STD
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Presentation:
STDs in Douglas County
  Sexual and Reproductive health  
 

Prevention of and education about exually transmitted diseases (STD), now more commonly called sexually transmitted infections (STI), are two main goals of the Douglas County STD Initiative (DCSI). DCSI is a coalition of 40+ organizations dedicated to educating the public about STDs and providing testing and treatment to infected individuals.

Individuals and groups work together at traditional and non-traditional venues to test, treat and educate. Traditional venues are places like Douglas County Health Department, Charles Drew Health Center, One World Health Center, Nebraska AIDS Project, Planned Parenthood and most physician practices and clinics. Non-traditional venues include screening and education events that bring teens and young adults to outreach events at community centers, schools, churches and any convenient locale. Such events have been facilitated by Eastern Nebraska Community Action Partnership, Charles Drew Health Center, North Omaha Area Health and local universities – to name a few.

Partnerships and learning activities in conjunction with local health care education programs, the Medical Reserve Corps, the 100 Black Men of Omaha, and others have allowed many dedicated people to assist in delineating the issues and developing plans to reduce the epidemic rates of Gonorrhea and Chlamydia in the Douglas County metropolitan area.

During the Spring 2010 semester students from Creighton University’s School of Nursing conducted a survey to determine attitudes about sexually transmitted infections and sexual literacy. The following report reflects their findings. Authors of the study are Rynae Headid and .Kelly Spencer.

 

Key Findings from STD Survey

The majority of the participants were female (43).  Most of the population came from the 68111 area of Douglas County [though there was good distribution across many zip codes]. The ages of the participants varied, but the majority were between the ages of 15 and 19. When asked about their beliefs regarding sexuality most of answered that they thought sex was okay in a committed relationship (55).  At least half of the participants also said that they would be okay with their parents knowing they were sexually active and that it was okay to have sex with someone you loved. Only 12 participants thought it was okay to have sex casually with anyone they choose.
                When asked how people their age regarded sex the majority (42) agreed that people their age thought having sex was a normal part of being a teenager. Half of the participants thought that people their age were having sex with one partner and the other half thought that people their age were having sex with multiple partners.  Most of the participants thought their peers used condoms during vaginal intercourse, but many do not believe their peers use condoms during oral and anal sex.  The majority of the participants agreed that using condoms when engaging in sexual intercourse was important. However having condoms available when going out was not a priority for many of the participants.
                When asked if they would still use a condom in they or their partner were on other forms of birth control over half of the participants (57) said yes.  Most also said that they would use a condom even if their partner appeared to be clean [not infected with and STD].  The participants believed that one obstacle related to using condoms is that their peers think sex without a condom feels better. Most of the participants did not feel that faith or the concern of being teased [by peers or partner] keeps their peers from buying condoms. Half did say that drugs and alcohol may keep their peers from using condoms.
                Half of the participants felt that they had good education about practicing safe sex from their parents and from their school. The majority also knew where to go to get tested (56). Transportation, money and social image did not appear to be reasons for not getting tested.  Most said that they would get tested at an event if it [testing]was free. The majority of the participants claimed that they did not feel pressured to have sex. The majority also said they did not have sex to feel safe, cope with depression, or as a way to escape their worries.

According to the authors they think “what we can take away from this survey is that we need to let young people know the importance of being prepared. They need education on how to protect themselves during nontraditional sexual activities [oral and anal sex].

Age (yrs) 14 15 16 17 18 19 20 21 22 23 24 25
Value 1 16 10 8 10 15 8 7 3 3 3 1

 

Gender (Circle One):
Male : 18
Female : 43
Zip Code: see attached sheet
Which of the following describe YOUR beliefs about sexual activity?
Check all that apply:
31  I would feel okay letting my parents know that I was sexually active.
12  It is okay to have sex casually; I can have it with anybody I choose.
35

It is okay to have sex if you love the person.

55 It is okay to have sex in a committed relationship
26 It is only okay to have sex if you are married.
 

Most people my age…

Strongly Disagree

Disagree

Undecided

Agree

Strongly Agree

Believe that having sex is a normal part of being a teenager.

5

5

15

42

10

Have sexual activity with one partner.

2

22

13

30

10

Have casual sexual activities with many partners.

15

10

13

33

6

Use condoms when having sexual intercourse.

0

10

21

30

17

Use condoms when having oral sex.

17

29

15

10

6

Use condoms when having anal sex.

11

11

30

11

14

 

 

Strongly Disagree

Disagree

Undecided

Agree

Strongly Agree

I know how to properly use a condom.

1

1

6

26

43

It is important to use condoms every time I engage in sexual activity.

3

2

9

18

45

It is important to use condoms every time I engage in sexual activity with a new partner.

3

1

7

9

57

I do not use condoms because my partner or I are comfortable if pregnancy occurs.

42

16

8

9

2

I always try to have a condom available for use when I go out.

11

22

17

18

9

I do not use condoms because I know sexually transmitted infections (STI’s) can be treated.

56

14

2

2

3

 

I would still use a condom if…

Strongly Disagree

Disagree

Undecided

Agree

Strongly Agree

My partner or I use other forms of birth control.

2

6

15

23

56

My partner or I removes the penis (pulls out) before ejaculating.

5

4

23

25

29

My partner appears to be “clean”.

6

2

6

26

37

 

I believe people my age might not use either male or female condoms because they think…

Strongly Disagree

Disagree

Undecided

Agree

Strongly
Agree

Sex feels better without a condom.

2

1

10

30

32

Condoms cost too much.

10

26

22

12

7

Buying condoms is intimidating

7

16

14

31

9

Putting on a condom ruins “the moment”.

12

9

17

15

14

They will get teased if they carry around condoms.

21

31

13

11

1

They are drunk or high and forget to use a condom.

4

17

21

22

13

Their faith beliefs prohibit condom use.

18

25

20

8

5

Condoms are uncomfortable.

7

17

25

20

8

Condoms are not 100% reliable.

13

18

16

20

9

 

Strongly Disagree

Disagree

Undecided

Agree

Strongly Agree

My parents provided me with enough information to practice safe sex.

6

14

17

26

14

My school provided me with enough information to practice safe sex.

9

15

14

26

13

I know where to go to get tested for STIs.

5

5

11

26

30

I would be embarrassed to get tested for STIs.

17

23

13

17

7

I would not want my friends to know that I was tested for STIs.

16

23

21

8

7

I don’t have time to get tested.

17

29

17

12

2

I don’t have transportation to a testing center.

19

26

20

6

4

I don’t have enough money to pay to get tested.

16

34

14

11

2

I won’t get tested because I am afraid it would come back positive for STIs.

29

27

13

7

1

I am worried my parents would find out if I was tested.

20

25

15

13

4

I would get tested at school if it was offered.

5

6

22

28

18

I would get tested at an event if it meant I got in for free.

5

4

18

30

20

If you have engaged in sexual activity, please complete this final section.

Strongly Disagree

Disagree

Undecided

Agree

Strongly Agree

There are times I feel pressured by my partner to have sex.

16

22

7

17

3

Sex is a way for me to…

 

 

 

 

 

Not worry about my future.

31

25

7

2

4

Feel safe and secure.

27

23

9

4

2

Cope with depression.

26

21

10

5

3