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Understanding Differences in Problematic Pornography Use: Considerations for Gender and Sexual Orientation
Abstract
Background: While preliminary research suggests non-heterosexual men and women view more pornography than their heterosexual counterparts, few studies have examined how problematic use differs across sexual and gender identity groups. Aim: We sought to test measurement invariance across popular measures of problematic pornography use (PPU) and examine mean PPU differences across heterosexual men, non-heterosexual men, heterosexual women, and non-heterosexual women. Methods: We used 3 large archival datasets to examine psychometrics/group differences on the Brief Pornography Screen (BPS; N = 1,439), Problematic Pornography Use Scale (PPUS; N = 5,859), and Cyber Pornography Use Inventory-4 (CPUI-4; N = 893). Outcomes: Most PPU scales/subscales demonstrated acceptable fit, and non-heterosexual men and women tended to report more PPU than heterosexual men and women (though exceptions were evident). Results: Confirmatory factor analyses revealed good fit across each group and instrument, with exception to sexual minority women on the CPUI-4. Each instrument demonstrated at least metric invariance between groups, with exception to one item between heterosexual and sexual minority men on the CPUI-4. Mean differences suggested that sexual minority men and women tend to report more PPU than heterosexual men and women, though several exceptions were evident depending on the PPU dimension. Men tended to report more PPU than women, though exceptions were also evident. Effect sizes ranged from large-to-non-significant depending on PPU dimension. Clinical Implications: Researchers and clinicians should consider sexual orientation, gender, and PPU dimension when addressing PPU concerns. Strengths & Limitations: A primary strength of this study is the use of multiple large samples, meaning our results are likely highly generalizable. However, this study is limited in that it only examined sexual orientation groups broadly and did not account for non-cisgender identities. Conclusions: The BPS, PPUS, and CPUI-4 are all appropriate tools to measure PPU depending on researcher and clinician needs.
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The disconnect between pornography consumption and perceptions of pornography consumption can be divisive at the societal, relational, and individual levels.
“This disconnect between pornography consumption and perceptions of pornography consumption can be divisive at the societal (Borgogna et al., 2022;Grubbs et al., 2019), relational (Maas et al., 2018;Perry, 2016Perry, , 2018)), and individual levels (Grubbs et al., 2018;Grubbs & Gola, 2019;Lewczuk et al., 2020).”
From Examining Counselor Trainees’ Clinical Impressions of Pornography Use: Implications for Couple and Family Counselors (2026) · cites this paper as Borgogna et al., 2022
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Self-citationPsychometric instruments for problematic pornography use: A systematic review
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Cited by
Sorted by citations
Flinchum, M. R., Bradley, L. J., Noble, N., & Jung, K. (2026) · The Family Journal · doi:10.1177/10664807261505019
Metadata
- Authors
- Borgogna, N. C., Griffin, K. R., Grubbs, J. B., & Kraus, S. W.
- Affiliations
- Texas Tech University (US)
- University of Nevada, Las Vegas (US)
- Bowling Green State University (US)
- Corresponding author
- Borgogna, Nicholas C.
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-06-23
- Volume
- 19
- Issue
- 8
- Pages
- 1290-1302
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W4283323907
- Cited by
- 65
- References
- 13
- Citations by year
- 2026: 24 · 2025: 21 · 2024: 12 · 2023: 7 · 2022: 1
- FWCI
- 7.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Keywords
- problematic pornography use, sexual orientation, gender identity, sexual minorities, measurement invariance, gender differences
- MeSH terms
- Sexual and Gender Minorities, Erotica, Female, Gender Identity, Humans, Male, Sexual Behavior, Heterosexuality
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