It does seem sad that men resort to these services in a way that likely harms them. Does anyone have any statistics that breaks down content-creator income by user spendage? A priori my assumption is that (as I understand it) similarly to the liquor and gambling industry most of the income probably comes from "whale"-like users who spend unhealthy amounts of time and money on the service in a deeply unhealthy way.
A common spin is that the consumers are just having fun, but I imagine the stats tell a rather more depressing story.