Adolescent pornographic internet site use: a multivariate regression analysis of the predictive factors of use and psychosocial implications (2009)

Cyberpsychol Behav. 2009 Oct;12(5):545-50. doi: 10.1089/cpb.2008.0346.

Tsitsika A, Critselis E, Kormas G, Konstantoulaki E, Constantopoulos A, Kafetzis D.


Adolescent Health Unit (A.H.U.), Second Department of Pediatrics, P. & A. Kyriakou Children’s Hospital, National & KapodistrianUniversity of Athens, School of Medicine, Greece. [email protected]


The study objectives were to evaluate the prevalence, predictors, and implications of pornographic Internet site (PIS) use among Greek adolescents.

A cross-sectional study was conducted among 529 randomly selected Greek high school students. The prevalence of overall PIS use was 19.47% (n = 96). Among PIS users, 55 (57.29%) reported infrequent and 41 (42.71%) reported frequent PIS use.

The predictors of infrequent PIS use included male gender (adjusted odds ratio [AOR] = 8.33; 95% confidence interval [CI] = 3.52-19.61), Internet use for sexual education (AOR = 5.26; 95% CI = 1.78-15.55), chat rooms (AOR = 2.95; 95% CI = 1.48-5.91), and purchases (AOR = 3.06; 95% CI = 1.22-7.67). The predictors of frequent PIS use were male gender (AOR = 19.61; 95% CI = 4.46-83.33), Internet use for sexual education (AOR = 7.39; 95% CI = 2.37-23.00), and less than 10 hours per week Internet use (AOR = 1.32; 95% CI = 1.10-1.59).

Compared to non-PIS users, infrequent PIS users were twice as likely to have abnormal conduct problems (odds ratio [OR] = 2.74; 95% CI = 1.19-6.28); frequent PIS users were significantly more likely to have abnormal conduct problems (OR = 4.05; 95% CI = 1.57-10.46) and borderline prosocial score (OR = 4.22; 95% CI = 1.64-10.85). Thus, both infrequent and frequent PIS use are prevalent and significantly associated with social maladjustment among Greek adolescents.

From – The Impact of Internet Pornography on Adolescents: A Review of the Research (2012)

  • Tsitsika et al. (2009) conducted a cross-sectional study among Greek adolescents (N = 529) in an effort to explore potential implications for the use of sexually explicit material; findings suggested that Greek adolescents who are exposed to sexually explicit material may develop “unrealistic attitudes about sex and misleading attitudes toward relationships” (p. 549).
  • The aforementioned study by Tsitsika et al. (2009) examined the implications of consuming Internet pornography. The data indicated a significant relationship between consumption of Internet pornography and social maladjustment (Tsitsika et al., 2009). Specifically, adolescents who indicated infrequent use of pornography were twice as likely have conduct issues as those who did not consume pornography at all. Also, frequent consumers were significantly more likely to indicate abnormal conduct issues as well as borderline addictive Internet use (Tsitsika et al., 2009).