Epidemiology Nur/408

The human papillomavirus (HPV) is a sexually transmitted disease (STD) that is very common throughout the United States and worldwide (World Health Organization (WHO), 2016). There are over 100 different forms of the virus with 13 of these types being capable of causing cancer (WHO, 2016). HPV can lead to the development of serious health problems. Theses health problems are especially an issue for adolescent women due to the highly increasing STD rates among this age group (Kostas-Polston, Johnson-Mallard & Berman, 2012). There is a vaccine for many of the common types of HPV, however, many parents are refusing to vaccinate their daughters for various reasons. With the rising cases of STDs, less birth

Sexual education is a highly debatable topic, but many believe the information taught to students should be abstinence-only. Abstinence-only education has been put in place in order to educate students about the social, mental, and physical benefits of resisting from all sexual activity. It emphasizes the unsafe impacts of participating in sexual activity before marriage and having casual sex. It also promotes the idea that sexual abstinence is the only way to prevent pregnancy and sexually transmitted disease. Abstinence education only permits the discussion of contraception and condoms in terms of failure in order to utterly discourage casual sex (Wilgoren, 1). Along with teaching the physical dangers of sex, abstinence education also teaches the mental dangers of sex (Abstinence-Only Education, 1). Sex has many risks and dangers that are not

Additional research has explored the effects of abstinence based programs on actual behavior outcomes. Kohler, Manhart, and Lafferty (2008) compared the effects of abstinence-only and comprehensive sex education programs, operationalizing effectiveness in terms of initiation of sexual activity and teen pregnancy rates. They found that teenagers who received comprehensive sex education rather than abstinence-only or no education were significantly less likely to report a teenage pregnancy. In addition, their conclusions mirrored Sather and Kelly (2002), finding that abstinence-based programs did not reduce the likelihood of engaging in sexual activity. Kohler, Manhart, and Lafferty (2008) actually concluded that comprehensive sex education was more likely than abstinence based to reduce the percentage engaging in sexual activity. Overall, the researchers showed that comprehensive sex education, including but not limited to contraception, did not increase the prevalence of sexual activity in teenagers or the risk of teen pregnancy, while also showing the that abstinence only education produced a higher likelihood of pregnancy.

According to advocatesforyouth.org, “abstinence only education teaches students to abstain from sex prior to marriage.” These program has been proven to be ineffective. Abstinence only education is ineffective because it is not conducive in reducing teen pregnancy rates and sexually transmitted diseases rates. Abstinence only programs are less likely to teach students about birth control and contraception and how to access it. These programs has not been shown to reduce teen sexual activity.

Public health nursing allows nurses to encounter various vulnerable populations on a daily basis. In particular, the elderly make up a large portion of the population, and their vulnerability to the environment and other physical factors is a very important aspect of public health nursing. Epidemiology allows the public health nurse to study and assess vulnerable populations, including the elderly, and create interventions that maximize the health potential of all members of the public.

Teens end up getting sexually transmitted diseases because they are unaware of the consequences of unprotected sex. No abstinence-only program affected the incidence of unprotected vaginal sex (The Australian). Annually 3 million teenagers contract STDs from their partner (Robert Rector). Teens who have early sex not only suffer from STDs, they also have emotional and physical damage. Research shows that young people who become sexually

Current evidence-based practice involves providing vaccinations as they protect the child for a lifetime (Joanna Briggs Foundation, 2009). Secondary prevention involves early screening for cervical cancer related to the HPV infection. Early screening for cervical cancer is crucial as cervical with women over the age of 30 according to evidence-based practice as the rates of HPV are higher (Agency for Healthcare Research and Quality, 2011). Tertiary prevention focuses on minimizing the effects of HPV. For example, mental health programs assist the individual with coping with the diagnosis of HPV. These levels of prevention are crucial for assisting those with the diagnosis of HPV and the community health nurse has an important role in educating these individuals to prevent further health

Studies have also shown that abstinence-focused programs have failed to reduce STI rates. The American Sexual Health Association states, “More than half of all people will have an STD/STI at some point in their lifetime,” (“Statistics”). Comprehensive sex education would teach teenagers how to improve their sexual health, prevent unwanted pregnancies, and prevent sexually transmitted diseases and infections. Providing students with this information does not encourage them to participate in sexual activity sooner. Several findings show that, “[Comprehensive sex education] effectively promotes abstinence and may delay sexual debut, reduce sexual frequency, reduce the number of sexual partners, reduce STI risk, and increase the likelihood of consistent contraceptive use,” (Jeffries 173). Comprehensive sex education will be beneficial to students by teaching them how to have sexual intercourse safely, if they choose to not remain abstinent.

Master of Professional Health Debra Hauser states that sexual education is an essential part of the development and growth of teenagers. In her article “Youth Health and Rights in Sex Education”, MPH Hauser provides a report of teenage pregnancies and STDs incidences, which points out that each year in the United States, about 750,000 teens become pregnant, with up to 82 percent of those pregnancies being unintended. Young people ages 15-24 account for 25 percent of all new HIV infections in the U.S (Hauser). According to Hauser, “sex education teaches young people the skills they need to protect themselves”, such as the ability to recognize patterns of a toxic relationships, learning to value and have control over their bodies, understanding

Numerous sexual partners enables the chances of contracting an STI, such as Chlamydia, Gonorrhea, or Syphilis, to increase; that being said, statistics indicate that one in every five teens has had four or more sexual partners. Teens of the ages 15 through 19 are among the highest rates of the population infected with the previously mentioned sexually transmitted diseases. Teens engaging in sexual activity are often exposed to diseases without full understanding of the ease that these infections can be transmitted; students need to be exposed to the severe consequences in order to promote more cautious future decisions, like the amount of sexual encounters. Many young males and females never acquire information on the numerous sexually transmitted infections that they could catch and distribute nor how to prevent or treat such diseases. The statistics of high school students that document receiving counseling on STDs and STD testing at a routine checkup with their doctor meets low expectations, recording at 42.8 percent for females and only 26.4 percent for males. The high rates of infected teens could be directly related to the lack of knowledge they receive on the possible diseases that can be distributed through sex. Without proper knowledge on sexually transmitted diseases, the

While in high school, most teenagers between the ages 13-17, will have attended at least one sex education class. Instead of using the “Abstinence- Only” approach, schools should consider on teaching students the “Safe- Sex” approach to increase their knowledge on potential health risks involving sex. Increasing their knowledge not only increases their awareness, but lets them use their knowledge in the real world and let them form their own decisions, whether they be bad or good.

Since the HIV/AIDS epidemic began in the U.S. in the early 1980s the issue of sex education for American youth has had the attention of the nation. There are about 400,000 teen births every year in the U.S, with about 9 billion in associated public costs. STI contraction in general, as well as teen pregnancy, have put the subject even more so on the forefront of the nation’s leading issues. The approach and method for proper and effective sex education has been hotly debated. Some believe that teaching abstinence-only until marriage is the best method while others believe that a more comprehensive approach, which includes abstinence promotion as well as contraceptive information, is necessary. Abstinence-only program curriculums disregard

Many believed or thought that by receiving the HPV vaccination, girls and boys are more likely to engage in sexually risky behavior than girls and boys who did not receive the vaccine. One must ask themselves, does this vaccine actually cause promiscuity among those who have received it? A study was conducted in Ontario to test the effect that the HPV vaccine had on sexual behavior among adolescent girls. The study was conducted on girls in 8th Grade who before (2005-2007) and after (2007-2009) the girls received the vaccine. The results of the study concluded that there was no evidence that the HPV vaccine had any effect on sexual behavior of adolescent girls (Smith, L. M., Kaufman, J. S., Strumpf, E. C., & Lévesque, L. E.). These results suggest that concerns over increased promiscuity following HPV vaccination are unwarranted and should not deter from vaccinating at a young

Abstinence is a remarkable topic to be taught, however, should not be the only choice taught, and it’s impractical to expect the youth to hold out until marriage. Abstinence, along with STD and pregnancy prevention is imperative for the youth in the nation. It is factual that accepting promiscuity as part of our culture might cause a rise in STD's, teen pregnancy, and Aid’s. These increases are the reason we must begin early in educating children about the diseases, how to prevent them, and how to practice safe sex. Schools are insane for not lecturing the importance, or proper use of

Should schools only teach abstinence or is comprehensive sex education safer for teens? Many find that teaching abstinence is the only way to ensure students safety when it comes to sexual behavior. But, “A review of 35 school-based sex education programs found that abstinence based programs had no significant effect on delaying sexual debut, while some comprehensive programs were effective in reducing certain sexual risk behaviors” (Kirby and Coyle). Along with research showing the ineffectiveness of abstinence programs, “Critics of abstinence-only education claim that it violates human rights by withholding potentially life-saving information from people about other means to protect themselves from HIV, such as condom use” (Plos one). Comprehensive