The Rise Of Sexually Transmitted Infections Or STIS: Chlamydia

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Sexually Transmitted Infections or STIs are an expanding issue in the present society. There is a considerable lot of them and the number is expanding in the adolescent of the country. What are Sexually Transmitted Infections/Diseases (STD’s)? What amount do you think about STD’s? Do you know how to shield yourself from STD’s? The response to these inquiries is that a great amount of people do not have the foggiest idea, and on the off chance that they do, it’s practically nothing. STIs are infections that are transmitted through sex with another local person. “One in two sexually active people will contract an STI by the age of 25 (CDC).” Generally, STI’s are transmitted through oral, anal, vaginal, or another sexually dynamic substantial contact. STIs are 100% avoidable.

Sex has turned into a major issue. Wherever and wherever people look, sex is publicized. What do you see when you turn on the TV, daytime or night? Sex. What do you see when you head out to the motion pictures? Sex. In magazines? Sex. You even notices in the road rotate around sex. The one thing that isn’t stressed is the threats of sex. The threat of getting a sexually transmitted infection/disease. I’m certain that individuals realize that AIDS is the most perilous STD at this moment, yet there are different infections to keep an eye out for. These different infections which I will talk about, are awful and distinctive in their own specific manners. Teens ages 15 to 19 and young adults ages 20 to 24 accounted for the most reported cases of Chlamydia and Gonorrhea in 2012. Females are at greater risk than men of acquiring sexually transmitted infections, and the consequences include pelvic inflammatory disease, pregnancy complications, and infertility (CDC). While taking part in sex, each individual needs to be taught about the perils of sexually transmitted infections and diseases, how to forestall STD’s, and how to get treatment if someone has a STD. “In 2015, rates of the three most common reported STIs- Chlamydia, Gonorrhea, and Syphilis- reached a record high level. The approximately 1.5 million reported cases of chlamydia represent the highest number of annual cases of any other condition ever reported (CDC).”

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Yes, sex is a hard topic to talk about but it has to be talked about. Sex is anything but a diversion. When it boils down to getting a STD, there is no joke behind it. Individuals need to understand that they are not by any means the only ones in threat, the general population they engage in sexual relations with are additionally in risk.

Data

Chlamydia is an infection that can cause permanent damage to sexual and reproductive organs when untreated. Untreated chlamydia can make it very hard for a woman to get pregnant; it can also cause fatal ectopic pregnancies. It is the most common STI in men and women and can be easily treated. Gonorrhoea is an infection that is very common in men and women as well. This infection affects the genitals, rectum, and throat. If a pregnant woman is infected with gonorrhoea she could pass the infection to her baby during birth. Last but not least is Syphilis. Syphilis can cause serious problems if it goes untreated. There are four stages of syphilis (primary, secondary, latent, and tertiary) and each stage has different signs and symptoms.

Sex has turned into a major issue. Wherever and wherever people look, sex is publicized. There are myriad reasons on the contribution of the rise of STIs. The rise of condomless sex has rose. STIs have spread more broad and into populations that are traditionally never really affected like babies. With the ascent of dating applications, sex is all the more promptly accessible and more unknown — and that makes it harder for wellbeing agents to track flare-ups. Another reason is cuts to health clinics. Last, sexual education is not taught in school anymore. “The [CDC] estimates that nearly 20 million new STIs occur every year in this country, half of those [are] among young people aged 15-24 (CDC).” There are a couple ways individuals can keep themselves from STI’s. The primary route is by rehearsing restraint (not engaging in sexual relations). There are numerous procedures, yet the best route is to have sex with just a single accomplice in your entire life, ensuring that your accomplice didn’t have sexual contributions with any other individual. Another technique is a condom.

Numerous sexually active adolescences are never taught on the perils of unprotected sex, on school grounds because they don’t show that type of training. Sex is a part of our lives and it happens with or without sex education. Sexual education is taken out of curriculums due to parent views. Parents feel as though that sex ed should be taught at home. Another reason they take is out is because they are saying that sexual education is not that necessary in school but more people are sexually active and do not have the proper knowledge about sex ed. Regardless of whether you don’t plan to be sexually active, that doesn’t imply that you shouldn’t find out about sex, life structures, contraceptives, and alternate subjects that makeup sex instruction. Sex training is similarly as critical as English, math, science, and etc, so for what reason should we be able to quit one and not the other? The knowledge of comprehensive medically accurate sexual education is a huge benefit in life.

In New Jersey, they teach sex ed once a year. In 2016 New Jersey had a total of 44,360 STDs.1 Majority of those STIs was Chlamydia which had a whopping 34,576 cases. Behind that was Gonorrhea with 8,174 cases. With all the stages of syphilis, their total number of cases is 1,610. Out of all 21 counties in New Jersey my county Camden County has the second-highest STI/STD rate in 2016. Camden County had a total of 4,539 cases. Chlamydia was the winner up with the most with 3,286 cases. Gonorrhoea had 1,168 cases.2 And with all the stages of Syphilis combined it was a total of 56 cases. Once I break it down again in Camden County the area that has the most STIs is Camden City with 2,060. Their Chlamydia rate is 1,411, Gonorrhea with 624, and Syphilis with a redacted amount of less than or equal to 10.2 Camden City is one of the worst areas in New Jersey. Most of their health professionals have been cut or laid off so these young people can not get the proper care.

Literature Review

In the article “School-Based Programs to Reduce Sexual Risk Behaviors: A Review of Effectiveness” by Douglas Kirby, he talks about the importance of school-based sexual ed programs. He said “Not all sex and AIDS education programs had significant effects on adolescent sexual risk-taking behavior, but specific programs did delay the initiation of intercourse, reduce the frequency of intercourse, reduce the number of sexual partners, or increase the use of condoms or other contraceptives.”4 He explains how 46 states recommend sex ed classes, while all 50 states recommend AIDS education instead.

‘Effects of a school-based sexuality education program on peer educators: the Teen PEP model” written by Jennings, Howard, and Perotte. They did a study that evaluated the impact of teen prevention education programs (Teen PEP). It is a peer lead program it took place for two years from May 2007 to May 2008. The study design was a quasi-experiential nonrandomized study. The sample contained 96 intervention and 61 comparison students from five high schools in New Jersey. The results of the program highlighted that the role of school-based peer leadership programs may play a role in promoting the development od healthy sexual futures for adolescents. It showed that adolescents found that peer education programs have a positive impact on themselves.

In “Condom Effectiveness for Reducing Transmission of Gonorrhea and Chlamydia: The Importance of Assessing Partner Infection Status” by Lee Warner, they talked about the effectiveness of latex condoms for the prevention of STIs. They did a study on a few US cities (Baltimore, MD; Newark, NJ; Denver, CO; San Francisco, CA; and Long Beach, CA) between 1993-1997. Participants received a full diagnostic examination for STIs and completed a behavioural questionnaire that assessed their sexual activity and condom usage during vaginal and anal intercourse for three months. They assessed condom effectiveness through two separate measures based on the number of acts of intercourse during those three months. 1) consistent condom use and 2) the number of unprotected intercourse. “Of the 4,743 participants, 429 (9 percent) had known Gc/Ct exposure, having been referred to the STD clinic because they were sexual contacts of partners infected with gonorrhoea (n = 234) or chlamydia (n = 195). Among participants with known exposure, consistent condom use was associated with a 58 per cent reduction in Gc/Ct prevalence after adjustment for demographic and behavioural characteristics. By contrast, among participants with unknown exposure, consistent condom use was associated with an 18 percent reduction in Gc/Ct prevalence in multivariable analyses adjusted for other factors.”3 This study results revealed the knowledge of a partner infection is critical when evaluating condom effectiveness for the prevention of STIs. Consistent condom usage provides a greater chance of protection against STI transmission.

Program Solutions

A few program solutions that will help with this problem are having classes and field days. For adolescents, the program needs to be integrated in their health class on a weekly basis. The other solution is to have the program at a recreation center twice a week for three to six months for about 1-2 hours. In these classes, they will discuss STIs (symptoms, treatments, and ways to prevent it from happening again), condom usage, have guest speakers, have peer groups, and take surveys. Each class will be different. We would need the environment to be welcoming so the teens can feel safe and comfortable when being there. We could have STI fairs which goes something like they come play games and get prizes, trivia games, fact verses myth games, a field day where different clinic from around the community come.

One class will talk about female and male condoms and how they are used. A condom fits over the male erect penis, to anchor the two associates of any diseases that may possibly exist. It is furthermore basic to buy the right kind of condom. A couple of condoms are penetrable, which infers microorganisms can experience the holes and furthermore sperm. A better than average condom would be brought together with a little latex tip to go without breaking of the condom. For the most part, latex condoms are awesome ways to deal with keep STI’s and pregnancy, yet they do break, so its not 100% guaranteed to neutralize pregnancy or disease. There are various methodologies out there, yet the best system is to engage in sexual relations with one another. The female condom appears to be unique from the male condom. Female condoms are pockets with a delicate, adaptable ring on each end. Utilized accurately, they are 95-per cent viable in counteracting pregnancy, contrasted and male condoms, which are 98 percent powerful. We will have both condoms and for males we will practice on a banana and for a female, we will practice on a cup.

In another class we will have guess speakers from the American Sexually Transmitted Diseases Association (ASTDA) and The Centers for Disease Control and Prevention Division of STD Prevention (DSTDP). These two places have partnered up to give us the latest research and the best practices for STI prevention. They bring lectures on cutting edge issues by scientist and program expects to talk to people of interest in the prevention of STIs as well as HIV. Some other guest speakers would be people that experienced a STI and how it affected them and what they do differently now. Other clinics can come and speak and talk about how they feel to deliver the news to a patient that is infected and how they can help them from deal and live with it.

Implementation

The model I am using is the Health Belief Model. The health belief model is about a psychological model that attempts to explain and predict health behaviors. Which is done by focusing on the attitudes and beliefs of individuals. It starts off as I selected the population is adolescents age 15-19 and young adults age 20-24. The perceived susceptibility is even though they know about condoms, they still will choose not to wear them because it feels good. The perceived seriousness without using condoms they can become infertile from a STI/STD, have a STD related cancer, or acquire HIV. Perceived benefits are it’ll healthier sexual health and the STI/STD rates will begin to decrease. Cues to action is to create a program that will help with this problem. Adolescents and young adults will no change their behavior towards their sexual acts. And when they do it will be too late. By that time someone would have contracted a STI/STD.

The program I am implementing in the community is called “The Need To Know”. This program will help give the most accurate information to young people (15-24). The goal of my program is to give this group the proper knowledge on STIs/STDs and to decrease the rates of STIs/STDs among adolescents and young adults. The objectives of my program are 1) spread the word and strengthen the prevention on STIs/STDs. 2) Prevent STI/STD related cancers. 3) Prevent STI/STD related HIV transmission. 4) Prevent STI/STD related infertility. For adolescents the program needs to be integrated in their health class on a weekly basis. The other solution is to have the program at a recreation center twice a week for three to six months for about 1-2 hours. In these classes they will discuss STIs (symptoms, treatments, and ways to prevent it from happening again), condom usage, have guest speakers, have peer groups, lecture, and take surveys. Each class will be different. For the guest speakers I would like people from The American Sexually Transmitted Disease Association to come out. I also want to implement a website that you can order condoms online without going to the store and feeling embarrassed that someone is watching. The website will ask how do you like your condoms, would you want a variety pack, what gender for the condoms, and what size. After you put in all your information then you put your name and address so you can receive them. Shipping will be free.

Evaluation

To evaluate my program we will track the number of people who are going to the classes and actually taking advantage of the information given to them. We will see who is taking advantage of the free testing. Give surveys out to rate the program and ask for if there is something we could add what would it be so they can feel more welcomed in the program. I want the program to fit the needs of the target population so that they can tell more people to come and tell them about their experience. Last, is at the end of ach year we will compare the results from county to county to see who utilized the programs.

Conclusion

There are classes for each subject you can envision running from basic subjects to unrealistic speculations. In any case, a few people decline to perceive the requirement for one class and that is sexual wellbeing instruction. While these classes ought not urge youngsters to take an interest in sexual acts, they ought to be precise and state just actualities about sex. Far reaching sexual wellbeing classes defer sexual action, decrease teenager pregnancy, and lower the quantity of young adults contaminated with sexually transmitted infections. Comprehensive sex instruction has had real adequacy in urging youth to take an interest in sexual acts later than common. This program instructs them how to be capable with their sexual coexistence and control their inclinations. The segment in charge of this is the educational programs for sexual training. The class enables understudies to comprehend the significance of marriage and stable connections as the fundamental concentration for dynamic improvement in network and society. Deferring the inception and measure of youth taking an interest in sexual acts is only one little, however imperative, impact of sexual training.

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