Present day meanings associated with condom use among drug-using women
and their long term sexual partners include: loss of male protection;
violations of constructions of intimacy, fidelity, conjugal bonding,
and female identity; illness; and death. Efforts to change condom use
patterns must be based on increased vocational, educational, and socia
l opportunities for women. HIV prevention efforts might profit from th
e design of safer sex interventions informed by the above meanings; in
tensified mass media campaigns; and a re-contextualization of attitude
s, behaviors, and beliefs.