Register      Login
Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
RESEARCH ARTICLE

Sexual content in video games: an analysis of the Entertainment Software Rating Board classification from 1994 to 2013

Dèsirée Vidaña-Pérez A , Ariela Braverman-Bronstein A , Ana Basto-Abreu A , Inti Barrientos-Gutierrez A , Rainer Hilscher B and Tonatiuh Barrientos-Gutierrez A C
+ Author Affiliations
- Author Affiliations

A Center for Population Health Research, National Institute of Public Health, Mexico. Avenuenida Universidad 655, col. Santa María Ahuacatitlán, Cuernavaca, Morelos, 62100, Mexico.

B Center for DataScience, RTI International, 3040 East Cornwallis Road, Research Triangle Park, NC 27709, USA.

C Corresponding author. Email: tbarrientos@insp.mx

Sexual Health 15(3) 209-213 https://doi.org/10.1071/SH17017
Submitted: 2 February 2017  Accepted: 1 September 2017   Published: 11 January 2018

Abstract

Background: Video games are widely used by children and adolescents and have become a significant source of exposure to sexual content. Despite evidence of the important role of media in the development of sexual attitudes and behaviours, little attention has been paid to monitor sexual content in video games. Methods: Data was obtained about sexual content and rating for 23 722 video games from 1994 to 2013 from the Entertainment Software Rating Board database; release dates and information on the top 100 selling video games was also obtained. A yearly prevalence of sexual content according to rating categories was calculated. Trends and comparisons were estimated using Joinpoint regression. Results: Sexual content was present in 13% of the video games. Games rated ‘Mature’ had the highest prevalence of sexual content (34.5%) followed by ‘Teen’ (30.7%) and ‘E10+’ (21.3%). Over time, sexual content decreased in the ‘Everyone’ category, ‘E10+’ maintained a low prevalence and ‘Teen’ and ‘Mature’ showed a marked increase. Both top and non-top video games showed constant increases, with top selling video games having 10.1% more sexual content across the period of study. Conclusion: Over the last 20 years, the prevalence of sexual content has increased in video games with a ‘Teen’ or ‘Mature’ rating. Further studies are needed to quantify the potential association between sexual content in video games and sexual behaviour in children and adolescents.

Additional keywords: children, databases, epidemiology, prevalence, youth.


References

[1]  Strasburger VC, Jordan AB, Donnerstein E. Health effects of media on children and adolescents. Pediatrics 2010; 125 756–67.
Health effects of media on children and adolescents.Crossref | GoogleScholarGoogle Scholar |

[2]  Dill KE, Gentile DA, Richter WA, Dill JC. Violence, sex, race and age in popular video games: a content analysis. Featuring females: feminist analyses of the media. Washington, DC: American Psychological Association; 2005.

[3]  Bleakley A, Hennessy M, Fishbein M, Jordan A. How sources of sexual information relate to adolescents’ beliefs about sex. Am J Health Behav 2009; 33 37–48.
How sources of sexual information relate to adolescents’ beliefs about sex.Crossref | GoogleScholarGoogle Scholar |

[4]  Brown JD, L’Engle KL, Pardun CJ, Guo G, Kenneavy K, Jackson C. Sexy media matter: exposure to sexual content in music, movies, television, and magazines predicts black and white adolescents’ sexual behavior. Pediatrics 2006; 117 1018–27.
Sexy media matter: exposure to sexual content in music, movies, television, and magazines predicts black and white adolescents’ sexual behavior.Crossref | GoogleScholarGoogle Scholar |

[5]  Kunkel D, Cope KM, Farinola W, Biely E, Rollin E, Donnerstein E. Sex on TV: content and context. Menlo Park, CA: Kaiser Family Foundation; 1999.

[6]  O’Hara RE, Gibbons FX, Gerrard M, Li Z, Sargent JD. Greater exposure to sexual content in popular movies predicts earlier sexual debut and increased sexual risk taking. Psychol Sci 2012; 23 984–93.
Greater exposure to sexual content in popular movies predicts earlier sexual debut and increased sexual risk taking.Crossref | GoogleScholarGoogle Scholar |

[7]  Brown JD, L’Engle KL. X-Rated: sexual attitudes and behaviors associated with U.S. early adolescents’ exposure to sexually explicit media. Communic Res 2009; 36 129–51.
X-Rated: sexual attitudes and behaviors associated with U.S. early adolescents’ exposure to sexually explicit media.Crossref | GoogleScholarGoogle Scholar |

[8]  Barrientos-Gutiérrez T, Barrientos-Gutiérrez I, Reynales-Shigematsu LM, Thrasher JF, Lazcano-Ponce E. Aiming for the adolescent market: internet and video games, the new strategies of the tobacco industry. Salud Publica Mex 2012; 54 303–14.

[9]  Strasburger VC. Adolescents, sex, and the media. Adolesc Med State Art Rev 2012; 23 15–33.

[10]  Dill KE, Thill KP. Video game characters and the socialization of gender roles: young people’s perceptions mirror sexist media depictions. Sex Roles 2007; 57 851–64.
Video game characters and the socialization of gender roles: young people’s perceptions mirror sexist media depictions.Crossref | GoogleScholarGoogle Scholar |

[11]  Entertainment Software Association. Essential facts about the computer and video game industry. New York: ESRB; 2016. [verified November 2015]

[12]  Rideout VJ, Foehr UG, Roberts DF. Generation M: media in the lives of 8-to 18-year-olds. Washington: Henry J Kaiser Family Foundation; 2010.

[13]  Haninger K, Thompson KM. Content and ratings of teen-rated video games. JAMA 2004; 291 856–65.
Content and ratings of teen-rated video games.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2cXhsVygs78%3D&md5=7b072ba55d07373fb7bb5e434a8e55abCAS |

[14]  Thompson KM, Tepichin K, Haninger K. Content and ratings of mature-rated video games. Arch Pediatr Adolesc Med 2006; 160 402–10.
Content and ratings of mature-rated video games.Crossref | GoogleScholarGoogle Scholar |

[15]  Gottfried JA, Vaala SE, Bleakley A, Hennessy M, Jordan A. Does the effect of exposure to TV sex on adolescent sexual behavior vary by genre? Communic Res 2013; 40 73–95.
Does the effect of exposure to TV sex on adolescent sexual behavior vary by genre?Crossref | GoogleScholarGoogle Scholar |

[16]  Hennessy M, Bleakley A, Fishbein M, Jordan A. Estimating the longitudinal association between adolescent sexual behavior and exposure to sexual media content. J Sex Res 2009; 46 586–96.
Estimating the longitudinal association between adolescent sexual behavior and exposure to sexual media content.Crossref | GoogleScholarGoogle Scholar |

[17]  Bleakley A, Hennessy M, Fishbein M, Jordan A. It works both ways: the relationship between exposure to sexual content in the media and adolescent sexual behavior. Media Psychol 2008; 11 443–61.
It works both ways: the relationship between exposure to sexual content in the media and adolescent sexual behavior.Crossref | GoogleScholarGoogle Scholar |

[18]  Brown JD, Halpern CT, L’Engle KL. Mass media as a sexual super peer for early maturing girls. J Adolesc Health 2005; 36 420–7.
Mass media as a sexual super peer for early maturing girls.Crossref | GoogleScholarGoogle Scholar |

[19]  Fox J, Bailenson JN, Tricase L. The embodiment of sexualized virtual selves: the Proteus effect and experiences of self-objectification via avatars. Comput Human Behav 2013; 29 930–8.
The embodiment of sexualized virtual selves: the Proteus effect and experiences of self-objectification via avatars.Crossref | GoogleScholarGoogle Scholar |

[20]  Entertainment Software Rating Board. Age and content ratings for video games and apps from ESRB. New York: ESRB; 2016. Available online at: http://www.esrb.org/ratings/ [verified November 2015].

[21]  Gamefaqs.com. GameFAQs- video game cheats, reviews, FAQs, message boards, and more. San Francisco: CBS Interactive; 2016. Available online at: http://www.gamefaqs.com/ [verified November 2015].

[22]  VGChartz.com. Video Game Chartz, game sales, top sellers – data. Worcestershire: VGChartz; 2016. Available online at: http://www.vgchartz.com/ [verified November 2015].

[23]  Lull RB, Bushman BJ. Do sex and violence sell? A meta-analytic review of the effects of sexual and violent media and ad content on memory, attitudes, and buying intentions. Washington: Psychological bulletin 2015; 141(5): 1022–48.

[24]  Entertainment Software Rating Board. Content descriptors. New York: ESRB: 2016. Available online at: http://www.esrb.org/ratings/ratings_guide.aspx#descriptors [verified November 2015]

[25]  Vega V, Malamuth NM. Predicting sexual aggression: the role of pornography in the context of general and specific risk factors. Aggress Behav 2007; 33 104–17.
Predicting sexual aggression: the role of pornography in the context of general and specific risk factors.Crossref | GoogleScholarGoogle Scholar |

[26]  Gentile DA, Li D, Khoo A, Prot S, Anderson CA. Mediators and moderators of long-term effects of violent video games on aggressive behavior: practice, thinking, and action. JAMA Pediatr 2014; 168 450–7.
Mediators and moderators of long-term effects of violent video games on aggressive behavior: practice, thinking, and action.Crossref | GoogleScholarGoogle Scholar |

[27]  Exelmans L, Custers K, Van den Bulck J. Violent video games and delinquent behavior in adolescents: a risk factor perspective. Aggress Behav 2015; 41 267–79.
Violent video games and delinquent behavior in adolescents: a risk factor perspective.Crossref | GoogleScholarGoogle Scholar |

[28]  Coker TR, Elliott MN, Schwebel DC, Windle M, Toomey SL, Tortolero SR, Hertz MF, Peskin MF, Schuster MA. Media violence exposure and physical aggression in fifth-grade children. Acad Pediatr 2015; 15 82–8.
Media violence exposure and physical aggression in fifth-grade children.Crossref | GoogleScholarGoogle Scholar |

[29]  Fox J, Bailenson JN. Virtual virgins and vamps: the effects of exposure to female characters’ sexualized appearance and gaze in an immersive virtual environment. Sex Roles 2009; 61 147–57.
Virtual virgins and vamps: the effects of exposure to female characters’ sexualized appearance and gaze in an immersive virtual environment.Crossref | GoogleScholarGoogle Scholar |

[30]  Burt MR. Cultural myths and supports for rape. J Pers Soc Psychol 1980; 38 217–30.
Cultural myths and supports for rape.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaL3c7osVGhtg%3D%3D&md5=4acedf4686532b0b276aa02fd53b4434CAS |

[31]  Allen M, Emmers T, Gebhardt L, Giery MA. Exposure to pornography and acceptance of rape myths. J Commun 1995; 45 5–26.
Exposure to pornography and acceptance of rape myths.Crossref | GoogleScholarGoogle Scholar |

[32]  Lanis K, Covell K. Images of women in advertisements: effects on attitudes related to sexual aggression. Sex Roles 1995; 32 639–49.
Images of women in advertisements: effects on attitudes related to sexual aggression.Crossref | GoogleScholarGoogle Scholar |

[33]  Bleakley A, Jamieson PE, Romer D. Trends of sexual and violent content by gender in top-grossing U.S. Films, 1950–2006. J Adolesc Health 2012; 51 73–9.
Trends of sexual and violent content by gender in top-grossing U.S. Films, 1950–2006.Crossref | GoogleScholarGoogle Scholar |