Condom use and prevalence of sexually transmitted infection among performers in the adult entertainment industry

Abstract

eighteen patients tested reactive with the INSTI TM POCT. Of these 91 stored serum samples were available, 12 of these were false-reactive results (as identified by the initial BIORAD test). When tested with the Determine TM POCT all 12 were non reactive. Of the 79 true reactive INSTI tests, all were reactive when tested with the Determine TM POCT.As a result of this study our clinic policy changed. All patients requesting an instant HIV test are tested using the INSTI TM POCT; all individuals with a reactive result have a laboratory HIV test sent (4th generation HIV test-BIORAD) and also have a Determine TM POCT performed. If both POCTs are reactive, patients are told that it is highly likely that this represents a true HIV-positive result; however if the Determine TM test is negative patients are informed it is likely that the INSTI TM result is a false reactive one. With either circumstance patients are made aware of the laboratory result being the definitive result. Since this policy was introduced, the second HIV POCT has correctly predicted the final laboratory result in 100% of cases. Allowing false-reactive tests to be identified at 'point of contact' makes testing low-risk populations using HIV POCT more practical by reducing 'falsepositive' associated patient anxiety.Sir: In their recent report, Coyne et al. 1 reported low rates of consistent condom use and high prevalence of sexually transmitted infections (STI) among patients attending their clinic who work in the adult entertainment industry (AEI). This mirrors our own experience, with some notable differences. We present data on AEI performers attending our clinic, including some additional information, which we hope will be of interest.We performed a retrospective case note review of AEI performers attending our designated sex worker clinics. Thirty-seven performers were identified; median age 32.6 years. Fifteen were women, 14 were heterosexual men and eight were men who have sex with men (MSM). Most were either British (78%) or Eastern European (16%). Although a small number of patients, collectively they had attended for over 400 sexual health screens.In keeping with the data presented by Coyne et al., condom use on set was uncommon, although interestingly, MSM reported higher rates of consistent use than either women or heterosexual men (25% versus 0% versus 7%, respectively). However, this was not the case with regular partners (25% versus 30% versus 33%). All MSM reported anal intercourse on set, while a lower, but significant nonetheless, proportion of heterosexuals reported this (34%).We also observed high rates of STIs (see Table 1). Chlamydia was the most frequent diagnosis, but this may be due to the higher proportion of MSM in our cohort, who exhibited higher rates of Chlamydia than the other two groups. The other notable difference is the lower rate of non-specific infections observed, although this may be because urethral smears are no longer performed on asymptomatic men attending our centre.A minority of women and heterosexual men w...

Isoosmolar Enemas Demonstrate Preferential Gastrointestinal Distribution, Safety, and Acceptability Compared with Hyperosmolar and Hypoosmolar Enemas as a Potential Delivery Vehicle for Rectal Microbicides

“…CT images were reconstructed with a filtered back projection algorithm onto a 256 · 256-matrix size. After SPECT acquisition, images were reconstructed using the OSEM algorithm 26 and fused using the General Electric eNTEGRA workstation, software version 1.04 (GE Medical Systems, Waukesha, WI) into a 128 · 128 · 128 matrix size with each voxel representing 3.45 mm 3 . In images showing activity in the bladder or on the perianal or intergluteal skin, the signal was subtracted using in-house software.…”

“…1 Condom use, while prevalent, is inconsistent, and recent data suggest an increase in the incidence of sexually transmitted infections among MSM. [2][3][4][5] Several preexposure prophylaxis (PrEP) strategies are being developed to address rectal HIV acquisition. In iPrEx, daily oral tenofovir/emtricitabine (Truvada) demonstrated modest 42% efficacy in MSM based on a modified intent-to-treat analysis.…”

Profil sociodémographique et psychosexuel des acteur.trices dans les films pornographiques : Un examen de la portée.

“…ex., âge, ethnicité; Griffith, Mitchell, et al, 2012, 2013). Sept études quantitatives sans groupe de comparaison ont aussi été réalisées (Coyne et al, 2009; Garcia, 2013; Goldstein et al, 2011; Hill et al, 2009; Javanbakht et al, 2017; King et Evans, 2020; Rodriguez-Hart et al, 2012). Finalement, cinq études qualitatives ont été réalisées (Dennis, 2007; Griffith, Adams, Hart, & Mitchell, 2012; Griffith, Adams, Hart, Mitchell, Kruger, et al, 2012; Grudzen et al, 2009; Role, 2017).…”

“…Un total de 13 populations différentes ont été utilisées pour documenter le profil des acteur.trices pornographiques. Au sein de ces 13 populations différentes, six populations ont été recrutées dans une clinique médicale (Coyne et al, 2009; Goldstein et al, 2011; Hill et al, 2009; Javanbakht et al, 2017; King et Evans, 2020; Rodriguez-Hart et al, 2012) et deux populations, dans un organisme communautaire (Griffith, Adams, Hart, & Mitchell, 2012; Griffith, Adams, Hart, Mitchell, Kruger, et al, 2012). Trois populations ont été recrutées par la technique boule de neige (Dennis, 2007; Grudzen et al, 2009; Role, 2017), une population a été recrutée à partir de sites web présentant des films pornographiques ou offrant des emplois dans l’industrie pornographique (Grudzen et al, 2011) et une population d’acteur.trices a été constituée à partir d’observations de scènes de films pornographiques (Garcia, 2013).…”

Behind the camera: Sexual health testing patterns and outcomes amongst UK adult film performers

“…human immunodeficiency virus (HIV), syphilis, gonorrhoea and chlamydia. Research in USA and UK on AFPs report that sexual intercourse is condomless 80%-90% of the time, [2][3][4][5][6][7] and the prevalence of STI is between 8% and 35%.…”