Consumption of Sexually Explicit Media and Sexual Conduct of greater Exposure to HIV/AIDS in Brazilians

Priscilla Dantas Almeida1
, Telma Maria Evangelista de Araújo2
, Anderson Reis de Sousa3
, Rosilane de Lima Brito Magalhães2
, Chrystiany Plácido de Brito Vieira2
, Andreia Rodrigues Moura da Costa Valle2
, Fernando Lopes e Silva-Júnior2
, Álvaro Francisco Lopes de Sousa4, 5, *
, Isabel Amélia Costa Mendes6

1 Escola de Enfermagem de Manaus, Universidade Federal do Amazonas, Manaus, Brazil
2 Escola de Enfermagem, Universidade Federal do Piauí, Teresina, Brazil
3 Escola de Enfermagem, Universidade Federal da Bahia, Salvador, Brazil
4 Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Lisbon, Brazil
5 Instituto de Ensino e Pesquisa, Hospital Sírio-Libânes, Brasília, Brazil
6 Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil

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© 2023 Almeida et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Instituto de Ensino e Pesquisa, Hospital Sírio-Libânes, Brasília, Brazil; E-mail:



We aimed to analyze the association between the consumption of sexually explicit media (SEM) in the sexual practices of Brazilians and the exposure to HIV infection.


This is an analytical, cross-sectional national study, conducted with 854 participants. Data were collected from September 2021 to January 2022 and analyzed in SPSS.26 software using the Logistic Regression model, with a robust estimator for the covariance matrix.


In the results we observed that 558 (65.3%) participants revealed the habit of watching SEM; of these, 58.2% saw up to two scenes per day. The increased chances for involvement in sexual practice of greater exposure to HIV were identified in: being male (ORa=1.36 times); having a homosexual, bisexual, asexual, or pansexual sexual orientation (ORa=1.44); habit of watching SEM or erotic art (ORa=1.47); and being under the age of 12 at the first contact with SEM (ORa=2.74). As such, we can observe that the consumption of sexually explicit media is associated with sexual practices of greater exposure to HIV among Brazilians.


Therefore, the development of public policies and strategies to prevent practices aimed at the consumption of sexually explicit media becomes relevant, starting with the demonstration of HIV prevention strategies during the sex scenes.

Keywords: Audiovisual media, Sexual conduct, HIV, Acquired immunodeficiency syndrome, Sex, SEM.