There is evidence for associations between pornography exposure and sexual behaviors of adults and adolescents. Here, we review associations between pornography exposure and body image/sexual body image. Using a systematic search, we found 26 studies meeting inclusion criteria. Compelling evidence shows that frequency of pornography exposure is associated with negatively perceived body image and sexual body image; both heterosexual men and women appear to be affected. Due to scarcity of studies in adolescents and non-heterosexual samples, findings cannot be generalized to adolescents or individuals who identify as sexual minorities. Implications and future directions are discussed.
AlbrightJM (2008) Sex in America online: An exploration of sex, marital status, and sexual identity in internet sex seeking and its impacts. Journal of Sex Research45(2): 175–186.
2.
CashTF (2012) Encyclopedia of Body Image and Human Appearance. Academic Press.
3.
CollinsRLStrasburgerVCBrownJD, et al. (2017) Sexual media and childhood well-being and health. Pediatrics140(Suppl 2): S162–S166.
4.
CranneyS (2015) Internet pornography use and sexual body image in a Dutch sample. International Journal of Sexual Health27(3): 316–323.
5.
DavisACWrightCJCTemple-SmithMJ, et al. (2019) Assessing the usability of SCOPE: A health education website developed to meet young people’s information needs about web-based pornography and sharing of sexually explicit imagery. Journal of Medical Internet Research3(3): e12824.
6.
DawsonKNic GabhainnSMacNeelaP (2020) Toward a model of porn literacy: Core concepts, rationales, and approaches. Journal of Sex Research57(1): 1–15.
7.
DoganOYassaM (2019) Major motivators and sociodemographic features of women undergoing labiaplasty. Aesthetic Surgery Journal39(12): NP517–NP527.
8.
DohntHTiggemannM (2006) The contribution of peer and media influences to the development of body satisfaction and self-esteem in young girls: A prospective study. Developmental Psychology42(5): 929–936.
9.
DoornwaardSMBickhamDSRichM, et al. (2014) Sex-related online behaviors and adolescents’ body and sexual self-perceptions. Pediatrics134(6): 1103–1110.
10.
DuffyADawsonDLdas NairR (2016) Pornography addiction in adults: A systematic review of definitions and reported impact. Journal of Sexual Medicine13(5): 760–777.
11.
DugganSJMcCrearyDR (2004) Body image, eating disorders, and the drive for muscularity in gay and heterosexual men: The influence of media images. Journal of Homosexuality47(3–4): 45–58.
12.
DwulitADRzymskiP (2019) The potential associations of pornography use with sexual dysfunctions: An integrative literature review of observational studies. Journal of Clinical Medicine8(7): 914.
13.
FahsB (2014) Genital panics: Constructing the vagina in women’s qualitative narratives about pubic hair, menstrual sex, and vaginal self-image. Body Image11(3): 210–218.
14.
FiskeLFallonEABlissmerB, et al. (2014) Prevalence of body dissatisfaction among United States adults: Review and recommendations for future research. Eating Behaviors15(3): 357–365.
GoldsmithKDunkleyCRDangSS, et al. (2017) Pornography consumption and its association with sexual concerns and expectations among young men and women. Canadian Journal of Human Sexuality26(2): 151–162.
17.
GoodwinBCBrowneMRockloffM (2015) Measuring preference for supernormal over natural rewards: A two-dimensional anticipatory pleasure scale. Evolutionary Psychology. Epub ahead of print 29 October. DOI: 10.1177/1474704915613914.
18.
GriffithsSMitchisonDMurraySB, et al. (2018) Pornography use in sexual minority males: Associations with body dissatisfaction, eating disorder symptoms, thoughts about using anabolic steroids and quality of life. Australian and New Zealand Journal of Psychiatry52(4): 339–348.
19.
GrubbsJBKrausSWPerrySL (2019) Self-reported addiction to pornography in a nationally representative sample: The roles of use habits, religiousness, and moral incongruence. Journal of Behavioral Addictions8(1): 88–93.
20.
HargreavesDATiggemannM (2004) Idealized media images and adolescent body image: ‘Comparing’ boys and girls. Body Image1(4): 351–361.
21.
HarknessELMullanBMBlaszczynskiA (2015) Association between pornography use and sexual risk behaviors in adult consumers: A systematic review. Cyberpsychology, Behavior, and Social Networking18(2): 59–71.
22.
HerbenickDFuT-CWrightP, et al. (2020) Diverse sexual behaviors and pornography use: Findings from a nationally representative probability survey of Americans aged 14 to 60 years. The Journal of Sexual Medicine17(4): 623–633.
23.
JonesBNurkaC (2015) Labiaplasty and pornography: A preliminary investigation. Porn Studies2(1): 62–75.
24.
KohutTŠtulhoferA (2018) Is pornography use a risk for adolescent wellbeing? An examination of temporal relationships in two independent panel samples. PLoS One13(8): e0202048.
25.
KomarnickyTSkakoon-SparlingSMilhausenRR, et al. (2019) Genital self-image: Associations with other domains of body image and sexual response. Journal of Sex and Marital Therapy45(6): 524–537.
26.
KvalemILTræenBIantaffiA (2016) Internet pornography use, body ideals, and sexual self-esteem in Norwegian Gay and bisexual men. Journal of Homosexuality63(4): 522–540.
27.
LaanEMartoredjoDKHesselinkS, et al. (2017) Young women’s genital self-image and effects of exposure to pictures of natural vulvas. Journal of Psychosomatic Obstetrics and Gynecology38(4): 249–255.
28.
Laemmle-RuffILRaggattMWrightCJC, et al. (2019) Personal and reported partner pornography viewing by Australian women, and association with mental health and body image. Sexual Health16(1): 75–79.
29.
LeicklyENelsonKSimoniJ (2017) Sexually explicit online media, body satisfaction, and partner expectations among men who have sex with men: A qualitative study. Sexuality Research and Social Policy14(3): 270–274.
30.
LimMSCCarrotteERHellardME (2016) The impact of pornography on gender-based violence, sexual health and well-being: What do we know?Journal of Epidemiology and Community Health70(1): 3–5.
31.
MatteboMLarssonMTydénT, et al. (2012) Hercules and Barbie? Reflections on the influence of pornography and its spread in the media and society in groups of adolescents in Sweden. European Journal of Contraception and Reproductive Health Care17(1): 40–49.
32.
McKeeA (2007) The relationship between attitudes towards women, consumption of pornography, and other demographic variables in a survey of 1,023 consumers of pornography. International Journal of Sexual Health19(1): 31–45.
33.
MoherDLiberatiATetzlaffJ, et al. (2009) Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Journal of Clinical Epidemiology62(10): 1006–1012.
34.
MorrisonTGMorrisonMABeckyA (2007) Correlates of gay men’s self-reported exposure to pornography correlates of gay men’s self-reported exposure to pornography. International Journal of Sexual Health19(2): 33–43.
35.
O’BrienJELiWBurtonDL (2015) Eating disordered behaviors and body disapproval in adolescent males adjudicated for sexual and nonsexual crimes. Journal of Child Sexual Abuse24(8): 922–942.
36.
PeterJValkenburgPM (2014) Does exposure to sexually explicit internet material increase body dissatisfaction? A longitudinal study. Computers in Human Behavior36: 297–307.
37.
PeterJValkenburgPM (2016) Adolescents and pornography: A review of 20 years of research. Journal of Sex Research53(4−5): 509–531.
38.
ProkopP (2016) Male preference for female pubic hair: An evolutionary view. Anthropologischer Anzeiger; Bericht uber die biologisch-anthropologische Literatur73(2): 169–175.
39.
RisselCRichtersJde VisserRO, et al. (2017) A profile of pornography users in Australia: Findings from the second Australian study of health and relationships. Journal of Sex Research54(2): 227–240.
40.
RogersV (2017) We Need to Talk About Pornography. London, UK: Jessica Kingsley Publishers.
41.
RothmanEFDaleyNAlderJ (2020) A pornography literacy program for adolescents. American Journal of Public Health110(2): 154–156.
42.
SaffariMPakpourAHBurriA (2016) Cross-cultural adaptation of the male genital self-image scale in Iranian men. Sexual Medicine4(1): e34–e42.
43.
SchickVRRimaBNCalabreseSK (2011) Evulvalution: The portrayal of women’s external genitalia and physique across time and the current Barbie doll ideals. Journal of Sex Research48(1): 74–81.
44.
SevicSCiprićABuškoV, et al. (2020) The relationship between the use of social networking sites and sexually explicit material, the internalization of appearance ideals and body self-surveillance: Results from a longitudinal study of male adolescents. Journal of Youth and Adolescence49(2): 383–398.
45.
SharpGOatesJ (2019) Sociocultural influences on men’s penis size perceptions and decisions to undergo penile augmentation: A qualitative study. Aesthetic Surgery Journal39(11): 1253–1259.
46.
SharpGTiggemannMMattiskeJ (2015) Predictors of consideration of labiaplasty: An extension of the tripartite influence model of beauty ideals. Psychology of Women Quarterly. Epub ahead of print 11 September. DOI: 10.1177/0361684314549949.
47.
SharpGTiggemannMMattiskeJ (2016) Factors that influence the decision to undergo labiaplasty: Media, relationships, and psychological well-being. Aesthetic Surgery Journal36(4): 469–478.
48.
SharpeHPatalayPChooTH, et al. (2018) Bidirectional associations between body dissatisfaction and depressive symptoms from adolescence through early adulthood. Development and Psychopathology30(4): 1447−1458.
49.
SmithNKButlerSWagnerB, et al. (2017) Genital self-image and considerations of elective genital surgery. Journal of Sex and Marital Therapy43(2): 169–184.
50.
TodDEdwardsC (2015) A meta-analysis of the drive for muscularity’s relationships with exercise behaviour, disordered eating, supplement consumption, and exercise dependence. International Review of Sport and Exercise Psychology8(1): 185–203.
51.
TremblayLLovsinTZecevicC, et al. (2011) Perceptions of self in 3-5-year-old children: A preliminary investigation into the early emergence of body dissatisfaction. Body Image8(3): 287–292.
52.
TruongCAmayaSYazdanyT (2017) Women’s perception of their vulvar appearance in a predominantly low-income, minority population. Female Pelvic Medicine and Reconstructive Surgery23(6): 417–419.
53.
TylkaTL (2015) No harm in looking, right? Men’s pornography consumption, body image, and well-being. Psychology of Men and Masculinity16(1): 97–107.
54.
TylkaTLCalogeroRM (2019) Perceptions of male partner pressure to be thin and pornography use: Associations with eating disorder symptomatology in a community sample of adult women. International Journal of Eating Disorders52(2): 189–194.
55.
TylkaTLKroon Van DiestAM (2014) You looking at her ‘hot’ body may not be ‘cool’ for me: Integrating male partners’ pornography use into objectification theory for women. Psychology of Women Quarterly39(1): 67–84.
56.
VahediZSibalisASutherlandJE (2018) Are media literacy interventions effective at changing attitudes and intentions towards risky health behaviors in adolescents? A meta-analytic review. Journal of Adolescence67: 140–152.
57.
VealeDEshkevariEEllisonN, et al. (2013) Validation of genital appearance satisfaction scale and the cosmetic procedure screening scale for women seeking abiaplasty. Journal of Psychosomatic Obstetrics and Gynecology34(1): 46–52.
58.
VeldhuisJKonijnEASeidellJC (2014) Negotiated media effects. Peer feedback modifies effects of media’s thin-body ideal on adolescent girls. Appetite73: 172–182.
59.
VogelsEA (2019) Loving oneself: The associations among sexually explicit media, body image, and perceived realism. Journal of Sex Research56(6): 778–790.
60.
WalkerDCWhiteEKSrinivasanVJ (2018) A meta-analysis of the relationships between body checking, body image avoidance, body image dissatisfaction, mood, and disordered eating. International Journal of Eating Disorders51(8): 745–770.
61.
WhitfieldTHFRendinaHJGrovC, et al. (2018) Viewing sexually explicit media and its association with mental health among gay and bisexual men across the U.S. Archives of Sexual Behavior47(4): 1163–1172.
62.
WilcoxSLRedmondSDavisTL (2015) Genital image, sexual anxiety, and erectile dysfunction among young male military personnel. Journal of Sexual Medicine12(6): 1389–1397.
63.
WoertmanLVan Den BrinkF (2012) Body image and female sexual functioning and behavior: A review. Journal of Sex Research49(2−3): 184–211.
64.
WrightPJBaeSFunkM (2013) United States women and pornography through four decades: Exposure, attitudes, behaviors, individual differences. Archives of Sexual Behavior42(7): 1131–1144.
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