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STD Risks to Performers in the Adult Film Industry

STD Risks to Performers in the Adult Film Industry. Katherine M. Stone, MD Medical Epidemiologist Atlanta, GA October 27, 2006 UCLA Think Tank. STD Risks to AFI Performers Importance of STD. Common Preventable by condoms Almost all are “silent” no symptoms identified by screening

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STD Risks to Performers in the Adult Film Industry

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  1. STD Risks to Performers in the Adult Film Industry Katherine M. Stone, MD Medical Epidemiologist Atlanta, GA October 27, 2006 UCLA Think Tank

  2. STD Risks to AFI PerformersImportance of STD Common Preventable by condoms Almost all are “silent” no symptoms identified by screening Serious consequences Some are fatal STDs increase risk of HIV

  3. STD Risks to AFI PerformersImportance of STD HIV AIDS; often fatal Chlamydia Gonorrhea Trichomoniasis (Trich) Bacterial vaginosis (BV) Increased risk of HIV PID, infertility Pregnancy complications Neonatal infection Serious consequences Increased risk of HIV Neonatal infection Syphilis Herpes simplex virus (HSV) Hepatitis B virus (HBV) Hepatitis C virus (HCV) Liver disease, liver cancer Neonatal infection Human papillomavirus (HPV) Cervical, penile, anal cancer Neonatal infection

  4. STD Risks to AFI PerformersSTDs spread by fluids to mucous membranes Contact of FLUIDS (pre-ejaculate, semen, penile discharge, cervical/vaginal or anorectal secretions) with MUCOUS MEMBRANES - urethra, cervix/vagina, anus/rectum, mouth/throat, eye Vaginal, anal, oral sex Shared sex toys STDs include: Chlamydia Gonorrhea HIV Hepatitis B (HBV) Hepatitis C (HCV) Trichomoniasis Bacterial vaginosis (BV) Easily preventable by condoms also in blood

  5. STD Risks to AFI PerformersSTDs spread “skin to skin” (sometimes NONGENITAL skin) Spread by contact of infected skin/mucous membrane with partner’s skin/mucous membrane Vaginal, anal, oral contact Shared sex toys STDs include: Herpes simplex virus (HSV) Human papillomavirus (HPV) Syphilis Preventable by condoms also in fluids - also can be in blood

  6. STD Risks to AFI Performers STDs spread by fellatio Chlamydia Gonorrhea HSV Syphilis HIV STDs transmissible to eye • Chlamydia • Gonorrhea • HSV

  7. STD Risks to AFI PerformersSTDs spread by “fecal-oral” contact Usually transmitted by contaminated food or water; CAN be transmitted sexually through: Anilingus Fellatio immediately after anal sex Oral contact with sex toys immediately after anal contact Sexually transmitted enteric infections include: Hepatitis A (HAV) Entamoeba histolytica Giardia lamblia Shigella Salmonella Cryptosporidium Campylobacter

  8. STD Risks to AFI Performers Estimated risk of infection from 1 vaginal sex act with an infected partner Gonorrhea: 20-90% Chlamydia: 45% HPV: 40% HSV: 0.05 - 0.2% HIV: 0.05% - 20%

  9. STD Risks to AFI Performers General AFI practices increase risk: Multiple partners over short time periods increases risk of STD/HIV increases potential for rapid spread Prolonged intercourse inadequate lubrication anogenital trauma, bleeding Lack of protective equipment Condoms, dental dams/barriers, lubricants

  10. Number of Reported STDs by YearAFI Performers2000 – 10/2006 *through Oct. 15

  11. STD Risks to AFI Performers Screening Does not prevent infection Allows prompt identification and treatment of infected persons Prevents consequences of infections Prevents further spread to sex partners

  12. STD Risks to AFI Performers

  13. STD Risks to AFI Performers V V V * women only v vaccine-preventable

  14. STD Risks to AFI PerformersConclusions Risks for STDs including HIV are high STD/HIV can have serious consequences Most STD/HIV transmission is preventable by condoms

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