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Abstract：
BACKGROUND: Limited gender-based research has compared sexual health among pornography users (PUs) and non-users, including non-problematic pornography users (non-PPUs) and problematic pornography users (PPUs), particularly in non-Western cultures.
METHODS: A 2022 cross-sectional study involving 450 Iranian university students categorized participants as PUs or non-users based on 12 months of use. PUs were further classified as non-PPUs or PPUs using the \'Problematic Pornography Use Scale\' cutoff point, with comparisons of demographic and sexual variables made between these groups.
RESULTS: Pornography use was reported among 39.6% of students, including 51.7% of men and 33.6% of women. In general, 9.5% of participants were PPUs, including 17.4% of men and 5.6% of women. PUs were mainly men, had fewer children, shorter marriages, lower religiosity, and lower levels of education. Compared with non-users, PUs reported earlier sexual relationships, lower satisfaction with sex frequency and communication, and greater rates of extramarital relationships, masturbation, sexual desire, and sexual distress. PPUs reported more sexual desire, pornography use, masturbation, and extramarital affairs than non-PPUs. Similar patterns in demographics, sexual history, and health were observed in pornography use across genders. The regression indicated being male (OR: 2.42, 95% CI: 1.44-4.06), having lower education (OR: 0.89, 95% CI: 0.81-0.97), fewer children (OR: 0.64, 95% CI: 0.48-0.86), higher masturbation (OR: 1.31, 95% CI: 1.14-1.49), more extramarital relationship (OR: 1.69, 95% CI: 1.07-2.67), less religiosity (OR: 0.87, 95% CI: 0.82-0.93), more sexual excitement (OR: 0.79, 95% CI:0.62-1), and more sexual distress (OR: 1.20, 95% CI: 1.02-1.32) were associated with pornography use. Two-way ANOVA found no significant effects of gender or pornography use on sexual satisfaction. Women had worse sexual function regardless of usage. Pornography users, regardless of gender, experienced higher sexual distress.
METHODS: A 2022 cross-sectional study involving 450 Iranian university students categorized participants as PUs or non-users based on 12 months of use. PUs were further classified as non-PPUs or PPUs using the \'Problematic Pornography Use Scale\' cutoff point, with comparisons of demographic and sexual variables made between these groups.
RESULTS: Pornography use was reported among 39.6% of students, including 51.7% of men and 33.6% of women. In general, 9.5% of participants were PPUs, including 17.4% of men and 5.6% of women. PUs were mainly men, had fewer children, shorter marriages, lower religiosity, and lower levels of education. Compared with non-users, PUs reported earlier sexual relationships, lower satisfaction with sex frequency and communication, and greater rates of extramarital relationships, masturbation, sexual desire, and sexual distress. PPUs reported more sexual desire, pornography use, masturbation, and extramarital affairs than non-PPUs. Similar patterns in demographics, sexual history, and health were observed in pornography use across genders. The regression indicated being male (OR: 2.42, 95% CI: 1.44-4.06), having lower education (OR: 0.89, 95% CI: 0.81-0.97), fewer children (OR: 0.64, 95% CI: 0.48-0.86), higher masturbation (OR: 1.31, 95% CI: 1.14-1.49), more extramarital relationship (OR: 1.69, 95% CI: 1.07-2.67), less religiosity (OR: 0.87, 95% CI: 0.82-0.93), more sexual excitement (OR: 0.79, 95% CI:0.62-1), and more sexual distress (OR: 1.20, 95% CI: 1.02-1.32) were associated with pornography use. Two-way ANOVA found no significant effects of gender or pornography use on sexual satisfaction. Women had worse sexual function regardless of usage. Pornography users, regardless of gender, experienced higher sexual distress.
摘要：
背景：有限的基于性别的研究比较了色情使用者（PU）和非使用者的性健康，包括无问题色情用户（非PPU）和有问题色情用户（PPU），特别是在非西方文化中。
方法：2022年一项涉及450名伊朗大学生的横断面研究根据使用12个月将参与者分为PU或非用户。使用“有问题的色情使用量表”截止点将PU进一步分类为非PPU或PPU，比较了这些群体之间的人口统计学和性变量。
结果：据报道，39.6%的学生使用色情制品，包括51.7%的男性和33.6%的女性。总的来说,9.5%的参与者是PPU，包括17.4%的男性和5.6%的女性。主要是男性,孩子少了,较短的婚姻，较低的宗教信仰，和较低的教育水平。与非用户相比，PU报告了较早的性关系，对性生活频率和沟通的满意度较低，和更高的婚外情率，手淫,性欲,和性困扰。PPU报告了更多的性欲，色情使用,手淫,和婚外情比非PPU。人口统计学中的类似模式，性史,在不同性别的色情使用中观察到健康。回归显示为男性（OR：2.42，95％CI：1.44-4.06），受教育程度较低(OR：0.89，95%CI：0.81-0.97)，儿童较少（OR：0.64，95%CI：0.48-0.86），较高的手淫（OR：1.31，95%CI：1.14-1.49），更多的婚外情（OR：1.69，95%CI：1.07-2.67），宗教信仰较少(OR：0.87，95%CI：0.82-0.93)，更多的性兴奋（OR：0.79，95%CI：0.62-1），和更多的性困扰（OR：1.20，95％CI：1.02-1.32）与色情使用相关。双向方差分析发现，性别或色情使用对性满意度没有显着影响。妇女的性功能更差，无论使用。色情用户，不分性别,经历了更高的性困扰。
方法：2022年一项涉及450名伊朗大学生的横断面研究根据使用12个月将参与者分为PU或非用户。使用“有问题的色情使用量表”截止点将PU进一步分类为非PPU或PPU，比较了这些群体之间的人口统计学和性变量。
结果：据报道，39.6%的学生使用色情制品，包括51.7%的男性和33.6%的女性。总的来说,9.5%的参与者是PPU，包括17.4%的男性和5.6%的女性。主要是男性,孩子少了,较短的婚姻，较低的宗教信仰，和较低的教育水平。与非用户相比，PU报告了较早的性关系，对性生活频率和沟通的满意度较低，和更高的婚外情率，手淫,性欲,和性困扰。PPU报告了更多的性欲，色情使用,手淫,和婚外情比非PPU。人口统计学中的类似模式，性史,在不同性别的色情使用中观察到健康。回归显示为男性（OR：2.42，95％CI：1.44-4.06），受教育程度较低(OR：0.89，95%CI：0.81-0.97)，儿童较少（OR：0.64，95%CI：0.48-0.86），较高的手淫（OR：1.31，95%CI：1.14-1.49），更多的婚外情（OR：1.69，95%CI：1.07-2.67），宗教信仰较少(OR：0.87，95%CI：0.82-0.93)，更多的性兴奋（OR：0.79，95%CI：0.62-1），和更多的性困扰（OR：1.20，95％CI：1.02-1.32）与色情使用相关。双向方差分析发现，性别或色情使用对性满意度没有显着影响。妇女的性功能更差，无论使用。色情用户，不分性别,经历了更高的性困扰。
