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Although the study does not establish causal pathways to STI incidence, the observed attenuation of condom‑use self‑efficacy aligns with prior experimental work (Hensel et al., 2014). The gap between visual representation and health education may widen if creators continue to equate condom‑free intimacy with authenticity.

| Platform | % of total sexual scenes without condom | Top Genres | |----------|------------------------------------------|------------| | Film/TV | 12 % (87/720) | Drama, Coming‑of‑Age, Thriller | | Music Video | 38 % (124/328) | Hip‑hop/Trap, R&B, Indie Pop | Although the study does not establish causal pathways

Condom‑free scenes are 3.2 times more likely in music videos than in narrative film/TV. | Medium | Source | Inclusion Criteria |

The visual representation of condom‑free (unprotected) sexual activity among adolescents and emerging adults has proliferated across mainstream cinema, independent film, and popular music‑video platforms. This paper examines the prevalence, narrative framing, and potential public‑health impact of such depictions in works produced between 2010 and 2024. Through a mixed‑methods content analysis of 87 film/television scenes and 124 music‑video clips, complemented by audience‑reception data from social‑media sentiment analysis (Twitter, TikTok, YouTube comments) and a survey of 2,600 young viewers (ages 15‑24), we identify three dominant thematic patterns—“spontaneous intimacy,” “rebellious authenticity,” and “romantic idealisation”—and assess how they intersect with gender, ethnicity, and platform‑specific affordances. Findings reveal that condom‑free portrayals are more frequent in user‑generated and genre‑specific (e.g., trap, lo‑fi, indie) music videos than in mainstream film, and that they are often framed as markers of “realness” or “passion” rather than risk. Audience analysis shows a modest but statistically significant association between exposure to these depictions and reduced perceived condom efficacy (β = ‑0.12, p < .05). The paper concludes with recommendations for media literacy interventions, industry guidelines, and collaborative public‑health messaging that respect artistic freedom while mitigating potential harms. view count &gt

| Medium | Source | Inclusion Criteria | N | |--------|--------|--------------------|---| | Film/TV | IMDb, Netflix, Hulu, Amazon Prime (2010‑2024) | Scenes featuring sexual activity between characters aged 15‑30; explicit visual confirmation of no condom (e.g., visual cues, dialogue) | 87 | | Music Videos | YouTube, Vevo, TikTok (official artist releases) | Released 2010‑2024; lyrical or visual reference to “without condom” / no visible barrier during intercourse; view count > 1 million | 124 |