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Pornographic actors and STDs
Because of the nature of their work, usually involving sex without condoms, pornographic actors are particularly vulnerable to sexually transmitted diseases. Data suggest that pornographic actors have a higher rate of STDs (except for HIV) than the general American population. Among 825 performers screened in 2000–2001, 7.7% of females and 5.5% of males had chlamydia, and 2% overall had gonorrhea. These rates are much higher than in patients visiting family planning clinics, where chlamydia and gonorrhea rates were 4.0% and 0.7%, respectively. Between January 2003 and March 2005, approximately 976 performers were reported with 1,153 positive STD test results. Of the 1,153 positive test results, 722 (62.6 %) were chlamydia, 355 (30.8%) were gonorrhea, and 126 (10.9%) were coinfections with chlamydia and gonorrhea. Less is known about the prevalence and risk of transmission of other STDs such as syphilis, herpes simplex virus, human papillomavirus, hepatitis B or C, trichomonal infection, or diseases transmitted through the fecal–oral route. According to actress Chloe, "After you've been in this business for a while, you have herpes. Everyone has herpes."
In the 1980s, an outbreak of HIV led to a number of deaths of erotic actors and actresses, including John Holmes, Wade Nichols, Marc Stevens, Al Parker. This led to the creation of the Adult Industry Medical Health Care Foundation, which helped set up a voluntary standard in the U.S. adult film industry where erotic actors are tested for HIV every 30 days.

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