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  • Title: AIDS, STDs encourage use of barrier methods.
    Author: Herndon N.
    Journal: Netw Res Triangle Park N C; 1993 Aug; 14(1):18-20. PubMed ID: 12345033.
    Abstract:
    Condom use in the Dominican Republic is being promoted, in part due to the spread of AIDS and sexually transmitted diseases (STDs). 90% of the married women using contraception prefer sterilization, oral contraceptives, IUDs, subdermal implants, or injectables. Barrier methods have never been very popular (5%). Cultural bias may account for some of the avoidance of barrier methods. Men complain about the effects on pleasure and spontaneity. There is uncertainty about what emphasis family planning (FP) programs should place on STD prevention; STD services would make FP popular but also could strain existing services and financial resources. Educational efforts to encourage barrier use are hampered by the lack of access to indoor plumbing, since most barrier methods are messy. Cost may be another limitation on widespread use. PROFAMILIA has been active in promoting the diaphragm and spermicide use. Counseling includes the new vaginal contraceptive film that contains a N-9 spermicide that dissolves on contact. Demand for the film is just now appearing. Research is needed to determine what degree of protection is provided against HIV infections. The female condom is still expensive and men may also find this method objectionable. Pharmacies are the chief source of barrier methods, but pharmacies do not provide counseling. Efforts have been made to teach sex workers with contraceptive messages. Free condoms have been offered in hourly rate hotels since 1987. A study of condom use within these hotels found that most people do not use the condoms (12%) usage. The range of usage varied with the quality of the hotel; condom use was greatest at more expensive ones (28% versus 5% at cheap hotels). A survey of use of instructional materials left in hotels found that 25% of the customers took the printed materials.
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