Role of the Pediatrician in Management of Sexually Transmitted Diseases in Children and Adolescents

PEDIATRICS ◽  
1987 ◽  
Vol 79 (3) ◽  
pp. 454-456
Author(s):  
Keyword(s):  
Young People ◽  
Children And Adolescents ◽  
Sexually Transmitted Diseases ◽  
Sexual Intercourse ◽  
Contraceptive Methods ◽  
Delay In Diagnosis ◽  
Sexually Transmitted ◽  
Adolescent Population ◽  
Increased Risk

Approximately half of all American adolescents have experienced sexual intercourse by age 17 years.1 The second highest rate of reported gonococcal infections (1,229 cases per 100,000 persons) occurs in 15- to 19-year-old adolescents. This increased risk in the adolescent population has been associated with the greater number of young people having sexual intercourse, the infrequent use of barrier contraceptive methods, the obstacles to prompt medical care that teenagers face, with consequent delay in diagnosis and further spread of the disease, and the large number of asymptomatic carriers.2 The pediatrician has an important responsibility for providing sexuality-related care to children and adolescents.2-4

scholarly journals Seksualitet mellem risiko og chance. Svingninger i senmoderne værdiorienteringer

2007 ◽  
Vol 18 (1) ◽  
pp. 55-74 ◽  
Author(s):  
Marie Bruvik Heinskou
Keyword(s):  
Young People ◽  
Sexually Transmitted Diseases ◽  
Sexual Intercourse ◽  
Value Orientations ◽  
Sexual Experiences ◽  
Sexually Transmitted ◽  
Internal Experience ◽  
Late Modern

Marie Bruvik Heinskou: Sexuality between Risk and Chance: Oscillations in Late Modern Value Orientations This article examines how young people can seek sexual experiences that intensify their existence to such an extent that the experience itself is not assigned any meaning. It is merely perceived as a moment having its own temporality and its own internal experience, often called chance. For example young people often take a chance and refrain from using a condom during sexual intercourse, while using the concept of risk as a means to navigate in a world characterized by contingency and ambivalence. The balance between these two value orientations, risk and chance, is crucial for determining whether or not young people use a condom. This outlook is often ignored in both campaigns concerning, for instance, sexually transmitted diseases and in studies on sexuality. The risk side of (deviant) sexualities is frequently overemphasized in these campaigns and in theories on sexuality, while chance is neglected. The article argues that there is need for a broader approach to sexualities both in sexual campaigns and in general analyses. Examining the power of risk and the power of chance as oppositional categories, as well as the traces of risk in chance and chance in risk, is one way of broadening the approach.

Contraception and thrombophilia

2009 ◽  
Vol 29 (02) ◽  
pp. 193-196 ◽  
Author(s):  
H. Rott ◽  
A. Kruempel ◽  
G. Kappert ◽  
U. Nowak-Göttl ◽  
S. Halimeh
Keyword(s):  
Chronic Illness ◽  
High Risk ◽  
Children And Adolescents ◽  
Hormonal Contraception ◽  
Hormonal Contraceptives ◽  
Thromboembolic Events ◽  
Contraceptive Methods ◽  
Secondary Complications ◽  
Increased Risk ◽  
Coagulation Proteins

SummaryThe risk of thromboembolic events (TE) is increased by acquired or inherited thrombo -philias (IT). We know that some hormonal contraceptives also increase the risk of thrombosis, thus, the use of such contraceptives are discussed as contraindications in women with IT. TEs are infrequent events in children and adolescents and in the majority of cases are associated with secondary complications from underlying chronic illness. Although adolescents are not typically considered to be at high-risk for TE, this cohort is frequently using hormonal contraception, leading to an increased risk in cases with unknown IT. The risk of TE with pregnancy alone is higher than associated with combined hormonal contra -ception. Progestin-only methods have not been found to increase the risk of TE with only moderate changes of coagulation proteins compared to normal reference values. Conclusion: Thrombophilic women are good candidates for progestin-only contraceptive methods.

scholarly journals Conceptions of sexuality of adolescents living in residence cares: are their interests and curiosities different?

2021 ◽  
Vol 2 (2) ◽  
pp. 449-458
Author(s):  
Zélia Caçador Anastácio
Keyword(s):  
Children And Adolescents ◽  
Sexuality Education ◽  
Research Question ◽  
Main Role ◽  
Quantitative Methodology ◽  
Sources Of Information ◽  
Equal Rights ◽  
Convenience Sample ◽  
Sexually Transmitted

The institutionalization of children and adolescents generally is due to unfavourable socio-economic conditions, children maltreatment, school absenteeism and adolescents’ behavioural problems, including sexual risk behaviours. Sexuality education (SE) is very difficult to approach in residence care, given the sensitive and problematic life stories of adolescents involved. It is important to know what adolescents already know and what they want to learn and clarify about sexuality. The research question was: What interests and curiosities of sexuality do adolescents living in residence care have? The objectives were to make a diagnosis of adolescents’ interests, needs and conceptions about sexuality and to relate these conceptions with individual factors. A transversal study was done following a quantitative methodology. A questionnaire was carried out for this research. Dependent variables were: sources of information about SE; perceptions about the role of SE on children and adolescents’ development; responsible intervener for SE; sexuality topics about which adolescents want to learn more. A convenience sample included 114 teens aged between 11 to 21 (mean=15.7±2.4; 68 females and 46 males), living 60,5% of them since more than 24 months ago in residence care. A statistical analysis was done. Results showed that in adolescents’ views, the main role of SE is: to help them to respect different sexual orientations; to understand that sexuality expresses differently along the lifespan; and to promote equal rights and opportunities between men and women. Their main sources of information are friends, internet and familiars with approximately equal age. Persons they consider to be most responsible for their SE are doctors, nurses and mothers, with significant differences for health professionals, girls having a higher preference for them than boys. Topics about which adolescents have more interest and curiosity are: love, friendship and romantic relationships; adolescence; diversity, tolerance, sexual orientation and respect; and sexually transmitted diseases and infections.

Infections/inflammation of the genital tract

2011 ◽  
pp. 1426-1428
Author(s):  
Franco Dondero ◽  
Francesco Lombardo
Keyword(s):  
Young Adults ◽  
Chlamydia Trachomatis ◽  
Sexually Transmitted Diseases ◽  
Sexual Behaviour ◽  
Genital Tract ◽  
Contraceptive Methods ◽  
Sexually Transmitted ◽  
Genital Apparatus ◽  
Urinary Infections

Sexually-transmitted diseases (STDs) are the primary cause of infections of the genital apparatus, and are an important cause of morbidity worldwide. These diseases diminished after the advent of antibiotics, but in the 1970s new sexual behaviour and use of non-protective contraceptive methods brought about a significant increase in genito-urinary infections, especially in young adults of fertile age. New diseases appeared alongside the classic infections syphilis, gonorrhoea, soft ulcers, venereal lymphogranuloma, and inguinal granuloma, and increased continuously in industrialised nations. Previously unknown pathogens such as Chlamydia trachomatis, genital Mycoplasma, and others came to the attention of andrologists, particularly because of often irreversible complications in the sexual and reproductive realm (1).

Childhood Chronic Illness and the School

1999 ◽  
Vol 9 (S1) ◽  
pp. 109-122 ◽  
Author(s):  
Rosalyn H. Shute
Keyword(s):  
Chronic Illness ◽  
Young People ◽  
Children And Adolescents ◽  
Present State ◽  
School Personnel ◽  
Chronic Illnesses ◽  
Childhood Chronic Illness ◽  
Specific Effects ◽  
School Counsellors

This paper introduces to school personnel some important issues with regard to chronic illness in children and adolescents. Current approaches to understanding the adaptation of young people to chronic illness are introduced, and the present state of knowledge about its psychosocial impact is outlined. Specific effects on education are then discussed, followed by a consideration of the role of school personnel, particularly guidance officers and school counsellors, in ensuring that the needs of students with chronic illnesses are appropriately met.

scholarly journals Sexually transmitted infections in young people and factors associated with HIV coinfection: an observational study in a large city

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027245 ◽  
Author(s):  
Alexis Sentís ◽  
Mario Martin-Sanchez ◽  
Maider Arando ◽  
Martí Vall ◽  
María Jesus Barbera ◽  
...  
Keyword(s):  
Young People ◽  
Sexually Transmitted Infections ◽  
Large City ◽  
Epidemiological Surveillance ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
Hiv Coinfection ◽  
Increased Risk ◽  
Sex With Men ◽  
Epidemiological Characteristics

ObjectivesYoung people are a critical target group for sexually transmitted infections (STI) surveillance due to their particular behavioural and social related vulnerability. The aim of this study was to describe the epidemiological characteristics and trends in the incidence of gonorrhoea, syphilis, HIV and venereal lymphogranuloma (LGV) among 15–24-year-olds in Barcelona, and to determine factors associated with HIV coinfection.DesignWe performed a population-based incidence study covering the 2007–2015 period.ParticipantsAll new cases of STI—HIV, gonorrhoea, infectious syphilis and LGV—notified to the epidemiological surveillance system in Barcelona between 2007 and 2015. 1218 cases were studied: 84.6% were men, 19.3% were 15–19 years old and 50.6% were born in Spain. Among men, 73.7% were men who have sex with men (MSM); among women, 85.6% were women that have sex with men.Primary and secondary outcomesIncidence of HIV, gonorrhoea, infectious syphilis and LGV. HIV coinfection.ResultsThere was an increase in the incidence of gonorrhoea, from 1.9 cases per 10 000 people in 2007 to 7.6/10 000 in 2015 (p<0.01), in MSM from 27.1 to 228.8/10 000 (p<0.01). The incidence of syphilis increased from 0.4/10 000 in 2007 to 3.1/10 000 in 2015 (significant in men only, p<0.01), in MSM from 18.1 to 116.9/10 000 (p<0.01). The incidence of HIV showed a non-significant increase in men (p=0.27), and that of LGV remained stable (p=0.59). Factors associated with increased risk of HIV coinfection included being MSM (adjusted OR[ORa]=14.14, 95% CI 3.34 to 59.91) and having >10 sexual partners (ORa=4.11, 95% CI 1.53 to 11.01) or STI diagnosis during the previous 12 months (ORa=2.06; 95% CI 1.13 to 3.77).ConclusionsThe incidence of gonorrhoea and syphilis among 15–24-year-olds increased, while HIV infection remained stable but with a high incidence among MSM. Being MSM, having sex with multiple partners and having a diagnosis of an STI in the previous 12 months were factors associated with HIV coinfection.

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