Factors associated with unprotected sex in people who consume sexually explicit media

Araújo, Telma Maria Evangelista de; Almeida, Priscilla Dantas; Chaves, André Felipe de Castro Pereira; Sousa, Ellen Cristina da Costa Leite; Nunes, Rômulo Veloso; Sousa, Álvaro Francisco Lopes de; Fronteira, Inês

doi:10.1590/0034-7167-2021-0061

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Revista Brasileira de Enfermagem

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (6) • 2021 • https://doi.org/10.1590/0034-7167-2021-0061 copy

Factors associated with unprotected sex in people who consume sexually explicit media

Factores relacionados al sexo sin uso de condones por personas consumidores de medios sexualmente explícitos

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the factors associated with sex without the use of condoms in consumers of sexually explicit media (SEM).

Methods:

Cross-sectional study, with a sample of 172 participants selected and collected through social media. To assess the predictors of unprotected sexual practices, the Poisson regression model was used. Values were expressed as a robust prevalence ratio (PR) with their respective confidence intervals.

Results:

There was a statistically significant association between, the use of condoms and the type of scenes that the participants prefer (p = 0.03), the preference for films with scenes involving unprotected sex or even those that do not care about protection (p = 0.02), the type of pornography watched influencing sexual relations (p = 0.017), and the number of scenes seen per week (p = 0.05).

Conclusions:

The lack of condom use was associated with the access to erotic scenes.

Descriptors:
Sex; Condoms; People; Video-Audio Media; Sexual Behavior

Variables	n	%	X̅	SD
Gender
Female	93	54.1
Male	79	45.9
Age group (years)			25.7	6.3
18 to 30	147	85.5
31 to 42	22	12.8
43 to 59	03	1.7
Income (Brazilian real)			2,394.4	4,285.0
Practices a religion
Yes	115	66.9
No	57	33.1
Educational level
Post-graduation	42	24.4
High school	47	27.3
College	83	48.3
Sexual orientation
Bisexual	19	11.0
Heterosexual	64	37.2
Homosexual	43	25.0
Pansexual	02	1.2
Had an STI diagnosis
Yes	16	9.3
No	62	90.7
Serological status
HIV positive	1	0.6
HIV negative	103	59.9
Do not know	68	39.5
Vaccinated for hepatitis B	140	81.4
No/Do not know	32	18.6
Habit of viewing pornography
Yes	88	51.2
No	84	48.8

Variables	Condom use				p
	Yes		No
	n	%	n	%
Gender					0.91
Female	12	32.4	16	31.4
Male	25	67.6	35	68.2
Age group (years)					0.02
18 to 29	35	94.6	40	78.4
30 to 40	2	5.4	11	21.6
Educational level					0.48
Post-graduation	6	16.2	12	23.5
College	21	56.8	30	58.8
High school	10	27.0	09	17.7
Sexual orientation					0.72
Heterosexual	16	43.2	24	47.1
Homo, bi and pansexual	21	56.8	27	52.9
Serological status					0.06
HIV positive	0	0.0	1	2.0
HIV negative	16	43.2	33	64.7
Do not know	21	56.8	17	33.3
Type of scenes you prefer					0.03
Anything, what matters is the performance	21	56.8	36	70.6
When actors do not use condoms	05	13.5	13	25.5
When actors use condoms	11	29.7	02	3.9
Access to pornography					0.89
Free porn sites	30	81.1	39	76.5
Paid porn sites and social media	05	13.5	10	19.6
Free and paid porn sites	01	2.7	01	2.0
Social media	01	2.7	01	2.0
Change in your understanding of sex after your access to sexual media					0.36
Yes	28	75.7	34	66.7
No	09	24.3	17	33.3
The type of pornography you watch influences your sexual relationships					0.02
Yes	17	45.9	36	70.6
No	20	54.1	15	29.4
Sexual media encourage sex without condoms					0.97
Yes	26	70.3	36	70.6
No	11	29.7	15	29.4
Agrees to scenes that involve risky behavior					0.05
Yes	03	8.1	12	23.5
No	34	91.9	39	76.5
Number of porn scenes you usually watch per week					0.05
Up to two scenes	20	54.1	17	33.3
More than two	17	45.9	34	66.7

Variables	Robust PR	CI 95%	p
Agreement with scenes with risky behaviors			0.01
Yes	1.49	1.07-2.08
No	1
Preference for scene			0.02
In which actors do not use condoms/anything	4.24	1.17-15.35
Where actors use condoms	1
Number of porn scenes per week			0.06
More than two	1.45	0.97-2.164
Up to two	1
Influence of the type of pornography in sexual relations			0.03
Yes	1.58	1.03-2.42
No	1

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[1] Corresponding author: Priscilla Dantas Almeida E-mail: priscilladant@hotmail.com