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To the Editor: Dr Wald and colleagues¹ reported the surprising finding that inconsistent condom use offered women greater protection against genital herpes than did consistent condom use against human immunodeficiency virus (HIV) infection. What is not surprising is that people do not like to use condoms, even when they have a regular sexual partner with known disease. The authors reported that "condom use was low throughout the study, as only 61% of couples reported ever using condoms during follow-up, despite counseling at each clinic visit. Only 13% of couples used condoms for each sex act. . . . " This study identifies 2 separate populations: condom users and condom refusers. Condoms were refused at rates in this study that were consistent with condom refusal rates in previous studies of HIV serodiscordant couples. This presents a significant issue for public health. Condoms have not become more user-friendly over the years of . . . [Full Text of this Article]

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RELATED ARTICLE

Effect of Condoms on Reducing the Transmission of Herpes Simplex Virus Type 2 From Men to Women
Anna Wald, Andria G. M. Langenberg, Katherine Link, Allen E. Izu, Rhoda Ashley, Terri Warren, Stephen Tyring, John M. Douglas, Jr, and Lawrence Corey
JAMA. 2001;285(24):3100-3106.
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