Background: The word ‘sex’ in India is a taboo and not discussed openly. Sex attitude referes to one’s attitude toward sexuality or different sexual behaviors such as masturbation, oral sex, anal sex and sexual relationships. Poor sex knowledge causes many of these problems. Liberal attitude without adequate knowledge is harmful. Aims: The present study aimed to assess the knowledge and attitude of undergraduate medical students. Methods: a cross sectional study was carried out to assess sex knowledge and attitude among 752 medical undergraduate students. The Google document contained structured questionnaire in four important parts: (1) Demographic details of students (2) Sex Knowledge and Attitude Questionnaire II (SKAQ II). Results: The mean score of participants on attitude towards sex scale is 25.47 ±5.04. Overall participants shows conservative attitude towards sex. Female participants have statistical significantly higher sex knowledge (p=0.038) and attitude towards sex score (p<0.001). As academic year of participants increases sex knowledge increases (p<0.001). Statistical significant positive correlation was observed between sex knowledge and attitude scores (r=0.544, p<0.001). Conclusion: Participants are deficits in sex knowledge and conservative attitude in certain areas. Females, higher education level and urban area participants have higher sex knowledge and liberal attitude. Liberal attitude towards sex develops as sex knowledge increases. There are areas of sex knowledge and attitude which need improvement by proper sex education.

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Introduction: Internet pornography use is a sexual behavior, and it comprises a variety of online sexual activities, including watching pornography, online pornography exchange, and engaging in sex chats. Due to rise in Internet access and technologies, online pornography and other type of repetitive behaviors have increased. The current study was aimed to estimate the prevalence of problematic pornography consumption among undergraduate medical students. Methods: A multicenter, cross-sectional study was carried out at seven different centers of Gujarat from October 2020 to December 2020. Online structured questionnaire in two different parts: (1) Demographic details and usage pattern of pornography among students, (2) Problematic Pornography Consumption Scale was prepared and shared with all undergraduate students through designated faculty. Logistic regression analysis was used for problematic pornography consumption (as dependent variable) and other categorical variables as independent variables. Results: A total of 1926 participants completed the study. The prevalence of problematic pornography consumption among participants was 14.6% (95% confidence interval 12.4–16.1). Male participants and participants who are in a romantic relationship have higher problematic pornography consumption. Participants' gender (odds ratio OR = 3.562), relationship status (OR = 1.636), weekly (OR = 1.749), and daily (OR = 1.733) pornography consumption emerged as statistically significant with the problematic pornography consumption from the logistic regression analysis. Conclusion: Problematic pornography consumption is more prevalent among male under graduate medical students than females. It is important to educate the students about the potential harmful adverse effects of pornography and to develop a positive attitude toward sex.

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