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    Association Between Cyber Pornography Use and Sexual Health Literacy and Sexual Function in Women of Reproductive Age: A Cross-Sectional Study
    (Routledge Journals, Taylor & Francis Ltd, 2025) Bilgic, Fatma Sule; Karaahmet, Aysu Yildiz; Karakas, Sevda
    This study aimed to examine the association between cyber pornography use, sexual health literacy, and sexual function in women of reproductive age. This cross-sectional study was conducted via an online platform using Google Forms between January 25 and February 23, 2025, with 1,202 female participants aged 18-35. Data were collected using a Data Collection Form, the Cyber Pornography Use Scale-9 (CPUS-9), the Arizona Sexual Experiences Scale (ASEX), and the Sexual Health Literacy Scale (SHLS). The average age of the participants was 23.19 +/- 3.34 years. The mean total score for CPUS-9 was 2.26 +/- 1.34, for ASEX was 14.98 +/- 6.80, and for SHLS was 57.65 +/- 13.18. A weak positive correlation was found between CPUS-9 and SHLS, while a weak negative correlation was observed between ASEX and SHLS. According to regression analysis, as sexual dysfunction increased in women, cyber pornography use also increased (beta = 0.550), resulting in a 0.57-unit increase. Furthermore, as sexual health literacy increased, cyber pornography use also increased (beta = 0.190), leading to a 0.19-unit increase. The findings suggest that cyber pornography use in women is associated with sexual function and sexual health, and these associations may relate to individuals' levels of sexual health literacy.
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    Öğe
    The effect of non-pharmacologic treatments in individuals with problematic pornography use: a meta-analysis of randomized controlled trials
    (Routledge Journals, Taylor & Francis Ltd, 2025) Yildiz Karaahmet, Aysu; Bilgic, Fatma Sule; Karakas, Sevda
    This study aimed to systematically review and meta-analyze the effects of non-pharmacological treatments on problematic pornography use (PPU), pornography use frequency, sexual dysfunction, psychological symptoms, and quality of life in individuals with PPU. A comprehensive literature search was conducted in PubMed/MEDLINE, Embase, PsycINFO, and Web of Science between June and July 2024. MeSH-based keywords were used to identify relevant Randomized Controlled Trials (RCTs) published in the last ten years. Five RCTs with a total of 826 participants were included. Non-pharmacological interventions significantly reduced PPU (SMD: -1.16; 95% CI: -2.10 to -0.22; p = 0.02) and pornography use frequency (SMD: -0.74; 95% CI: -1.43 to -0.05; p = 0.04) compared to control groups. No statistically significant effects were found for sexual dysfunction (SMD: -0.47; p = 0.05) or psychological symptoms (SMD: -0.42; p = 0.06), though moderate effects were observed. Risk of bias was high or unclear in terms of participant and outcome blinding. Non-pharmacological interventions appear effective in reducing PPU and use frequency. Although effects on sexual function and psychological symptoms were not significant, the findings suggest potential improvements in overall quality of life.