Condoms, STD, Teenagers, and International Case Studies Showing Condom Ineffectiveness Against HIV/AIDS


Endnotes

1 Lee Warner, Ph.D., M.P.H., Robert A. Hatcher, M.D., M.P.H., and Markus J. Steiner, Ph.D. "Male Condoms." Chapter 16 in Robert A. Hatcher, M.D., M.P.H., et.al. Contraceptive Technology (18th Revised Edition). New York: Ardent Media, Inc., 2004. [Back]

2 Ibid., page 334. [Back]

3 Richard Gordon. "A Critical Review of the Physics and Statistics of Condoms and Their Role in Individual Versus Societal Survival of the AIDS Epidemic." Journal of Sex & Marital Therapy, Spring 1989 [Volume 15, number 1], pages 5 to 30. [Back]

4 M. Steiner, R. Flodesy, D. Cole and E.Carter. Contraception 46, 279 [1992]; C.M. Roland. "The Barrier Performance of Latex Rubber." RubberWorld ["The Technical Service Magazine for the Rubber Industry"], June 1993 [Volume 208, Number 3]. [Back]

5 William B. Vesey. "Condom Failure." Human Life International Reports, July 1991, pages 1 to 3. [Back]

6 Condom usage guides list anywhere from ten to sixteen steps involved in using condoms. One article in the American Journal of Public Health says primly; "Condoms are not 100% efficacious and a high degree of individual compliance is required for condoms to be effective in use" [William L. Roper, M.D., M.P.H., Herbert B. Peterson, M.D., and James W. Curran, M.D., M.P.H. "Commentary: Condoms and HIV/STD Prevention -- Clarifying the Message." American Journal of Public Health, April 1993 [Volume 83, Number 4], pages 501 to 503]. [Back]

7 Helen Singer-Kaplan. The Real Truth about Women and AIDS. Simon & Schuster, 1987. [Back]

8 All of these studies are listed in Robert A.Hatcher, et. al. Contraceptive Technology (17th Revised Edition) [New York: Ardent Media, Inc., 1998]. Table 16-3, "Prospective Studies of Condom Breakage and Slippage," pages 330 to 332. The Table refers to the following studies, as listed above. All studies refer to vaginal intercourse only.

  1. Nevada -- Study of Nevada Brothel Prostitutes. A.E. Albert, D.L. Warner, R.A Hatcher, J. Trussell, and C. Bennett. "Condom Use Among Female Commercial Sex Workers in Nevada's Legal Brothels." American Journal of Public Health, 1995;85:1,514-1,520.
  2. United States #1 -- Study of Monogamous American Couples. M.J. Rosenberg and M.S Waugh. "Latex Condom Breakage and Slippage in a Controlled Clinical Trial." Contraception, 1997;56:17.21 (events of breakage and slippage were unambiguously not double counted).
  3. United States #2 -- U.S. Clinical Research Participants. M.A. Leeper and M. Conrardy. "Preliminary Evaluation of REALITY, a Condom for Women to Wear." Advances in Contraception 1989;5:229-235.
  4. Sydney, Australia -- Study of Sydney Female Prostitutes. J. Richters, B. Donovan, J. Gerofi and L. Watson. "Low Condom Breakage Rate in Commercial Sex" [letter]. Lancet 1988;2:1,487-1,488. Correction by John Gerofi in personal communication to Philip Kestelman, July 1989.
  5. Atlanta, Georgia #1 -- Study of Atlanta Family Planning Recruits. J. Trussel, D.L. Warner and R.A. Hatcher. "Condom Performance During Vaginal Intercourse: Comparison of Trojan-Enz and Tactylon Condoms." Contraception 1992;45:11-19.
  6. Atlanta, Georgia #2 -- Study of Atlanta Family Planning Recruits. J. Trussel, D.L. Warner and R.A. Hatcher. "Condom Slippage and Breakage Rates." Family Planning Perspectives 1992;24:20-23 (events of breakage and slippage were unambiguously not double counted; slippage rate recalculated from original article and reflects condoms that fell off or slipped down during intercourse or withdrawal).
  7. California #1 -- Study of Southern California Monogamous Couples. A. Nelson, G.S. Bernstein, R. Frezieres, T. Walsh, V. Clark and A. Coulson. "A Study of the Efficacy, Acceptability and Safety of a Non-Latex (Polyurethane) Male Condom; Revised Final Report (N01-HD-1-3109). Bethesda, Maryland: National Institute of Child Health and Human Development, September 15, 1997 (events of breakage and slippage were unambiguously not double counted).
  8. California #2 -- Study of Southern California Monogamous Couples. A. Nelson, R. Frezieres, T. Walsh, V. Clark and A. Coulson. "A Controlled Randomized Evaluation of a Commercially Available Polyurethane and Latex Condom (Avanti Versus Ramses Sensitol): Final Report (N01- HD-1-3109). Bethesda, Maryland: National Institute of Child Health and Human Development, November 6, 1996 (events of breakage and slippage were unambiguously not double counted).
  9. North Carolina #1 -- Study of North Carolina Monogamous Couples (events of breakage and slippage were unambiguously not double counted; among new condoms used with either no additional lubricant or water-based lubricant, rates recalculated from the original article).
  10. North Carolina #2 -- Study of North Carolina Monogamous Couples (breakage rates ranged from 3.5% for a new lot to 18.6% for an 81-month old lot).
  11. North Carolina #3 -- Study of North Carolina Monogamous Couples (events of breakage and slippage were unambiguously not double counted).
  12. North Carolina #4 -- Study of North Carolina Couples Recruited by Mail.
  13. North Carolina #5 -- Study of North Carolina Local Recruits.
  14. Denmark -- Study of Denmark Female Prostitutes and Male and Female Hospital Staff.
  15. New Zealand -- Study of New Zealand Male and Female Family Planning Clinic Clients (events of breakage and slippage were unambiguously not double counted).

In another major study, the nation's most trusted consumer's advocacy group, the Consumer's Union (CU), interviewed 3,300 of its readers in order to determine the effectiveness of condoms at preventing conception and disease. CU also mechanically tested 16,000 condoms of 37 different varieties and brands. It published the results of its studies in the March 1989 issue of Consumer Reports. About one-fourth of the Consumer Union's readers reported at least one instance of condom breakage in a one-year period, and about one in eight experienced two or more incidents of breakage in one year. Using these and other data, CU estimated that an average of one condom in 165 broke during heterosexual intercourse, and about one in 105 broke during anal intercourse. This failure rate was much lower than that produced by most other studies. The results of this study were not included in this Chapter because CU relied heavily on self-reporting, which is inherently unreliable ["Can You Rely on Condoms?" Consumer Reports, March 1989, pages 135 to 141].

Other studies do not reply on self-reporting, but rigorously document all procedures. One such study found that 15.1% of 405 condoms broke or slipped off [James Trussell, David Lee Warner and Robert A. Hatcher. "Condom Slippage and Breakage Rates." Family Planning Perspectives [Alan Guttmacher Institute], January/February 1992 [Volume 24, Number 1], pages 20 to 23]. [Back]

9 Lee Warner, Ph.D., M.P.H., Robert A. Hatcher, M.D., M.P.H., and Markus J. Steiner, Ph.D. "Male Condoms." Chapter 16 in Robert A. Hatcher, M.D., M.P.H., et.al. Contraceptive Technology (18th Revised Edition). New York: Ardent Media, Inc., 2004. [Back]

10 Accumulated condom failure rates can be calculated with the formula 1-(1-f)**n, where f equals the failure rate (0.14) and n equals the number of years. [Back]

11 United States Department of Commerce, Bureau of the Census. Reference Data Book and Guide to Sources, Statistical Abstract of the United States 2006 (126th Edition) [Washington, D.C.: United States Government Printing Office]. Table 92, "Contraceptive Use by Women, 15 to 44 Years of Age: 1995 and 2002." [Back]

12 Judy Murty and Sue Firth of the Marie Stopes Centre. "Use of Contraception By Women Seeking Termination of Pregnancy." The British Journal of Family Planning, April 27, 1996, pages 6 to 9. [Back]

13 Le Monde, May 28, 1996. [Back]

14 M. Gabbay and A. Gibbs. "Does Additional Lubrication Reduce Condom Failure?" Contraception, March 1996, pages 155 to 158. [Back]

15 "Condom Promotion for AIDS Prevention in the Developing World: Is it Working?" Studies in Family Planning, March 2004. [Back]

16 "Condom Promotion for AIDS Prevention in the Developing World: Is it Working?" Studies in Family Planning, March 2004; UNAIDS, UNICEF and WHO. "Epidemiological Fact Sheet on HIV/AIDS and STIs: Cambodia." 2004 Update. [Back]

17 Don Feder. "CDC Opts to Wage Its Own Trojan War." The Boston Herald, August 19, 1993; Kentucky Citizen's Digest, January/February 1993, pages 4 and 5. [Back]

18 "Evaluation of Heterosexual Partners, Children and Household Contacts of Adults With AIDS." Journal of the American Medical Association (JAMA), February 6, 1987. [Back]

19 Jeffrey A. Kelly and Janet S. St. Lawrence. "Cautions about Condoms in Prevention of AIDS." The Lancet (Journal of the British Medical Association). February 7, 1987, page 323. [Back]

20 By comparision, neisseria gonorrhoeae (the largest STD infectious agent) is about 1,000 nanometers in diameter; a hepatitis B surface antigen (the smallest STD infectious agent) is about 22 nanometers in diamater, and the herpes virus is about 400 nanometers in diameter. Marsha F. Goldsmith. "Sex in the Age of AIDS Calls for Common Sense and 'Condom Sense.' JAMA, May 1, 1987, pages 2,261 to 2,263 and 2,266. [Back]

21 Lauran Neergaard. "CDC: Condoms Can Block AIDS." The Philadelphia Enquirer, August 6, 1993, page E10. [Back]

22 C.M. Roland. "The Barrier Performance of Latex Rubber." RubberWorld ["The Technical Service Magazine for the Rubber Industry"], June 1993 [Volume 208, Number 3]. [Back]

23 C.M. Roland, Ph.D., Editor, Rubber Chemistry and Technology and Head of the Polymer Properties Section, Naval Research Laboratory. Letter entitled "Do You Want to Stake Your Life on a Condom?" Washington Times, April 22, 1992. [Back]

24 G.B. Davis and L.W. Shroeder. Journal of Testing and Evaluation, 18, 352 (1990); C.M. Roland. "The Barrier Performance of Latex Rubber." RubberWorld ["The Technical Service Magazine for the Rubber Industry"], June 1993 [Volume 208, Number 3]. Sometimes, condom advocates say that HIV is always attached to or associated with a cell. This is not a factual allegation. HIV is definitely present in free virus form, that is, it is not associated with or attached to sperm cells or white blood cells [J.H. Mermin, M. Holodniy, D.A. Katzenstein and T.C. Merigan. "Detection of Human Immunodeficiency Virus DNA and RNA in Semen by the Polymerase Chain Reaction." Journal of Infectious Diseases, October 1991, pages 769 to 772]. [Back]

25 R. Schmukler and R.B. Beard, unpublished study. Described in C.M. Roland. "The Barrier Performance of Latex Rubber." RubberWorld ["The Technical Service Magazine for the Rubber Industry"], June 1993 [Volume 208, Number 3]. [Back]

26 "From the Surgeon General, US Public HealthService." Journal of the American Medical Association, June 9, 1993, page 2,840. [Back]

27 Ronald F. Carey, William A. Herman, Stephen M. Retta, Jean E. Rinaldi, Bruce A. Herman, and T. Whit Athey. "Effectiveness of Latex Condoms As a Barrier to Human Immunodeficiency Virus-Sized Particles under Conditions of Simulated Use." Sexually Transmitted Diseases, July-August 1992, pages 230 to 233. The article stated that "Leakage of HIV-sized particles through latex condoms was detectable (P<0.03) for as many as 29 of the 89 condoms tested." This study used fluorescence-labeled, 110-nanometer polystyrene microspheres to model free HIV particles. [Back]

28 C.M. Roland, Ph.D., Editor, Rubber Chemistry and Technology and Head of the Polymer Properties Section, Naval Research Laboratory. Letter entitled "Do You Want to Stake Your Life on a Condom?" Washington Times, April 22, 1992. [Back]

29 Quoted in John Kelly, M.D. "Condom Failure and Transmission of HIV Infection." CMAC Bulletin, October 1992, pages 19 and 19. [Back]

30 Robert A. Hatcher, et. al. Contraceptive Technology (17th Revised Edition). New York: Ardent Media, Inc., 1998. See the Index to find discussions of the various sexually transmitted diseases. [Back]

31 United States Department of Commerce, Bureau of the Census. Reference Data Book and Guide to Sources, Statistical Abstract of the United States 1999 (119th Edition) [Washington, D.C.: United States Government Printing Office]. Table 226, "Specified Reportable Diseases -- Cases Reported: 1980 to 1997." [Back]

32 Ibid. [Back]

33 Ibid. [Back]

34 Lynda Richardson. "Condoms in School Said Not to Affect Teen-Age Sex Rate." The New York Times, September 30, 1997, pages A1 and A14. [Back]

35 W.R. Grady, M.D. Hayward, and J. Yagi. "Contraceptive Failure in the United States: Estimates From the 1982 National Survey of Family Growth." Alan Guttmacher Institute's Family Planning Perspectives, September/October 1986, page 204. [Back]

36 Jana Mazanee. "Birth Rate Soars At ColoradoSchool." USA Today, May 19, 1992, page 3A. [Back]

37 Joint United Nations Program on HIV/AIDS (UNAIDS). "Uganda: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Diseases," 2000. [Back]

38 President Yoweri Museveni of Uganda. What is Africa's Problem? [Minneapolis: University of Minnesota Press], 2000. [Back]

39 Tom Carter. "Uganda Leads by Example on AIDS." The Washington Times, March 13, 2003. [Back]

40 Joint United Nations Program on HIV/AIDS (UNAIDS). "AIDS Epidemic Update, December 2005." You can see this PDF report online http://www.unaids.org/epi/2005/doc/EPIupdate2005_pdf_en/epi-update2005_en.pdf. [Back]

41 Joseph Loconte. "The White House Initiative to Combat AIDS: Learning from Uganda." The Heritage Foundation's Executive Summary Backgrounder #1692, September 29, 2003. 18 pages, PDF document. http://www.heritage.org/research/africa/bg1692.cfm for the article. [Back]

42 E.C. Green, V. Nantulya, R. Stoneburner, and J. Stover. "What Happened in Uganda? Declining HIV Prevalence, Behavior Change and the National Response." United States Agency for International Development (USAID), September 2002. To see this report, http://www.usaid.gov/pop_health/aids/Countries/africa/uganda_report.pdf. [Back]

43 Ibid. [Back]

44 lobal HIV Prevention Working Group. Mobilization for HIV Prevention: A Blueprint for Action, July 2002. http://www.glf.org/nr/downloads/globalhealth/aids/HIVprevreport_final.pdf to access this report. [Back]

45 Norman Hearst and Sanny Chen. "Condom Promotion for AIDS Prevention in the Developing World: Is It Working?" Studies in Family Planning, March 2004. [Back]

46 Joint United Nations Program on HIV/AIDS (UNAIDS). Country-by-country HIV/AIDS statistics can be accessed http://www.unaids.org/en/Regions_Countries/Countries/default.asp. [Back]

47 Joint United Nations Program on HIV/AIDS (UNAIDS). "United States of America: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Diseases," 2004 Update. [Back]

48 C. Hermann, E.C. Green, J. Chin, M. Taguiwalo, and C. Cortez. "Evaluation of the Philippines AIDS Surveillance and Education Project." USAID/Philippines, May 8, 2001. [Back]

49 Poster by 'Catholics' for a Free Choice (CFFC) entitled "Abstinence Has a High Failure Rate: Good Catholics Use Condoms." Downloaded from the Web site of CFFC at http://www.condoms4life.org/images/image2.htm. [Back]

50 Some examples of this thinking from ages past;

51 Allan Parachini. "Condom Industry Seeking Limits on U.S. Study." Los Angeles Times, August 28, 1987. The article also states that "Among other things, the association [the Health Industry Manufacturers Association, which is the condom industry's trade group] has insisted to federal funding officials that the research rely solely on testing standards established by condom makers, that condom companies be allowed to supply all prophylactics to be tested, and that only products currently sold in the United States be studied ... The documents indicate that the attempt to force major modifications in the condom study was apparently motivated by industry concerns that the research might conclude that no American-made condom is currently able to consistently prevent the spread of HIV." [Back]

52 Lothrop Stoddard, Ph.D. The Rising Tide of Color Against White World-Supremacy. New York: Charles Scribner's Sons, 1921. Reprinted in 1971 by Negro Universities Press, Westport, Connecticut. Pages i, 8, 9, 90, 231, 298, 301, 302, 308, and 309 in the reprinted version. [Back]

53 "Abstinence, Condom Controversy Erupts at AIDS Meet." Reuters, July 12, 2004. [Back]

54 D. Kristof. "The Secret War on Condoms," available http://www.valleyskeptic.com/bush_condoms.html. [Back]

55 "Abstinence Row Overshadows AIDS Day." Daily Dispatch (South Africa), November 30, 2004. [Back]

56 "World AIDS Day: Condom Restrictions Cost Lives." Human Rights Watch. [Back]

57 "Ugandan Anti-AIDS Activist Demands UN Fire Lewis For Pushing Condoms." LifeSite Daily News at http://www.lifesite.net, September 7, 2005. [Back]

58 "Mandela, Clinton Close Barcelona Conference, Urging More Action." UNWire, July 12, 2002, available http://www.unwire.org/unwire/20020712/27624_story.asp. [Back]

59 Edward C. Green, quoted in The Boston Globe and in "United Nations Report Says Condoms Fail to Protect Against AIDS 10% of the Time."http://www.lifesite.net/ldn/2003/jun/030623.html LifeSite Daily News, June 23, 2003. [Back]

60 Letter entitled "Sound Medical Advice," by William V. Fitzsimmons, M.D. Fidelity Magazine, April 1987, pages 11 and 12. [Back]

61 Don Feder. "CDC Opts to Wage Its Own Trojan War." The Boston Herald, August 19, 1993; Kentucky Citizen's Digest, January/February 1993, pages 4 and 5. [Back]

62 Susan Weller, associate professor of Preventive Medicine and Community Health at the University of Texas Medical Branch at Galvestion, quoted in Jo Ann Zuniga. "Study: Condoms Don't Eliminate Spread of HIV." The San Juan Star, June 18, 1993. [Back]


Recommended Reading on Condoms.

(1) [In]effectiveness of Condoms.

(2) Catholic Church Teachings on Condoms.

(3) Africa and AIDS.

(4) Population Control and Condoms.

1, 2, 3,