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Condoms offer important protection against sexually transmitted diseases (STDs) but are not the most effective of contraceptives. To estimate trends in contraceptive use among human immunodeficiency virus (HIV)-seropositive and HIV-seronegative U.S. women, investigators analyzed data collected semiannually from 1586 participants in a multicenter longitudinal cohort study of women at high risk for HIV.
From 1998 through 2010, male condoms were the most common form of contraception used by HIV-seropositive women. Although use of the most effective reversible contraceptives (intrauterine devices [IUDs] and implants) increased significantly among HIV-seronegative women (from 4.8% in 1998 to 13.5% in 2010), only 2.8% of women with HIV were using …