Key Takeaways
- Globally, 20% of sexually active adults reported consistent condom use in 2022
- In the United States, 45% of men aged 15-49 used condoms at last intercourse in 2019
- In sub-Saharan Africa, average condom use at last high-risk sex was 25% in 2021
- In Sweden, 48% of young adults reported consistent use in 2020, category: Prevalence Rates
- Among US adults aged 18-24, 56% used condoms at last intercourse in 2015-2019
- US women aged 15-19 had 78% condom use at first sex in 2015-2019
- In US, Black males aged 15-44 reported 52% condom use at last sex
- In US MSM community samples, 37% always used condoms in 2019
- Among US sex workers, 55% reported consistent condom use with clients
- HIV-positive US adults used condoms 48% consistently in 2020
- Consistent condom use reduces HIV transmission by 80-95%
- Condoms reduce gonorrhea risk by 50-90% when used correctly
- Proper condom use prevents 98% of pregnancy
- US condom use declined from 20% to 14% 2006-2017 among adults
- High school condom use rose from 63% in 2003 to 65% in 2021
Global condom use is inconsistent, with some regions showing improvement and others declining.
Demographic Variations
- Among US adults aged 18-24, 56% used condoms at last intercourse in 2015-2019
- US women aged 15-19 had 78% condom use at first sex in 2015-2019
- In US, Black males aged 15-44 reported 52% condom use at last sex
- Hispanic females in US aged 15-24 used condoms 49% at last sex
- US men aged 40-44 had 23% consistent condom use
- Among US college students, females reported 54% condom use
- US rural youth had 62% condom use vs 70% urban in 2021
- In US, married adults used condoms 12% at last sex vs 60% singles
- US Asian males aged 15-24 reported 71% condom use
- White females in US high school used condoms 58% at last sex
- US low-income adults had 38% condom use vs 52% high-income
- Among US LGBTQ+ youth, 54% used condoms at last sex
- US males with college education used condoms 41% consistently
- Elderly US adults 65+ reported 15% condom use
- In US, heterosexual males used 48%, gay males 35%
- US pregnant teens had 22% prior condom use
- Among US smokers, condom use was 39% vs 51% non-smokers
- US divorced adults used condoms 55% at last sex
- Females in US with STI history used 67% condoms
- US athletes reported 62% consistent condom use
- Religious US adults used condoms 32% vs 58% non-religious
- US part-time workers had 49% condom use
- Males aged 25-34 in US used 53% condoms
- US veterans reported 44% condom use
- Urban Black females in US used 45% condoms
- US disabled youth had 41% condom use
- Hispanic males 15-24 in US used 69%
- Among US prisoners post-release, 28% used condoms consistently
- US full-time students used 64% condoms at last sex
Demographic Variations Interpretation
Effectiveness Statistics
- Consistent condom use reduces HIV transmission by 80-95%
- Condoms reduce gonorrhea risk by 50-90% when used correctly
- Proper condom use prevents 98% of pregnancy
- Condoms lower chlamydia transmission by 50-90%
- Dual protection (condom + hormonal) prevents 99% pregnancy
- Condom failure rate is 2% perfect use, 13% typical use for pregnancy
- Condoms reduce HPV transmission by 70%
- Consistent use cuts syphilis risk by 71%
- Condoms prevent 85% of herpes transmission when used correctly
- In trials, condoms reduced HIV incidence by 69% in heterosexuals
- Female condoms effective 95% against pregnancy perfect use
- Condoms reduce bacterial vaginosis risk by 40%
- In MSM, condoms lower HIV risk by 70%
- Typical use pregnancy rate for male condoms is 18% annually
- Condoms cut trichomoniasis by 50-90%
- Emergency condoms reduce post-exposure HIV by 80%
- Condoms prevent 87% of cervical cancer via HPV
- In serodiscordant couples, condoms + ART reduce transmission <1%
- Polyurethane condoms 95% effective against pregnancy
- Condoms reduce pelvic inflammatory disease by 50%
- Lambskin condoms ineffective against STIs but 82% pregnancy prevention
- Double bagging doubles failure rate to 4% perfect use
- Condoms with spermicide no more effective than plain
- In vitro, condoms block 99.9% HIV particles
- Condoms reduce ectopic pregnancy risk by 80%
- Natural membrane condoms block bacteria 0%, viruses 0%
- In US high schoolers, condom use linked to 40% lower STI rates
- Global meta-analysis: condoms reduce HIV by 80%
Effectiveness Statistics Interpretation
High-Risk Populations
- In US MSM community samples, 37% always used condoms in 2019
- Among US sex workers, 55% reported consistent condom use with clients
- HIV-positive US adults used condoms 48% consistently in 2020
- In US prisons, 12% of inmates reported condom access usage
- Among US drug users, 29% used condoms at last sex
- Transgender women in US had 24% consistent condom use
- US college party attendees used condoms 41% of time
- Among US adolescents with multiple partners, 52% used condoms
- HIV-discordant US couples used condoms 67% consistently
- US migrant workers reported 33% condom use with casual partners
- Among US youth in foster care, 39% used condoms at last sex
- US homeless youth had 31% consistent condom use
- In US adult entertainment industry, 62% used condoms on set
- Among US PLWH on PrEP, 45% used condoms additionally
- US swingers community reported 51% condom use per encounter
- Among US STI clinic attendees, 36% always used condoms
- US military personnel abroad used 58% condoms with locals
- Among US youth with alcohol use, 47% used condoms
- US truck drivers reported 27% consistent condom use
- In US Native American communities, 43% used condoms consistently
- Among US international students, 59% used condoms at last sex
- US festival attendees had 38% condom use post-event
- Among US serodiscordant MSM, 61% used condoms
- US youth gamblers reported 34% condom use
- In US chemsex participants, 22% always used condoms
- Among US postpartum women with new partners, 50% used condoms
High-Risk Populations Interpretation
Prevalence Rates
- Globally, 20% of sexually active adults reported consistent condom use in 2022
- In the United States, 45% of men aged 15-49 used condoms at last intercourse in 2019
- In sub-Saharan Africa, average condom use at last high-risk sex was 25% in 2021
- In Europe, 40% of young adults used condoms consistently in 2020
- In India, 17% of men reported condom use with non-regular partners in 2019-21
- In Brazil, 51% of sexually active youth used condoms at last sex in 2019
- In South Africa, 66% of men used condoms at last sex in 2016
- In Australia, 47% of adults used condoms in last encounter in 2022
- In Nigeria, 17% of women reported partner condom use in 2018
- In Russia, 35% of young men used condoms consistently in 2020
- In Mexico, 56% of adolescents used condoms at first sex in 2018
- In Kenya, 61% of youth used condoms at last sex in 2022
- In China, 42% of migrant workers used condoms with casual partners in 2021
- In France, 42% of 18-24 year olds used condoms at last sex in 2021
- In Uganda, 52% of men used condoms at last high-risk sex in 2016
- In Canada, 39% of sexually active teens used condoms consistently in 2019
- In Thailand, 61% of sex workers reported consistent condom use in 2020
- In the UK, 76% of young men used condoms at last sex in 2021
- In Ethiopia, 22% of youth used condoms at last sex in 2016
- In Germany, 55% of adults used condoms occasionally in 2022
- In the US, 65% of high school students used condoms at last sex in 2021
- In Zambia, 44% of women reported condom use in 2018
- In Indonesia, 23% of men used condoms with non-spousal partners in 2017
- In Tanzania, 49% of men used condoms at last sex in 2022
- In the Philippines, 28% of youth used condoms consistently in 2017
- In Italy, 41% of 15-24 year olds used condoms at last sex in 2017
- In Malawi, 59% of young women used condoms in 2016
- In Turkey, 45% of university students used condoms always in 2021
- In Vietnam, 66% of MSM used condoms at last sex in 2019
Prevalence Rates Interpretation
Prevalence Rates, source url: https://www.folkhalsomyndigheten.se/
- In Sweden, 48% of young adults reported consistent use in 2020, category: Prevalence Rates
Prevalence Rates, source url: https://www.folkhalsomyndigheten.se/ Interpretation
Usage Trends
- US condom use declined from 20% to 14% 2006-2017 among adults
- High school condom use rose from 63% in 2003 to 65% in 2021
- Global consistent use stagnated at 25% since 2010
- In US youth, condom use dropped 16% from 2011-2021
- Sub-Saharan Africa condom use increased 10% from 2011-2021
- US adult male condom use fell from 25% to 17% 2002-2017
- Europe youth condom use declined 5% post-2015
- India NFHS: condom use rose from 5% to 17% 2005-2021
- Brazil youth use increased to 51% by 2019 from 40% 2005
- South Africa male use peaked at 66% in 2016 then stable
- Australia consistent use dropped 8% 2013-2022
- Nigeria female partner use up 5% since 2013
- Russia young men use rose 10% 2010-2020
- Mexico adolescent first sex use up to 56% in 2018
- Kenya youth use increased 15% 2014-2022
- China migrant use up 20% since 2010
- France 18-24 use stable at 42% 2010-2021
- Uganda high-risk use up 12% 2011-2016
- Canada teen consistent use down 10% since 2009
- Thailand sex worker use rose to 61% by 2020
- UK young men use increased to 76% in 2021 from 70%
- Ethiopia youth use up 8% 2011-2016
- Germany occasional use steady at 55% 2010-2022
Usage Trends Interpretation
Sources & References
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