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Substance use patterns among individuals with problematic pornography use: A scoping review
Cerina Dubois1,2, Elizabeth C Danielson3, Tim Schwirtlich4
1Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America.
This review found limited research on problematic pornography use (PPU) and substance use, with alcohol, cocaine, and smoking showing correlations. More consistent studies are needed to understand this relationship.
Area of Science:
- Psychology
- Public Health
- Addiction Research
Background:
- Pornography consumption is prevalent globally.
- Problematic pornography use (PPU) may co-occur with substance use, increasing risks for addiction and mental health issues.
- Limited research exists on the intersection of PPU and substance use.
Purpose of the Study:
- To review substance use patterns and associations in individuals with PPU.
- To summarize various operational definitions and measures of PPU.
- To identify gaps in the current empirical research.
Main Methods:
- Scoping review of four major databases (PubMed, Embase, CINAHL, PsycINFO) up to December 4, 2024.
- Included studies investigated associations between substance use and PPU or chronic pornography use.
- Analyzed 8 eligible cross-sectional studies out of 949 retrieved references.
Main Results:
- Alcohol, cocaine use, and smoking showed positive correlations with PPU.
- Findings were not statistically significant for other substances or substance use disorders.
- Substance use classifications and PPU operationalizations varied significantly across studies.
Conclusions:
- A substantial knowledge gap exists regarding the relationship between PPU and substance use.
- There is a lack of standardized measures for assessing PPU.
- Longitudinal studies with consistent PPU definitions are needed to clarify associations with substance use.
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