Archives of Sexual Behavior

, Volume 47, Issue 4, pp 1163–1172 | Cite as

Viewing Sexually Explicit Media and Its Association with Mental Health Among Gay and Bisexual Men Across the U.S.

  • Thomas H. F. Whitfield
  • H. Jonathon Rendina
  • Christian Grov
  • Jeffrey T. Parsons
Original Paper

Abstract

Gay and bisexual men (GBM) have reported viewing significantly more sexually explicit media (SEM) than heterosexual men. There is evidence that viewing greater amounts of SEM may result in more negative body attitude and negative affect. However, no studies have examined these variables within the same model. A national sample of 1071 HIV-negative GBM in the U.S. participating in a larger study completed an online survey, which included measures of SEM consumption, male body attitudes, anxiety, and depression. Participants reported viewing 3 h of SEM per week, on average, and 96% of participants reported recently viewing at least some SEM. Greater consumption of SEM was directly related to more negative body attitude and both depressive and anxious symptomology. There was also a significant indirect effect of SEM consumption on depressive and anxious symptomology through body attitude. These findings highlight the relevance of both SEM on body image and negative affect along with the role body image plays in anxiety and depression outcomes for GBM. They also indicate a potential role for body image in explaining the co-occurrence of SEM consumption and negative affect. For interventions looking to alleviate negative affect for GBM, it may be important to address SEM consumption and body image as they are shown to be associated with both anxious and depressive symptomology.

Keywords

Sexually explicit media Gay and bisexual men Body attitude Negative affect Sexual orientation 

Notes

Acknowledgements

One Thousand Strong was funded by a research grant from the National Institute on Drug Abuse (R01 DA036466: Jeffrey T. Parsons and Christian Grov, MPIs). H. Jonathon Rendina was funded by a career development award from the National Institute on Drug Abuse (K01-DA039030). Special thanks to the other members of the One Thousand Strong study team: Tyrel Starks, Ana Ventuneac, Mark Pawson, Andrew Cortopassi, Ruben Jimenez, Chloe Mirzayi, Brett Millar, and Raymond Moody, as well as other staff from the Center for HIV/AIDS Educational Studies and Training: Chris Hietikko, Brian Salfas, Doug Keeler, Chris Murphy, and Carlos Ponton. Thank you to the staff at Community Marketing, Inc.: David Paisley, Heather Torch, and Thomas Roth. Finally, a special thanks to Jeffrey Schulden at NIDA. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in this study.

References

  1. Allensworth-Davies, D., Welles, S. L., Hellerstedt, W. L., & Ross, M. W. (2008). Body image, body satisfaction, and unsafe anal intercourse among men who have sex with men. Journal of Sex Research, 45(1), 49–56.CrossRefPubMedGoogle Scholar
  2. Beren, S. E., Hayden, H. A., Wilfley, D. E., & Grilo, C. M. (1996). The influence of sexual orientation on body dissatisfaction in adult men and women. International Journal of Eating Disorders, 20(2), 135–141.CrossRefPubMedGoogle Scholar
  3. Blashill, A. J. (2010). Elements of male body image: Prediction of depression, eating pathology and social sensitivity among gay men. Body Image, 7(4), 310–316.CrossRefPubMedGoogle Scholar
  4. Blashill, A. J., Goshe, B. M., Robbins, G. K., Mayer, K. H., & Safren, S. A. (2014). Body image disturbance and health behaviors among sexual minority men living with HIV. Health Psychology, 33(7), 677.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Brand, M., Laier, C., Pawlikowski, M., Schächtle, U., Schöler, T., & Altstötter-Gleich, C. (2011). Watching pornographic pictures on the Internet: Role of sexual arousal ratings and psychological–psychiatric symptoms for using Internet sex sites excessively. Cyberpsychology, Behavior, and Social Networking, 14(6), 371–377.CrossRefGoogle Scholar
  6. Cafri, G., Yamamiya, Y., Brannick, M., & Thompson, J. K. (2005). The influence of sociocultural factors on body image: A meta-analysis. Clinical Psychology: Science and Practice, 12(4), 421–433.Google Scholar
  7. Carper, T. L. M., Negy, C., & Tantleff-Dunn, S. (2010). Relations among media influence, body image, eating concerns, and sexual orientation in men: A preliminary investigation. Body Image, 7(4), 301–309.CrossRefPubMedGoogle Scholar
  8. Carroll, J. S., Padilla-Walker, L. M., Nelson, L. J., Olson, C. D., Barry, C. M., & Madsen, S. D. (2008). Generation XXX pornography acceptance and use among emerging adults. Journal of Adolescent Research, 23(1), 6–30.CrossRefGoogle Scholar
  9. CDC. (2014). LGBT youth. Retrieved August 2, 2016, from http://www.cdc.gov/lgbthealth/youth.htm.
  10. CDC. (2016). Mental health. Retrieved August 2, 2016, from http://www.cdc.gov/msmhealth/mental-health.htm.
  11. Cochran, S. D., & Mays, V. M. (2008). Prevalence of primary mental health morbidity and suicide symptoms among gay and bisexual men. In R. J. Wolitski, R. Stall, & R. O. Valdiserri (Eds.), Unequal opportunity: Health disparities affecting gay and bisexual men in the United States (pp. 97–120). Oxford, UK: Oxford University Press.Google Scholar
  12. Cook, I. (2005). Western heterosexual masculinity, anxiety, and web porn. Journal of Men’s Studies, 14(1), 47–63.CrossRefGoogle Scholar
  13. De Jesus, A. Y., Ricciardelli, L. A., Frisén, A., Smolak, L., Yager, Z., Fuller-Tyszkiewicz, M., … Gattario, K. H. (2015). Media internalization and conformity to traditional masculine norms in relation to body image concerns among men. Eating Behaviors, 18, 137–142.CrossRefPubMedGoogle Scholar
  14. Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychological Medicine, 13(03), 595–605.CrossRefPubMedGoogle Scholar
  15. Duggan, S. J., & McCreary, D. R. (2004). Body image, eating disorders, and the drive for muscularity in gay and heterosexual men: The influence of media images. Journal of Homosexuality, 47(3–4), 45–58.CrossRefPubMedGoogle Scholar
  16. Egan, T. (2000). Technology sent Wall Street into market for pornography. New York Times. Retrieved July 21, 2017 from http://www.nytimes.com/2000/10/23/us/erotica-special-report-technology-sent-wall-street-into-market-for-pornography.html?mcubz=2.
  17. Fiske, L., Fallon, E. A., Blissmer, B., & Redding, C. A. (2014). Prevalence of body dissatisfaction among United States adults: Review and recommendations for future research. Eating Behaviors, 15(3), 357–365.CrossRefPubMedGoogle Scholar
  18. Frederick, D. A., & Essayli, J. H. (2016). Male body image: The roles of sexual orientation and body mass index across five national US Studies. Psychology of Men & Masculinity, 17(4), 336.CrossRefGoogle Scholar
  19. French, S. A., Story, M., Remafedi, G., Resnick, M. D., & Blum, R. W. (1996). Sexual orientation and prevalence of body dissatisfaction and eating disordered behaviors: A population-based study of adolescents. International Journal of Eating Disorders, 19(2), 119–126.CrossRefPubMedGoogle Scholar
  20. Grov, C., Cain, D., Rendina, H. J., Ventuneac, A., & Parsons, J. T. (2016a). Characteristics associated with urethral and rectal gonorrhea and chlamydia diagnoses in a US National sample of gay and bisexual men: Results from the one thousand strong panel. Sexually Transmitted Diseases, 43(3), 165–171.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Grov, C., Cain, D., Whitfield, T. H., Rendina, H. J., Pawson, M., Ventuneac, A., & Parsons, J. T. (2016b). Recruiting a US National sample of HIV-negative gay and bisexual men to complete at-home self-administered HIV/STI testing and surveys: Challenges and opportunities. Sexuality Research and Social Policy, 13(1), 1–21.CrossRefPubMedPubMedCentralGoogle Scholar
  22. Gwinn, A. M., Lambert, N. M., Fincham, F. D., & Maner, J. K. (2013). Pornography, relationship alternatives, and intimate extradyadic behavior. Social Psychological and Personality Science, 4, 699–704.CrossRefGoogle Scholar
  23. Hald, G. M., & Malamuth, N. M. (2008). Self-perceived effects of pornography consumption. Archives of Sexual Behavior, 37(4), 614–625.CrossRefPubMedGoogle Scholar
  24. Hald, G. M., Malamuth, N. M., & Yuen, C. (2010). Pornography and attitudes supporting violence against women: Revisiting the relationship in nonexperimental studies. Aggressive Behavior, 36(1), 14–20.CrossRefPubMedGoogle Scholar
  25. Hald, G. M., Smolenski, D., & Rosser, B. (2013). Perceived effects of sexually explicit media among men who have sex with men and psychometric properties of the Pornography Consumption Effects Scale (PCES). Journal of Sexual Medicine, 10(3), 757–767.CrossRefPubMedGoogle Scholar
  26. Hooper, S., Rosser, B. S., Horvath, K. J., Oakes, J. M., & Danilenko, G. (2008). An online needs assessment of a virtual community: What men who use the internet to seek sex with men want in Internet-based HIV prevention. AIDS and Behavior, 12(6), 867–875.CrossRefPubMedPubMedCentralGoogle Scholar
  27. Jones, D. C., & Crawford, J. K. (2005). Adolescent boys and body image: Weight and muscularity concerns as dual pathways to body dissatisfaction. Journal of Youth and Adolescence, 34(6), 629–636.CrossRefGoogle Scholar
  28. Kim, J., LaRose, R., & Peng, W. (2009). Loneliness as the cause and the effect of problematic Internet use: The relationship between Internet use and psychological well-being. CyberPsychology & Behavior, 12(4), 451–455.CrossRefGoogle Scholar
  29. Kimmel, S. B., & Mahalik, J. R. (2005). Body image concerns of gay men: The roles of minority stress and conformity to masculine norms. Journal of Consulting and Clinical Psychology, 73(6), 1185–1190.CrossRefPubMedGoogle Scholar
  30. Kraft, C., Nordstrom, D. L., Bockting, W. O., & Rosser, B. S. (2006). Obesity, body image, and unsafe sex in men who have sex with men. Archives of Sexual Behavior, 35(5), 587–595.CrossRefPubMedGoogle Scholar
  31. Kvalem, I. L., Træen, B., & Iantaffi, A. (2016). Internet pornography use, body ideals, and sexual self-esteem in Norwegian gay and bisexual men. Journal of Homosexuality, 63(4), 522–540.CrossRefPubMedGoogle Scholar
  32. Levesque, M. J., & Vichesky, D. R. (2006). Raising the bar on the body beautiful: An analysis of the body image concerns of homosexual men. Body Image, 3(1), 45–55.CrossRefPubMedGoogle Scholar
  33. 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. Sexual Addiction & Compulsivity, 19(3), 168–180.Google Scholar
  34. Martin, J. I. (2006). Transcendence among gay men: Implications for HIV prevention. Sexualities, 9(2), 214–235.CrossRefGoogle Scholar
  35. Maxwell, S. E., & Cole, D. A. (2007). Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods, 12(1), 23–44.CrossRefPubMedGoogle Scholar
  36. Maxwell, S. E., Cole, D. A., & Mitchell, M. A. (2011). Bias in cross-sectional analyses of longitudinal mediation: Partial and complete mediation under an autoregressive model. Multivariate Behavioral Research, 46(5), 816–841.CrossRefPubMedGoogle Scholar
  37. Mishkind, M. E., Rodin, J., Silberstein, L. R., & Striegel-Moore, R. H. (2001). The embodiment of masculinity. In J. R. Johnston (Ed.), The American body in context: An anthology (pp. 103–121). Wilmington, DE: Rowan & Littlefield.Google Scholar
  38. Morgan, E. M. (2011). Associations between young adults’ use of sexually explicit materials and their sexual preferences, behaviors, and satisfaction. Journal of Sex Research, 48(6), 520–530.CrossRefPubMedGoogle Scholar
  39. Morrison, T. G., Morrison, M. A., & Bradley, B. A. (2007). Correlates of gay men’s self-reported exposure to pornography. International Journal of Sexual Health, 19(2), 33–43.CrossRefGoogle Scholar
  40. Nelson, K. M., Simoni, J. M., Morrison, D. M., George, W. H., Leickly, E., Lengua, L. J., & Hawes, S. E. (2014). Sexually explicit online media and sexual risk among men who have sex with men in the United States. Archives of Sexual Behavior, 43(4), 833–843.CrossRefPubMedPubMedCentralGoogle Scholar
  41. O’Cleirigh, C., Traeger, L., Mayer, K. H., Magidson, J. F., & Safren, S. A. (2013). Anxiety specific pathways to HIV sexual transmission risk behavior among young gay and bisexual men. Journal of Gay & Lesbian Mental Health, 17(3), 314–326.CrossRefGoogle Scholar
  42. Olivardia, R., Pope, H. G., Jr., Borowiecki, J. J., III, & Cohane, G. H. (2004). Biceps and body image: The relationship between muscularity and self-esteem, depression, and eating disorder symptoms. Psychology of Men & Masculinity, 5(2), 112–120.CrossRefGoogle Scholar
  43. Parsons, J. T., Grov, C., & Golub, S. A. (2012). Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: Further evidence of a syndemic. American Journal of Public Health, 102(1), 156–162.CrossRefPubMedPubMedCentralGoogle Scholar
  44. Parsons, J. T., Rendina, H. J., Whitfield, T. H., & Grov, C. (2016). Familiarity with and preferences for oral and long-acting injectable HIV pre-exposure prophylaxis (PrEP) in a national sample of gay and bisexual men in the US. AIDS and Behavior, 20(7), 1390–1399.CrossRefPubMedPubMedCentralGoogle Scholar
  45. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRefGoogle Scholar
  46. Raudenbush, B., & Zellner, D. A. (1997). Nobody’s satisfied: Effects of abnormal eating behaviors and actual and perceived weight status on body image satisfaction in males and females. Journal of Social and Clinical Psychology, 16(1), 95–110.CrossRefGoogle Scholar
  47. Ricciardelli, L. A., & McCabe, M. P. (2001). Children’s body image concerns and eating disturbance: A review of the literature. Clinical Psychology Review, 21(3), 325–344.CrossRefPubMedGoogle Scholar
  48. Ricciardelli, L. A., McCabe, M. P., & Banfield, S. (2000). Body image and body change methods in adolescent boys: Role of parents, friends and the media. Journal of Psychosomatic Research, 49(3), 189–197.CrossRefPubMedGoogle Scholar
  49. Ropelato, J. (2006). Internet pornography statistics. Retrieved June 23, 2017, from http://www.ministryoftruth.me.uk/wp-content/uploads/2014/03/IFR2013.pdf.
  50. Rosser, B. S., Grey, J. A., Wilkerson, J. M., Iantaffi, A., Brady, S. S., Smolenski, D. J., & Horvath, K. J. (2012). A commentary on the role of sexually explicit media (SEM) in the transmission and prevention of HIV among men who have sex with men (MSM). AIDS and Behavior, 16(6), 1373–1381.CrossRefPubMedPubMedCentralGoogle Scholar
  51. Rosser, B. S., Smolenski, D. J., Erickson, D., Iantaffi, A., Brady, S. S., Grey, J. A., … Wilkerson, J. M. (2013). The effects of gay sexually explicit media on the HIV risk behavior of men who have sex with men. AIDS and Behavior, 17(4), 1488–1498.CrossRefPubMedGoogle Scholar
  52. Ryan, T. A., Morrison, T. G., Roddy, S., & McCutcheon, J. (2011). Psychometric properties of the revised male body attitudes scale among Irish men. Body Image, 8(1), 64–69.CrossRefPubMedGoogle Scholar
  53. Schneider, J. P. (2000). A qualitative study of cybersex participants: Gender differences, recovery issues, and implications for therapists. Sexual Addiction & Compulsivity, 7(4), 249–278.CrossRefGoogle Scholar
  54. Siever, M. D. (1994). Sexual orientation and gender as factors in socioculturally acquired vulnerability to body dissatisfaction and eating disorders. Journal of Consulting and Clinical Psychology, 62(2), 252.CrossRefPubMedGoogle Scholar
  55. Solomon, S. R., & Sawilowsky, S. S. (2009). Impact of rank-based normalizing transformations on the accuracy of test scores. Journal of Modern Applied Statistical Methods, 8(2), 448–462.CrossRefGoogle Scholar
  56. Stein, D., Silvera, R., Hagerty, R., & Marmor, M. (2012). Viewing pornography depicting unprotected anal intercourse: Are there implications for HIV prevention among men who have sex with men? Archives of Sexual Behavior, 41(2), 411–419.CrossRefPubMedGoogle Scholar
  57. Thompson, J. K., Heinberg, L. J., Altabe, M., & Tantleff-Dunn, S. (1999). Exacting beauty: Theory, assessment, and treatment of body image disturbance. Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  58. Tiggemann, M., Martins, Y., & Kirkbride, A. (2007). Oh to be lean and muscular: Body image ideals in gay and heterosexual men. Psychology of Men & Masculinity, 8(1), 15–24.CrossRefGoogle Scholar
  59. Træen, B., Nilsen, T. S., & Stigum, H. (2006). Use of pornography in traditional media and on the Internet in Norway. Journal of Sex Research, 43(3), 245–254.CrossRefPubMedGoogle Scholar
  60. Wilson, P. A., Stadler, G., Boone, M. R., & Bolger, N. (2014). Fluctuations in depression and well-being are associated with sexual risk episodes among HIV-positive men. Health Psychology, 33(7), 681–685.CrossRefPubMedPubMedCentralGoogle Scholar
  61. Ybarra, M. L., & Mitchell, K. J. (2005). Exposure to Internet pornography among children and adolescents: A national survey. CyberPsychology & Behavior, 8(5), 473–486.CrossRefGoogle Scholar
  62. Yoder, V. C., Virden, T. B., III, & Amin, K. (2005). Internet pornography and loneliness: An association? Sexual Addiction & Compulsivity, 12(1), 19–44.CrossRefGoogle Scholar
  63. Zillmann, D., & Bryant, J. (1988). Pornography’s impact on sexual satisfaction. Journal of Applied Social Psychology, 18(5), 438–453.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Thomas H. F. Whitfield
    • 1
    • 2
  • H. Jonathon Rendina
    • 1
    • 3
  • Christian Grov
    • 4
  • Jeffrey T. Parsons
    • 1
    • 2
    • 3
  1. 1.Center for HIV/AIDS Educational Studies and TrainingHunter College of the City University of New York (CUNY)New YorkUSA
  2. 2.Health Psychology and Clinical Science Doctoral ProgramThe Graduate Center of the City University of New York (CUNY)New YorkUSA
  3. 3.Department of PsychologyHunter College of the City University of New York (CUNY)New YorkUSA
  4. 4.CUNY Graduate School of Public Health and Health PolicyNew YorkUSA

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