A Renewed Call to Action for Addressing the Alarming Rising Rates of Sexually Transmitted Infections in U.S. Adolescents and Young Adults

Boyer, Cherrie B.; Agénor, Madina; Willoughby, Jessica Fitts; Mead, Andrew M.; Geller, Amy; Yang, Sophie; Prado, Guillermo; Guilamo‐Ramos, Vincent

doi:10.1016/j.jadohealth.2021.05.002

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…These and other adjustments may have mitigated the drop in screening brought on by the COVID-19 pandemic. Work is needed to understand the relative contribution of these mitigating strategies in order to develop more flexible responses during future disruptive events, as has been called for by others [ 5 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Early Stages of the COVID-19 Pandemic on Sexually Transmitted Infection Screening Claims Among Adolescent Females in a Pediatric Accountable Care Organization in Ohio, United States

Hart¹,

Haamid²,

Holland-Hall³

et al. 2022

Cureus

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BackgroundTesting for sexually transmitted infections (STIs) decreased during the early months of the coronavirus disease 2019 (COVID-19) pandemic. Less is known about the extent to which screening of asymptomatic adolescents for STIs was specifically affected. Our aim was to describe the impacts of early stages of the COVID-19 pandemic on asymptomatic STI screening and overall STI testing among adolescent females aged 13 to 19. We hypothesized that screening would decrease more than overall testing. MethodsWe evaluated claims data from a pediatric accountable care organization responsible for approximately 40,000 adolescent females. We assessed rates of asymptomatic screening and overall testing for chlamydia and gonorrhea in this population, comparing the early pandemic to pre-pandemic levels. ResultsBoth STI screening and overall STI testing were found to be significantly decreased during the early period of the COVID-19 pandemic compared to pre-pandemic levels. The proportion of tests billed as screening was 70% of tests for April to August 2020 (early pandemic), compared to 67% for October 2019 to February 2020 and 64% for April to August 2019, contrary to our hypothesis. ConclusionAsymptomatic screening represented a similar proportion of STI testing among this population of adolescent females during the early COVID-19 pandemic compared to pre-pandemic testing. More work is needed to understand how asymptomatic screening was proportionally maintained despite COVID-19 pandemic restrictions.

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Section: Discussionmentioning

confidence: 99%

Impact of Early Stages of the COVID-19 Pandemic on Sexually Transmitted Infection Screening Claims Among Adolescent Females in a Pediatric Accountable Care Organization in Ohio, United States

Hart¹,

Haamid²,

Holland-Hall³

et al. 2022

Cureus

View full text Add to dashboard Cite

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“…8 Safer sexual behavior and the prevention of sexually transmitted diseases (STDs) potentially reduce morbidity and mortality in the long term. 8,9 SH education often focuses on the negative consequences, such as STDs, unintended pregnancy, abortion, sexual dysfunction, and sexual violence. 1 The positive aspects, such as sexual pleasure and safety, are often ignored.…”

mentioning

confidence: 99%

“…8 Despite promotion and education, adolescents are still at high risk of STDs and unintended pregnancies due to the lack of appropriate knowledge regarding safe sexual behavior. 6,9,15 For example, in the United States, withdrawal was frequently used among adolescents as their only birth control method in 2017. 16 To reduce the negative consequences, adolescents require SH education based on evidence.…”

mentioning

confidence: 99%

“…The main goal is to develop adolescents' knowledges, behaviors, and attitudes towards SH and ensure the appropriate level of knowledge and skills to improve it 8 . Safer sexual behavior and the prevention of sexually transmitted diseases (STDs) potentially reduce morbidity and mortality in the long term 8,9 …”

mentioning

confidence: 99%

“…These outcomes are related to the decreased incidence of STDs among adolescents in the short term 8 . Despite promotion and education, adolescents are still at high risk of STDs and unintended pregnancies due to the lack of appropriate knowledge regarding safe sexual behavior 6,9,15 . For example, in the United States, withdrawal was frequently used among adolescents as their only birth control method in 2017 16 …”

mentioning

confidence: 99%

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Contents, Methods, and Outcomes of Adolescent Sexual Health Promotion in School Environments: A Scoping Review*

Jämiä,

Piispanen,

Kylmä

et al. 2023

Journal of School Health

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BACKGROUNDSchools play a significant role in adolescent sexual health (SH) promotion. Although adolescents' SH has improved, growing challenges still exist in some areas. Previous studies have noted a lack of knowledge about SH promotion implementation in school environments. The purpose of this review is to describe the contents, methods, and outcomes of adolescent SH promotion in school environments.METHODSThree databases (Cinahl, ERIC, Medline) were searched for peer‐reviewed articles published in 2011 to 2022, to identify SH promotion in school environments for adolescents aged 12 to 19 years old. After critical appraisal, inductive content analysis was conducted.RESULTSAfter screening, 25 studies from 8 countries were included. Sexually transmitted diseases and contraception were emphasized in the contents of the methods. Five SH promotion methods were identified: traditional, virtual, interactive, practical skills supporting, and creative. The outcomes were advancement in SH abilities, changes in sexual behavior, and the strengthening of sexual identity.CONCLUSIONSThe contents mostly considered negative consequences of sexual behavior, whereas positive aspects were less discussed. Traditional methods were emphasized, yet positive outcomes were identified regardless of the method. SH promotion should aim to better support adolescents' sexual identity reinforcement.

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Voluntary Medical Male Circumcision for HIV Prevention: a Global Overview

Zhang

Vermund²

2022

Curr HIV/AIDS Rep

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A Renewed Call to Action for Addressing the Alarming Rising Rates of Sexually Transmitted Infections in U.S. Adolescents and Young Adults

Cited by 6 publications

References 6 publications

Impact of Early Stages of the COVID-19 Pandemic on Sexually Transmitted Infection Screening Claims Among Adolescent Females in a Pediatric Accountable Care Organization in Ohio, United States

Impact of Early Stages of the COVID-19 Pandemic on Sexually Transmitted Infection Screening Claims Among Adolescent Females in a Pediatric Accountable Care Organization in Ohio, United States

Contents, Methods, and Outcomes of Adolescent Sexual Health Promotion in School Environments: A Scoping Review*

Voluntary Medical Male Circumcision for HIV Prevention: a Global Overview

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