Sexual Activity, Pregnancy and Sexually Transmitted Infections among Hawaii Teens Hawaii’s Board of Education Meeting February 4, 2014 Glenn M. Wasserman, M.D., M.P.H. Chief, Communicable Disease and Public Health Nursing Division Hawaii Department of Health
Youth Risk Behavior Survey Data: Sexual Activity • 24% of high school students have had sex in the past 3 months • 53% used birth control during last intercourse
YRBS Data: “Ever had sex” by Grade, 2011 Source: 2011 YRBS
State of Hawai‘i, Pregnancy and Birth Rates among Females 15-19 Years of Age: 2000-2012 75 Rate per 1,000 females 15-19 years of age 71.3 68.7 64.4 62.4 61.4 60.9 59.3 58.3 57.8 57.3 47.0 50 46.3 43.9 42.4 41.5 42.0 41.5 40.8 40.5 39.3 38.3 37.8 32.5 29.9 27.7 25 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Year Births to teenagers Teen pregnancy rate Source: Hawaii Department of Health, Family Health Services Division Profiles Special Calculations
Chlamydia in 15 19 Y.O. Female Adolescents Source: CDC WONDER
Adolescents 15 – 19 Have Highest Rates of Sexually Transmitted Infections Chlamydia Case Rates, Hawaii 2010-2012 2000 1800 Case Rates (per 100,000) 1600 1400 1200 15-19 Year Old 1000 All Other Age Groups 800 600 400 200 0 2010 2011 2012 Year Source: CDC WONDER
Sexual Identity – YRBS Data • 9% of HS boys and 12% of HS girls identify themselves as other than heterosexual (gay, lesbian, bisexual or not sure) • 4% of HS boys and 8% of girls had same sex sexual contacts Source: 2011 YRBS
Consequences • Early pregnancies, births • 9% of births statewide are to women 15 ‐ 19 years of age (~1500 births per year) • STIs and their health consequences • Risks for pelvic inflammatory disease, infertility, and other serious conditions • 1 in 4 sexually active adolescent females have an STI • High rates of sexually transmitted infections
Acknowledgements Thank you to the following staff members for contributing to this presentation • Gerald L. Hasty, Ph.D., M.S. – STD/AIDS Prevention Branch • Donald Hayes, M.D., M.P.H. – Family Health Services Division • Tonya Lowery St. John, M.P.H. – Healthy Hawaii Initiative
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