4.3 sexually transmitted diseases - PROMOTION OF HEALTH IN ADOLESCENCEcasa
Importance of condoms to prevent sexually transmitted diseases. How they are transmitted and the problems that sexually transmitted diseases cause in health and its consequences.
Influence of social networks in the acquisition of risk behaviors for sexuality.
Support material of the original book by María del Rosario Monter Ardanuy: Health Promotion in Adolescence. Prepared to be taught by Health and Education professionals.
STD is an abbreviated form of Sexually transmitted diseases. The meaning of STD disease is that the disease is imparted to others through sexual contact. Apart from sexual transmission, sexually transmitted diseases are also transferred to other persons in various ways. These are- breastfeeding, sharing of infected needles, etc. There are many diseases under the class of STD, and these can be cured by maintaining proper sexual health and hygiene. The mass awareness of sexually transmitted diseases is necessary for preventing them. Social media, newspapers and journals, television broadcasting, internet sources, and medical campaigning are the ways through which the transmission, symptoms, prevention, and prospective cure of STDs are conveyed to the common people. Examples of sexually transmitted diseases are- AIDS, gonorrhea, syphilis, etc.
Infecciones de Transmisión Sexual - ITS. Dra. Regina LópezSOSTelemedicina UCV
En el marco del curso Salud Sexual y Reproductiva desarrollado por el programa SOS Telemedicina, se presenta la conferencia de la Dra. Regina López sobre Infecciones de Transmisión Sexual - ITS.
4.3 sexually transmitted diseases - PROMOTION OF HEALTH IN ADOLESCENCEcasa
Importance of condoms to prevent sexually transmitted diseases. How they are transmitted and the problems that sexually transmitted diseases cause in health and its consequences.
Influence of social networks in the acquisition of risk behaviors for sexuality.
Support material of the original book by María del Rosario Monter Ardanuy: Health Promotion in Adolescence. Prepared to be taught by Health and Education professionals.
STD is an abbreviated form of Sexually transmitted diseases. The meaning of STD disease is that the disease is imparted to others through sexual contact. Apart from sexual transmission, sexually transmitted diseases are also transferred to other persons in various ways. These are- breastfeeding, sharing of infected needles, etc. There are many diseases under the class of STD, and these can be cured by maintaining proper sexual health and hygiene. The mass awareness of sexually transmitted diseases is necessary for preventing them. Social media, newspapers and journals, television broadcasting, internet sources, and medical campaigning are the ways through which the transmission, symptoms, prevention, and prospective cure of STDs are conveyed to the common people. Examples of sexually transmitted diseases are- AIDS, gonorrhea, syphilis, etc.
Infecciones de Transmisión Sexual - ITS. Dra. Regina LópezSOSTelemedicina UCV
En el marco del curso Salud Sexual y Reproductiva desarrollado por el programa SOS Telemedicina, se presenta la conferencia de la Dra. Regina López sobre Infecciones de Transmisión Sexual - ITS.
Enfermedades de Transmision Sexual Y ParafiliasDafnne Zubiri
De la materia de Ciencias de la salud un poco de todo lo que son las Infecciones de transmision sexual, desde la sifilis yy gonorrea hasta llegar a lo que es el SIDA con buenas imagenes y un poco de preferencias sexuales y parafilias.
This presentation was on the prevalence of HIV/STDs in youth in a school system. I present research on the topic, relevant data, and suggested solutions.
“Condoms are not a family planning Method”: Why efforts to prevent HIV have failed to comprehensively address adolescent sexual and reproductive health
Hi52Hlth: Using Mobile Technology to Access Healthcare for TeensYTH
Hi52Hlth is a mobile application (app) created to engage adolescents and young adults in the search for resources in the Houston area. The app allows the user to search for locations of clinics and community organizations with directions, articles and videos on HIV/AIDS, ability to ask questions directly to health avatars ("Tiff" and "Ty"), PEP (Post-Exposure Prophylaxis) and PrEP (Pre-Exposure Prophylaxis) information, and a frequently asked questions section.
Georgia State School of Public Health Ph.D. student Rachel Culbreth discussed her research into HIV and other diseases among young people living in slum communities in Kampala, Uganda, during the APHA 2016 annual meeting in Denver. This is her presentation.
Join us as we discuss best practices for integrating HIV prevention (e.g. HIV testing, PrEP and linkage to care) into primary care within the context of enhancing clinical workforce development.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
Theodoros F. Katsivas, M.D., M.A.S., of UC San Diego Owen Clinic, presents "San Diego Primary Care Providers' Attitudes to HIV and HIV Testing" at AIDS Clinical Rounds
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Std ppt walker
1. Evidence Based STD Screening,
Counseling, and Pregnancy Prevention for
Adolescents
Jeanne E Walker, MSN, CNP
2. STD Prevalence Among Adolescents
• Chlamydia – 6-18% among females
• Gonorrhea – highest incidence among female
adolescents – 610/100,000
• Trichomonas – up to 14% in females; 3-5% of
asymptomatic males
• HSV type I – up to 30% have positive serology
• HPV – 20% of 14-17 year olds and 38% of 18-21
year olds at any given time
Neinstein et al, 2008
3. Risk Factors
• Early coitarche
• Multiple concurrent sex partners
• Sequential sex partners of short term duration
• Inconsistent/incorrect use of barrier methods
• Increased biologic susceptibility to infection
• Obstacles to health care access
• Incarceration
• MSM
• IV drug use
CDC, 2010
4. Consent and Confidentiality
• Minors may consent to their own health services for
STDs in all 50 states and DC. Confidentiality
assured with the exception of limited/unusual
circumstances
• Mandatory reporting/partner notification
• often mandated statements to beneficiaries from 3rd
party payers – breech of confidentiality with regard to
policyholder
5. Screening Recommendations
• Chlamydia – annually for all sexually active females
<25. Evidence insufficient to recommend routine
screening for adolescent males.
• Gonorrhea – annually for all sexually active
adolescent females
• HIV – discussion with all encouraged; recommended
for sexually active and IV drug users
• Routine screening for syphyllis, trich, BV, HSV, HAV,
HBV not recommended if asymptomatic
• HPV/pap – beginning at age 21 (UPSTF, ACOG)
CDC, 2010
6. Primary Prevention Recommendations
• HPV series recommended for 11-12 year old females
(may start as early as 9). Use in females and males
up to age 26.
• HBV vaccine recommended for all adolescents
• HAV vaccine should be offered
• HIV information and testing should be offered to all
adolescents
• Sexuality education should be integrated into clinical
practice by providers caring for adolescents
• CDC, 2010
7. Counseling Guidelines
• Incorporate sexual counseling into routine practice
• Speak to the adolescent at their developmental level
• Ensure confidentiality
• Be non-judgmental
• Prevention – abstaining from all forms of intercourse (vaginal,
anal, oral), or sex only with LTR, monogamous, known to be
uninfected partner. Encourage those who are abstinent to remain
so
• Risk reduction – ideally all partners should be tested first; ask
partner questions; decline sex if obvious STD signs; use a new
condom for each act; get tested regularly; use condoms
consistently
CDC, 2010
8. Barriers - Patient
• Access to care
• Fear/embarrassment
• Wanting to fit in/be accepted by peers
• Not developmentally cognizant of long term
implications
• Immature self-assessment – feelings of infallibility
• Lack of knowledge/misinformation
– One study of rural black adolescents in North Carolina
revealed that although they understood how primary
prevention strategies reduce STD risk, they perceived
abstinence as unlikely, and did not implement strategies that
depended on partner cooperation.
Akers et al, 2012
9. Barriers - Provider
• A periodic AAP survey distributed to pediatricians in
2005
– More than half discussed abstinence, contraception, and
STDs
– 56% offered reproductive health care services, including HIV
testing
– 19% provide condom demonstrations
– 2/3 agree that personalized preventative counseling
decreases high risk behaviors, but 76% say there is a lack of
time
AAP, 2006
10. Barriers - Provider
• 7 out of 10 thought that cultural/language differences,
adolescents’ inaccurate responses to questioning, physician
discomfort are barriers to counseling
• Also cited were the perception of adolescents’ fear of parental
notification of HIV positivity, lack of reimbursement for STD
counseling, lack of interest in adolescent health issues,
insufficient training in discussing STDs, and lack of confidential
reimbursement codes.
AAP, 2006
11. Pregnancy Prevention and Counseling
• 800,000 pregnancies/year in 15-19 year olds, with
51% resulting in live birth (35% abortion, 14% SAB)
• CDC Guidelines
– Have a teen-friendly clinic
– 1st reproductive health visit age 11-15
– Discuss all methods of contraception
– Ask about sexual history
– Counsel regarding dual methods if sexually active/condoms
to prevent STDs
– Take the time to explain how to use the method correctly
CDC, 2012
12. Education and Care Access Strategies
• Sex and family life education in schools – mandated by 19
states and DC. 22 states mandate that abstinence is stressed.
35 states mandate STD/HIV education in schools. Content
typically established by local communities.
• Condom availability programs – instituted by school districts in
NYC and LA in 1991
• School based health centers – nearly 1500 in 1992
ACOG, 2007
• Primary care – individual counseling or group sessions for
teens. Encourage them to have open discussion with their
parents, when possible.
13. Conclusion
• Providers should examine their own biases and
become comfortable discussing sexuality and
attendant issues with adolescents
• Discussion of sexuality, contraception, and STDs
should be incorporated into routine clinical practice
• Follow established screening guidelines
• Care should be individualized, with ongoing
assessment for changing risk factors
• Promote an adolescent-friendly environment
14. References
Akers, A., Gold, M., Coyne-Beasley, T., & Corbie-Smith, G. (2012). A Qualitative Study of Rural
Black Adolescents’ Perspectives on Primary STD Prevention Strategies. Perspectives on Sexual
and Reproductive Health, 44(2), 92-99.
American Academy of Pediatrics (2006). Periodic Survey #63; Issues Surrounding Adolescent
HIV/STD Prevention, Counseling, and Screening. Retrieved from:
http://www.aap.org/en-us/professional-
resources/Research/Pages/PS63_Executive_Summary_IssuesSurroundingAdolescentHIVSTDPr
eventionCounselingandTesting.aspx?
American College of Obstetrics and Gynecology (2007). Strategies for Adolescent Pregnancy
Prevention. Retrieved from: www.acog.org/.../Adolescent%20Health%20Care/.
Centers for Disease Control and Prevention (2010). Sexually Transmitted Diseases. Treatment
Guidelines, Special Populations. Retrieved from:
http://www.cdc.gov/std/treatment/2010/specialpops.htm
Centers for Disease Control and Prevention (2012). Health Care Providers and Teen Pregnancy
Prevention. Retrieved from: http://www.cdc.gov/teenpregnancy/HealthCareProviders.htm
Neinstein, L., Gordon, C., Katzman, D., Rosen, D., & Woods, E. (2008). Adolescent Health Care,
5th ed. Philadelphia: Lippincott, Williams, & Wilkins.
Editor's Notes
The annual cost of diagnosing, treating, and managing the long-term sequelae of STDs among adolescents is estimated to be 6.5 billion dollars. This clearly speaks to the need for effective dissemination and implementation of risk reduction strategies. (Akers, et al, 2012)
The first 6 risk factors are most specific to adolescents when considering increased incidence of STDs.Biologic susceptibility secondary to cervical ectopy – when the glandular endocervical cells extend prominently onto the cervix (this regressed with age). These cells are more vulnerable to infections such as chlamydia and gonorrhea. In addition, the risk of acquiring trichomoniasis, chlamydia, herpes and HPV (human papilloma virus) is possibly greatest at first exposure to the STI. Because first exposure often occurs during adolescence, both male and female adolescents are particularly vulnerable. Getting one STI makes it more likely that an adolescent may acquire other STIs.Risk is clearly multifactorial, and includes socioeconomic factors such as high endemic STD rates, sexual and physical abuse, social chaos, poverty, and drug trafficking/use.
Unusual circumstances may include issues such as physical or sexual abuse or other types of imminent dangerMandatory reporting – GC, chlamydia, syphyllis, HIV
Chlamydia screening should be done for at risk adolescent males – sexually active in clinical settings associated with high chlamydia prevalence – adolescent clinics, correctional facilities, STD clinics.WSW (exclusively) should be offered the same screenings. HIV transmission with WSW is much less efficient. WSW are less likely than other adolescents to acquire STDs in general.
Condom use should be discussed and demonstrated as needed.Discussion with adolescents – be attentive, ask good questions, paraphrase to ensure that you understand, be an adult (don’t ‘talk like they do’), help them to feel safe
Access to care – issues include geographic location, PCP/peds vs Planned Parenthood/FP, transportation, lack of finances, Study by Aletha Akers and others – 2006, 37 black adolescents – 20 fe, 17 male. Conclusions were that adolescents try to reduce their STD risk, but do so by ineffective practices. Providers need to not only discuss PP strategies, but help adolescents to identify opportunities to successfully employ them.
Total of 468 appropriate respondents to an 8 page survey mailed to AAP members in 2005
Must discuss emergency contraception, and give rx to have on hand
Access for students in schools may be limited as parents are able to ‘opt out’ – allowed by 35 states. Most of the school programs have been shown to be effective in supporting teens in postponing sex, and in enhancing decision making skills re contraception, abortion, etc.SBHC – pregnancy testing, gyn exams, STD testing and treatment, HIV counseling, but most do not offer contracetption