 In much of the Western world , the introduction of the pill in the 1960s was associated with a decline in condom use . In Japan , oral contraceptives were not approved for use until September 1999 , and even then access was more restricted than in other industrialized nations . Perhaps because of this restricted access to hormonal contraception , Japan has the highest rate of condom usage in the world : in 2008 , 80 % of contraceptive users relied on condoms . 
 In much of the Western world , the introduction of the pill in the 1960s was associated with a decline in condom use . In Japan , oral contraceptives <a href='uninflect' title='1'><mark>were</mark></a> not approved for <a href='negative_concord' title='2'><mark>use</mark></a> until September 1999 , and even then access was more restricted than in other industrialized nations . Perhaps because of this restricted access to hormonal contraception , Japan <a href='got' title='3'><mark>has</mark></a> the highest rate of condom usage in the world : in 2008 , 80 % of contraceptive users relied on condoms . 
In much of the Western world , da introduction of tdapill in the 1960s was associated with a decline in condom use . In Japan , oral contraceptives was not approved for no use until September 1999 , and even then access was more restricted than in other industrialized nations . Perhaps cuz of dis restricted access to hormonal contraception , Japan got the highest rate of condom usage in the world : in 2008 , 80 % of contraceptive users relied on condoms .