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Condom use and use-effectiveness in high-risk populations.

W W Darrow1

  • 1Epidemiology Branch, AIDS Program, Center for Infectious Diseases, Centers for Disease Control, Atlanta, GA 30333.

Sexually Transmitted Diseases
|July 1, 1989
PubMed
Summary

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Latex condoms offer a strong barrier against infectious agents, but consistent and correct use is crucial for preventing sexually transmitted diseases like gonorrhea and HIV. Proper education is needed to improve condom effectiveness.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Diseases

Background:

  • In vitro studies indicate latex condoms are an impenetrable barrier to infectious agents.
  • Limited research exists on the real-world effectiveness of condoms in preventing sexually transmitted diseases (STDs).

Purpose of the Study:

  • To evaluate the use-effectiveness of condoms in preventing sexually transmitted diseases.
  • To assess the impact of condom use patterns on the transmission of gonorrhea and human immunodeficiency virus (HIV).

Main Methods:

  • Review of a 1971 prospective study on condom efficacy against gonorrhea.
  • Analysis of an ongoing multicenter study involving female prostitutes in the United States, examining HIV antibody status based on condom use.
Keywords:
AcceptorsAmericasBarrier MethodsCaliforniaCondomContraceptionContraceptive EffectivenessContraceptive MethodsContraceptive UsageDeveloped CountriesDiseasesEducationEvaluationFamily PlanningFamily Planning ProgramsHealth EducationInfectionsNorth AmericaNorthern AmericaPopulation At RiskReproductive Tract InfectionsResearch MethodologySampling StudiesSexually Transmitted Diseases--prevention and controlStudiesSurveysUnited StatesUse-effectiveness

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Main Results:

  • A 1971 study failed to demonstrate condom efficacy for gonorrhea prevention due to improper usage.
  • In an ongoing study, none of 22 women consistently using condoms with all male partners had HIV antibodies, though statistical significance was not reached regarding condom use patterns.
  • Evidence suggests inconsistent condom use is a significant factor in STD transmission.

Conclusions:

  • Proper and consistent condom use is essential for preventing the spread of STDs, including gonorrhea and HIV.
  • Educational campaigns promoting correct condom application and consistent usage are necessary.
  • Further research is needed to fully elucidate the use-effectiveness of condoms across diverse populations and risk factors.