High Chlamydia and Gonorrhea Incidence and Reinfection Among Performers in the Adult Film Industry

@article{Goldstein2011HighCA,
  title={High Chlamydia and Gonorrhea Incidence and Reinfection Among Performers in the Adult Film Industry},
  author={Binh Y. Goldstein and Jane Steinberg and Getahun Aynalem and Peter R. Kerndt},
  journal={Sexually Transmitted Diseases},
  year={2011},
  volume={38},
  pages={644-648}
}
Background: Adult film industry (AFI) performers engage in unprotected oral, vaginal, and anal sex with multiple partners, increasing the likelihood of acquisition and transmission of human immunodeficiency virus and other sexually transmitted diseases. Current industry practice does not require condom use; instead it relies upon limited testing. We sought to estimate the annual cumulative incidence of chlamydia (CT) and gonorrhea (GC) and assess the rate of reinfection among AFI performers… 
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References

SHOWING 1-10 OF 28 REFERENCES
Repeat Infection With Chlamydia and Gonorrhea Among Females: A Systematic Review of the Literature
TLDR
High rates of reinfection with chlamydia and gonorrhea among females, along with practical considerations, warrant retesting 3 to 6 months after treatment of the initial infection.
Sexual health of adults working in pornographic films
TLDR
Gonorrhoea was found exclusively at the pharynx in three heterosexual men, and monthly screening and certification is a working requirement for this population but STIs are common in an industry where unprotected sex is the norm.
Chlamydia screening among sexually active young female enrollees of health plans--United States, 2000-2007.
TLDR
To evaluate the rates of chlamydia screening among sexually active young females, CDC analyzed data reported by commercial and Medicaid health plans to the Healthcare Effectiveness Data and Information Set (HEDIS) during 2000-2007.
Chlamydia trachomatis: impact on human reproduction.
TLDR
The development of highly sensitive and specific nucleic acid amplification tests for the diagnosis of chlamydial infections has been an important advance in the ability to conduct population-based screening programmes to prevent complications.
Prevention of pelvic inflammatory disease by screening for cervical chlamydial infection.
TLDR
A strategy of identifying, testing, and treating women at increased risk for cervical chlamydial infection was associated with a reduced incidence of pelvic inflammatory disease.
Prevention of pelvic inflammatory disease by screening for cervical chlamydial infection.
TLDR
A randomized, controlled trial to determine whether selective testing for cervical chlamydial infection prevented pelvic inflammatory disease and used an intention-to-screen analysis to compare the incidence of pelvic inflammation in the two group...
Molecular analysis of HIV strains from a cluster of worker infections in the adult film industry, Los Angeles 2004
TLDR
Molecular and virological data strongly support the epidemiological conclusion that these women were infected with an identical strain of HIV through occupational exposure to an individual with an acute HIV infection.
Epidemiologic investigation of a cluster of workplace HIV infections in the adult film industry: Los Angeles, California, 2004.
TLDR
Current testing methods fail to prevent occupational acquisition of HIV in this setting and a California Occupational Safety and Health Administration-approved written health and safety program that emphasizes primary prevention is needed.
From epidemiological synergy to public health policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection.
TLDR
It is suggested that timely provision of STD services can substantially reduce HIV incidence, but raise additional questions about the optimal way to target and implement these services to achieve the greatest effect on HIV transmission.
HIV transmission in the adult film industry--Los Angeles, California, 2004.
  • Medicine
    MMWR. Morbidity and mortality weekly report
  • 2005
TLDR
An investigation by LACDHS into four work-related HIV-transmission cases among adult film industry workers identified important and remediable gaps in the prevention of HIV and other sexually transmitted diseases (STDs) in theAdult film industry.
...
1
2
3
...