Cohen Adam Carl, Tavrow Paula, McGrath Mark Roy
1 AIDS Healthcare Foundation, Los Angeles, CA, USA.
2 University of California Los Angeles, Los Angeles, CA, USA.
Health Promot Pract. 2018 May;19(3):400-410. doi: 10.1177/1524839917713942. Epub 2017 Jun 28.
Performers in the adult film industry are routinely exposed to bloodborne pathogens. In 2012, public health advocates in Los Angeles County convinced voters to pass a ballot initiative-Measure B-to mandate condom use on adult film sets. This article presents a case study of the advocacy coalition's strategies used to achieve greater workplace safety using the advocacy coalition framework.
The authors were given access to all memoranda, market research, and campaign tools used to promote Measure B. To reconstruct adult film industry counterefforts, the authors reviewed trade publications, social media, and blog posts.
When legislative efforts failed, advocates engaged in a step-by-step strategy built around voters to achieve passage of a ballot initiative mandating condom use for all adult films produced in Los Angeles County. Although the industry immediately filed a lawsuit after passage of Measure B, its constitutionality has been upheld.
Measure B passed because public health advocates were able to assemble scientific evidence, build public support, counter false claims, and maintain consistent messages throughout the campaign. The adult film industry lacked social capital, cohesion, and nimbleness. To bolster regulatory efforts, appealing to voters to favor safe workplaces may be an effective advocacy strategy for other industries.
成人电影行业的从业者经常接触血源性病原体。2012年，洛杉矶县的公共卫生倡导者说服选民通过了一项投票倡议——B措施——强制在成人电影拍摄现场使用避孕套。本文使用倡导联盟框架，对倡导联盟为实现更高的工作场所安全性所采用的策略进行了案例研究。
作者可以查阅所有用于推广B措施的备忘录、市场研究和竞选工具。为了重建成人电影行业的抵制行动，作者查阅了行业出版物、社交媒体和博客文章。
当立法努力失败时，倡导者围绕选民开展了一项循序渐进的策略，以促使一项投票倡议获得通过，该倡议要求对洛杉矶县制作的所有成人电影强制使用避孕套。尽管B措施通过后该行业立即提起了诉讼，但其合宪性得到了维持。
B措施得以通过，是因为公共卫生倡导者能够收集科学证据、赢得公众支持、反驳虚假说法，并在整个竞选过程中保持一致的信息。成人电影行业缺乏社会资本、凝聚力和灵活性。为了加强监管努力，呼吁选民支持安全的工作场所可能是其他行业一种有效的倡导策略。
