Grudzen Corita R, Elliott Marc N, Kerndt Peter R, Schuster Mark A, Brook Robert H, Gelberg Lillian
Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, USA.
Am J Public Health. 2009 Apr;99 Suppl 1(Suppl 1):S152-6. doi: 10.2105/AJPH.2007.127035. Epub 2009 Feb 12.
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.
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.
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.
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.
我们比较了面向异性恋和同性恋观众制作的成人影片中各类性行为期间使用避孕套的比例，以评估其是否符合国家职业健康与安全管理局的规定。
我们分析了2005年8月1日至2006年7月31日期间发行的50部异性恋影片和50部男同性恋影片，这些影片是从每年在美国发行的85%异性恋成人影片的发行商处随机选取的。
在3%的异性恋场景中，阴茎-阴道性交使用了避孕套。阴茎-肛门性交在异性恋（42%）和同性恋（80%）场景中都很常见，但在异性恋场景中使用避孕套保护的可能性远低于同性恋场景（10%对78%；P <.001）。在所选影片中，没有任何阴茎-口交行为使用避孕套保护。
与同性恋影片相比，异性恋影片描绘使用避孕套的可能性要低得多，这引发了对艾滋病毒和其他性传播疾病传播的担忧，尤其是在异性恋成人影片演员中。此外，成人影片行业，尤其是异性恋行业，没有遵守国家职业安全规定。
