Unfortunately, many young people face barriers preventing them from accessing recommended and necessary sexual health services. Stigma, discrimination, lack of knowledge, cost, transportation, and perceived lack of confidentiality all pose substantial obstacles to the services capable of providing the healthcare and education needed to help prevent STIs and other issues such as unwanted pregnancies. This paper aims to investigate a current piece of legislation addressing this issue, the Youth Access to Sexual Health Services Act (YASHSA) of 2016 (H.R. 4475, S. 3360, 2016). In 2016 Senator Mazie K. Hirono (D-HI) and Congresswoman Alma Adams (D-NC-12) introduced this bill and if enacted, the YASHSA would provide grants to specific qualifying entities to increase and improve access and pathways for marginalized youth to obtain their sexual and reproductive health care services.
Description and Relevance of Healthcare Issue
Lifelong sexual health for adolescents requires this vulnerable population have information about and access to affordable, youth-friendly, and culturally competent sexual healthcare services. In addition, the providers of these sexual healthcare services should be trained to respect privacy and support these teens in making individualized choices that are appropriate for them. As evidenced by the rate of STIs and unplanned pregnancy among marginalized youth populations, barriers such as stigma, discrimination, lack of knowledgeable providers, cost burden,
The Illinois Caucus for Adolescent Health (ICAH) is an organization that aims to empower youth and allies to transform public consciousness and capacity building within various systems (family, school, and healthcare) to support the sexual health, identities, and rights of youth through education, organization, and advocacy. ICAH offers sexuality education courses in varied facets. Through peer education, performance based education, adult sexuality education and adult ally training, ICAH utilizes its platform to reach people of all genders, races, ages, and more to administer comprehensive and supportive sexuality education workshops. Through advocacy and organizing, ICAH challenges systems and policies in place that violates young
“UTILIZATION OF REPRODUCTIVE HEALTH SERVICES AND SEXUALITY EDUCATIION IN PREVENTING SEXUALLY TRANSMITTED INFECTIONS AMONG ADOLESCENTS”
Census back in 2000 stated that about thirty-four percent of Latinos did not have any health insurance. There was an analysis of Latino students in seventh, ninth, and eleventh grades, twenty percent did not know where to go for medical help. The younger adolescents were not informed about healthcare needs, which may show their lack to regular check ups and or their lack of knowledge to seek for help. In 1988 through 2000, Latina teens had increasing numbers of STDs than did non-Hispanic adolescence women. About fifty-nine percent of Latina adolescence that do not use any kind of protection at first sexual intercourse, compared to close to eighty-one percent of non-Hispanic, about seventy-seven percent Asian Americans, Native Americans was also about seventy-seven percent and African Americans was at about sixty-eight percent. Latina adolescences receive little knowledge about protection and family planning. The school interventions and healthcare services only reach a portion of Latina adolescences, because of the high numbers of school dropout level in this population. The issues preventing Latina adolescences' accessing to healthcare are verbal barriers and not enough knowledge about healthcare
"Approximately four million teens get a sexually transmitted disease every year" (Scripps 1). Today’s numbers of sexually active teens differ greatly from that of just a few years ago. Which in return, projects that not only the risk of being infected with a sexually transmitted disease (STD) has risen, but the actual numbers of those infected rise each year as well. These changes have not gone unnoticed. In fact have produced adaptations as to how society educates its young adults about sex, using special programs, various advertising, and regulating sexual education courses in public schools. One major adaptation is the advancement and availability of
Many individuals seek healthcare from their local health department based on accessibility and financial payment flexibility. Local health departments provide services to individuals of all ages. Typically, children and young adults frequent health departments. Unfortunately many young adults arrive for care, and withhold little to no knowledge regarding the care and protection of their bodies. This scenario places the patient at a grave risk of contracting diseases that could ultimately result in a cancer diagnosis. The population that this author has chosen to primarily focus upon is promiscuous young adults aged 21-25 who are sexually active with multiple individuals. Women identifying with the above description often have a lower
Create a brief report to explain the issues affecting young people in relation to sexual health and risk of pregnancy, including peer pressure, consensual relationships, and readiness for sexual activity, contraception, sexually transmitted infections and pregnancy options, including how age, maturity, ethnicity,
The more frequent occurrence of STDs in the younger generations are also based upon the multiple barriers in retrieving the benefits in STD prevention services which includes the lack of health insurance or inability to pay, no transportation, embarrassment of the services in the facilities, and worries of discretion. (STDs) According to the US Department of Health and Human Service, twenty five percent of sexually active adolescents have already obtained an STD. (Parillo) The severity of the issue is approached with the control strategies and educational strategies. In which these educational strategies are more effective when it involves a big health educational program that is provided to our minors. The young populations that are particularly affected by STDs are the young women with a low income for it is easier for a female to receive an STD compared to men. And with those women having a low income, they are not able to access the services that are being provided to them. Today, four in ten sexually active adolescent girls have obtained an STD that can cause infertility and death; also two thirds of adolescent boys have HIV diagnoses.
Low-income students are another group of students that sexual education programs need to cater to. According to Schalet et al., (2014), low-income students make up a large proportion of public school students in the United States, as one in six of students in public schools lives in poverty. This population of students also represents a disproportionate amount of the teenage birth and STD rates (p. 1602). Due to the large amount of low-income students, and this population's tendency to experience pregnancy or STDs, it is crucial that sexual education programs address low-income students in order to reduce the rate of teenage pregnancy and STDs.
Teens depend on birth control and other forms of protection to safeguard themselves from pregnancy and sexually transmitted disease. Confidential access to contraceptives increases the likelihood of a minors practicing safe sex. Safe sex can be practiced in a multiple ways such as birth control pills, birth control shots, intrauterine devices, and condoms. All of these types of contraceptives may be received from a doctors office. Condoms may also be found in a variety of stores. All sources containing contraceptives may eventually have to require a minors parental consent in order to sell. Regulations on contraceptives will leave many minors with a difficult decision on whether to tell their parents about their sexual activity in order receive contraceptives. Minors should be allowed to have limitless access to contraceptives due to risk of pregnancy and other health issues.
A fourth exception to minor consent pertains to HIV diagnostic testing and treatment as well as sexually transmitted infection (STI) testing, treatment and prevention. Analysis was performed in a 2012 study which considered the state adolescent consent laws and implications for HIV and STI’s prevention, diagnosis and treatment. The findings are concerning. The study states, “No states expressly prohibits minor’s access to HIV or STI prevention methods or testing. All states expressly allow some minors to consent to medical care for the diagnosis or treatment, but only eight allow consent to preventive services. Thirty-four states expressly allow minors to consent to services. Seventeen states allow minors to consent to STI testing, but do not
The United States has an alarmingly high rate of sexually transmitted infections among ages fifteen through twenty-five especially among states that teach abstinence only opposed to comprehensive sexual education. It holds the highest rate in sexually transmitted infections in youth in all developed countries. This is a frightening and atrocious crisis that is preventable if given the right tools at the right age. Many youth are in harm’s way due to inaccurate information, . Many youth believe oral and anal sex is not a form of sex believing they cannot be infected by any sexually transmitted infections when engaging in these acts. This is not only wrong but can put themselves at higher risk for sexually transmitted disease. Sexually transmitted
Sexually transmitted diseases are a major public health concern in America today. The Centers for Disease control estimate that sexually transmitted diseases cost the U.S. heath care system as much as $15.3 billion each year. (Dougherty, 2010) Each year 19 million people become infected with a sexually transmitted disease. Half of the people that become infected every year are between the ages of fifteen and twenty-four, and may not even know they are infected. (Dougherty, 2010) One in four of the as many as 12 million new sexually transmitted disease infections that occur each year will occur in someone between the ages of 16 and 19. (Haggerty, 2009) Where by some estimates about half of all people will contract a sexually transmitted disease at some point in their life, almost no one will speak of having one. During the transition between childhood and adulthood biological development drives young people for social status. It is during these times that many teens decide that having sex is a good idea but under education about the consequences of their actions can cause unwanted results. (Haggerty, 2009) Sexually transmitted diseases can be a significant problem as young adults enter childbearing years, causing infertility and pregnancy complications (Kaestle and Waller, 2011)
With adolescence being a time of both sexual maturation and increased risk-taking, it is unsurprising that adolescence is a period in which many young people become sexually active (Tillett, 2005). With 69% of year 10 to 12 students reporting having engaged in some kind of sexual activity and 34% having engaged in intercourse (Mitchell et al, 2014), the idea that adolescence is a period of sexual innocence is misinformed; young people do have sex, whether or not they have undertaken sex education or have access to contraception. The ethical issues around adolescent access to contraception are numerous. The idea that young people will engage in more sex if they are able to access contraception is persistent, and this holds the potential for unwanted pregnancy, sexually transmitted infections, and damage caused by having sex without giving informed consent. The second ethical issue of parental consent revolves around parents having the right to be aware of their children’s medical history, conflicting with the child’s right to confidentiality.
Studies show that the national average for an adolescent’s first sexual intercourse encounter is seventeen years old. Despite this number being very close to the average age in other industrialized countries, the United States holds a higher percentage of teenage pregnancy and sexually transmitted disease (STD) contraction than those countries (Harper et al, 2010, p. 125). It’s becoming evident that while a majority of the nation’s youth is sexually active, they are not doing so with the appropriate knowledge to keep themselves and others healthy.
With a growing world population of approximately 7.4 billion people, there’s no wonder why so many health crises have been exploited over the years (“Population Clock”). From influenza to the ebola virus, dozens of pressing medical issues have been covered by the media over the past years; however, almost all exclude one of the critical happenings for adolescent health worldwide: the rise of sexually transmitted diseases (STDs) and pregnancies in teenagers. The dilapidated subject is often considered too taboo to discuss and evaluating, neglecting current youth and generations to come. The rise of STDs and adolescent pregnancies contributes to a multitude of issues including, but not excluded to, medical complications, social and mental