Abstract
This research examines the use of condoms to protect from disease women who selected hormonal implants for contraception. After receiving contraceptive implants, subjects were surveyed regarding their past use of condoms and their plans for using them to inhibit the transmission of HIV and other sexually transmitted diseases in the future. Twenty-one percent of women in the sample had used condoms in the past, but did not plan to use them once they have the implants. While decreasing their risk for unplanned pregnancy, they and/or their partners can be expected to experience an increased risk of exposure to sexually transmitted disease. Contraceptive providers must emphasize to their patients the need for protection from disease, in addition to pregnancy, when prescribing contraceptive methods.
Resumé
Les recherches décrites ici étudient l'utilisation des condoms destinée à protéger contre certaines maladies les femmes qui ont choisi les méthodes de contraception par implants hormonaux. Après la pose des implants contraceptifs, une enquête a été menée auprès des femmes au sujet de leur utilisation passée de condoms et de leur intention de continuer à les utiliser afin d'éviter ultérieurement la transmission du HIV et d'autres maladies sexuellement transmissibles. Vingt et un pour cent des femmes avaient utilisé les condoms dans le passé mais n'envisageaient pas de continuer après la pose des implants. Alors que les risques de grossesses involontaires avaient diminué, aussi bien elles que leurs partenaires pouvaient s'attendre à courir un risque accru d'exposition à des maladies sexuellement transmissibles. Les prescripteurs de méthodes et de moyens de contraception doivent insister auprès de leurs patients sur la nécessité de se protéger, non seulement contre des grossess mais également contre d'éventuelles maladies.
Resumen
Este estudio examina el uso de preservativos como protección contra enfermedades en mujeres que seleccionaron implantes hormonales como anticonceptivos. Después de recibir implantes anticonceptivos, las mujeres fueron entrevistadas en cuanto a su uso anterior de preservatios y sus planes relativos al uso de los mismos para inhibir la transmisión del HIV y otras enfermedades transmitidas por contacto sexual en el futuro. El veintiún por ciento de las mujeres de la muestra utilizaron preservativos anteriormente pero no los utilizaràn cuando tengan los implantes. Si bien disminuye el riesgo de tener un embarazo no planificado, cabe pronosticar que ellas y/o sus parejas experimentaràn un riesgo aumentado de exposición a enfermedades transmitidas por contacto sexual. Los proveedores de anticonceptivos deben explicar claramente a sus pacientes la necesidad de protegerse contra enfermedades, ademàs del embarazo, cuando indiquen métodos anticonceptivos.
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References
Holmes KK, Karon JM, Kreiss J. The increasing frequency of heterosexually acquired AIDS in the United States, 1983–88. Am J Public Health. 1990;80(7):858–63.
Centers for Disease Control, PHS, USDHHS. The HIV/AIDS epidemic: The first 10 years. Morbidity Mortality Weekly Report. 1991;40:357–63,69.
Centers for Disease Control, PHS, USDHHS. HIV prevalence estimates and AIDS case projections for the United States: Report based upon a workshop. Morbidity Mortality Weekly Report. 1990;39:1–31.
Conant M, Hardy D, Sernatinger J, Spicer D, Levy JA. Condoms prevent transmission of AIDs-associated retrovirus (letter). JAMA. 1986;255:1706.
Van de Perre P, Jacobs D, Sprecher-Goldberger S. The latex condom, an efficient barrier against sexual transmission of AIDS-related virus. AIDS. 1987;1:49–52.
Rietmeijer CA, Krebs JW, Feorino PM, Judson FN. Condoms as physical and chemical barriers against human immunodeficiency virus. JAMA. 1988;259:1851–3.
Smiley ML, White GC, Becherer P et al. Transmission of human immunodeficiency virus to sexual partners of hemophiliacs. Am J Hematol. 1988;28:27–32.
Soskolne V, Aral SO, Magder LS, Reed DS, Bowen GS. Condom use with regular casual partners among women attending family planning clinics. Fam Plann Perspect. 1991;23(5):222–5.
Forrest JD, Fordyce RR. US women's contraceptive attitudes and practice: how have they changed in the 1980s? Fam Plann Perspect. 1988;20:112–8.
Rapkin AJ, Erickson PI. Differences in knowledge of and risk factors for AIDS between hispanic and non-hispanic women attending an urban family planning clinic. AIDS. 1990;4(9):889–99.
Chapman S, Stoker L, Ward M, Porrit D, Fahey P. Discriminant attitudes and beliefs about condoms in young multi-partner heterosexuals. Int J STD AIDS. 1990;1:422–8.
Perlman JA, Kelaghan J, Wolf PH, Baldwin W., Coulson A, Novello A. HIV risk differences between condom users and nonusers among US heterosexual women. J Acq Immun Defic Syndromes. 1990;3(2):155–65.
Sonnex C, Hart GJ, Williams P, Adler MW. Condom use by heterosexuals attending a department of GUM: attitudes and behavior in the light of HIV infection. Genitourin Med. 1989;65:248–51.
A more detailed description of the data collection procedures is included in Frank ML, Poindexter AN, Johnson ML, Bateman L. Characteristics and attitudes of early contraceptive implant acceptors in Texas. Fam Plann Perspect. 1992;24(5):208–13.
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Frank, M.L., Bateman, L. & Poindexter, A.N. Planned condom use by women with norplant implants. Adv Contracept 9, 227–232 (1993). https://doi.org/10.1007/BF01982945
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DOI: https://doi.org/10.1007/BF01982945