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Abstract #159249

Corita Grudzen, MD¹, Marc N. Elliott, PhD², Peter R. Kerndt, MD, MPH³, Mark A. Schuster, MD, PhD², and Lillian Gelberg, MD, MSPH⁴. (1) RWJ Clinical Scholars Program, University of California, Los Angeles, 911 Broxton Ave., Los Angeles, CA 90024, 917 204 5855, cgrudzen@mednet.ucla.edu, (2) RAND, 1776 Main Street, P.O. Box 2138, Santa Monica, CA 90407, (3) Sexually Transmitted Disease Program, Los Angeles County Department of Health Services, 2615 South Grand Ave, Room 500, Los Angeles, CA 90007, (4) Family Medicine, University of California, Los Angeles, 10880 Wilshire Blvd., Los Angeles, CA 90024

Context: The heterosexual adult film industry routinely tests performers for HIV and other sexually transmitted diseases (STD). Despite this, an HIV outbreak occurred in the heterosexual industry in 2004. Cal/OSHA responded by fining two companies for not using personal protective equipment, in this case condoms.

Objective: To compare high-risk sexual acts and condom use between the heterosexual and homosexual industries after the 2004 HIV outbreak.

Design: 50 heterosexual and 50 male homosexual DVDs released in 2005 were randomly selected from the largest distributor for adult movies, representing 85% of the heterosexually released DVDs each year. One scene was randomly selected from each DVD for review. The main outcome was condom use in high-risk sexual acts and main independent predictor was whether the DVD was produced for a heterosexual or homosexual audience.

Results: Penile-vaginal intercourse was protected at a rate of 3% in the heterosexual industry. Though uncommon in the homosexual industry, penile-vaginal intercourse was protected 100% of the time. Penile-anal intercourse, common in both industries, is much more likely to be protected in the homosexual industry, 80% of the time compared to 10% in the heterosexual industry (p<0.05). Penile-oral intercourse, though common, is almost never protected, with rates of 0% in the heterosexual industry and 3% in the homosexual industry.

Conclusion: The heterosexual is less likely than the homosexual industry to utilize condoms. Cal/OSHA regulations, especially in the heterosexual industry, are not being enforced.

Learning Objectives:

• Describe current method for preventing STDs in the Adult Film Indistry (AF)).
• Identify high-risk sexual acts within the AFI.
• Describe level of compliance of the heterosexual and homosexual AFI with Cal/OSHA blood-borne pathogens standards.

Keywords: Occupational Health, Sexual Risk Behavior

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.