Members of the Sexually Transmitted Infections (STIs) Workgroup have expertise in areas including syphilis, chlamydia, gonorrhea, pelvic inflammatory illness, herpes, and HPV (human papilloma virus). They developed the objectives related to STIs, and they’ll provide information to track progress toward achieving these objectives throughout the decade.

Sexually Transmitted Infections Workgroup Objectives (7)

Baseline only

Baseline only

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Baseline simply

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About the Workgroup

Approach and Rationale

STIs are very common. Millions of new infections happen every twelvemonth in the United States.1
STIs are passed from 1 person to another through sexual activity including vaginal, oral, and anal sex.

Biological factors that bear upon the spread and complications of STIs include:

  • Asymptomatic nature of STIs. The majority of STIs either don’t accept any symptoms or signs — or they crusade symptoms so mild that they aren’t noticeable. Therefore, many people who have STIs don’t know they demand medical intendance.

  • Gender disparities. Women have more frequent and more than serious STI complications than men.ii
    Among the virtually serious STI complications are pelvic inflammatory disease, ectopic pregnancy (pregnancy outside of the uterus), infertility, and chronic pelvic pain.

  • Age disparities. Young people ages 15 to 24 years account for one-half of all new cases of STIs — yet they stand for only 25 percent of the sexually active population.three
    Adolescent girls may be at college adventure for infection considering of increased cervical ectopy (erosion).

Understanding Sexually Transmitted Infections

The spread of STIs is directly affected past social, economical, and behavioral factors. These factors may cause serious obstacles to STI prevention due to their influence on social and sexual networks, access to and provision of care, willingness to seek care, and social norms regarding sexual activity and sexuality. In addition, historical experience with segregation and bigotry tin intensify the influence of these factors for some populations.

Social, economic, and behavioral factors that affect the spread of STIs include:

  • Racial and ethnic disparities. Certain racial/ethnic groups (mainly African American, Hispanic, and American Indian/Alaska Native populations) have high rates of STIs, compared with rates for whites1.

    In the U.s., race/ethnicity is linked to other determinants of health status, like poverty, express access to health care, fewer attempts to go medical treatment, and living in communities with high rates of STIs.

  • Poverty and marginalization. STIs disproportionately bear on disadvantaged people and people in social networks where high-gamble sexual behavior is mutual — and where admission to care or wellness-seeking behavior is compromised.

  • Access to wellness intendance. Access to high-quality health care is essential for early detection, treatment, and behavior-change counseling for STIs. Groups with the highest rates of STIs are oft the same groups with the most limited access to or use of health services.

  • Substance abuse. Many studies document the association of substance corruption with STIs. The introduction of new illicit substances into communities can drastically alter sexual behaviors in high-take a chance sexual networks, leading to the epidemic spread of STIs.

  • Stigma and secrecy. Peradventure the virtually of import social factors contributing to the spread of STIs in the Usa are the stigma associated with STIs and general discomfort with talking well-nigh sex. These social factors split the U.s. from industrialized countries with low rates of STIs.

  • Sexual networks.

    Sexual networks refer to groups of people who tin can be considered “linked” by sexual partners. A person may have but i sex partner — but if that partner is a member of a risky sexual network, then the person is at college take chances for STIs than a similar individual from a lower-chance network.

Emerging Problems in Sexually Transmitted Infections

There are several emerging issues in STI prevention:

  • Each U.Southward. land needs to address system-level barriers to timely treatment of partners of people with STIs, including the implementation of expedited partner therapy for treating chlamydia and gonorrhea.

  • Enhanced information collection on demographic and behavioral variables, similar the sex activity of an infected person’s sex partner(s), is essential to understanding the epidemiology of STIs and to guiding prevention efforts.

  • Innovative communication strategies are critical for addressing issues of disparities, facilitating HPV vaccine uptake, and normalizing perceptions of sexual wellness and STI prevention, specially as they help reduce health disparities.

  • Information technology is necessary to coordinate STI prevention efforts with the health care delivery.