BURBANK, Calif. -- New information by the American Social Health Association (ASHA) of Research Triangle Park, N.C. shows alarming trends in sexually transmitted diseases (STDs) among America's young people. A study by ASHA, sponsored by Roche Diagnostics of Indianapolis, is being released in conjunction with April's STD Awareness Month and demonstrates that the incident rate of STDS in youth (ages 15 to 24) have increased dramatically in recent years.
According to the ASHA Report 2005:
-- Many adolescents wrongly assume that healthcare providers are
routinely testing them for STDs -- according to a survey conducted on
ASHA's teen website (http://www.iwannaknow.org), 69 percent of females ages 13- to 25 believe that chlamydia testing is routine.
-- Chlamydia is the bacterial STD with the highest prevalence among youth
and routine screening for chlamydial infection in young women has been
demonstrated to work in reducing infection rates and lowering the cost
of this STD to society.(1)
-- 74 percent of all reported chlamydia infections in 2000 were among sexually
active youth ages 15 to 24.(2)
-- 60 percent of all reported gonorrhea infections in 2000 were among sexually
active youth ages 15 to 24.(2)
-- Voluntarily reported performance measures of health plans under the
Health Plan Employer Data and Information Set (HEDIS) show only 30 percent of
females ages 16 to 25 in commercial plans and 45 percent of females ages 16
to 25 in Medicaid plans were screened for chlamydia in 2003.(3)
-- Less than one-third of physicians from a national survey routinely screened patients for STDs.(4)
The Centers for Disease Control and Prevention (CDC) recommends sexually
active adolescent women should be screened for chlamydial infection at least
annually, even if symptoms are not present. Chlamydia is the most frequently
reported infectious disease in the U.S. and since 75 percent of infected women and
50 percent of infected men have no symptoms, most people are not aware that they have
the disease. According to the CDC, the cost of chlamydia and its consequences
is more than $2 billion annually in the United States alone and they state
that every dollar spent in screening for the disease saves more that $12 in
treating complications that may result from untreated infection by chlamydia
trachomatis.
"As the incidence of STDs in youth increases, public awareness information
such as the details provided by ASHA's report is critical in order to alert
healthcare professionals, parents and youth about this serious health risk,"
said William Temple, MD, medical director of Health Line Clinical
Laboratories. "Campaigns like the National STD Awareness Month also bring to
light the important information and education about this growing challenge for
the healthcare industry. Laboratory testing for infectious diseases is
becoming an essential element in the battle for control of emerging diseases
as well as ancient scourges of society that continue to ravage our youth.
Genomic testing, especially the amplified nucleic acid detection methods,
provide the sensitivity to allow for simplified alternative sampling and the
specificity necessary to win this battle. At Health Line, we are focused on
providing the latest technologies, such as real-time PCR, that promise to add
incredible speed to assure rapid turnaround of results for more effective
diagnosis and therapy."
References:
(1) Shih S et al., Chlamydia screening among sexually active young
enrollees of health plans-United States, 1999-2001, Morbidity and
Mortality Weekly Report, 2004, 53: 983-985
(2) Weinstock h, Berman S and Cates Jr. W, Sexually transmitted diseases
among American youth: incidence and prevalence estimates, 2000,
Perspectives on Sexual and Reproductive Health, 2004, 36:6-10
(3) National Committee for Quality Assurance. The State of Health Care
Quality: 2004, Washington, D.C.: NCQA, 2004
(4) St. Lawrence JS et.al., STD screening, testing, case reporting, and
clinical and partner notification practices: a national survey of U.S.
physicians, American Journal of Public Health, 2002, 92: 1784-1788
Source: Health Line Clinical Laboratories
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