Sexuality Education, Problematic Pornography Use, and Body Self-Esteem Among Catalan Adolescents in Spain: Sex Differences and Digital Contexts

Problematic pornography consumption (PPC) during adolescence has been associated with negative perceptions of one’s own body image, pressure to conform to beauty standards, self-objectification, and dissatisfaction with one’s own image, whereas sexuality education may promote critical thinking, self-knowledge, and healthy relationships. This cross-sectional study analyzed the relationship between received sexuality education, body self-esteem, and problematic pornography use among 1177 adolescents and young people aged 12 to 21 years, including 541 women and 636 men. The Body Self-Esteem Scale, the short version of the Problematic Pornography Consumption Scale, and an ad hoc questionnaire on received sexuality education were administered. Overall, 50.30% of adolescents reported having received sexuality education training, although it was mostly brief and had limited capacity to address their questions. In total, 19.63% of adolescents were at risk of negative body-image evaluation, and 10.62% were at high risk of body self-esteem problems. Moreover, 31.08% showed indicators of problematic pornography use, with higher levels among male adolescents and an increase associated with age. No significant associations were observed between the perceived quality of sexuality education and body self-esteem or PPC. However, PPC was negatively associated with body self-esteem among women. The results suggest the need to strengthen systematic, early, and comprehensive sexuality education programs.