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Commentary: condoms and HIV/STD prevention--clarifying the message

W L Roper1, H B Peterson, J W Curran

  • 1Centers for Disease Control and Prevention, Atlanta, Ga. 30333.

American Journal of Public Health
|April 1, 1993
PubMed
Summary
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Preventing sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), relies on abstinence or mutually monogamous relationships. Condom use is highly effective for sexually active individuals when used correctly and consistently.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Sexual Health

Background:

  • The majority of human immunodeficiency virus (HIV) infections globally are sexually transmitted.
  • An estimated 12 million other sexually transmitted diseases (STDs) occur annually in the United States.

Purpose of the Study:

  • To review the effectiveness of different strategies for preventing sexually transmitted infections (STIs), including HIV.
  • To emphasize the importance of correct and consistent condom use.

Main Methods:

  • Review of existing studies on STI/HIV prevention methods.
  • Analysis of the effectiveness of behavioral interventions and barrier methods.

Main Results:

  • Abstinence or sex with uninfected partners is the most effective prevention strategy.

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  • Correct and consistent use of latex condoms is highly effective in preventing sexual transmission of HIV and other STDs.

    • Conclusions:

    • Condom effectiveness is contingent on correct and consistent individual usage.
    • Further research is needed for methods more controllable by women, but current messaging must stress proper condom use.