 "Anti-Trafficking Review" writes that NCOSE "uses misleading ‘research reports’ to fabricate a false medical consensus about the harms of pornography".Since the 2010s, the group has stated that pornography constitutes a public health crisis.NCOSE drafted much of the language when Utah passed a resolution labeling pornography, without evidence, a "public health hazard leading to a broad spectrum of individual and public health impacts and societal harms".