I went to college during the late 80s-early 90s, and I was a legal adult (for bars) in the early 90s. That was during the height of the HIV crisis, so it wasn't necessary for anyone to purchase condoms back then. Condoms were handed out free of charge at most places.
Now, if I put on my old hat for a second...there are some truths that often get swept under the rug because here in 'Murica there's a bunch of taboos for sex:
1) Sex is better without condoms. We were designed to do it like that. Because of that, some people are willing to risk their health to chase that sort of natural feeling.
2) People don't like talking about the health related things in their medical history surrounding sex. It is often pulling teeth for people to talk about HIV status, last STI screenings, condom usage and hormonal contraception and "what happens if a pregnancy happens". There are a myriad of reasons behind this.
3) In heterosexual relationships, men still wield a fair amount of power and influence over condom negotiation, hormonal contraception, pregnancy and STI screenings. Sometimes, some women are not comfortable in asking about these things with a partner in fear of "rocking the boat".
4) It's important to apply the STI information the right way. Sometimes people will produce last testing results as a way of convincing a potential sex partner "they're up to date", and will leave out some rainy behaviors that they did recently. So building trust and getting honesty from the person is essential.
5) Sahib is still on the age range with the highest number of newly HIV+ patients. The older folks like 99/Rue/you are in the fastest newly diagnosed for HIV group because of the threat of pregnancy is reduced, making people more likely not to use condoms.
6) Sahib is still in the age range for most newly diagnosed +STI results. Ages 15-34 account for most of those numbers.
So as it isn't as easy to do, talking with someone you're sleeping with (or have designs on sleeping with) about having the sex in the safest way possible is essential. It is very difficult to look at a 17 y.o. and tell her that she has herpes, or a 19 y.o. he is HIV+, or see a 18 y.o. college sophomore who lives out of state and is pregnant and devastated because her religious beliefs frown upon termination of a pregnancy but her current life structure says that doing that is the best choice for her at that moment.
Sex is all good and fun, but if the adult stuff isn't put in place to handle the consequences, it can be a destructive enterprise.
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