TY - JOUR
T1 - Detection and management of pornography-seeking in an online clinical dermatology atlas
AU - Lehmann, Christoph U.
AU - Cohen, Bernard A.
AU - Kim, George R.
PY - 2006/4
Y1 - 2006/4
N2 - 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.
AB - 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.
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U2 - 10.1016/j.jaad.2005.12.037
DO - 10.1016/j.jaad.2005.12.037
M3 - Article
C2 - 16546584
AN - SCOPUS:33645015726
SN - 0190-9622
VL - 54
SP - 633
EP - 637
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
IS - 4
ER -