Condom Use and HIV Infection among Prostitutes in Zaire

Abstract

To the Editor: Sexual contact, whether heterosexual or homosexual, is the most important mode of transmission of the human immunodeficiency virus (HIV) throughout the world.¹ Epidemiologic data, combined with the finding of HIV in seminal fluid, cervical secretions, and blood, provide a theoretical basis for the recommendation by the U.S. Public Health Service that use of condoms by homosexuals or heterosexuals may offer protection against HIV transmission.² A recent report presented experimental evidence that despite mechanical stresses, condoms provide an effective barrier against HIV.³ We report epidemiologic evidence that condoms may reduce the risk of HIV acquisition through sexual intercourse. . . .