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Corita R. Grudzen, MD, MSHS, Marc N. Elliott, PhD, Peter R. Kerndt, MD, MPH, Mark A. Schuster, MD, PhD, Robert H. Brook, MD, ScD and Lillian Gelberg, MD, MSPH

At the time of the study, Corita R. Grudzen was with the Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles. Mark A. Schuster was with the Departments of Pediatrics and Health Services, University of California, Los Angeles. Robert H. Brook is with the David Geffen School of Medicine and the School of Public Health, University of California, Los Angeles. Lillian Gelberg is with the Department of Family Medicine, University of California, Los Angeles. Marc N. Elliott, Mark A. Schuster, and Robert H. Brook are with the RAND Corporation, Santa Monica, CA. Peter R. Kerndt is with the Sexually Transmitted Disease Program, Los Angeles County Department of Public Health, Los Angeles.

Correspondence: Requests for reprints should be sent to Corita R. Grudzen, MD, MSHS, Mount Sinai School of Medicine, Department of Emergency Medicine, 1 Gustave L. Levy Place, Box 1620, New York, NY 10029 (e-mail: corita.grudzen{at}mountsinai.org).

Objectives. We compared the prevalence of condom use during a variety of sexual acts portrayed in adult films produced for heterosexual and homosexual audiences to assess compliance with state Occupational Health and Safety Administration regulations.

Methods. We analyzed 50 heterosexual and 50 male homosexual films released between August 1, 2005, and July 31, 2006, randomly selected from the distributor of 85% of the heterosexual adult films released each year in the United States.

Results. Penile–vaginal intercourse was protected with condoms in 3% of heterosexual scenes. Penile–anal intercourse, common in both heterosexual (42%) and homosexual (80%) scenes, was much less likely to be protected with condoms in heterosexual than in homosexual scenes (10% vs 78%; P < .001). No penile–oral acts were protected with condoms in any of the selected films.

Conclusions. Heterosexual films were much less likely than were homosexual films to portray condom use, raising concerns about transmission of HIV and other sexually transmitted diseases, especially among performers in heterosexual adult films. In addition, the adult film industry, especially the heterosexual industry, is not adhering to state occupational safety regulations.

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				R. Silvera, D. J Stein, R. Hagerty, and M. Marmor CONDOM USE AND MALE HOMOSEXUAL PORNOGRAPHY Am J Public Health, October 1, 2009; 99(10): 1732 - 1733. [Full Text] [PDF]