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Section 2. Recommendations for Care of Children in Special Circumstances
SEXUALLY TRANSMITTED DISEASES IN ADOLESCENTS AND CHILDREN
Physicians and other health care professionals perform a critical role in preventing and treating sexually transmitted diseases (STDs) in the pediatric population. Sexually transmitted diseases are a major problem for adolescents; an estimated 25% of adolescents will develop an STD before graduating from high school. For infants and children, detection of an STD is an important warning signal of sexual abuse. Sexual abuse of children has been endemic for generations, but the prevalence and potentially devastating psychologic effects of sexual abuse have been recognized only recently. Whenever sexual abuse is suspected, appropriate social service and law enforcement agencies must be involved to ensure the childs protection and to provide appropriate counseling.
Sexually Transmitted Diseases in Adolescents|
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Sexually Transmitted Diseases in Adolescents
EPIDEMIOLOGYAlthough the incidence of all reported STDs in the United States has decreased during the past decade, adolescents and young adults continue to have higher rates of STDs than any other age group. Adolescents are at greater risk of STDs, because they frequently have unprotected intercourse, are biologically more susceptible to infection, often are engaged in partnerships of limited duration, and face multiple obstacles to use of health care services. In the United States in 2000, case report rates for gonorrhea were 61 per 100 000 for people between 40 and 44 years of age, 307 per 100 000 for people between 25 and 29 years of age, 623 per 100 000 for people between 20 and 24 years, and 516 per 100 000 for people between 15 and 19 years of age. The highest age-specific incidence rate
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