International Journal of STD & AIDS > Volume 20, Number 7 > Pp. 508-509

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Audit reports

Sexual health of adults working in pornographic films

K M Coyne MRCP ^* , A Banks MBBS , C Heggie MBChB , C J Scott MRCP ^*, D Grover MRCP , C Evans , S Mandalia MSc ^*, K A McLean FRCP  and C E Cohen MRCP 

^* St Stephen's Centre; West London Centre for Sexual Health, Chelsea & Westminster Hospital NHS Foundation Trust, London, UK

Correspondence to: Dr K Coyne, St Stephen's Centre, Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK Email: kathycoyne{at}doctors.net.uk

We report the frequency of sexually transmitted infections (STIs) diagnosed in performers in the adult pornographic film industry. Over a 13 month period, 445 STI screens were performed in 115 patients, 56 women and 59 men. All reported unprotected sex during filming. Seventy-five percent (86) had at least one sexual partner outside work, and 90% used condoms inconsistently with them. Women worked exclusively with women (23%), men only (38%) or both genders (39%). Almost all men (97%) worked exclusively heterosexually. Thirty-eight percent (44/115) were diagnosed with 77 STIs, including non-specific urethritis (51), gonorrhoea (10), chlamydia (6) and genital warts (6). Gonorrhoea was found exclusively at the pharynx in three heterosexual men. There were no cases of HIV, syphilis, hepatitis B or hepatitis C. Monthly screening and certification is a working requirement for this population but STIs are common in an industry where unprotected sex is the norm.

Key Words: sexually transmitted diseases • pornography • screening • sexual behaviour • safe sex

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