ad
This Article
Right arrow Full Version
Services
Right arrow E-mail this link to a friend
Right arrow Related text in Red Book
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Right arrow Section 1
Section 2
Section 3
Section 4
Section 5
Appendices

The first 20% of the full text of this section appears below.

Section 2. Recommendations for Care of Children in Special Circumstances

Sexually Transmitted Infections in Adolescents and Children

STIs in Adolescents

Epidemiology
Management
Prevention

Top
 Next

EPIDEMIOLOGY

Adolescents and young adults continue to have higher rates of STIs when compared with any other age group. Adolescents are at greater risk of STIs, because they frequently have unprotected intercourse, may be more susceptible biologically to infection, often are engaged in multiple sequential monogamous partnerships of limited duration, and face multiple obstacles in accessing confidential health care services. 73 The rate of diagnosed STIs is higher in women than in men by a factor of 3:1, but far fewer sexually active male than female adolescents are screened for STIs. Data underestimate the incidence of STIs among sexually experienced adolescents, because all adolescents, including US high school students who never have had sexual intercourse, are included in the denominators used to calculate age-specific STI rates and because many cases are not diagnosed or reported.


Top
 Previous
Next

Management

Pediatricians should screen for risk of STIs by asking all adolescent patients whether they ever have had sexual intercourse or been sexually active. It is important that adolescents recognize that oral and anal intercourse, as well as vaginal intercourse, put them at risk of STIs. Adolescents at increased risk of STIs are listed in Table 2.10, p 164. Physicians can prepare . . . [Go to Full Text]


Related text in Red Book:

Scheduling Immunizations

Red Book 2009: 21-31. [Extract] [Full Version]  

Hepatitis A

Red Book 2009: 329-337. [Extract] [Full Version]  

Sexually Transmitted Infections

Red Book 2009: 758-764. [Extract] [Full Version]