Pathways to Health Risk Exposure in Adult Film Performers
- 308 Downloads
Despite being part of a large and legal industry in Los Angeles, little is known about adult film performers’ exposure to health risks and when and how these risks might occur. The objective was to identify exposure to physical, mental, and social health risks and the pathways to such risks among adult film performers and to determine how risks differ between different types of performers, such as men and women. Semi-structured in-depth interviews were conducted with 18 female and ten male performers as well as two key informants from the industry. Performers and key informants were recruited through Protecting Adult Welfare, adult film venues, and snowball sampling. Performers engaged in risky health behaviors that included high-risk sexual acts that are unprotected, substance abuse, and body enhancement. They are exposed to physical trauma on the film set. Many entered and left the industry with financial insecurity and suffered from mental health problems. Women were more likely than men to be exposed to health risks. Adult film performers, especially women, are exposed to health risks that accumulate over time and that are not limited to sexually transmitted diseases.
KeywordsHealth behaviors Health policy Occupational health HIV/AIDS Sexually transmitted diseases Mental health Substance abuse
This project was supported by the Robert Wood Johnson Clinical Scholars Program. There are no financial disclosures reported. Funding organizations had no role in the design and conduct of the study, collection, management, analysis, and interpretation of the data or preparation, review, or approval of the manuscript.
- 1.United States Census Bureau. Table 1: Annual estimates of the population for incorporated places over 100,000. Ranked by July 1, 2005 population. April 1, 2013 to July 1, 2005. 2005 population estimates. http://www.census.gov/popest/cities/tables/SUB-EST2005-01.csv. Accessed on: June 25, 2008.
- 2.Ackman D. Forbes website. How big is porn? http://www.forbes.com/2001/05/25/0524porn.html. Accessed on: June 26, 2008.
- 3.Schlosser E. Reefer madness: sex, drugs and cheap labor in the American black market. New York: Houghton Mifflin; 2003:168.Google Scholar
- 4.People v Freeman, 250 Cal.Rptr. 589 (Cal. 1988).Google Scholar
- 6.Grudzen CR, Elliott MN, Kerndt PR, Schuster MA, Brook RH, Gelberg L. Condom use and sexual acts in the adult film industry: a comparison of heterosexual and homosexual films. Am J Public Health. In press.Google Scholar
- 7.HIV transmission in the adult film industry—Los Angeles, California, 2004. MMWR Morb Mortal Wkly Rep. 2005;54(37):923–926.Google Scholar
- 13.WHO. Constitution of the World Health Organization. http://whqlibdoc.who.int/hist/official_records/constitution.pdf. Accessed on: January 8, 2008.