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07; 95% CI 3.97-6.46), as well as frequent pornography users (aOR 3.02; 95% CI 2.28-3.98) Associations remained statistically significant after adjustment for age, income, and educational attainment. Sex life characteristics such as poor sex life satisfaction, high online sex activity, and frequent pornography use are strongly associated with sex purchase. These findings can help guide and support counselling and prevention activities targeting sex buyers. Dementia, depression, and delirium alone or in combination (3Ds) can threaten ind