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Do condoms cause rape and mayhem? The long-term effects of condoms in New South Wales’ prisons
  1. Lorraine Yap1,
  2. Tony Butler2,
  3. Juliet Richters1,
  4. Kristie Kirkwood2,
  5. Luke Grant3,
  6. Max Saxby3,
  7. Frederick Ropp3,
  8. Basil Donovan4
  1. 1National Centre in HIV Social Research, University of New South Wales, Sydney, New South Wales, Australia
  2. 2Centre for Health Research in Criminal Justice, Sydney, New South Wales, Australia
  3. 3NSW Department of Corrective Services, Sydney, New South Wales, Australia
  4. 4National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia
  1. Correspondence to:
 Dr L Yap
 National Centre in HIV Social Research, University of New South Wales, Robert Webster Building, Sydney, New South Wales 2052, Australia; l.yap{at}


Background: Concerns raised by opponents to condom provision in prisons have not been objectively examined and the issue continues to be debated. The long-term effects of the introduction of condoms and dental dams into New South Wales (NSW) prisons in 1996 was examined, focusing on particular concerns raised by politicians, prison officers, prison nurses and prisoners. These groups were worried that (a) condoms would encourage prisoners to have sex, (b) condoms would lead to an increase in sexual assaults in prisons, (c) prisoners would use condoms to hide and store drugs and other contraband and (d) prisoners would use condoms as weapons.

Method: Data sources included the NSW Inmate Health Survey (IHS) from 1996 and 2001 and official reports from the NSW Department of Corrective Services. The 1996 IHS involved 657 men and 132 women randomly selected from all prisons, with a 90% response rate. The 2001 survey involved 747 men and 167 women inmates, with an 85% response rate.

Results: There was a decrease in reports of both consensual male-to-male sex and male sexual assaults 5 years after the introduction of condoms into prisons in 1996. The contents of condom kits were often used for concealing contraband items and for other purposes, but this was not associated with an increase in drug injecting in prison. Only three incidents of a condom being used in assaults on prison officers were recorded between 1996 and 2005; none was serious.

Conclusions: There exists no evidence of serious adverse consequences of distributing condoms and dental dams to prisoners in NSW. Condoms are an important public health measure in the fight against HIV and sexually transmitted diseases; they should be made freely available to prisoners as they are to other high-risk groups in the community.

  • IHS, Inmate Health Survey
  • STI, sexually transmitted infection

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