STD’s and Health in the Latino Community- Learn the facts
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STD’s and Health in the STD’s and Health in the Latino Community- Learn Latino Community- Learn the facts the facts Elizabeth Lee-Rey, MD Co-Director Hispanic Center of Excellence/AECOM March 28, 2003
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STD’s and Health in the Latino Community- Learn the facts. Elizabeth Lee-Rey, MD Co-Director Hispanic Center of Excellence/AECOM March 28, 2003. Projections of the Resident Population by Race and Ethnicity. Source Data for 2005; Population projections program, - PowerPoint PPT Presentation
Transcript of STD’s and Health in the Latino Community- Learn the facts
STD’s and Health in the Latino STD’s and Health in the Latino Community- Learn the factsCommunity- Learn the facts
Elizabeth Lee-Rey, MD
Co-Director
Hispanic Center of Excellence/AECOM
March 28, 2003
Projections of the Resident Projections of the Resident Population by Race and Population by Race and
EthnicityEthnicity
0 20 40 60 80
Asian
Hispanic
AfricanAmerican
White
1990
2000
2005
2010
2030
2050
Source Data for 2005; Population projections program, Population Division, U.S. Census Bureau, January 2000
Educational Attainment of Educational Attainment of Persons Age 25 and older, Persons Age 25 and older,
19981998
0
5
10
15
20
25
30
35
40
45
Less thanH.S.
H.SGraduate
SomeCollege
CollegeGraduate
All Races
White
Black
Hispanic
Collins, Hall, and Neuhaus, U. S. Minority Health: A Chart Book, 1999The Commonwealth Fund
Sex and Sexuality Sex and Sexuality
What do you think about?What do you know?What do you ask?Who do you ask?When do you ask?How do you ask?
What do you think about?What do you think about?
Am I ready?Do I want to?Am I in a safe place?Do I have protection?
Boys Attitudes Toward Sexual Boys Attitudes Toward Sexual Behavior Over TimeBehavior Over Time
70
49
0
10
20
30
40
50
60
70
Grades 5 - 8 Grades 9-12
Percent of boys saying it is "very or somewhat important" to "not have sex during my teen years"
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997
What do you know?What do you know?
Sexually Transmitted Sexually Transmitted DiseasesDiseases
1 out of 4 sexually experienced teens acquires a STD each year.
Higher rates of Gonorrhea for teens than for sexually active men/women 20-44y/o.
HIV: 7th leading cause of death among individuals age 15-24.
Latinas are infected with HIV 7 times higher than white females.
What do you know?What do you know?
Gonorrhea can develop 2 to 6 days after exposure whereas NGU can take 1 to 5 weeks after infection.
Some have symptoms and some do not.Gonorrhea often travels with Chlamydia.Gonorrhea,Chlamydia, Trichomonas are
curable.
What do you know?What do you know?
While HIV,AIDS, Herpes, Syphilis, Hepatitis B, HPV are not.
Cervical Cancer is preventable.
What do you ask?What do you ask?
How many partners have you been with?Do you use protection?
Every time?Do you have a regular MD?Do you know about HIV and AIDS?
Who do you ask?Who do you ask?
Which group is less likely to Which group is less likely to have a regular physician?have a regular physician?
Asian Seniors
Hispanic Adolescents
African American Newborns
Middle-age Women
Minority Boys Are Less Likely Minority Boys Are Less Likely to Have a Regular Physicianto Have a Regular Physician
21
17
2527
0
5
10
15
20
25
30
Total
White
Black
Hispanic
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997 Louis Harris and Associates, Inc
Percent of boys with no regular MD
Older Boys and Girls Differ on Sources of Older Boys and Girls Differ on Sources of Information About Birth ControlInformation About Birth Control
5668
48
67
36
62
29
47
0102030405060708090
100
Schoolhealthclass
Friends Magazines Physician
Boys
Girls
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997
Where have you learned about birth control?
Older Boys Would Use a Variety of Older Boys Would Use a Variety of Sources to Obtain Birth ControlSources to Obtain Birth Control
If you wanted to get condoms, spermicides, or birth control, where would you go?
69
2614 19 12 21
020406080
100
Ph
arm
ac
y
Re
g M
D
An
oth
MD
PlP
tho
od
Sc
ho
ol
Pa
ren
t
The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997
When do you ask?When do you ask?
Teen PregnancyTeen Pregnancy
260,376 pregnancies 15-19 years old140,417 babies born 15-19 years old 6,915 babies born < 15 years oldHispanic females = 17% teen pregnancy5.5 million Hispanic girls < 18 years old
STD’SSTD’S
Gonorrhea Nongonococcal
urethritis (NGU) Chlamydia Herpes HPV Syphilis Hepatitis B
Scabies HIV/AIDS Cervical Cancer Granuloma inguinal Lymphogranuloma
venereum Trichomonas
The Leading Cause of Death The Leading Cause of Death for Hispanics in NYCfor Hispanics in NYC
In NYC, according to 1995 data, AIDS was the leading cause of death for Hispanic males from ages 1 yr old to 59 yrs old. It was the leading cause of death for Hispanic females from birth to 49 yrs old.
Source: The seventh Annual Hispanic Federation Annual Survey
Hispanic New Yorkers on Nueva York
Report 4:Latinos and HIV/AIDS
HIV WorldwideHIV Worldwide
People newly infected with HIV in 2000
Total count 5.3 million
Adults 4.7 million
Women 2.2 million
Children <15 yo 600,000
Worldwide, HIV/AIDs is the 4th leading cause
death.
How do you ask?How do you ask?
As if you life depended on it.
Common misconceptionsCommon misconceptions
“I know exactly where I got this disease.”“I got this disease from my last sexual
partner.’“When my symptoms are gone, my
infection is cured.”My symptoms are not from an STD, but
from other causes (ie. Stress, chemical burns, zipper trauma, or menstrual cramps.
Take Home MessageTake Home Message
Only you have the ability to reduce the risk of infection, and reinfection.
Take medications as directed.Return for follow up.Recognize signs and symptoms in
yourselves and in your partners.Remember STD’s can be asymptomatic.If you are high risk- check yourself out.
Final Take Home MessageFinal Take Home Message
Use condomsDemand it for yourself- you are worth it.
