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Sexually transmitted diseases (STDs) are the single greatest health threat affecting our youth. A girl is four times more likely to contract an STD than she is to become pregnant, and a young mother has on average 2.3 STDs.

by Karen Testerman

We are facing a plague of massive proportions, a plague made more sinister because it attacks not only adults but our youth. What is this crisis? It is a pandemic of sexually transmitted diseases (STDs) that is encouraged by a message of "safe sex" and an adult population that acts as if self-control and traditional morality are outdated and without value.

Pity the children: A nurse in Bucharest, Romania, holds an infant who is very ill with AIDS.
Peter Turnley / Corbis

Society focuses on the increase in out-of-wedlock and teen births. Meanwhile STDs tear through our youth and adult population at alarming and deadly rates. Pregnancy is seldom fatal (except for aborted babies), but the STDs of today are. They are "not your father's" STDs, which were few and easily cured with penicillin (see sidebar).
        In the 1960s, syphilis and gonorrhea were the two most prevalent STDs; today, there are more than 20 and some have as many as 80--100 strains. Despite the fitting publicity that the deadly epidemic of human immunodeficiency virus/acquired immune disorder syndrome (HIV/AIDS) commands, according to research at the University of New Mexico, human papilloma virus (HPV), not HIV, is the most common STD transmitted today.
        What is the magnitude of the problem? According to recent testimony before the House Committee on Energy and Commerce, "Three to four million STDs are contracted yearly by 15- to 19-year-olds, and another five to six million STDs are contracted annually by 20- to 24-year-olds."
        Perhaps the most tragic aspect of this plague is the role adults play in it. Failures by grown-ups are the primary cause of the pandemic among our youth. Adults are failing our children by promoting a fatal message about sex: both in education and in actions. Youth are allowed to believe that there is such a thing as safe sex outside of marriage and that any sexual practice is acceptable as long as the participants are smiling.

Marketing sex

Billboards, TV, magazines, movies, and catalogs promote the message that sex is the way to be cool, to fit in, to solve life's challenges. Today, the initial onset of sexual activity is occurring at younger ages, while couples delay the decision to marry or prefer cohabitation. Dr. Meg Meeker, a pediatrician and author of Epidemic: How Teen Sex Is Killing Our Kids, reports that half of all students in the ninth through twelfth grades have had sexual intercourse. Additionally, the average age for the onset of puberty in girls has dropped from 12 to 10.
        There are physical and emotional consequences of engaging in sexual activity outside of marriage. Unwed childbearing costs American taxpayers $29 billion a year in social services, lost tax revenue, and the consequences of delinquency and poverty among teenage parents. These teens will enter adulthood disadvantaged and will convey this disadvantage to their children.
        In 1960, 15 percent of teen births in the United States were out-of-wedlock. More recently, despite the reduction in teen pregnancy, the out-of-wedlock birthrate was 78 percent among teens, according to the National Center for Health Statistics (2000).
        Meanwhile, the No. 1 indicator of poverty in our nation is single-parent households among 15- to 19-year-olds. Ninety percent of these young people will never attend college. Eighty percent of women who choose to parent while they are teens will live at the poverty level for 10 years or more.
        Linda Waite, professor of urban sociology at the University of Chicago, and Maggie Gallagher, affiliate scholar at the Institute for American Values, have found that children born to unmarried mothers are more likely to die in infancy. Boys raised in single-parent homes are twice as likely to commit a crime that leads to incarceration by their early thirties.
        Adolescents raised by single parents or stepfamilies are more likely to engage in sexual intercourse and to be sexually active at an earlier age, according to Dawn M. Upchurch, professor at the UCLA School of Public Health. None of this takes into account the impact of postabortive trauma or the emotional trauma of making tough decisions to allow adoption so that the child will have better opportunities.
        The data are stark, but the true disaster is the damage wreaked by STDs. A girl is four times more likely to contract an STD than she is to become pregnant. Today, it is likely that a young mother has on average 2.3 STDs. Syphilis, gonorrhea, herpes, chlamydia, hepatitis A and B, HIV, and HPV are the most common. Many of the viral STDs have multiple strains.

STDs: Yesterday and Today


        The basic types of organisms responsible for STDs are bacteria, parasites, and viruses. Bacterial diseases are treatable with antibiotics such as penicillin, but the organism often develops a resistance to the antibiotic, complicating treatment. Most parasitic diseases are treatable, but viruses often remain in the host for life. Many produce symptoms with a secondary impact to the host--a reduced immune system, stress, or another infection. There are no known cures for viruses, and many hosts infected with them exhibit no symptoms.
        In 1960 there were 5 primary STDs: gonorrhea, syphilis, granuloma inguinale, chancroid, and lymphogranuloma venereum. Today there are over 20. Unless otherwise noted, the following figures refer to the United States.
        Herpes simplex virus (HSV) Types I and II--Genital herpes results from viral infection transmitted through intimate contact with the moist mucous lining of the genitals. Once in the body it remains, and there is no cure. A rash or ulcerations may be exhibited. Genital herpes can be transmitted without the host experiencing symptoms. Only 80 percent of those infected will test positive for the virus.
        Human papilloma virus (HPV)--HPV is the most commonly transmitted STD. There are between 80 and 100 strains of the virus. Some cause genital warts, but the strains that cause cervical cancer and were recently linked to anal cancer do not produce symptoms in the host. HPV is spread through skin-to-skin contact.
        Gonorrhea--A bacterial infection, gonorrhea is one of the oldest STDs. Estimates are that over 1 million women are infected with gonorrhea-causing bacteria, which infect the vagina, cervix, urethra, throat, and rectum. The disease is treatable.
        Syphilis--A chronic disease, syphilis is caused by a bacterial spirochete that bores into the mucous membranes of the mouth or genitals. It is treatable but in the secondary stage is highly contagious, with a rash on the hands that can be transmitted through casual contact.
        Chlamydia--A bacterial infection, first reported in 1984, chlamydia affects an estimated 3--5 million women annually. It infects the cervix, urethra, throat, and rectum. While treatable, it is highly destructive to the fallopian tubes and can cause infertility or ectopic pregnancies.
        Human herpes virus 8 (HHV8)--HHV8 is a virus associated with Kaposi's sarcoma, an unusual skin tumor usually found in HIV-infected men. While the virus has been found in the semen of HIV-infected men, its impact is yet to be determined.
        Trichomoniasis--Caused by Trichomonas vaginalis, a sexually transmitted parasite, trichomoniasis affects approximately 5 million people annually.
        HIV/AIDS--Acquired immune deficiency syndrome is caused by the human immunodeficiency virus. An HIV infection weakens the body's immune system and increases the body's vulnerability to many infections as well as the development of certain cancers. AIDS is one of the most frightening of the STDs because it is the most uniformly fatal of the group.
        Hepatitis A, B, C*, D*--These viruses cause inflammation of the liver and can lead to cirrhosis, liver failure, and liver cancer. The B virus form is transmitted through sexual intimacy in about 30 percent of the cases. The C form is spread mainly through blood contact, although it has been spread through semen.
        Chancroid--One of the older bacterial STDs, chancroid is usually diagnosed through a culture of the ulcer. It must be distinguished from syphilis or herpes. All partners should be treated whether or not the ulcer was present at the time of exposure.
        Lymphogranuloma venereum--Caused by a type of chlamydia, this disease affects the genitals, anus, or rectum. Another strain of the bacteria affects the urethra and can coexist with the former. Both are treatable with an oral antibiotic.
        Donovanosis (granuloma inguinale)--A chronic bacterial infection of the genitals that is found in tropical areas, donovanosis can cause severe complications if left untreated. Molluscum contagiosum--A common noncancerous skin growth, molluscum is caused by a viral infection in the top layers of the skin. The growths are similar to warts but are caused by a different virus. The virus and growths are easily spread by skin contact.
        Ureaplasma urealyticum--A bacterial infection, generally asymptomatic in nature, ureaplasma is sexually transmitted between partners. The bacteria can survive undetected in the reproductive tract for many years, until a patient is specifically tested for the infection. Although generally asymptomatic, ureaplasma can lead to fertility problems including tubal disease, recurrent miscarriages, decreased sperm motility and count, and poor postcoital tests.
        Shigellosis* and salmonellosis*--These bacterial infections cause diarrhea and are spread through contamination from the stool or soiled fingers of one person to the mouth of another. These are STDs common among men having sex with men.
        Cytomegalovirus*--An asymptomatic disease, cytomegalovirus is caused by a virus that usually remains dormant in the body for life. Severe impairment of the immune system by medication or disease reactivates it. Infectious CMV may be shed in the bodily fluids of any infected person and thus may be found in urine, saliva, blood, tears, semen, and breast milk.
        Giardiasis*--A diarrheal illness, giardiasis is caused by a one-celled, microscopic parasite that lives in the intestines of people and animals and is passed in the stool. The parasite is protected by an outer shell that allows it to survive outside the body for long periods. Giardiasis is more common at present among homosexuals, as it may be spread through oral-anal sexual contact.
        Amoebiasis*--Caused by a one-celled parasite, amoebiasis is most commonly found in Mexico, South America, India, and South and West Africa. The parasite is harbored in the human intestinal tract and is passed along by contamination of food and water or by anal or anal/oral sex.
        Bacterial vaginosis*--The condition is caused by excessive bacteria that may normally be present in the vagina. It is not clear whether it is sexually transmitted, but it is associated with other sexually transmitted diseases. Bacterial vaginosis is more common in women with multiple sexual partners, and it often develops soon after intercourse with a new partner. The disorder is relatively common among women with female partners, where the condition may be triggered by the insertion of fingers or shared sex toys.

*Sexual transmission occurs but is not the primary mode of transmission.
--K.T.

Sexual Russian roulette

A leading risk factor is the number of sexual partners. Vital health statistics directly link this factor to the early onset of sexual activity. Consider the teen who has sex with 6 people, each of whom has 6 partners. According to Dr. Meeker, this means that 36 people have been exposed to disease.
        Marcel T. Saghir, coauthor of Male and Female Homosexuality: A Comprehensive Investigation, cites the magnification of this problem in the homosexual community, even among those who define themselves as monogamous. The average such relationship among homosexual males lasts less than three years. Despite attempts to portray their choice for living as normal and healthy, homosexuals are in the highest risk group for several of the most serious STDs.


Another casualty: A Seattle man with AIDS has purple lesions on his face from Kaposi's sarcoma.
Roger Ressmeyer / Corbis


        Evidence from the National Cancer Institute that smoking shortens a person's life by 7--10 years led to a multibillion-dollar lawsuit by state governments. However, despite numerous studies that reveal homosexual relationships can reduce male or female lives by 10--30 years, tolerance and political correctness reign.
        As even homosexual supporters and the media admit, the increasing pressure to accept homosexual practices as mainstream is dramatically affecting our society. According to the New York Blade News Reports, gay men are in the highest-risk group for several of the most serious diseases, including STDs.
        Instability and promiscuity are characteristic of homosexual relationships. Even the Gay Lesbian Medical Association agrees with mainstream reports that, despite decades of intensive efforts to educate, HIV/AIDS continues to increase among the homosexual community.
        According to another homosexual newspaper, the Washington Blade, HPV is "almost universal" among homosexuals. HPV, often asymptomatic, is believed to be the causative vector of cervical cancer in women. It can also lead to anal cancer in men.
        Add to this the confusion about what constitutes sexual activity. Is it just penile penetration of the vagina? Does oral sex count? Is heavy petting to be included? What about practices of homosexuals? Common wisdom seems to promote the idea that these questions are irrelevant, as a condom can prevent the passing of bodily fluids, and thus HIV/AIDS.

Beyond bodily fluids

Sadly, this misconception leads to even more danger, as the passing of body fluids is not the only way to contract these diseases. Even a properly used and defect-free latex condom will not completely protect against all STDs. Any genital contact can cause an infection! Genital warts are the common name for HPV. The most common and contagious of STDs, HPV is passed by skin-to-skin contact. It is the leading cause of cervical cancer and in its cancerous form does not exhibit any symptoms.
        Alas, most of our sexually active, infected youth do not know they have a disease. Some viruses can lie dormant in the body for up to 30 years before symptoms develop. Ninety percent of those infected with chlamydia exhibit no symptoms and receive no treatment.
        According to abstinence speaker Pam Stenzel, the statistics of this disaster are staggering, especially among our youth. Every day in America, 12,000 teenagers contract a sexually transmitted disease. How many is an acceptable loss?

Homosexuality and Health


        Little is heard today about the devastating health effects of homosexual promiscuity. A panoply of diseases�not only the well-publicized AIDS but lesser-known scourges such as hepatitis A, B, and C; herpes; cytomegalovirus; gay bowel syndrome; amoebiasis; anal warts and anal cancer; shigel-losis; chlamydia; gonorrhea; and syphilis�serve to truncate the average gay's life expectancy to roughly 50 years. And these pestilences not only shorten lives but sharply erode quality of life.
        Behavioral disorders and mental illnesses also are far more prevalent among homosexuals than their heterosexual counterparts. High rates of alcoholism, drug addiction, "spousal" abuse, depression, and suicide all militate against living to old age.
        Gay sex is of particular concern because among homosexuals, promiscuity is more the rule than the exception. For example, the December 1989 Archives of Internal Medicine refers to a Los Angeles report's rinding that gay males averaged over 20 sex partners annually. Some studies show that those in supposedly "steady" relationships are even more promiscuous, engaging in dozens of trysts a year outside the relationship.
        A 1998 study that appeared in Psychological Reports used four databases to investigate the life spans of gays versus heterosexuals. It concluded that the homosexual lifestyle sliced 20 to 30 years from practitioners' life expectancy. Supporting this was a 1994 obituary investigation, which determined that the median age of death for gay males was 42 and for lesbians 49. It ran in the Omega Journal of Death and Dying.
        Medical statistics show the gay community to be virtually awash in pathogens:

  Over 50 percent of all homosexual men are carriers of the human papilloma virus, which produces anal warts and can often lead to anal cancer, according to Stephen Goldstone, assistant clinical professor of surgery at Mount Sinai Medical Center, speaking at a 1999 Gay Men's Health Summit in Boulder, Colorado.

  Male homosexuals are about 1,000 times more likely to acquire AIDS than the general population (National Center for Infectious Diseases, 1992).

  A survey of more than 2,300 gays in New York and three other cities found that 37 percent of the men and 14 percent of the women reported having a non-HIV sexually transmitted infection (Washington Blade, October 9, 1998). Ten years earlier, male homosexuals (less than 1 percent of the population) accounted for 50 percent of U.S. syphilis cases (Atlantic Monthly, January 1988).

  Hepatitis B is about five times more prevalent among homosexuals than among heterosexual men, according to the National Health and Nutrition Examination Surveys, 1976�1994 (American Journal of Public Health).

  A young gay man has about a 5.0 percent chance of acquiring the AIDS virus by middle age, and the incidence of gonorrhea rose 74 percent among homosexuals from 1993-1996 (New York Times, November 23,1997).
        Behavioral and mental disorders are likewise widespread in the gay community. Among the evi dence is the following:

  A 1992 Boston study found that of 262 gay male subjects, 49 percent used drugs with sex, 9 percent weekly; 57 percent used alcohol with sex, 9 percent weekly (AIDS).

  Forty-six percent of homosexual and bisexual youths in a 1997 study of Massachusetts high school students had attempted suicide in the preceding year (Newsweek).

  Forty percent of male homosexual subjects had a history of major depressive disorder (Archives of General Psychiatry, February 1991; Comprehensive Psychiatry, May/June 1993). �TheEditor


        The American Medical Association recommends that sexually active girls be tested for chlamydia every six months. Why just girls? Aren't boys infected as well? Yes, men carry the infection, but as is often the case, girls endure most of the consequences. Stenzel points out that the female reproductive system is open; scar tissue builds up on the cervix, fallopian tubes, and ovaries as a result of pelvic inflammatory disease (PID) from the chlamydia infection.
        With a single chlamydia infection, there is a 25 percent chance of sterility. With a second infection there is a 50 percent chance of sterility. If there is a third infection, it is almost certain that the girl will be sterile--all due to PID.
        This is why, some people reason, we should promote a dual message and sell teens on abstinence with "safe sex" as a backup. The dual message approach says that abstinence is best, but if you choose to engage in genital contact, use some form of contraception, usually condoms. This comprehensive message indicates that our youth are no more than bundles of uncontrollable hormones--that they are no more than mere animals. Many public school sexuality education programs instruct youth in the proper use of condoms and contraception. The information given is that condoms significantly reduce the chance of STD infection.
        In reality, even if a condom is used 100 percent of the time, a sexually active young person is at risk to contract STDs including gonorrhea, chlamydia, and trichomoniasis. Even when used, a condom fails to prevent pregnancy 12 percent of the time, according to the Maryland Center for Mental and Child Health. Despite faithful use of the condom, the person who engages in genital contact is not immune from contracting an STD that spreads through skin-to-skin contact.
        It is time that adults cleaned up their act and encouraged youth to aspire to achieve the goal of being responsible, thinking people. Young people need adults who will trust them enough to give them the information they need to make good choices.

Knowledge is power

Young people need to know that sex without boundaries is deadly. There are consequences when engaging in genital contact outside the bonds of marriage. Young people need to know that both parties should wait until they make a lifelong commitment to one another in marriage to have sex. Within marriage, they have a better chance to be healthier, to attain a higher level of education, to be financially secure, to be happier and enjoy sex more, but only if that sex is with their marital partner.
        The only way to protect against STDs that can have lifelong, physically and emotionally painful consequences is to abstain from genital contact outside of marriage. According to the University of Chicago research in Sex in America, researchers report that when a marriage is intact, the couple almost never have sex outside their marital relationship.
        Promiscuous sexual practices, whether heterosexual or homosexual, are highly costly to Americans. The health of present and future generations is in jeopardy. The idea that avoiding pregnancy or homosexual behavior is enough is dangerous. This attitude completely ignores the possibility and consequences of exposure to STDs. Add to this the disease of substance abuse and emotional trauma due to abortion, depression, anxiety, and subsequent problems, and it is clear that one should avoid promiscuity at all costs.
        Despite the rhetoric, everyone is not doing it! Over 50 percent of our youth are not engaging in genital contact with one another. Given the information, our young people are capable of making informed decisions. Once we realize this, we can give them (and society) a future without this plague.
        The promiscuous plague has many facets. Messages in the media, peer pressure, alcohol, and drugs all influence teen sexual behavior. The biggest influences, of course, are parents. The actions of young people reflect what adults transmit. This is done through how adults behave and what is communicated as acceptable. By allowing the media to undermine morality, the plague is fostered. By engaging in dangerous sexual practices, the plague is encouraged.
        More important, by abdicating parental responsibility, the plague is promoted. A recent survey of teens conducted by L.B. Whitbeck, professor of sociology at the University of Nebraska, found that parents have the strongest effect on a teen's decision whether to have sex. Parents influence the attitude of their teens by their own marital status, their attitudes, the amount of supervision they provide, and how involved they are with their children.
        Ultimately, the most effective inoculation against this plague is effective parenting. Certainly parenting would be made easier if the entertainment media reduced their hard sell of "anything goes" sex and schools truly taught nonmarital abstinence and credited our youth with the ability to use good sense. If given the opportunity, teens can and will make good choices. Our next generation needs to know it is okay to say no!


Karen Testerman is executive director of Cornerstone Policy Research, a family policy think tank located in Concord, New Hampshire. She has taught anatomy and physiology at the secondary-school level and sits on the New Hampshire Abstinence Task Force.

 

 

 

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