Sexually transmitted infection testing of adult film performers: is disease being missed?
Sex Transm Dis
; 39(12): 989-94, 2012 Dec.
Article
en En
| MEDLINE
| ID: mdl-23191956
ABSTRACT
BACKGROUND:
Undiagnosed sexually transmitted infections (STIs) may be common in the adult film industry because performers frequently engage in unprotected oral and anal intercourse, STIs are often asymptomatic, and the industry relies on urine-based testing.METHODS:
Between mid-May and mid-September 2010, a consecutive sample of adult film industry performers recruited from a clinic in Los Angeles, California, that provides medical care to performers was offered oropharyngeal, rectal, and urogenital testing for Gonorrhea, and rectal and urogenital testing for Chlamydia.RESULTS:
During the 4-month study period, 168 participants were enrolled 112 (67%) were female and 56 (33%) were male. Of the 47 (28%) who tested positive for Gonorrhea and/or Chlamydia, 11 (23%) cases would not have been detected through urogenital testing alone. Gonorrhea was the most common STI (42/168; 25%) and the oropharynx the most common site of infection (37/47; 79%). Thirty-five (95%) oropharyngeal and 21 (91%) rectal infections were asymptomatic. Few participants reported using condoms consistently while performing or with their personal sex partners.CONCLUSIONS:
Adult film industry performers had a high burden of STIs. Undiagnosed asymptomatic rectal and oropharyngeal STIs were common and are likely reservoirs for transmission to sexual partners inside and outside the workplace. Performers should be tested at all anatomical sites irrespective of symptoms, and condom use should be enforced to protect workers in this industry.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Conducta Sexual
/
Parejas Sexuales
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Infecciones por Chlamydia
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Gonorrea
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Exposición Profesional
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Lugar de Trabajo
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Literatura Erótica
Tipo de estudio:
Incidence_studies
/
Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Año:
2012
Tipo del documento:
Article