 8 porn titles shown to first-time visitors to porn sites described acts of sexual violence.Vera-Gray, F., McGlynn, C., Kureshi, I., & Butterby, K. (2021). Sexual violence as a sexual script in mainstream online pornography. The British Journal of Criminology, doi:10.1093/bjc/azab035Copy 

Research is clear that young people are learning about sex, bodies, and relationships from porn, which is especially concerning considering how wildly unrealistic and toxic porn can be.Copy  With so many young people learning about sex from porn, it’s no wonder that many of porn’s toxic narratives are also becoming commonplace in real-life sexual scenarios. Dozens and dozens of studies have found that porn significantly predicts increased sexual aggression, including this meta-analysis of studies from seven different countries.Wright, P. J., Tokunaga, R. S., & Kraus, A. (2016). A meta-analysis of pornography consumption and actual acts of sexual aggression in general population studies. Journal of Communication, 66(1), 183-205. doi:https://doi.org/10.1111/jcom.12201Copy 

In fact, research indicates that porn consumers are more likely to sexually objectify and dehumanize others,Mikorski, R., & Szymanski, D. M. (2017). Masculine norms, peer group, pornography, facebook, and men’s sexual objectification of women. Psychology of Men & Masculinity, 18(4), 257-267. doi:10.1037/men0000058Copy Skorska, M.N., Hodson, G., & Hoffarth, M.R. (2018). Experimental effects of degrading versus erotic pornography exposure in men on reactions toward women (objectification, sexism, discrimination). The Canadian Journal of Human Sexuality, 27, 261 - 276.Copy Zhou, Y., Liu, T., Yan, Y., & Paul, B. (2021). Pornography use, two forms of dehumanization, and sexual aggression: Attitudes vs. behaviors. Null, 1-20. https://doi.org/10.1080/0092623X.2021.1923598Copy  more likely to express an intent to rape,Foubert, J. D., Brosi, M. W., & Bannon, R. S. (2011). Pornography viewing among fraternity men: Effects on bystander intervention, rape myth acceptance and behavioral intent to commit sexual assault.18(4), 212-231. doi:10.1080/10720162.2011.625552Copy  less likely to intervene during a sexual assault,Foubert, J. D., Brosi, M. W., & Bannon, R. S. (2011). Pornography viewing among fraternity men: Effects on bystander intervention, rape myth acceptance and behavioral intent to commit sexual assault. 18(4), 212-231. doi:10.1080/10720162.2011.625552Copy  Foubert, J. D., & Bridges, A. J. (2017). What Is the Attraction? Pornography Use Motives in Relation to Bystander Intervention. Journal of Adolescent Research, 32(20), 213–243. https://doi.org/10.1177/0743558414547097Copy  more likely to victim-blame survivors of sexual assault,Foubert, J. D., Brosi, M. W., & Bannon, R. S. (2011). Pornography viewing among fraternity men: Effects on bystander intervention, rape myth acceptance and behavioral intent to commit sexual assault.18(4), 212-231. doi:10.1080/10720162.2011.625552Copy Foubert, J. D., & Bridges, A. J. (2017). What Is the Attraction? Pornography Use Motives in Relation to Bystander Intervention. Journal of Interpersonal Violence, 32(20), 3071–3089. https://doi.org/10.1177/0886260515596538Copy  more likely to support violence against women,Wright, P. J., & Tokunaga, R. S. (2016). Men's Objectifying Media Consumption, Objectification of Women, and Attitudes Supportive of Violence Against Women. Archives of sexual behavior, 45(4), 955–964. https://doi.org/10.1007/s10508-015-0644-8Copy Seabrook, R. C., Ward, L. M., & Giaccardi, S. (2019). Less than human? media use, objectification of women, and men’s acceptance of sexual aggression. Psychology of Violence, 9(5), 536-545. doi:10.1037/vio0000198Copy  more likely to forward sexts without consent,van Oosten, J., & Vandenbosch, L. (2020). Predicting the Willingness to Engage in Non-Consensual Forwarding of Sexts: The Role of Pornography and Instrumental Notions of Sex. Archives of sexual behavior, 49(4), 1121–1132. https://doi.org/10.1007/s10508-019-01580-2Copy  and more likely to commit actual acts of sexual violence.Wright, P. J., Tokunaga, R. S., & Kraus, A. (2016). A meta-analysis of pornography consumption and actual acts of sexual aggression in general population studies. Journal of Communication, 66(1), 183-205. doi:https://doi.org/10.1111/jcom.12201Copy Rostad, W. L., Gittins-Stone, D., Huntington, C., Rizzo, C. J., Pearlman, D., & Orchowski, L. (2019). The association between exposure to violent pornography and teen dating violence in grade 10 high school students. Archives of Sexual Behavior, 48(7), 2137-2147. doi:10.1007/s10508-019-1435-4Copy Goodson, A., Franklin, C. A., & Bouffard, L. A. (2021). Male peer support and sexual assault: The relation between high-profile, high school sports participation and sexually predatory behaviour. 27(1), 64-80. doi:10.1080/13552600.2020.1733111Copy Mikorski, R., & Szymanski, D. M. (2017). Masculine norms, peer group, pornography, Facebook, and men’s sexual objectification of women. Psychology of Men & Masculinity, 18(4), 257-267. doi:10.1037/men0000058Copy 

3. Porn can harm relationships.

The health of human relationships is ultimately what makes up the fabric of our culture. So when something is consistently negatively impacting relationships, it’s important to take notice—and that’s certainly the case with porn.

Dozens of studies have repeatedly shown that porn consumers tend to have lower relationship satisfaction and lower relationship quality.Wright, P. J., Tokunaga, R. S., Kraus, A., & Klann, E. (2017). Pornography consumption and satisfaction: A meta-analysis. Human Communication Research, 43(3), 315-343. doi: https://doi.org/10.1111/hcre.12108Copy Perry S. L. (2020). Pornography and Relationship Quality: Establishing the Dominant Pattern by Examining Pornography Use and 31 Measures of Relationship Quality in 30 National Surveys. Archives of sexual behavior, 49(4), 1199–1213. https://doi.org/10.1007/s10508-019-01616-7Copy Perry, S. (2017). Does Viewing Pornography Reduce Marital Quality Over Time? Evidence From Longitudinal Data. Archives Of Sexual Behavior, 46(2), 549-559. Doi: 10.1007/S10508-016-0770-YCopy  Research also shows that porn consumers tend to become less committed to their partners,Minarcik, J., Wetterneck, C. T., & Short, M. B. (2016). The Effects Of Sexually Explicit Material Use On Romantic Relationship Dynamics. Journal Of Behavioral Addictions, 5(4) 700-707. Doi: 10.1556/2006.5.2016.078Copy Lambert, N. M., Negash, S., Stillman, T. F., Olmstead, S. B., & Fincham, F. D. (2012). A love that doesn't last: Pornography consumption and weakened commitment to one's romantic partner. Journal of Social and Clinical Psychology, 31(4), 410-438. doi:10.1521/jscp.2012.31.4.410Copy  less satisfied in their relationships,Wright, P. J., Tokunaga, R. S., Kraus, A., & Klann, E. (2017). Pornography consumption and satisfaction: A meta-analysis. Human Communication Research, 43(3), 315-343. doi: https://doi.org/10.1111/hcre.12108Copy  and more accepting of cheating.Rasmussen, K. (2016). A Historical and Empirical Review of Pornography and Romantic Relationships: Implications for Family Researchers. Journal of Family Theory & Review, 8(2), 173-191. doi: https://doi.org/10.1111/jftr.12141Copy 

Reports consistently show that porn consumers are twice as likely to later report experiencing a divorce or breakup—even after controlling for marital happiness, sexual satisfaction, and other relevant factors.Perry, S. L. (2018). Pornography use and marital separation: Evidence from two-wave panel data. Archives of Sexual Behavior, 47(6), 1869-1880. doi:10.1007/s10508-017-1080-8Copy Perry, S. L., & Davis, J. T. (2017). Are pornography users more likely to experience a romantic breakup? Evidence from longitudinal data. Sexuality & Culture, 21(4), 1157-1176. doi:10.1007/s12119-017-9444-8Copy Perry, S. L., & Schleifer, C. (2018). Till porn do us part? A longitudinal examination of pornography use and divorce. 55(3), 284-296. doi:10.1080/00224499.2017.1317709Copy 

One study, for example, tracked couples over a six-year period to see what factors influenced the quality of their marriage and their sexual satisfaction. The researchers found that of all the factors considered, porn consumption was the second strongest indicator that a marriage would suffer. Not only that, but the marriages that were harmed the most were those of individuals who viewed porn the most.Perry, S. (2017). Does Viewing Pornography Reduce Marital Quality Over Time? Evidence From Longitudinal Data. Archives Of Sexual Behavior, 46(2), 549-559. Doi: 10.1007/S10508-016-0770-YCopy 

4. Porn can negatively affect sexual health.

Despite how unrealistic pornography is, research indicates that many young people report trying to copy porn in their own sexual encounters, and that the pressure to imitate porn was often an aspect of unhealthy relationships.Rothman, E. F., Kaczmarsky, C., Burke, N., Jansen, E., & Baughman, A. (2015). 'Without Porn … I Wouldn't Know Half the Things I Know Now': A Qualitative Study of Pornography Use Among a Sample of Urban, Low-Income, Black and Hispanic Youth. Journal of sex research, 52(7), 736–746. https://doi.org/10.1080/00224499.2014.960908Copy  Young people are using porn to learn about sex, but are learning all the wrong lessons. In fact, a 2021 study suggests that pornography is actively making young people more sexually illiterate.Wright, P. J., Tokunaga, R. S., Herbenick, D., & Paul, B. (2021). Pornography vs. sexual science: The role of pornography use and dependency in U.S. teenagers’ sexual illiteracy., 1-22. doi:10.1080/03637751.2021.1987486Copy  Studies also show that increased pornography consumption is associated with the enjoyment of degrading, uncommon, or aggressive sexual behaviors.Ezzell, M. B., Johnson, J. A., Bridges, A. J., & Sun, C. F. (2020). I (dis)like it like that: Gender, pornography, and liking sex. J.Sex Marital Ther., 46(5), 460-473. doi:10.1080/0092623X.2020.1758860Copy  And a number of other studies also suggest that the sexual scripts in pornography may socialize consumers toward sexual aggression,Wright, P. J., Tokunaga, R. S., & Kraus, A. (2016). A meta-analysis of pornography consumption and actual acts of sexual aggression in general population studies. Journal of Communication, 66(1), 183-205. doi:https://doi.org/10.1111/jcom.12201Copy  cheating,Rasmussen, K. (2016). A historical and empirical review of pornography and romantic relationships: Implications for family researchers. Journal of Family Theory & Review, 8(2), 173-191. doi:https://doi.org/10.1111/jftr.12141Copy  and risky sexual behaviors.Koletić G. (2017). Longitudinal associations between the use of sexually explicit material and adolescents' attitudes and behaviors: A narrative review of studies. Journal of adolescence, 57, 119–133. https://doi.org/10.1016/j.adolescence.2017.04.006Copy Wright, P. J., & Bae, S. (2016). Pornography and male socialization. In Y. J. Wong & S. R. Wester (Eds.), APA handbooks in psychology®. APA handbook of men and masculinities (p. 551–568). American Psychological Association. https://doi.org/10.1037/14594-025Copy 

When someone regularly consumes porn, they can become accustomed to being aroused by the imagery and endless novelty found in porn.Bőthe, B., Tóth-Király, I., Griffiths, M. D., Potenza, M. N., Orosz, G., & Demetrovics, Z. (2021). Are sexual functioning problems associated with frequent pornography use and/or problematic pornography use? Results from a large community survey including males and females. Addictive Behaviors, 112, 106603. doi:https://doi.org/10.1016/j.addbeh.2020.106603Copy Hilton D. L., Jr (2013). Pornography addiction - a supranormal stimulus considered in the context of neuroplasticity. Socioaffective neuroscience & psychology, 3, 20767. https://doi.org/10.3402/snp.v3i0.20767Copy  Pretty soon, natural turn-ons and real relationships aren’t enough, and many porn consumers find they can’t get aroused by anything but porn.Park, B. Y., Wilson, G., Berger, J., Christman, M., Reina, B., Bishop, F., Klam, W. P., & Doan, A. P. (2016). Is Internet Pornography Causing Sexual Dysfunctions? A Review with Clinical Reports. Behavioral sciences (Basel, Switzerland), 6(3), 17. https://doi.org/10.3390/bs6030017Copy Voon, V., et al. (2014). Neural Correlates of Sexual Cue Reactivity in Individuals with and without Compulsive Sexual Behaviors, PLoS ONE, 9(7), e102419. doi:10.1371/journal.pone.0102419Copy 

Ironically, despite porn’s promise of improving consumers’ sex lives, there is growing evidence that porn consumption is linked to sexual dysfunction. Research indicates that compulsive pornography consumption is directly related to erectile dysfunction,Park, B. Y., Wilson, G., Berger, J., Christman, M., Reina, B., Bishop, F., Klam, W. P., & Doan, A. P. (2016). Is Internet Pornography Causing Sexual Dysfunctions? A Review with Clinical Reports. Behavioral sciences (Basel, Switzerland), 6(3), 17. https://doi.org/10.3390/bs6030017Copy  sexual dysfunction for both men and women,Bőthe, B., Tóth-Király, I., Griffiths, M. D., Potenza, M. N., Orosz, G., & Demetrovics, Z. (2021). Are sexual functioning problems associated with frequent pornography use and/or problematic pornography use? Results from a large community survey including males and females. Addictive Behaviors, 112, 106603. doi:https://doi.org/10.1016/j.addbeh.2020.106603Copy  problems with arousal and sexual performance,Sun, C., Bridges, A., Johnson, J. A., & Ezzell, M. B. (2016). Pornography and the Male Sexual Script: An Analysis of Consumption and Sexual Relations. Archives of sexual behavior, 45(4), 983–994. https://doi.org/10.1007/s10508-014-0391-2Copy  difficulty reaching orgasm,Bőthe, B., Tóth-Király, I., Griffiths, M. D., Potenza, M. N., Orosz, G., & Demetrovics, Z. (2021). Are sexual functioning problems associated with frequent pornography use and/or problematic pornography use? Results from a large community survey including males and females. Addictive Behaviors, 112, 106603. doi:https://doi.org/10.1016/j.addbeh.2020.106603Copy  and decreased sexual satisfaction.Szymanski, D. M., & Stewart-Richardson, D. N. (2014). Psychological, Relational, and Sexual Correlates of Pornography Use on Young Adult Heterosexual Men in Romantic Relationships. The Journal of Men’s Studies, 22(1), 64–82. https://doi.org/10.3149/jms.2201.64Copy 

5. Porn can negatively affect mental health.

A number of peer-reviewed studies have found a link between pornography consumption and mental health outcomes like depression,Harper, C., & Hodgins, D. C. (2016). Examining Correlates of Problematic Internet Pornography Use Among University Students. Journal of behavioral addictions, 5(2), 179–191. https://doi.org/10.1556/2006.5.2016.022Copy  anxiety,Wordecha, M., Wilk, M., Kowalewska, E., Skorko, M., Łapiński, A., & Gola, M. (2018). 'Pornographic binges' as a key characteristic of males seeking treatment for compulsive sexual behaviors: Qualitative and quantitative 10-week-long diary assessment. Journal of behavioral addictions, 7(2), 433–444. https://doi.org/10.1556/2006.7.2018.33Copy  loneliness,Butler, M. H., Pereyra, S. A., Draper, T. W., Leonhardt, N. D., & Skinner, K. B. (2018). Pornography Use and Loneliness: A Bidirectional Recursive Model and Pilot Investigation. Journal of sex & marital therapy, 44(2), 127–137. https://doi.org/10.1080/0092623X.2017.1321601Copy  lower life satisfaction,Willoughby, B. J., Young-Petersen, B., & Leonhardt, N. D. (2018). Exploring trajectories of pornography use through adolescence and emerging adulthood.55(3), 297-309. doi:10.1080/00224499.2017.1368977Copy  and poorer self-esteem and overall mental health.Koletić G. (2017). Longitudinal associations between the use of sexually explicit material and adolescents' attitudes and behaviors: A narrative review of studies. Journal of adolescence, 57, 119–133. https://doi.org/10.1016/j.adolescence.2017.04.006Copy  These studies have found that these links are particularly strong when pornography is consumed to try to escape negative emotions, and also when pornography consumption becomes heavy and compulsive.Levin, M. E., Lillis, J., & Hayes, S. C. (2012). When is online pornography viewing problematic among college males? Examining the moderating role of experiential avoidance.19(3), 168-180. doi:10.1080/10720162.2012.657150Copy  According to another study performed in the United States, researchers found a significant bi-directional association between pornography and loneliness, prompting them to conclude:

“Results revealed that the association between loneliness and viewing pornography was positive and significant…those who viewed pornography were more likely to experience loneliness, and those who were experiencing loneliness were more likely to view pornography. These findings are consistent with research linking pornography use to negative affect.”Butler, M. H., Pereyra, S. A., Draper, T. W., Leonhardt, N. D., & Skinner, K. B. (2018) Pornography Use and Loneliness: A Bidirectional Recursive Model and Pilot Investigation, Journal of Sex & Marital Therapy, 44:2, 127-137, DOI: 10.1080/0092623X.2017.1321601Copy 

Although it’s fairly common for consumers to use porn as an escape mechanism or self-soothing technique, research indicates that those who consumed pornography to avoid uncomfortable emotions had some of the lowest reports of emotional and mental wellbeing.Brown, C. C., Durtschi, J. A., Carroll, J. S., & Willoughby, B. J. (2017). Understanding and predicting classes of college students who use pornography. Computers in Human Behavior, 66, 114-121.Copy  Another study examined the relationship between the frequency of online pornography consumption and mental health problems, particularly in the context of “experiential avoidance” or trying to avoid negative emotions. The study found that frequent pornography consumption was significantly related to greater depression, anxiety, and stress as well as poorer social functioning.Levin, M. E., Lillis, J., & Hayes, S. C. (2012) When is Online Pornography Viewing Problematic Among College Males? Examining the Moderating Role of Experiential Avoidance. Journal Sexual Addiction & Compulsivity: The Journal of Treatment & Prevention, 19 (3), 168-180.Copy  In other words, watching porn to help yourself feel better does not work, and it’s likely making things worse.

Why This Matters

While we do support education initiatives to raise awareness about the harmful effects of porn, we’re not out to ban porn. We believe that everyone deserves to be able to make an informed decision about porn. And because informed decisions require information, education—rather than censorship—is key.

Related: Here Are The States That Have Passed Resolutions Declaring Porn A Public Health Issue

To say that no evidence exists to support that porn is harmful is simply untrue and misleading. The state of the evidence documenting the harms of porn justifies increased funding and research to more fully investigate the effects of porn. We acknowledge that pornography’s effects on different people in different situations is a complex issue—and more research is needed.

But, efforts to shut down responsible evaluations of the harms of pornography and social conversations about these effects are concerning—especially when it comes to youth. With all that is at stake, why wouldn’t anyone want to investigate the harms of porn more fully?