Racial disparities racial and ethnic minorities are

Racial Disparities

Racial and ethnic minorities are more
likely to use public health clinics,
which are more likely to report STDs

Socioeconomic barriers create
problems with access to care, STD
prevention and treatment

Focus needs to be placed on services
and prevention strategies for these
groups

Screening Women

<26 years of age and sexually
active- annual Gonorrhea and
Chlamydia

>21 years of age or 3 years after
first sexual encounter- annual PAP
until age 30

At age 11- offer HPV vaccine

Screening MSM

Annual screening:

HIV

Syphilis (RPR)

Gonorrhea

Chlamydia

Screening Pregnant Women

Chlamydia

HIV

Hepatitis B

Syphilis (RPR)

Screening HIV-infected

Annual:

Gonorrhea

Chlamydia

Hepatitis B

Hepatitis C

If MSM, or IDU- add Hepatitis A

Reportable STDs

Chlamydia

Gonorrhea

Hepatitis B

Hepatitis C

HIV

Syphilis

Chancroid

Final Word

STDs are a major public health issue
in US

Adolescents age 15-24 and
minorities are at highest risk

Prevention, Education, Screening,
Vaccination, Access to care and
treatment and Reporting by
Healthcare providers are important
keys to reducing the burden of STDs