Low testing rates for teens and young adults with sexually transmitted diseases

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• Despite the fact that the age group accounts for 50% of all STI cases in the United States, only about 20% of sexually active high school students are tested for sexually transmitted diseases.
• Experts say lack of access to healthcare and concerns about confidentiality are factors in low testing rates.
• They say that if STI is not treated, it can cause serious long-term health problems.

More than half of all sexually transmitted diseases (STIs) occur in adolescents and young adults.

However, few high school students are tested for illnesses such as chlamydia and gonorrhea.

According to the report, only 20 percent of high school students with sexually transmitted diseases reported STI testing the previous year. data From the people Youth risk behavior survey Released by the American Academy of Pediatrics.

This figure includes 26% of female students and about 14% of male students.

It’s far below STI screening recommendations Established by the Centers for Disease Control and Prevention (CDC) and other health groups.

These guidelines examine chlamydia and gonorrhea annually for all sexually active women under the age of 25 and for all sexually active gay, bisexual, and other men who have sex with men. Is required to be tested for syphilis, chlamydia and gonorrhea. Dangerous behavior such as the use of injections.

The CDC also recommends that everyone between the ages of 13 and 64 be tested for HIV annually.

Nicole RedonPhD, the study’s author and senior health scientist in the CDC’s adolescence and school health sector, found that the findings are “almost the same” as the findings of other studies, but the annual STI question. He told Healthline about its incorporation into adolescent risk. Behavioral surveys allow researchers to track test trends over time.

“The fact that women report a higher percentage of tests suggests some compliance with national guidelines, but it’s still not optimal,” says Redon. ..

Similarly, young men who reported having sex with other men were more likely to be tested (about 30%) than straight men (about 13%), but still far above the recommended levels of the CDC. It is below.

Young people between the ages of 15 and 24 earn half of all new sexually transmitted diseases each year in the United States, according to researchers. They add that one in four sexually active adolescent women in the United States has STI.

Dr. Gary SchoolnickVisby Medical, an emeritus professor of infectious diseases at Stanford University in California, told Healthline that HPV rates are as high as 29% for adolescent women and 58% for women aged 20-24.

“Estimated 20 million new sexually transmitted diseases are reported each year in the United States, and chlamydia and gonorrhea are more common in adolescence than in any other age group,” says Schoolnik.

He added that adolescents are more likely to engage in high-risk sex, have sex with multiple partners, and are less likely to use condoms than adults.

“They are at high risk of being exposed to sexually transmitted diseases and are unlikely to be tested or treated,” Schoolnik said.

Chlamydia and gonorrhea are easy to treat, but if left undiagnosed, they can cause lifelong health problems, especially for women, Schoolnik said.

Infertility, chronic pelvic pain, and ectopic pregnancy (the latter can be fatal) are all associated with untreated chlamydia and gonorrhea. HPVIt is known to cause cervical cancer, which can be prevented by vaccination.

Liddon and her colleagues have broadened barriers to STI screening for adolescents and young adults, including reduced healthcare utilization, confidentiality concerns, limited awareness of screening needs, and logistical barriers such as transportation and costs. I have identified.

“Even if adolescents make preventative visits or receive care for acute problems, the discomfort of the care provider, the time constraints during the clinical visit, the adolescent sexual activity, and the comfort. Misunderstandings about levels can miss sexual history acquisition and recommended screening opportunities, and to be honest, “the study author writes.

“About one-third of states require parental notice when a child seeks a test for a sexually transmitted disease,” Schoolnik said. He said he could experience it.

Schoolnik said interventions such as the Philadelphia Children’s Hospital and the Mobile STI Clinic run by Stanford Children’s Health may be less intimidating than teens being tested through a nurse in a clinic or school. I said there is.

The latter uses a rapid STI test developed by Visby Medical, which can produce results in 30 minutes, allowing the provider to treat the patient on the spot and give the partner takeaway medication. I can do it.

Visby Medical is also seeking approval from the Food and Drug Administration for home STI testing, which may be open to the public as early as next year, Schoolnik said.

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