From: Subject: CDC-NCHSTP-Division of HIV/AIDS Prevention - Fact Sheet - Preventing Occupational HIV Transmission to Health Care Workers Date: Sat, 26 Oct 2002 23:28:53 -0500 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0000_01C27D47.726D2220"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2919.6600 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C27D47.726D2220 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://web.archive.org/web/20010610020328/http://www.cdc.gov/hiv/pubs/facts/condoms.htm CDC-NCHSTP-Division of HIV/AIDS Prevention - Fact = Sheet - Preventing Occupational HIV Transmission to Health Care = Workers
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3D"CDC-NCHSTP-Division Condoms and Their=20 Use in
Preventing HIV Infection
and Other = STDs=20

With nearly 1 million Americans infected with HIV, most of them = through=20 sexual transmission, and an estimated 15 million cases of other = sexually=20 transmitted diseases (STDs) occurring each year in the United = States,=20 effective strategies for preventing these diseases are critical.=20 Refraining from having sexual intercourse with an infected partner = is the=20 best way to prevent transmission of HIV and other STDs. But for = those who=20 have sexual intercourse, latex condoms are highly effective when = used=20 consistently and correctly.=20

Condoms are = effective in=20 preventing HIV and other STDs

The correct and consistent use of latex condoms during = sexual=20 intercourse- vaginal, anal, or oral-can greatly reduce a person=92 = s risk of=20 acquiring or transmitting some STDs, including HIV infection. = Protecting=20 yourself and others against STDs is important because many of = these=20 diseases have serious complications. Protecting yourself and = others=20 against HIV is important because it is life threatening and has no = cure.=20

3D"CDC-NCHSTP-Division Laboratory studies show that latex condoms are = effective=20 barriers to HIV and other STDs. In addition, several studies = provide=20 compelling evidence that latex condoms are highly effective in = protecting=20 against HIV infection when used for every act of intercourse. This = protection is most evident from studies of couples in which one = member is=20 infected with HIV and the other is not, i.e., "discordant = couples."=20

In a 2-year study of discordant couples in Europe, among 124 = couples=20 who reported consistent use of latex condoms, none of the = uninfected=20 partners became infected. In contrast, among the 121 couples who = used=20 condoms inconsistently, 12 (10%) of the uninfected partners became = infected. In another study, among a group of 134 discordant = couples who=20 did not use condoms at all or did not use them consistently, 16 = partners=20 (12%) became infected. This contrasts markedly with infections = occurring=20 in only 3 partners (2%) of the 171 couples in this study who = reported=20 consistently using condoms over the 2-year period. Similarly, in a = recent=20 study among discordant couples in Haiti, 1 of 42 uninfected = partners (2%)=20 became infected with consistent condom use and 19 of 135 who used = condoms=20 inconsistently (14%) became infected.=20

Condoms are classified as medical devices and are regulated by = the Food=20 and Drug Administration (FDA). Every latex condom manufactured in = the=20 United States is tested for defects before it is packaged. During = the=20 manufacturing process, condoms are double-dipped in latex and = tested=20 electronically for holes.=20

Several studies clearly show that condom breakage rates in this = country=20 are less than 2%. Most of the breakage and slippage likely is due = to=20 incorrect use rather than poor condom quality. Using oil-based = lubricants=20 can weaken latex, causing the condom to break. In addition, = condoms can be=20 weakened by exposure to heat or sunlight or by age, or they can be = torn by=20 teeth or fingernails. Studies also indicate that condoms slip off = the=20 penis in about 1-5% of acts of vaginal intercourse and slip down = (but not=20 off) about 3-13% of the time.=20

Some persons have expressed concern about studies that report = higher=20 failure rates among couples using condoms for pregnancy = prevention.=20 Analysis of these studies indicates that the large range of = efficacy rates=20 is related to incorrect or inconsistent use. In fact, latex = condoms are=20 highly effective for pregnancy prevention, but only when they are = used=20 properly. Research indicates that only 30-60% of men who claim to = use=20 condoms for contraception actually use them for every act of = intercourse.=20 Further, even people who use condoms every time may not use them = correctly=20 from start to finish. Incorrect use contributes to the possibility = that=20 the condom could leak at the base or break.=20

Condoms must be used = consistently and correctly to provide maximum=20 protection

As mentioned previously, the primary reason that condoms = sometimes=20 fail to prevent HIV/STD infection or pregnancy is incorrect or=20 inconsistent use, not failure of the condom itself. Consistent use = means=20 using a condom with each act of intercourse. Correct condom use = includes=20 all of the following steps:=20

  • Use a new condom for each act of vaginal, anal, or oral = intercourse.=20
  • Use the condom throughout sex- from start to finish.=20
  • Put on the condom as soon as erection occurs and before any = vaginal,=20 anal, or oral contact with the penis. Hold the tip of the condom = and=20 unroll it onto the erect penis, leaving space at the tip of the = condom,=20 yet ensuring that no air is trapped in the condom=92 s tip.=20
  • Adequate lubrication is important to prevent condom = breakage, but=20 use only water-based lubricants, such as glycerine or = lubricating=20 jellies (which can be purchased at any pharmacy). Do not use = oil-based=20 lubricants such as petroleum jelly, cold cream, hand lotion, or = baby=20 oil, which can weaken the condom.=20
  • Withdraw from the partner immediately after ejaculation, = holding the=20 condom firmly to the base of the penis to keep it from slipping = off.=20

3D"CDC-NCHSTP-Division If stored properly, condoms are good for 5 years after = the=20 manufacturing date. Condoms lubricated with spermicide may remain = good for=20 only 2 years. Condom users should make sure that the condom = expiration=20 date has not passed or the manufacturing date does not indicate = the condom=20 is too old.=20

Condoms users have = product=20 options

There are several types of condoms. Nearly all types offer=20 protection against HIV and other STDs.=20

Latex condoms for men. Latex condoms are made of a = particular=20 kind of rubber. Laboratory studies show that intact latex condoms = provide=20 a highly effective barrier to sperm and micro-organisms, including = HIV and=20 the much smaller hepatitis B virus. Their effectiveness has been = proven=20 over many years.=20

3D"CDC-NCHSTP-Division Synthetic condoms. For people who are allergic = to latex,=20 several new types of materials are being used to make condoms. One = new=20 type is polyurethane, a soft plastic. Another new type is Tactylon = TM *, a=20 synthetic latex. Lab tests have shown that both these materials = provide an=20 effective barrier against sperm, bacteria, and viruses such as = HIV.

Polyurethane condoms for women. The female condom = (Reality TM* )=20 fits inside the vagina and covers some of the area outside of the = vagina.=20 It also is made of polyurethane. When a male condom cannot be = used,=20 couples should consider using a female condom.=20

Unlike latex condoms, synthetic condoms such as male and female = polyurethane condoms can be used with either water-based or = oil-based=20 lubricants.=20

Although not as thoroughly tested as latex condoms, synthetic = condoms=20 likely provide similar protection.=20

Lambskin condoms. These condoms are made from animal = membranes=20 that contain tiny holes. While they can prevent pregnancy, they = should not=20 be used for STD or HIV prevention because viruses may be able to = pass=20 through these holes.=20

Novelty condoms. Novelty (play) condoms are for sexual = amusement=20 only. The FDA does not allow them to be labeled as condoms, and = they=20 should never be used for STD/HIV or pregnancy prevention.=20

Spermicides. Although studies indicate that nonoxynol-9, = a=20 spermicide, kills HIV in laboratory testing, it is not clear = whether=20 spermicides used alone or with condoms during intercourse provide=20 protection against HIV. Therefore, latex condoms with or without=20 spermicides should be used to prevent sexual transmission of HIV.=20

Oral protection. Even though their risk is less than = with=20 unprotected anal and vaginal sex, people who engage in oral sex = can reduce=20 their risk of getting HIV or another STD by placing a barrier over = the=20 vagina or anus. In addition to the male condom, a product designed = to=20 reduce the risk of acquiring an STD during oral sex is now being = sold in=20 the United States. The Sheer Glyde Dam TM* is a 10" x 6" latex = sheet that=20 the FDA has authorized for marketing in the United States. Plastic = food=20 wrap, dental dams (pieces of latex used by dentists), and condoms = that=20 have been cut open all have been used to cover the vagina or anus = during=20 oral sex, although there is no information about how well these = materials=20 work.=20

Education about = condom efficacy=20 does not promote sexual activity

Five U.S. studies of specific sex education programs have=20 demonstrated that HIV education and sex education that included = condom=20 information either had no effect upon the initiation of = intercourse or=20 resulted in delayed onset of intercourse; five studies of specific = programs found that HIV/sex education did not increase frequency = of=20 intercourse, and a program that included development of skills to=20 negotiate safer sexual behaviors actually resulted in a decrease = in the=20 number of youth who initiated sex. In addition, a World Health=20 Organization (WHO) review cited 19 studies of sex education = programs that=20 found no evidence that sex education leads to earlier or increased = sexual=20 activity in young people. In fact, five of the studies cited by = WHO showed=20 that such programs can lead to a delay or decrease in sexual = activity. In=20 a recent study of youth in Los Angeles, an HIV prevention program = focusing=20 on condom use did not increase sexual activity or the number of = sex=20 partners. But condom use did increase among those who were already = sexually active. A 1987 study of young U.S. men who were sent a = pamphlet=20 discussing STDs with an offer of free condoms also did not find = any=20 increase in the youths=92 reported sexual activity.=20

* Use of trade names is for identification only = and does=20 not imply endorsement by the U.S. Department of Health and Human=20 Services.=20

Prevention is=20 cost-effective

In summary, STDs, including HIV infection, are preventable, = and=20 condoms represent an effective prevention tool. A recent analysis=20 estimated that, for high-risk heterosexual men, the societal = savings (in=20 health care costs and productivity) per condom was $27, and for = men who=20 have sex with men, the savings per condom was more than $530 when = condoms=20 were used consistently and correctly with multiple partners.=20

CDC is committed to providing the scientific community and = the=20 public with accurate and objective information about HIV infection = and=20 AIDS. It is vital that clear information on HIV infection and = AIDS be=20 readily available to help prevent further transmission of the = virus and to=20 allay fears and prejudices caused by misinformation. For a = complete=20 description of CDC=92 s HIV/AIDS prevention programs, see = "Facts about=20 CDC=92 s Role in HIV and AIDS Prevention."=20

For more information...=20

CDC National AIDS Hotline:
1-800-342-AIDS = (2437)
Spanish:=20 1-800-344-SIDA (7432) (HIV and STDs)
Deaf: 1-800-243-7889=20

CDC National Prevention Information Network:
P.O. Box = 6003
Rockville, Maryland 20849-6003
1-800-458-5231=20

Internet Resources:
NCHSTP: http://www.cdc.gov/nchs= tp/od/nchstp.html=20
DHAP: http://www.cdc.gov/hiv=20
NPIN: http://www.cdcnpin.org/=20

Fact=20 Sheets   |   Home =   |   Index =   |   Search =   |   Site=20 Map   |   Subscribe =   |  =20 En=20 Espa=F1ol =

Last Updated: May 29, 2001 =
Centers=20 for Disease Control & Prevention
National Center for HIV, = STD, and=20 TB Prevention
Divisions of=20 HIV/AIDS Prevention
Please send = comments/suggestions/requests to:=20 hivmail@cdc.gov =

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