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Condom Use and Male Homosexual Pornography

Bibliographic Data

ID11029183
AuthorsRichard Silvera (0000-0001-7196-2483, All authors are with the Department of Environmental Medicine and Center for AIDS Research, School of Medicine, New York University, New York, NY.), Dylan Stein (0000-0003-3862-652X, New York University), Dylan J Stein (All authors are with the Department of Environmental Medicine and Center for AIDS Research, School of Medicine, New York University, New York, NY.), Robert Hagerty (0000-0003-1344-8210, All authors are with the Department of Environmental Medicine and Center for AIDS Research, School of Medicine, New York University, New York, NY.), Michael Marmor (0000-0001-6605-2661, All authors are with the Department of Environmental Medicine and Center for AIDS Research, School of Medicine, New York University, New York, NY.)
Year2009
Volume99
Issue10
Pages1732-1733
Publication date2009-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2009.169912
PMID19696372
PMCIDPMC2741519
OpenAlexW2166737804
LanguageEN
Citations received6
References cited4

The recent article by Grudzen et al.1 is an important look at the workplace safety of pornography performers in the United States. We are concerned, however, that its portrayal of condom use in pornography viewed by men who have sex with men (MSM) may be inaccurate and thus may divert attention from an issue with important public health implications. The authors report that 80% of penile–anal contacts in male homosexual pornography were protected by condoms; we believe that the frequency of protected sex in male homosexual pornography may be much lower, especially if one considers all forms of video pornography viewed by MSM. Gonaives, Haiti. “No Mercy: Hurricane Season '08.” Medical Technician Aucy Saint-Aude conducts preliminary tests on a young woman at a school-turned-clinic for Doctors Without Borders. Photograph by Patrick Farrell. Copyright 2008 by The Miami Herald. Printed with permission. Grudzen et al. analyzed only pornography available on DVD. A substantial proportion of pornography, however, is produced for Internet distribution only. 42% of Internet users in a recent survey reported viewing pornography online during the prior 12 months, an unknown portion of which was distributed only online.2 Grudzen et al. surveyed a limited catalog of DVD offerings, which may have underrepresented “bareback” pornography (pornography depicting intentional condomless sex), a practice not uncommon among MSM.3,4 Internal penile–anal ejaculations also were excluded because the presence of a condom at ejaculation could not be verified with certainty. The researchers also defined “protected” as use of a condom for any duration. Each of these factors might have contributed to an overestimation of protected sexual encounters in male homosexual pornography. We recently completed an Internet survey of 821 MSM at a high risk of HIV transmission or acquisition. A full report is in preparation, but 77.2% of respondents reported viewing “bareback” pornography in the last 90 days. In sum, the portrayal of unprotected sex in pornography targeted at MSM may be more common than indicated by Grudzen et al. A comprehensive analysis is warranted, because the viewing of unprotected sex by MSM may lead to a community-wide impression that unprotected sexual practices are the norm. This perception may cause an increase in the frequency of unprotected sexual practices and thus increase the risk of acquisition and transmission of HIV, HIV superinfection, and other sexually transmitted infections

Condom · Family medicine · Homosexuality · Human immunodeficiency virus (HIV) · Men who have sex with men · Pornography · Sociology · Syphilis · Gender Studies · Gender, Feminism, and Media · Medicine · Psychology · Sex work and related issues · Sexuality, Behavior, and Technology · Social Psychology

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    Paul J Wright•Journal of Children and Media•2014

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    Cj Bishop•Psychology and Sexuality•2014

  • Preferred aspects of sexually explicit media among men who have sex with men

    Dylan L Galos, Derek J Smolenski et al.•Psychology and Sexuality•2013

  • Sexually explicit racialised media targeting men who have sex with men online

    Jaclyn M White, Emilia Dunham et al.•Culture Health & Sexuality•2015

  • Bareback” Pornography Consumption and Safe-Sex Intentions of Men Having Sex with Men

    Open Access•Karen Jonas, Skyler T Hawk et al.•Archives of Sexual Behavior•2014

  • Sexually Explicit Media on the Internet

    Open Access•Martin J Downing, Eric W Schrimshaw et al.•Archives of Sexual Behavior•2014

  • Unwanted and Wanted Exposure to Online Pornography in a National Sample of Youth Internet Users

    Janis Wolak, Kimberly Mitchell et al.•PEDIATRICS•2007

  • Condom Use and High-Risk Sexual Acts in Adult Films

    Corita R Grudzen, Marc N Elliott et al.•American Journal of Public Health•2009

  • Barebacking Among Gay and Bisexual Men in New York City

    Open Access•Perry N Halkitis, Jeffrey T Parsons et al.•Archives of Sexual Behavior•2003

Unique citing works6
Citations per year0,46
Citation span2013 - 2015 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6

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