Healthy People 2010

Progress Review Focus Area 25 – Sexually Transmitted Diseases Presentation

Slide 1

Title slide for the August 8th, Healthy People 2010 Sexually Transmitted Diseases Progress Review data presentation by Richard Klein.

Slide 2

STD Public Health Impact Slide

Sexually transmitted diseases (STDs) remain a major public health challenge in the United States. There are more than 65 million people in the United States currently living with an incurable sexually transmitted disease.

CDC estimates that approximately 19 million new infections occur each year, almost half of them among young people ages 15 to 24.

Direct medical costs associated with STDs in the United States are estimated at up to $15.3 billion annually (estimate is in 2007 dollars).

Slide 3

Highlighted Objectives Slide

This slide contains Healthy People 2010 objectives highlighted for this Progress Review. The highlighted objectives are:

25-1. Chlamydia – is moving away from the Healthy People Target
25-2. Gonorrhea – Showing Little or no change towards the Healthy People target

25-6. Pelvic Inflammatory Disease – Showing Little or no change towards the Healthy People target

25-16. Annual Screening for Genital Chlamydia – Moving towards the Healthy People 2010 target.

Slide 4

Chlamydia Infections Among Persons 15 to 24 Years

From 1997 to 2006 Chlamydia infection rates increased Among males attending STD clinics from 15.7% to 20.8%

Among females attending STD clinics from 12.2% to 14.8%

Among females attending family planning clinics from 5.0% to 7.1%

Slide 5

Chlamydia Infections Among Persons 15 to 24 Years attending STD clinics

Chlamydia infection rates among males attending STD clinics are higher than among females attending STD clinics. The difference is greatest in the black non-hispanic population.

Slide 6

Gonorrhea infections

Prior to 1996, rates of gonorrhea among men were higher than rates among women. For the sixth consecutive year, however, gonorrhea rates among women are slightly higher than among men. In 2006, the gonorrhea rate among women was 124.3 and the rate among men was 116.8 cases per 100,000 population.

Slide 7

Gonorrhea infections

Changes in gonorrhea rates between 1997 and 2006 differed by race/ethnic group. Gonorrhea rates decreased during this time period for African Americans from 809 to 658.4 cases per 100,000 population. However, the gonorrhea rate among African Americans increased between 2005 and 2006, the first increase for this population since 1998.

Other racial and ethnic groups have also seen increases in gonorrhea rates. Since 1997, the gonorrhea rate among American Indian/Alaska , non-hispanic whites, and Hispanics increased . The gonorrhea rate among Asian/Pacific Islanders increased 1.0% between 1997 and 2006.

In 2006, the gonorrhea rate among African Americans was 18 times greater than the rate for whites. This is a decrease from 1997 when there was a 31-fold difference in rates.

Gonorrhea rates were 3.8 times greater among American Indian/Alaska Natives, and 2.1 times greater among Hispanics than among whites in 2006. Rates among Asian/Pacific Islanders were 1.7 times lower than among whites in 2006.

Slide 8

Gonorrhea infections

Changes in gonorrhea rates between 1997 and 2006 differed by race/ethnic group. Gonorrhea rates decreased by during this time period for African Americans from 809 to 658.4 cases per 100,000 population.

In 2006, the gonorrhea rate among African Americans was 18 times greater than the rate for whites. This is a decrease from 1997 when there was a 31-fold difference in rates.

Slide 9

Gonorrhea infection Map

The South had the highest gonorrhea rate among the four regions of the country.

Slide 10

Treatment for Pelvic Inflammatory Diseases

Self-reported PID treatment prevalence has decreased from 1995 to 2002. Significant decreases were seen in the following population groups: black non-hispanics, whites, persons with less than HS education , and persons with high school education.

Slide 11

Treatment for Pelvic Inflammatory Diseases

Self-reported PID treatment prevalence has decreased from 1995 to 2002… Significant decreases were seen in the 35-39 age group.

Slide 12

Treatment for Pelvic Inflammatory Diseases, 2002

Non-hispanic blacks have the highest reported treatment rate in the 20-24 year age category. Non-hispanic blacks and whites have the lowest reported rate in the 30-34 year old category (both rates are 4.9%).

Slide 13

Annual Screening for Chlamydia

From 2000 to 2006, annual screening for Chlamydia infections among females 25 years and under enrolled in commercial MCO increased by 48%. Females enrolled in medicaid managed care organizations increased by 24%.

Slide 14

Progress Toward 2010 Targets Chlamydia infection objective is the only objective in focus area moving in the wrong direction. Nine objectives were deleted during the MCR. Target met for two objectives (genital herpes and PID). HPV recently became measurable.

Slide 15

Summary points from the presentation

Chlamydia infections among men and women aged 15-24 years attending STD clinics, and women attending family planning clinics has increased slightly in the past 10 years.

Annual screening for Chlamydia among females 25 years and under enrolled in commercial and Medicaid managed care organizations increased by 48% and 24% respectively.

Significant disparities in gonorrhea persist across racial/ethnic groups and geographic locales.

From 1995 to 2002, the proportion of females requiring treatment for pelvic inflammatory diseases decreased by 37%.

Slide 16

Leda Gurley

Epidemiologist

CDC/National Center for Health Statistics

Lug1@cdc.gov

Contributors:

Tamyra Carroll, CDCNCHS

Rachel Wynn, CDC/NCHHSTP

Amy Pulver, CDC/NCHHSTP

Jill Wasserman, CDC/NCHHSTP

Catherine L Satterwhite, CDC/NCHHSTP

Samuel Groseclose CDC/NCHHSTP

Elizabeth Jackson, CDC/NCHS

Geraldine McQuillan, CDCNCHS

Anjani Chandra, CDCNCHS

Ellis Davis, HHS/ODPHP

Slide 17

This slide indicates that Progress Review data and slides can be found at the Healthy People website.