Post a New Question | Current Questions | Live Experts
Homework Help: Social Studies: Psychology: Promoting Condom Use
by David A. Gershaw, Ph.D.
Condoms are a major means of preventing STDs (Sexually
Transmitted Diseases) - especially the HIV (Human
Immunodeficiency Virus) infection that causes AIDS. Still, some people may be very upset about condoms being discussed in this
publication. Some may be upset because condoms are also contraceptives,
and they are against contraception. Others may be upset because they
associate condom use with extramarital sexual intercourse. Why would
I risk upsetting these people by writing about condoms?
First, public health officials have gone on record about condoms.
If (1) you are going to engage in sexual intercourse, and (2) you are
not in a mutually faithful relationship where both of you are free of
infection - condoms are the best way to avoid most STDs, especially
AIDS.
Our reaction toward AIDS is like the reaction toward syphilis.
Known centuries ago, syphilis was an incurable disease, carried in the
blood, and passed on through sexual activity and childbirth. Like AIDS,
syphilis was associated with strong negative cultural values,
including the view that it was punishment for sexual immorality.
About 1850, latex condoms were mass produced for the first time. However, problems in promoting condom use were increased by
the Comstock Act passed by Congress in 1873. This act broadened the definition of obscenity to include information related to the
"prevention of conception." Because condoms were used to
prevent conception, they were now classified as obscene. As with AIDS,
the threat of the terrible effects of syphilis was used to encourage a
"just say no" policy.
During World War I, the United States Army advocated abstaining from
sex to prevent syphilis and other STDs - rather than promoting the
use of the condom. However, only 30% of the troops actually abstained
from sex. According to army records, they lost almost seven million
days of active duty because of STDs.
In contrast, in World War II, the army learned from past experience.
Post exchanges were required to stock condoms, and lectures were
routinely given on preventing STDs. At least the armed forces had
learned something - "merely discouraging an activity does not
necessarily make it unattractive or mean that it will stop."
After World War II, antibiotics were discovered - providing a cure for syphilis. This led to a drop in the use of condoms. Even
though physicians realized that condoms helped to prevent STDs, it
was easier and more cost effective to treat infected individuals
with antibiotics. Therefore, the use of condoms was not promoted.
The use of condoms diminished, especially after birth control pills
became popular.
As far as sex is concerned, the media screams, "Go, go, go!" Some adults warn, "Just say no," But the majority just say... nothing.
In the last decade, with the appearance of AIDS, the condom is
greatly needed again as a line of defense. Condoms are relatively
low-priced, easy to use, and relatively reliable (if used correctly).
While condoms prevent many STDs and unwanted pregnancies, they only
rarely have negative physical side effects.
The health values of condom-protected intercourse are overshadowed
by unrealistic views about sexuality. Clinging to the incorrect,
age-old fear that promoting condoms for adolescents will lead to
greater sexual activity, many adults ignore the unprotected sexual
activity that is already occurring. Because teenagers have varying
amounts of sexual experience, we need to provide them with more than
one alternative. Although abstaining is an effective
alternative, it is not feasible for teenagers who are already sexually
active. Our goal in promoting condoms is not to encourage
irresponsible sexual activity, but to prevent the needless suffering
and death of our children.
Historically, negative images have been associated with almost any
activity viewed as sexual. This links the condom with scenes of
promiscuity, immorality, disease, and risk-taking. With these
negative images, adolescents find it very uncomfortable to obtain
and use condoms. Most sexually active teens would find them easier
to use, if we associated condoms with more positive values
- caution, responsibility, and caring for your partner.
Condoms are only part of the solution in preventing the spread of
AIDS. Adolescents who choose to be sexually active (whether we want
them to beactive or not) need education, so they know the risks
involved and the effective options available. Rather than saying
nothing, this article is to educate my readers - even if it may
offend some of them.
Homework Help: Social Studies: Psychology
For Further Reading
|