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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. |
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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traditional morality are outdated and without value.
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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.
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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.
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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.
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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?
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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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