Safe Sex Methods, Part III

Method #6: The Birth Control Pill
As you can probably guess from the title of this particular method, it is a method that has to do with preventing pregnancy rather than preventing disease. For this reason, if you are interested in something like AIDS prevention, the birth control pill is really not the method for you to choose. You should choose one of the other methods that have been noted as ways to prevent the spread of disease and the mixing of fluids, as both of those things are central to the idea of AIDS prevention. The birth control pill is something that is taken by the woman after engaging in sex. It has the ability to alter the woman’s menstrual cycle and in doing so prevent the possibility of an egg being fertilized in any way, shape or form. Of course, the pill is not 100% effective, which is why it should be combined with some other form of safe sex such as male condoms. Such a combination would also deal with AIDS prevention as well as other problems stemming from risk of sexually transmitted diseases.
Method #7: Diaphragm
This particular device does not refer to anything that has to do with the diaphragm that is a muscle in your stomach, but rather the device that can be used as a form of birth control if it is inserted into the woman’s vagina before she engages in sex. This is a dual purpose safe sex method which means that it has the ability to protect both against unwanted pregnancy and also against sexually transmitted disease. For this reason, the diaphragm is an effective AIDS prevention tool. The main problem with the diaphragm for these purposes is that it tends to be quite expensive. A woman has to undergo an examination and have the device fitted to her particular biology and for that reason it can sometimes be out of reach of many people. For a woman that can afford to have one however, it is usually a better method than condoms as over the course of time the condoms will be used and disposed whereas the diaphragm can be used an unlimited number of times after it is acquired by the woman.
Method #8: Sponge
One final method that is worth mentioning in this series of methods dealing with safe sex is the sponge. The sponge used to be a very popular method for birth control and AIDS prevention, but it has since become less popular in favour of other methods such as the use of a diaphragm. The sponge is a small sponge that is inserted into the vagina before sex takes place and contains a large amount of sperm-killing substance on it. Therefore, it blocks and absorbs the semen before it can enter the cervix and kills all of the sperm cells before they can get by. For this reason, the sponge was an older method of AIDS prevention and birth control that was very popular, but its relative expense and disposability soon found it losing ground to the female condom when that particular product was made reliable.

HIV in Hetrosexual African

As a Hispanic woman, I can say that as a race, we have a culture all our own. Weddings are usually huge with cousins of cousins attending and aunts making brisket and rice and beans in the back kitchen. Gatherings, whether they are for holidays or birthdays or graduation parties are always enormously food-centric, so instead of asking the host what you should get as a gift, you are usually asking what food and how much you should bring. All races have their own cultural norms, so it is not surprising that research studies would focus on race as a factor for behavior. A study published in the journal “AIDS” in June 2008 by researchers at the University of California at San Francisco (UCSF) demonstrates that HIV prevention techniques geared towards changing the behavior of heterosexual African Americans needs to consist of many distinct characteristics in order to be effective.
Lynae Darbes, a professor of medicine at UCSF’s Center for AIDS Prevention Studies and Global Health Sciences and the lead author of the study states, “Peer education, skills training and cultural tailoring were critical factors we found in interventions that increased condoms use, reduced HIV risk behaviors and led to lower rates of sexually transmitted infections. It is important to recognize the diversity that exists within the African American community, and we are not recommending 'one size fits all' types of interventions. Successful interventions honed in on specific aspects of the target populations." The study was comprised of roughly 14,000 participants in a series of 38 controlled trials that were randomized in terms of social norms. Some examples of the norms that were focused on include how one person might perceive their risk factor for contracting AIDS, how to reduce sexual partners, their use of condoms, how to delay the first episode of sex with a new partner or a compilation of these norms. Results from the study point towards members of the African American community educating their peers in order to be more effective.
Darbes goes on to say, “Cultural tailoring was crucial and in effective interventions was derived from activities such as formative research within the target community using a 'ground up' approach as opposed to a top down or 'parachute' approach. Understanding the community was important in developing efficacious interventions." The study analyzed the controlled trials and quantified with measurements of condom use, percentage rates of unsafe or risky sex and the number of sexually transmitted diseases reported. George W. Rutherford, a co-author of the study, states, “This study shows how the technique of meta-analysis can be used to understand an entire literature and to find subtle but important associations that single studies simply can't find."