Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

9 to 19


Published on

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

9 to 19

  1. 1. 9 to 19 What Doctors Know About Your Child’s Sexual Health That You Don’t. . .And Should
  2. 2. The PRCH Mission <ul><li>Physicians for Reproductive Choice and Health exists to ensure that all people have the knowledge, access to quality services, and freedom to make their own reproductive health decisions. </li></ul>
  3. 3. <ul><li>PRCH mobilizes pro-choice physicians to promote, educate, and advocate about the importance of comprehensive reproductive healthcare. </li></ul>The PRCH Mission
  4. 4. PRCH founding Board Member Dr. Richard Hausknecht Marches in Washington
  5. 5. What Teens Say <ul><li>&quot;A lot of teens have unprotected sex due to the lack of education. We need to make public displays all over the media about how to prevent pregnancy, like they do for marijuana.&quot; — Rada, 17 </li></ul>
  6. 6. What Teens Say <ul><li>&quot;Teens think they will never get pregnant because they are young and nothing bad will ever happen to them. The rate can be decreased if they are taught that this isn't true. Education is the only way to stop ignorance.&quot; — Sandy, 17 </li></ul>
  7. 7. What Teens Say <ul><li>&quot;Teens get pregnant because schools aren't teaching us everything we need to know about not getting pregnant. In some places, kids just learn that they shouldn't have sex, but don't get told what to do to be safe if they do have sex. Condoms should be made available for teens everywhere — at school, at home, and at the doctor's.&quot; — Serenity, 18 </li></ul>
  8. 8. Dr. George Tiller prepares for work at his Kansas clinic. Before he puts on his lab coat and stethoscope, he dons a bulletproof vest. From PRCH’s 2003 documentary film, Voices of Choice
  9. 9. Teen Sexual Activity <ul><li>By age 15, only 13% of teens have ever engaged in sexual intercourse. </li></ul><ul><li>By the time they reach 19, 70% of teens have had sex. </li></ul><ul><li>Nearly half (46%) of all 15 to 19-year-olds in the US have had sex at least once. </li></ul>
  10. 10. Sexual Intercourse Rates by Age and Sex
  11. 11. Sexual Intercourse Rates by Grade 9th 10th 11th 12th
  12. 12. Sexual Intercourse among High School Students After declining in the 1990s, rates leveled off
  13. 13. Teen Sexuality <ul><li>A large study of 9th to 12th graders in Vermont found that: </li></ul><ul><ul><li>1% of students described themselves as gay or lesbian </li></ul></ul><ul><ul><li>3% described themselves as bisexual </li></ul></ul><ul><ul><li>3% are not sure </li></ul></ul><ul><ul><li>2% reported having had same-sex intercourse </li></ul></ul>
  14. 14. Teen Sexuality
  15. 15. Teen Sexual Activity <ul><li>At ages 15-19, about 12% of males and 10% of females had had heterosexual oral sex but not vaginal intercourse. </li></ul>
  16. 16. Sexual Activity 15-19 year olds *With partner of the opposite sex
  17. 17. PRCH physician member Dr. Anne Davis and her husband march in Washington
  18. 18. Teen Pregnancy <ul><li>82% of teen pregnancies are unplanned </li></ul><ul><li>A sexually active teen who does not use contraceptives has a 90% chance of becoming pregnant within a year. </li></ul><ul><li>Each year, almost 750,000 women aged 15-19 become pregnant. </li></ul>
  19. 19. <ul><li>US teen pregnancy rates are the second highest of 46 developed countries and: </li></ul><ul><li>Twice as high as England and Wales or Canada </li></ul><ul><li>Eight times as high as the Netherlands or Japan. </li></ul>Teen Pregnancy
  20. 20. Teen Pregnancy Rates, Industrialized Nations
  21. 21. Teen birth rates rise for the first time since 1991 <ul><li>New data from the Centers for Disease Control and Prevention show that teen births rose 3% in 2006, reversing a downward trend. </li></ul>
  22. 22. PRCH physicians meet with Senator Sheldon Whitehouse
  23. 23. Abstinence-only Curricula Flawed <ul><li>A Congressional report found that 80% of Federally-funded “Abstinence Only” programs contain false or misleading information, such as: </li></ul><ul><li>“ the popular claim that condoms prevent the spread of STDs is not supported by the data” </li></ul><ul><li>“ [i]n heterosexual sex, condoms fail to prevent HIV approximately 31% of the time.” </li></ul>
  24. 24. <ul><li>Pledgers: </li></ul><ul><li>Delayed onset of intercourse for up to 18 months (not until marriage) </li></ul><ul><li>Were 1/3 less likely to use contraception at eventual intercourse </li></ul><ul><li>88% had intercourse before marriage </li></ul>Virginity Pledgers
  25. 25. <ul><li>Pledgers: </li></ul><ul><li>Had same rates of sexually transmitted infection as non-pledgers </li></ul><ul><li>Were less aware of STI status </li></ul><ul><li>Were less likely to use condoms at most recent intercourse </li></ul><ul><li>Were SIX TIMES more likely to have oral/anal sex than virgins who did not pledge </li></ul>Virginity Pledgers
  26. 26. PRCH Marches in Washington, DC
  27. 27. <ul><li>“ Here in Texas, we need to wake up and recognize that teaching our children about contraception is the best way to prepare them to be healthy adults. It is no coincidence that our state denies teens information about birth control and has the highest teen birth rate in the nation.” </li></ul><ul><li>Dr. Herbert Brown </li></ul>
  28. 28. Access to Healthcare <ul><li>3.3 million (1 in 8) adolescents ages 12-17 lack health insurance </li></ul><ul><li>8 million (1 in 4) youths ages 18-24 are uninsured </li></ul><ul><li>The risk of being uninsured doubles when a teen turns 19 </li></ul>
  29. 29. Access to Contraceptive Services <ul><li>Twenty-one states and the District of Columbia explicitly allow all minors to consent to contraceptive services without a parent's involvement (as of August 2006). </li></ul><ul><li>Two states (Texas and Utah) require parental consent for contraceptive services in state-funded family planning programs. </li></ul>
  30. 30. Parental Consent for Contraception <ul><li>Sixty percent of teens under 18 who use a clinic for sexual health services say their parents know they are there. </li></ul><ul><li>Among those whose parents do not know, 70% would not use the clinic for prescription contraception if the law required that their parents be notified. </li></ul>
  31. 31. Parental Consent for Contraception <ul><li>Only 1% of adolescents who use sexual health services say they would stop having sex if there was a law requiring their parents' involvement for prescription contraception. </li></ul>
  32. 32. <ul><li>“ As a physician who treats many adolescents, I encourage my patients to involve their parents in decisions regarding their healthcare. But that should not preclude schools from providing their students with the health resources they need, including medically accurate health education, and yes, if needed, reliable contraception.&quot; </li></ul><ul><li>-----Dr. Willie Parker </li></ul>
  33. 33. Sexually Transmitted Infection <ul><li>18.9 million new cases of STIs each year </li></ul><ul><ul><li>Half of these occur in people ages 15-24 </li></ul></ul><ul><ul><li>Most are asymptomatic and remain undiagnosed </li></ul></ul><ul><li>By age 25, at least half of sexually active people will have contracted an STI </li></ul><ul><li>Economic costs of treatment ~ $6.5 billion/ year </li></ul>
  34. 34. Sexually Transmitted Infection <ul><li>One in four (26 percent) young women ages 14 - 19 in the United States is infected with at least one of the most common sexually transmitted diseases . </li></ul><ul><li>Among African-American teenage girls, the rate is nearly 50% </li></ul>
  35. 35. Gonorrhea by Age Cases (per 100,000 population)
  36. 36. Chlamydia by Age Rate (per 100,000 population)
  37. 37. HPV: The Facts <ul><li>Human papillomavirus (HPV) infections account for about half of STIs among 15-24-year-olds each year. </li></ul><ul><li>HPV is extremely common, often asymptomatic and generally harmless. However, certain types, if left undetected and untreated, can lead to cervical cancer, penile cancer, cancer of the anus, and other cancers. </li></ul>
  38. 38. PRCH Physicians Lobby on Capitol Hill
  39. 39. HPV: The Facts <ul><li>In June 2006, the FDA approved the vaccine Gardasil as safe and effective for use among girls and women aged 9-26. The vaccine prevents infection with the types of HPV most likely to lead to cervical cancer. </li></ul><ul><li>Men can also be affected by HPV; Gardasil is being considered for boys as well as girls, primarily to prevent transmission </li></ul>
  40. 40. <ul><li>“ Physicians have an obligation to provide the best evidence-based care to our patients. As individuals, we may have differing opinions about the morality of sexual behavior, but those opinions should not play a role in how we practice medicine.” </li></ul><ul><li>Dr. Suzanne T. Poppema, PRCH board chair </li></ul>