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Problematic Pornography Use and Clinical and Psychosocial Correlates Among Low-Income U.S. Veterans: an Exploratory
Elina A Stefanovics1,2,3,4, Marc N Potenza5,6,7,8,9,10, Jack Tsai5,11,12
1Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States of America. elina.stefanovics@yale.edu.
Problematic pornography use (PPU) affects a significant portion of low-income veterans, correlating with mental health issues and homelessness. Early screening and intervention are crucial for this vulnerable population.
Area of Science:
- Psychiatry
- Veterans Health
- Behavioral Science
Background:
- Problematic pornography use (PPU) is a growing concern, particularly within veteran populations.
- PPU often co-occurs with psychiatric conditions and trauma histories in veterans.
- Understanding PPU prevalence and its correlates in low-income veterans is essential for targeted support.
Purpose of the Study:
- To determine the prevalence of PPU symptomatology and criteria in a sample of low-income U.S. military veterans.
- To identify sociodemographic, psychiatric, functional, and homelessness-related correlates of PPU in this population.
- To highlight the need for PPU screening and interventions among veterans.
Main Methods:
- Analysis of data from 292 low-income veterans in the National Veteran Homeless and Other Poverty Experiences (NV-HOPE) study.
- Utilized the Brief Pornography Screen (BPS) to assess PPU.
- Employed chi-square tests, ANOVAs, and logistic regression for statistical analysis.
Main Results:
- 25.5% of veterans reported PPU symptomatology (BPS score ≥ 1), with 11.8% meeting PPU criteria (BPS score ≥ 4).
- PPU was associated with younger age, male gender, Hispanic ethnicity, and VA service-connected disability.
- PPU correlated with psychiatric disorders, self-directed violence, homelessness, loneliness, impulsivity, low resilience, and less successful aging.
Conclusions:
- PPU is prevalent in low-income veterans and linked to numerous negative health and psychosocial factors.
- Findings underscore the necessity of PPU screening and tailored interventions for veterans.
- Further research is warranted to address PPU's impact on veteran well-being.
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