A(n) BLANK is any infection that can be spread through sexual intercourse, anal sex, oral sex, and using
fingers, other body parts, or sex toys that have come into contact with another person's genitals or body
fluids. - Answers STD (or STI = sexually transmitted infection)
STD's occurs typically on the BLANK, BLANK, or BLANK - Answers genitals, anus, throat
CDC estimates about BLANK number of STDs each year - Answers 19
BLANK % of these occur in young people (ages 15-24) - Answers 50
Direct medical costs of STDs are estimated at $ BLANK billion annually - Answers 16
Most common STD reported is BLANK - Answers chlamydia
Most common STD in adolescents is BLANK (Abbrev) - Answers HPV (Human Papilloma Virus)
STDs can cause uncomplicated BLANK (inflammation of the urethra), itching, BLANK BLANK BLANK (PID -
can cause infertility and chronic pelvic pain), complications of BLANK warts, tertiary BLANK, BLANK
cancer, HIV infection, and AIDS - Answers urethritis, Pelvic Inflammatory Disease, pregnancy, syphillis,
cervical
US public health service identified responsible BLANK behavior as one of the top 10 leading public health
issues facing the nation - Answers sexual
BLANK % of US high school students have had sexual intercourse - Answers 47
BLANK % of US high school students current report sexual activity - Answers 34
Prevalence of sexual activity rise from 24-62% in BLANk from age 15 to 18 - Answers females
61% of HS students used BLANK with last sexual intercours - Answers condom
14% of HS students report having > BLANK partners - Answers 4
Factors causing increase risk in adolescents:
- BLANK and BLANK use
- Immature BLANK functioning
- BLANK factors - poverty and lack of access to healthcare
- Sense of BLANK
Lack of BLANK and partner negotiation skills - Answers alcohol, drug, cognitive, socioeconomic,
invulnerability, communication
, One national study reported <1% patient visits to primary care physicians included counseling on BLANK
- Answers HIV
Another CDC study reveals that although most physicians question new adult patients about cigarette
smoking, few inquire about BLANk orientation, number of BLANK, BLANK use, and STDs - Answers
sexual, partners, condom
Barriers to discussion of sexuality:
- A narrow conception of health care and role of the physician in health BLANK and BLANK
- There is a stigma associated with BLANK, BLANK infection, and discussion of sexual behavior
- Practical constrains of time and resources - Answers education, prevention, STDs, HIV
Principles for Discussing BLANK:
- Confidentiality
- BLANK = clinicians must treat this part of the history just like all others
- Respect for BLANK
- Avoidance of assumptions
- Specific questioning - avoid vague questions such as "are you sexually active?"
- Listen to responses and use appropriate BLANK language
- Avoid medical jargon
- Recognize the links = help patients between different risk - taking behaviors
- Think BLANK
- Know your BLANK -community and in office - Answers sexuality, normalization, diversity, body,
prevention, resources
How many's P's of taking a sexual history are there? - Answers 5 (partners, prevention of pregnancy,
protection from STDs, practices, past history of STDs)
How many risk factors are there for STDs? - Answers 11 (age 15-24, african-american, unmarried,
geographical residence, new sex partner in past 60 days, multiple sexual partners, history of prior STD,
illicit drug use, admission to a correctional facility, meeting partners on the internet, contact with sex
workers)
How many common STDs are there? - Answers 9 (chlamydia, gonorrhea, HIV, syphillis, herpes simplex,
HPV, hepatitis, trichomoniasis, pediculosis pubis)