Sexually Transmitted Disease and Pregnancy in Lee County Youth

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Sexually Transmitted Disease
and Pregnancy in Lee County Youth

• Lee County Health Department
• Neryda Greene M P H
• HIV/AIDS Health Educator
• [phone]

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Why should we care?

• Sexually active youth aged 15-24 have the highest
  STD rates of any group
• By age 25, half of all sexually active young
  people will become infected with an STD
• US has the highest rate of STDs in the
  industrialized world (19 million new infections
  per year) and 50 are among youth ages
• 15-24
• Young women, youth of color, young men who have
  sex with men and incarcerated youth are at higher
  risk

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Why should we care?

• Untreated STDs can have detrimental consequences
  on the public health system
• They can lead to infertility, pregnancy
  complications, birth defects, cervical cancer,
  and Pelvic Inflammatory Disease (PID)
• They increase the risk of HIV transmission (3-5
  times)
• Medical costs of STDs alone are nearly 8.4
  billion per year

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2011 STDs in Youth (10-19) Area 8 -
Florida
Chlamydia Gonorrhea Syphilis Total
Lee County 668 143 6 817 47.3
Charlotte, Collier, De Soto, Glades, Hendry, and Sarasota, combined 798 109 1 908 52.6
Total 1,466 252 7 1,725 100
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Key numbers in black (Jan. to Dec. 2011) 1st
number-Chlamydia 2nd number- Gonorrhea (as
reported for students up to age 19)
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Teen Pregnancy in Lee County
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Babies of teen mothers are more likely to..

• Be born prematurely and with various health
  issues
• Be products of no or late prenatal care and its
  repercussions
• Suffer the effects of poor nutrition in pregnancy

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Children of teen mothers

• Have fewer skills and are less prepared to learn
  when they enter kindergarten
• Have behavioral problems and chronic medical
  conditions
• Rely more heavily on publicly funded health care
• Be incarcerated at some time during adolescence
• Drop out of high school
• Give birth as a teenager
• Be unemployed or underemployed as a young adult
• and the cycle is perpetuated.

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Lee County Teen Birth Rates for Mothers ages 15
to 19 (2008-2010)
Number of Females 15 to 19 Actual number of births to mothers 15 to 19 Expected number of births to mothers 15 to 19 Number of Births per 1,000 females 15-19 Statistical Significance
Statewide 1,764,282 65,214 65,214 37.0
Brevard 50,630 1,392 1,871 27.5 L
Lee 48,547 1,994 1,794 41.1 H
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Teen Birth Rate Comparison
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Lee County Teen Repeat Birth Rates for Mothers
ages 15 to 19 (2008-2010)
Number of births to females 15 to 19 Actual Number of repeat births to mothers 15 to 19 Expected number of repeat births to mothers 15 to 19 Actual percent repeat births Statistical Significance
Statewide 65,214 12,029 12,029 18.4
Brevard 1,392 229 257 16.5 L
Lee 1,994 409 368 20.5 H
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Repeat Teen Birth Rate Comparison
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2011 Florida Youth Risk Behavior Survey (YRBS)
show

• 48 of students in grades 9-12 reported having
  sexual intercourse at least once
• 56 of 12th graders have engaged in oral sex
• 25 of 12th graders have had sex with multiple
  partners
• 86 of Florida high school students think it is
  very important for schools to help students
  address current issues like drug abuse, violence,
  HIV/AIDS, teen pregnancy and suicide

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The 2010 Florida Child Health Callback Survey
shows

• 78 of parents would allow their child to
  participate in grade-level appropriate sexuality
  education
• 77 of parents want abstinence-plus or
  comprehensive sexuality education taught in their
  childrens schools
• Parents said they want sexual health education to
  include HIV and STD information
• 57 (elem.), 93 (middle), and 98 (high)
• Parents want sexual health education to include
  birth control information
• 80 (middle) and 93 (high)