Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1997 Apr;87(4):558–566. doi: 10.2105/ajph.87.4.558

Increased condom use without other major changes in sexual behavior among the general population in Switzerland.

F Dubois-Arber 1, A Jeannin 1, E Konings 1, F Paccaud 1
PMCID: PMC1380833  PMID: 9146432

Abstract

OBJECTIVES: This study is part of a continuous evaluation of the Swiss AIDS prevention strategy from 1987 through 1994. METHODS: Annual telephone surveys of samples representative of the general population aged 17 through 45 years have been conducted since 1987 to monitor behavioral change. RESULTS: No major changes in level of sexual activity (lifetime number of partners, frequency of sexual encounters in the past week) or potential exposure to risk of HIV transmission (acquisition of a new steady partner during the year or of casual partners in the last 6 months) were observed. Systematic condom use with a new steady partner increased between 1988 and 1994, from 40% to 64% among 17- to 30-year-olds and from 57% to 72% among those aged 31 to 45. Systematic condom use with casual partners increased from 8% to 56% between 1987 and 1994 among 17- to 30-year-olds and from 22% to 42% between 1989 and 1994 among those aged 31 to 45. Condom use was higher among those with multiple partners. CONCLUSIONS: A general-population approach to AIDS prevention was able to achieve large-scale improvements in condom-based protection against HIV infection without inducing other major changes in sexual behavior.

Full text

PDF
558

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Angell M. A dual approach to the AIDS epidemic. N Engl J Med. 1991 May 23;324(21):1498–1500. doi: 10.1056/NEJM199105233242110. [DOI] [PubMed] [Google Scholar]
  2. Bayer R. Public health policy and the AIDS epidemic. An end to HIV exceptionalism? N Engl J Med. 1991 May 23;324(21):1500–1504. doi: 10.1056/NEJM199105233242111. [DOI] [PubMed] [Google Scholar]
  3. Becker M. H., Joseph J. G. AIDS and behavioral change to reduce risk: a review. Am J Public Health. 1988 Apr;78(4):394–410. doi: 10.2105/ajph.78.4.394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Blendon R. J., Donelan K., Knox R. A. Public opinion and AIDS. Lessons for the second decade. JAMA. 1992 Feb 19;267(7):981–986. [PubMed] [Google Scholar]
  5. Bochow M., Chiarotti F., Davies P., Dubois-Arber F., Dür W., Fouchard J., Gruet F., McManus T., Markert S., Sandfort T. Sexual behaviour of gay and bisexual men in eight European countries. AIDS Care. 1994;6(5):533–549. doi: 10.1080/09540129408258668. [DOI] [PubMed] [Google Scholar]
  6. Catania J. A., Coates T. J., Stall R., Turner H., Peterson J., Hearst N., Dolcini M. M., Hudes E., Gagnon J., Wiley J. Prevalence of AIDS-related risk factors and condom use in the United States. Science. 1992 Nov 13;258(5085):1101–1106. doi: 10.1126/science.1439818. [DOI] [PubMed] [Google Scholar]
  7. Catania J. A., Gibson D. R., Chitwood D. D., Coates T. J. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362. doi: 10.1037/0033-2909.108.3.339. [DOI] [PubMed] [Google Scholar]
  8. Choi K. H., Catania J. A., Dolcini M. M. Extramarital sex and HIV risk behavior among US adults: results from the National AIDS Behavioral Survey. Am J Public Health. 1994 Dec;84(12):2003–2007. doi: 10.2105/ajph.84.12.2003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Des Jarlais D. C., Padian N. S., Winkelstein W., Jr Targeted HIV-prevention programs. N Engl J Med. 1994 Nov 24;331(21):1451–1453. doi: 10.1056/NEJM199411243312112. [DOI] [PubMed] [Google Scholar]
  10. Dubois-Arber F., Lehmann P., Hausser D. Towards improved action against AIDS. World Health Forum. 1988;9(3):376–381. [PubMed] [Google Scholar]
  11. Dubois-Arber F., Masur J. B., Hausser D., Zimmermann E., Paccaud F. Evaluation of AIDS prevention among homosexual and bisexual men in Switzerland. Soc Sci Med. 1993 Dec;37(12):1539–1544. doi: 10.1016/0277-9536(93)90188-a. [DOI] [PubMed] [Google Scholar]
  12. Dubois-Arber F., Paccaud F. Assessing AIDS/HIV prevention: what do we know in Europe? Soz Praventivmed. 1994;39 (Suppl 1):S3–13. doi: 10.1007/BF01322421. [DOI] [PubMed] [Google Scholar]
  13. Ehrhardt A. A. Trends in sexual behavior and the HIV pandemic. Am J Public Health. 1992 Nov;82(11):1459–1461. doi: 10.2105/ajph.82.11.1459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Fife-Schaw C. R., Breakwell G. M. Estimating sexual behaviour parameters in the light of AIDS: a review of recent UK studies of young people. AIDS Care. 1992;4(2):187–201. doi: 10.1080/09540129208253090. [DOI] [PubMed] [Google Scholar]
  15. Fineberg H. V. Education to prevent AIDS: prospects and obstacles. Science. 1988 Feb 5;239(4840):592–596. doi: 10.1126/science.3340845. [DOI] [PubMed] [Google Scholar]
  16. Genuis S. J., Genuis S. K. Adolescent sexual involvement: time for primary prevention. Lancet. 1995 Jan 28;345(8944):240–241. doi: 10.1016/s0140-6736(95)90229-5. [DOI] [PubMed] [Google Scholar]
  17. Hausser D., Michaud P. A. Does a condom-promoting strategy (the Swiss STOP-AIDS campaign) modify sexual behavior among adolescents? Pediatrics. 1994 Apr;93(4):580–585. [PubMed] [Google Scholar]
  18. Herlitz C. Sexual behaviour in the general population of Sweden. Soc Sci Med. 1993 Jun;36(12):1535–1540. doi: 10.1016/0277-9536(93)90341-z. [DOI] [PubMed] [Google Scholar]
  19. Jeannin A., Dubois-Arber F., Paccaud F. HIV testing in Switzerland. AIDS. 1994 Nov;8(11):1599–1603. doi: 10.1097/00002030-199411000-00012. [DOI] [PubMed] [Google Scholar]
  20. Koffi-Blanchard M. C., Dubois-Arber F., Michaud P. A., Narring F., Paccaud F. Hat sich der Beginn der Sexualität bei Jugendlichen in der Zeit von Aids verändert? Literaturübersicht von 1972 bis 1992. Schweiz Med Wochenschr. 1994 Jun 18;124(24):1047–1055. [PubMed] [Google Scholar]
  21. Lehmann P., Hausser D., Somaini B., Gutzwiller F. Campaign against AIDS in Switzerland: evaluation of a nationwide educational programme. Br Med J (Clin Res Ed) 1987 Oct 31;295(6606):1118–1120. doi: 10.1136/bmj.295.6606.1118. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Leigh B. C., Temple M. T., Trocki K. F. The sexual behavior of US adults: results from a national survey. Am J Public Health. 1993 Oct;83(10):1400–1408. doi: 10.2105/ajph.83.10.1400. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Mertens T., Caraël M., Sato P., Cleland J., Ward H., Smith G. D. Prevention indicators for evaluating the progress of national AIDS programmes. AIDS. 1994 Oct;8(10):1359–1369. doi: 10.1097/00002030-199410000-00002. [DOI] [PubMed] [Google Scholar]
  24. Nelkin D. AIDS and the social sciences: review of useful knowledge and research needs. Rev Infect Dis. 1987 Sep-Oct;9(5):980–986. doi: 10.1093/clinids/9.5.980. [DOI] [PubMed] [Google Scholar]
  25. Osborn J. E. AIDS: politics and science. Prev Med. 1990 Nov;19(6):744–751. doi: 10.1016/0091-7435(90)90073-s. [DOI] [PubMed] [Google Scholar]
  26. Robertson B. J. Sexual behaviour and risk of exposure to HIV among 18-25-year-olds in Scotland: assessing change 1988-1993. AIDS. 1995 Mar;9(3):285–292. [PubMed] [Google Scholar]
  27. Rogers D. E., Osborn J. E. Another approach to the AIDS epidemic. N Engl J Med. 1991 Sep 12;325(11):806–808. doi: 10.1056/NEJM199109123251111. [DOI] [PubMed] [Google Scholar]
  28. Sellers D. E., McGraw S. A., McKinlay J. B. Does the promotion and distribution of condoms increase teen sexual activity? Evidence from an HIV prevention program for Latino youth. Am J Public Health. 1994 Dec;84(12):1952–1959. doi: 10.2105/ajph.84.12.1952. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Stryker J., Bayer R. AIDS policy: two divisive issues. JAMA. 1993 Nov 24;270(20):2436–2437. doi: 10.1001/jama.270.20.2436. [DOI] [PubMed] [Google Scholar]
  30. Vincent W., Dominique H., Fabrizio B., Martin R. Enquête MONICA: analyse de la participation. Soz Praventivmed. 1987;32(2):63–68. doi: 10.1007/BF02083852. [DOI] [PubMed] [Google Scholar]
  31. Wallace R., Fullilove M., Fullilove R., Gould P., Wallace D. Will AIDS be contained within U.S. minority urban populations? Soc Sci Med. 1994 Oct;39(8):1051–1062. doi: 10.1016/0277-9536(94)90376-x. [DOI] [PubMed] [Google Scholar]
  32. de Vroome E. M., Paalman M. E., Sandfort T. G., Sleutjes M., de Vries K. J., Tielman R. A. AIDS in The Netherlands: the effects of several years of campaigning. Int J STD AIDS. 1990 Jul;1(4):268–275. doi: 10.1177/095646249000100408. [DOI] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES