Protecting the health of adult film performers: Industry perspectives on the safer sex in the adult film industry act (Measure B)

Objective: In November 2012, Measure B, a measure mandating condom use in Los Angeles County-based adult film production was passed. This study aims to explore adult film industry (AFI) perceptions of Measure B. Methods: Semi-structured in-depth interviews (N=28) were conducted with AFI performers, producers, directors and key informants from December 2012 through February 2013. Recruitment was conducted via purposive and snowball sampling. Interviews took place in-person and via phone/Skype. Data were analyzed using an inductive approach in Atlas-ti. Results: Sexually transmitted infections (STIs) were commonly perceived as an occupational health hazard among performers; however, condoms were rarely used on set. Almost all AFI employees were opposed to Measure B and preferred to film without using condoms, mainly due to job requirement challenges and personal preference. Many believed current STI testing practices were effective in preventing STI transmission on set and in some cases more protective than condoms. Those against Measure B proposed increasing the types and/or frequency of STI testing as an alternative to condoms. The few who supported Measure B believed it could protect against STI transmission not covered by current industry testing standards. All participants cited potential barriers to implementing Measure B, including enforcement challenges, industry re-location outside of LA County, and potential impact on industry sales. Conclusion: A gap exists between the intention of Measure B as an STI prevention measure and the AFI occupational environment. Government regulations that seek to protect the health of AFI performers need to consider implementation challenges including perceptions of industry employees.