hiv/aids

Porn actress, director, and self-described “kinky feminist,” Madison Young, spoke out in an interview with Salon.com about her feelings in the condom debate that has reemerged in the California adult film industry in the wake of recent news that an actor tested positive for HIV.

…I think [the push to mandate condom use in the industry] could be a mistake. Making condoms mandatory for all adult films is just as confining and dis-empowering as eliminating condoms as an option for performers.

While groups like the AIDS Healthcare Foundation (AHF) and arm-chair advocates want to refuse the choice of actors and directors about what is best for their own health and careers, Young is one of many industry insiders advocating for the rights of individual actors to choose whether or not to use condoms, another method of protection, or none at all.

As a director, I feel that creating a condom-optional policy for my talent works best. I shoot a lot of real-life couples that don’t use condoms in their personal life so they choose not to use them. Also sometimes women who have latex allergies or experience discomfort from using condoms opt not to use them in their scene. But they always have that choice.

Young joins the ranks of other directors and stars speaking out for freedom of choice in spite of the very real threat of sexually transmitted infection (STI). While disease is a frightening and dangerous possibility for those in the adult entertainment business (as well as anyone else engaging in sexual activities), Young and others seem to recognize that an even scary and harmful prospect is the infringement on the freedoms of speech, expression, and the elimination of personal choice.

The most recent case of porn actor testing positive for HIV has renewed calls (or at least media attention to the calls) for a condom mandate in all adult films produced in Los Angeles County.

Last year, activists at the AIDS Healthcare Foundation petitioned California’s Division of Occupational Safety and Health and unsuccessfully sued the county Department of Public Health to put a condom mandate in place claiming that it was an issue of worker safety.

However, the decision should be left up to the production companies and the actors themselves to determine the best way to protect themselves, their companies, and their reputations.

While this latest case has certainly caused some concern among adult performers in California, most of the calls for a condom mandate are coming from outside observers. Furthermore, many actors, such as the renowned adult actress Nina Hartley, have come out against taking away the choice from performers:

“As someone who is still working on the camera myself, I don’t feel any safer with condoms,” she said at a hearing in downtown Los Angeles in June.

Many of the actors in the business oppose the proposed mandate for condom usage. Some even claim that condoms make exposure to HIV and AIDS more likely due to “rubber rash” and friction burns, especially for female performers.

Ernest Greene, a longtime director and Hartley’s partner, explains on his blog:

[A single scene amounts to] over two hours of intercourse in various positions with constant stops and starts during which male performer’s erections rise and fall, condoms frequently tear or unravel and the degree of latex abrasion on the internal membranes of female performers’ vaginas lead to micro-abrasions that make them more vulnerable to all kinds of STIs. Most condom-only female performers eventually abandon condom use, not under pressure from producers, but rather because of the constant rawness and end-on-end bacterial infections produced by countless hours of latex drag.

In addition to problems with enforcement, there’s also the problem of personal choice and freedom of expression. In the end it is the individual actor’s choice to get into the adult entertainment industry and their choice whether or not they wear a condom.

At the same June hearing with Nina Hartley, an adult film actor who goes by the name Jeremy Steele, put it best when he said:

“There is no way to make the industry risk-free. Making things safer does not make it safe. If you’re worried or paranoid, you should not be in this industry.”

To continue our daily series of human achievement highlighting, today’s post focuses on what could be the next great revolution in sexual health; the liquid condom.

In the US and much of the developed world sex is funny. And at first a new kind of condom might seem like a trivial advancement, especially considering the many diseases and conditions science has yet to address. However, the impact of this new innovation should not me overlooked. Since the dawn of human civilization pregnancy, childbearing, and sexually transmitted diseases have had been major contributing factors in the quality of life for human populations–especially the females in these populations. Preventing unwanted pregnancy and disease has, until now, largely been in the hands of men. This new technology may change that.

A group of researchers from the University of Utah in Salt Lake City have invented a vaginal liquid condom that is effective as both a contraceptive and in preventing the transmission of sexual disease including HIV, papilloma virus (HPV), chlamydia, and others.  What makes this “molecular condom” so revolutionary is the fact that it puts women in the driver’s seat. The liquid gel can be inserted into the vagina hours before intercourse and becomes a partial solid when it comes into contact with semen. The ramifications of this new device, which they hope to release in the next 5 years, will be huge.

March is Women’s History month: While I’m generally not a fan of damning or celebrating any grouping of individuals, I will point out that as a group the history of the female sex is one of marginalization, abuse, and disenfranchisement. To a large degree those abuses and lack basic freedoms persist in many cultures. In many countries women simply have no ownership of their lives or bodies–a fundamental principle to individual liberty. In addition to the benefits this liquid condom will provide to couples in developed countries, the new form of birth control and disease prevention has the potential to aid in the liberation and improve conditions of women in societies where their bodies aren’t their own and the risks are great.

Unfortunately for women in the countries with some of the highest rates of STD infection and least access to care, the decisions about sex are not often up to them. As this new technology becomes more available though, all of that may change.

Their goal was to protect women in countries with a high level of HIV-positive people by offering them a rather inexpensive way of contraception and protection when their partners do not wear a condom.

“We did it to develop technologies that can enable women to protect themselves against HIV without the approval of their partner,” says Kiser.

Not to be over-dramatic, but women around the world celebrating Women’s History Month should cheer the researchers behind this condom. They should credit human innovation and technology for helping women around the world take greater ownership of their bodies and their first steps toward freedom.

If you’re gay, you can’t donate blood. It’s illegal. The ban was put in place in 1983, during the early days of the HIV/AIDS scare. It may have made some sense in those days, when HIV testing was less than trustworthy. But it sure doesn’t now, with modern screening technology.

Obviously, keeping HIV-positive blood out of circulation is a wise policy goal. But most gay people don’t have HIV/AIDS.  Rather than screening donors for sexual preference, they should be screened for blood-borne diseases. Straight people already are. And it works quite well. Current policies are keeping healthy, willing donors out of the system.

The outdated ban could soon be coming to an end. Sen. John Kerry and 15 of his colleagues, usually more prone to passing regulations than repealing them, are urging the FDA to repeal this one. You can read their letter here.

The one disconcerting thing about the letter is that every single one of the signees is Democratic. Not one Republican joined in. That could be because Sen. Kerry and the others deliberately excluded them for political reasons. But the GOP is famously behind the curve on gay rights issues. So maybe Republicans were asked, and said no. I don’t know.

Republicans should send their own letter supporting Sen. Kerry’s position. Enlarging the pool of eligible blood donors is an unabashed good. It’s a classic gay rights issue. It’s also a health issue. Blood would be more readily available for patients who need it. Economists would add that increasing the supply of blood will lower its price – a good thing in this age of rapidly rising health care costs.

Marginal Revolution’s Alex Tabarrok points to a proposed rule in California that would reclassify adult film actors as being subject to certain employment regulations. The unintended consequences are potentially fatal:

California’s anti-discrimination laws prohibit requiring an HIV test as a condition of employment; therefore the adult film industry’s current testing process, in which every performer is tested for HIV monthly, would be illegal. Nor would adult film producers be allowed to “discriminate” by refusing employment to HIV-positive performers. As a result, untested and HIV-positive performers would be able to work in the industry, raising the risks of HIV outbreaks–particularly since condom breakage or slippage can occur.

Sounds like regulators and activists need to think that one through a little more carefully.