Detection and management of pornography-seeking in an online clinical dermatology atlas - 09/08/11
, Bernard A. Cohen, MD a, George R. Kim, MD a
Reprint requests: C. U. Lehmann, MD, Johns Hopkins University, School of Medicine, 600 N Wolfe St, Nelson 2-133, Baltimore, MD 21287-3200.Baltimore, Maryland
Abstract |
Background |
Increased use of an online educational archive of photographic dermatology case materials (DermAtlas) indicated unexpected pornography-seeking behavior and misuse.
Objective |
We sought to assess the extent of archive misuse.
Methods |
Web usage/request patterns were examined over a 6-month period for requests by anatomic site, diagnosis, and age group plus anatomic site. Free-text queries and referrals from external Web sites were reviewed.
Results |
Of 7800 images, 5.5% contain genital sites. Of all requests, 11% were for anatomic sites (37% genital sites); 62% were specified for diagnoses (12% genital sites). When age group and anatomic site were specified, the relative risk of a child being requested (vs adult) was 1.48 (95% confidence interval 1.44-1.53). Of 10000 free text queries, 12% retrieved images containing genital sites. Of all referrals, 14.3% originated from nonmedical (pornography/fetish) Web sites.
Limitations |
Requests are mixed with legitimate queries.
Conclusion |
Online photographic dermatology archives are vulnerable to misuse. Monitoring and intervention are necessary to preserve their availability and integrity.
Le texte complet de cet article est disponible en PDF.Abbreviations used : CI, DL, HIPAA, IP, NHS, OR, PHI
Plan
| Funding sources: None. Disclosure: Dr Lehmann has received a speaker’s honorarium from Eclipsys Corporation; Dr Cohen is a member of the Speaker Bureau and Clinical Trials of 3M Corporation, Astellas Pharma Inc, and Novartis. Dr Kim has no conflicts of interest to disclose. Presented at the 2005 Annual Symposium of the American Medical Informatics Association. |
Vol 54 - N° 4
P. 633-637 - avril 2006 Retour au numéro
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