Am dating two men
Despite this, the use and promotion of condoms continue to be targets for controversy and criticism, and sexual abstinence and monogamy are often promoted as superior alternatives.While condoms offer useful and vital protection, they have also become associated with promiscuity and infidelity.The efficacy of an intervention is how well it works in a scientific trial or when people use it as indicated, i.e.consistently; its effectiveness is how well it actually works to prevent disease or infection in a given population, given actual levels of use.
This cannot be a randomised controlled study, but participants’ HIV and STI incidence can be related to their condom use either at baseline or preferably (because behaviours change over time) by means of regular questionnaires and monitoring.
In these circumstances, it is easy to see why condoms sometimes fail, even in consistent users.
In addition, however, people are not consistent in their use of condoms, and may not even be consistent when they claim to be, or think they are.
These can be done in individuals whose characteristics are known and can be controlled for, and if the relationship truly is monogamous then infections by acute STIs and from outsiders can be ruled out.
One disadvantage is that condom use in long-term relationships, even in serodiscordant couples, is relatively rare.Women were much less likely to report inconsistent use of condoms than never using them: over the course of the study, 46% of women said they used condoms ‘always’, 48% ’never’ and only 6% ’sometimes’.