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APSY 40
Sexually transmitted diseases are something that every person should have some kind of education on. They are a threat to people young and old, male or female. They have been around for thousands of years, and will be around for thousands of years to come. Since STD's are a problem that many people must deal with, it really affects everyone. The prevention and education on the different types of diseases is extremely important. Every year there is more and more information coming out about how to treat this ever-growing problem. This is thanks to research done by doctors and scientists around the world. New developments in the research field attempt to attack every corner of STD's possible. In studying this topic I hoped to gain some knowledge on why these diseases are such a major growing problem and the different methods used to treat them.
In the first article I read, Women's Susceptibility To Some STD's Is Affected By Hormonal Method Use, they were testing whether or not hormonal method contraceptives (oral or injectable) affect a women's susceptibility to STD's. The researchers seem to do a good job because their sample was a good one and the observation period was a long one. They tested 48 Kenyan sex workers. They were tested over a period of over 7 years. The sex workers responded to the questionnaire and then underwent a physical examination, which included an STD screen. On average the women were 6 years old, had sex two times a week, had one partner a week, and had been a sex worker for one year. This article establishes a strong link between contraceptive use (hormonal method) and an increased susceptibility to STD's. The only exception was bacterial vaginosis, there was a decreased risk for that. It is obvious that women or men working in the sex industry are at a greater risk then a usual person to contracting an STD. This article proves that contraception other than this (condom) would help.
The next article, Relationships of Stigma and Shame to Gonorrhea and HIV Screening, was a great one. This article made think like a person with HIV or Gonorrhea feels about screening and about actually getting tested. The testing was to see whether stigma and shame are attached to STD's as a possible obstacle to being screened for STD's and HIV. I felt that they did a great job with this study. Data was collected in 18 as part of the Gonorrhea Community Action Project. They took samples from all over the United States and interviews were taken of perspective clients, providers and healthcare systems at participating sites. This article was related to my topic because it relates whether or not the shame or stigma of STDs keep people from being tested. It has a lot to do with how many people will stop the spread of STDs or how many will contribute to the spread of them because of the stigma and shame associated with STDs, especially Gonorrhea and HIV. This is important, because many people may feel that it couldn't happen to me or are just too scared to face the facts. These attitudes are exactly what cause a lot of the problems with STDs. When people ignore what might be an STD, they increase the chances of transmitting it to an unaware victim. But that also can be help to a certain extent by contraceptives. This isn't 100% guaranteed but it does help to lower the risk of transmitting disease.
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The next article STD Screening A National Survey of US Physicians, addresses a national survey of U.S. physicians that asses screening, case reporting, partner management, and clinical practices for syphilis, gonorrhea and other STDs. These are all important because they are prevalent in the United States. The results say that many physicians (less than 1/) screen their patients, men or women. This can be a factor in the fight against STDs. Physicians need to be aware of this and improve this area of STD care. I trust the results that were given in this article because the survey was from 7,00 physicians from the Physician Master File of the AMA. This includes all graduates of U.S. Medical schools. This article is significant to my topic because it shows that STD screening levels are too far below the practice guidelines and need to be raised if STDs are to be somewhat contained. For men the screening levels are almost nonexistent. Another part of this article, which I feel is important, is that many doctors only tell their patients that are diagnosed with an STD, to tell their partner or to use a condom. This may help, but it can't help that much. Only a small portion of doctors had infected patients have their partners come in for testing. If more partners would come in for testing than maybe they would take steps to prevent it in the future or learn to live with the STD. I think this can go back to the fact of people not being afraid to find out. This is really important because if more people knew they had an STD, then that would help them take measures to prevent further infection. Later in this article they state that physicians are reporting more cases of syphilis and HIV then expected. This may mean that the amount of people infected in this country is more than we thought it was in recent years.
Another article that I read was Risk Behaviors, Medical Care, and Chlamydial Infection Among Young Men in the U.S.A total of 17 young men (15 to 1) were surveyed. The response rate was high at 75% which means fairly good results. This article had to do with young men that are sexually active and are at risk for either getting or giving an STD. Many of them have had unprotected sex within the last year. For black men, the rate was two times higher. The survey was very detailed in finding these answers out. It confirmed that only a small portion of the men surveyed thought that they had intercourse with a high-risk partner. Of these people an even smaller amount felt they were really at risk for an STD. Of the men who had tested and were diagnosed with an STD, the highest was 7% with chlamydial infections. Many men are infected with Chlamydia, and 70% of those who tested positive had an infected partner. This seems to be good results of the age group tested. This article is important because it shows a lot of numbers of men recently that are infected or may be infected with only one STD. This helped me realize how important knowing about your partner and how your own behavior affects your health.
An interesting article that I read was called Association Between STD's and Depression in Adolescents. I was interested to know whether or not a link could be established between these two afflictions. The authors were testing to see if adolescents with depression symptoms were more likely to contract an STD. If there was actually a link between the two, perhaps testing for depression could send up red flags that would make it possible to prevent STDs. The theory is that teenagers who have depression symptoms possibly participate in high risk diversionary activities. These would include drug use and risky sexual behaviors. The results are probably pretty trustworthy. I believe this because the group of people surveyed was large and random. This always adds to the validity of a study. But, when dealing with sensitive topics such as sexual activities and depression, especially in teenagers, there is a high occurrence of false reporting. Many adolescents do not feel comfortable talking about their sexual activities with strangers. Or, they could possibly try to boast and exaggerate their stories. The study's results stated that adolescents with depression symptoms are at a higher risk for contracting STDs. This is significant because there is a possibility of diagnosing depression early and testing for STDs or possibly treating the depression which would lower the patient's susceptibility to STDs.
From reading all of these articles, I gained knowledge of how the medical field is dealing with STDs and what kind of efforts they are making towards furthering treatment, detection, and other aspects of STD management. I was interested to learn that Hepatitis C is now being treated as an STD by the CDC (Center for Disease Control and Prevention.) I also gained some insight into the way that the medical field tests their hypotheses and form new guidelines for treatment. I learned that sometimes results are not accurate because of inadequate surveying and testing. Also, whenever dealing with sexual content matter, there is a higher tendency for misreporting. The fact that people do not wish to talk about their sexual habits only makes it harder for this profession to do the best that they can do to treat these diseases.
Works Cited
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