 Cultural attitudes toward gender roles , contraception , and sexual activity vary greatly around the world , and range from extremely conservative to extremely liberal . But in places where condoms are misunderstood , <unk> , <unk> , or looked upon with overall cultural disapproval , the prevalence of condom use is directly affected . In less @-@ developed countries and among less @-@ educated populations , <unk> about how disease transmission and conception work negatively affect the use of condoms ; additionally , in cultures with more traditional gender roles , women may feel uncomfortable demanding that their partners use condoms . 
