Condom Usage and Attitudes Toward Condoms Associated with Safer Sex and Unsafe Sex
Can't it be like the fantasy?
Can't it be like it used to be?
How to have sex in an epidemic
without getting caught up in polemic?1
The use of condoms as a strategy for lowering risk of HIV transmission in anal intercourse has been controversial, principally because of the apparent failure rates of condoms.2 The fact that almost all reports stress the effectiveness of condoms as a way of reducing, but not necessarily eliminating, the risk of HIV exposure and transmission suggests that the wide adoption of consistent condom usage during anal intercourse would substantially reduce, if not almost eliminate, HIV transmission in this population. For this reason, many AIDS education programs have concentrated on promoting condom usage, especially among homosexually active men.
To date, most safer sex campaigns for homosexually active males have concentrated on emphasizing the importance of condoms to avoid HIV infection or transmission, as well as introducing condom usage as a new behavior. Traditionally, in NZ and SA condoms were only sold by pharmacies. Greater accessibility to condoms has occurred in both countries with condoms becoming more readily available.3 Whether even greater accessibility is required to improve condom usage further or the current accessibility is sufficient to allow easy access to condoms is an important question to consider.