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Effectiveness of condoms in preventing HIV transmission

Author

Listed:
  • Pinkerton, Steven D.
  • Abramson, Paul R.

Abstract

The consistent use of latex condoms continues to be advocated for primary prevention of HIV infection despite limited quantitative evidence regarding the effectiveness of condoms in blocking the sexual transmission of HIV. Although recent meta-analyses of condom effectiveness suggest that condoms are 60 to 70% effective when used for HIV prophylaxis, these studies do not isolate consistent condom use, and therefore provide only a lower bound on the true effectiveness of correct and consistent condom use. A reexamination of HIV seroconversion studies suggests that condoms are 90 to 95% effective when used consistently, i.e. consistent condom users are 10 to 20 times less likely to become infected when exposed to the virus than are inconsistent or non-users. Similar results are obtained utilizing model-based estimation techniques, which indicate that condoms decrease the per-contact probability of male-to-female transmission of HIV by about 95%. Though imperfect, condoms provide substantial protection against HIV infection. Condom promotion therefore remains an important international priority in the fight against AIDS.

Suggested Citation

  • Pinkerton, Steven D. & Abramson, Paul R., 1997. "Effectiveness of condoms in preventing HIV transmission," Social Science & Medicine, Elsevier, vol. 44(9), pages 1303-1312, May.
    • Handle: RePEc:eee:socmed:v:44:y:1997:i:9:p:1303-1312
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    Citations

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    Cited by:

    1. Stephanie Earnshaw & Katherine Hicks & Anke Richter & Amanda Honeycutt, 2007. "A linear programming model for allocating HIV prevention funds with state agencies: a pilot study," Health Care Management Science, Springer, vol. 10(3), pages 239-252, September.
    2. Francis, Andrew M., 2008. "The economics of sexuality: The effect of HIV/AIDS on homosexual behavior in the United States," Journal of Health Economics, Elsevier, vol. 27(3), pages 675-689, May.
    3. Judith Lammers & Sweder van Wijnbergen & Daan Willebrands, 2011. "Gender Differences, HIV Risk Perception and Condom Use," Tinbergen Institute Discussion Papers 11-051/2, Tinbergen Institute.
    4. Danni Xia & Yingjie Chen & Ruijie Chang & Chen Xu & Xiaoyue Yu & Yujie Liu & Hui Chen & Rongxi Wang & Shangbin Liu & Xin Ge & Yuxuan Wang & Ajuan Liang & Fan Hu & Yong Cai & Ying Wang, 2022. "Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework," IJERPH, MDPI, vol. 19(23), pages 1-14, December.
    5. Rosie L Latimer & Lenka A Vodstrcil & Christopher K Fairley & Vincent J Cornelisse & Eric P F Chow & Tim R H Read & Catriona S Bradshaw, 2018. "Non-consensual condom removal, reported by patients at a sexual health clinic in Melbourne, Australia," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-16, December.
    6. Fern Terris‐Prestholt & Matthew Quaife & Peter Vickerman, 2016. "Parameterising User Uptake in Economic Evaluations: The role of discrete choice experiments," Health Economics, John Wiley & Sons, Ltd., vol. 25(S1), pages 116-123, February.
    7. Jeremy Greenwood & Nezih Guner, 2010. "Social Change: The Sexual Revolution," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 51(4), pages 893-923, November.
    8. Jeremy Greenwood & Nezih Guner, 2006. "Social Change," 2006 Meeting Papers 79, Society for Economic Dynamics.
    9. Bimala Sharma & Eun Woo Nam, 2018. "Condom Use at Last Sexual Intercourse and Its Correlates among Males and Females Aged 15–49 Years in Nepal," IJERPH, MDPI, vol. 15(3), pages 1-17, March.
    10. Masunga K. Iseselo & Edith A. M. Tarimo & Eric Sandstrom & Asli Kulane, 2020. "Sexual Behaviours and Practices before and after Phase I/II HIV Vaccine Trial: A Qualitative Study among Volunteers in Dar es Salaam Tanzania," IJERPH, MDPI, vol. 17(19), pages 1-20, October.
    11. Amanda Srsic & Katarzyna Dubas-Jakóbczyk & Ewa Kocot, 2021. "The Economic Consequences of Decriminalizing Sex Work in Washington, DC—A Conceptual Model," Societies, MDPI, vol. 11(3), pages 1-23, September.
    12. Steven D. Pinkerton & David R. Holtgrave & Laura C. Leviton & David A. Wagstaff & Paul R. Abramson, 1998. "Model-Based Evaluation of Hiv Prevention Interventions," Evaluation Review, , vol. 22(2), pages 155-174, April.
    13. Sabina S Alistar & Douglas K Owens & Margaret L Brandeau, 2014. "Effectiveness and Cost Effectiveness of Oral Pre-Exposure Prophylaxis in a Portfolio of Prevention Programs for Injection Drug Users in Mixed HIV Epidemics," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-11, January.
    14. Ana P. Johnson-Masotti & Purushottam W. Laud & Raymond G. Hoffmann & Matthew J. Hayat & Steven D. Pinkerton, 2001. "Probabilistic Cost-Effectiveness Analysis of HIV Prevention," Evaluation Review, , vol. 25(4), pages 474-502, August.

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