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2. 2 The Youth Risk Behavior Survey 2009 reports : 48 % of Kentucky high school teens report having sexual intercourse at least once –This means that 52% (the majority) are NOT having sex (contrary to popular belief by many teens)

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4. Having sex as a teenager has many negative consequences 4

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6. Adolescent Health Teen Pregnancy in Kentucky 6 *Per 1000 females ages 15-19

7. Legend > 9040-49 76-8930-39 60-7520-29 50-59< 20 BALLARD CARLISLE GRAVES McCRACKEN FULTON HICKMAN CRITTENDEN CALDWELL TRIGG LYON LIVINGSTON MARSHALL MCLEAN HENDERSON UNION WEBSTER HOPKINS CHRISTIAN WOODFORD BOONE ROBERT-SON GALLATIN CARROLL TR`MBLE MASON BRACKEN PENDLETON OWEN KENTON GRANT CAMPBELL BOYLE FAYETTE JESSAMINE MERCER WASHINGTON ANDERSON GARRARD SPENCER SHELBY HENRY OLDHAM HARRISON SCOTT FRANKLIN NELSON BULLITT JEFFERSON GRAYSON HARDIN BRECKINRIDGE MEADE MARION HART EDMONSON BARREN LARUE CALLOWAY SIMPSON TODD BUTLER MUHLENBERG LOGAN ALLEN WARREN HANCOCK DAVIESS OHIO METCALF RUSSELL ADAIR CLINTON CUMBERLAND MONROE CASEY PULASKI WAYNE McCREARY TAYLOR GREEN NICHOLAS BOURBON BELL JACKSON LAUREL ROCKCASTLE KNOX LINCOLN CLAY WHITLEY OWSLEY ESTILL MADISON KNOTT PERRY LETCHER LESLIE HARLAN LEE FLOYD BREATHITT PIKE POWELL BOYD MORGAN JOHNSON MARTIN WOLFE MAGOFFIN MONTGOMERY CLARK MENIFEE GREENUP ROWAN CARTER ELLIOTT LAWRENCE LEWIS FLEMING BATH Kentucky Teen Birth Rate 2009 Rate per 1000 15-19 year old females 2009 National Rate-39.1 2009 Kentucky Overall Rate= 51.6 (2008 Overall KY Rate= 55.8) Source: KY Vital Statistics 49. 2 43. 9 47.7 95.0 65.6 87. 1 80.5 29.6 57.5 29.0 54.7 63.0 39.1 27.3 57.2 94.3 29.4 36.4 29.9 90.0 44.0 39.3 68.5 57.8 65.6 80.3 33.8 78.5 59.5 39.9 59.7 66.8 36.2 66.8 77.2 50.9 50.5 60.0 49.8 52.4 63.4 69.0 79.8 50.1 49.1 59. 5 71.9 70.0 61.9 53.9 24.7 64.7 53.9 57.5 57.2 36.0 65.8 58.1 55.6 39.6 54.7 34.9 39.1 64.9 54.6 52.0 46.4 83.8 60.5 72.8 97.5 81.5 52.2 11.3 53.7 31.1 44.2 45.7 49.9 33.1 62.5 46.8 71.7 54.4 64.3 48.0 76.4 10.9 80. 0 32.1 46.0 59.5 93.8 53.6 58.2 64.7 66.4 60.2 37. 5 72.5 85.6 77.6 61.0 23.3 30. 6 32.6 42.2 29.5 42.2 43.8 59.8 55.6 61.3 75.0 68.1 39.6 43. 3 77.3 90.5

8. Carroll Co. – 90 per 1000 This means 1 out of every 11 girls in Carroll County ages 15-19 had a baby in 2009.

9. Teen Pregnancy in Kentucky % of Repeat Teen Births in 2009 20.3% % of Repeat Births in Carroll County in 2009 40% 9

10. Teen Pregnancy in Kentucky Births to teens ages 18-19 in 2009 69% Births to teens ages 18-19 in 2009 in Carroll County 70% 10

11. Adolescent Health Public Funds Used for Teen Pregnancy-2008 $131,694,552 Not included: Lost Revenue to Schools for missed days/drop out 11

13. 13  You are less likely to complete high school: Only one-third receive a high school diploma.  You are more likely to live in poverty or never get out of poverty: Nearly 80 percent of unmarried teen mothers end up on welfare.  You are more likely to have a premature or sick baby.

14. 14  Your children are more likely to perform poorly in school.  The sons of teen mothers are 13 percent more likely to end up in prison  Statistics show that you and your children are at a greater risk of abuse and neglect

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17. 17  Most Sexually Transmitted Infections affect young people between the ages of 15-25  Most STIs have no signs or symptoms  Every 18 seconds a teenager gets an STI  Teenagers feel they are invincible and that an STI won’t happen to them  STIs can be transmitted through oral sex

18. 18  There are about 30 types of STIs. The most common are:  HPV  Chlamydia  Syphilis  Gonorrhea  Herpes  HIV/AIDS

19. 19  Teens are 10 times more likely to get an STI due to low immunity  1 out of every 4 people contracting HIV/AIDS is a teenager  Chlamydia is one of the most common STI among young people. There is no symptoms. It can be cured with just 1 dose of antibiotics but you cannot tell you have it

20. 20  AIDS is deadly  Herpes carries no cure  Syphilis is also deadly if untreated  Some teenagers believe contraceptives like the pill or “DEPO” shots protect them from STIs. THIS IS NOT TRUE. There is no protection against STIs from medical contraception.

21. Oral sex is NOT as safe as you think!

22. 22  HPV (Human Papilloma Virus) is one of the most common STIs among teens  Commonly called Genital Warts  Warts can take up to 6 months to show up after sexual contact. Most genital warts have to be surgically removed.  HPV is a virus. It has many different “types” due to its ability to mutate and change

23. 23  HPV (Human Papilloma Virus) is the leading cause of cervical and penile cancers and is the cause of many throat cancers.  HPV Vaccination-  Protects against infection from the types of HPV virus that cause cancer.  Does not protect against all HPV viruses

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25. 25 Often teens report negative feelings after having sex. These include: Feeling Used Stress and worry due to fear of getting pregnant or getting and STI Feeling guilty about what they have done Loss of self-respect Loneliness

26. 26 One study found that sexually active teen girls were six times more likely to attempt suicide than those who were virgins. These feelings- guilt, disappointment, loneliness, loss of self-respect can lead to depression

27. 27 Additional emotional consequences may include rage or regret over being betrayed after a break up, fear of being committed to someone else and moodiness that can lead to deeper depression Teens who choose to wait to have sex are significantly less likely to experience depression and other emotional consequences that occur when sex is added to a relationship

28. 28 The Answer…..

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30. 30 Abstaining from ALL sexual activity is the only 100% effective way to prevent pregnancy and STD’s

31. What is It? How do I get it? Abstinence is a choice that you make for yourself. The good stuff No side effects. Protects 100% against pregnancy and STD’s. No sex with a partner.

32. What’s not so good Can sometimes be hard to maintain because of peer pressure. Does It Work? How much does it cost? Being abstinent is absolutely FREE! Absolutely. The only method that protects 100%. (continued)

33. What is It? How do I get it? The good stuff A thin sheath of latex or plastic that covers the penis before sex and keeps the sperm from joining with the egg. Condoms are pretty easy to find. You can buy them in most drugstores and supermarkets. If you are, or thinking about becoming sexually active you should see a doctor to determine the best method for you. Inexpensive and easy to find. Offers protection against HIV/AIDS and other STD's. Available in many brands and types – also available in non-latex for those allergic to latex (such as Avanti by Trojan).

34. What’s not so good Does It Work? How much does it cost? (continued) Can break if not put on correctly. Must not be used with oil-based lubes like Vaseline. Only use water- based lubes such as KY-Jelly. Not complete protection against some STIs (Herpes, HPV) Condoms generally cost about $1 each but are sometimes available for free. This method is 98% effective at preventing pregnancy when used correctly and consistently. The average effectiveness is 85% due to incorrect application and consistency of use. Does prevent pregnancy and STD's when used correctly every time. Condoms can be more effective if you use spermicide with them.

35. 35 You probably will not be mentally and emotionally ready for sex for quite some time. Here are some questions to ask yourself. You must answer YES to ALL TEN questions before you are honestly ready to have sex.

36. Am I Ready For Sex? 1.Are you doing this because YOU want to? (or because someone else wants you to) 2.Can I talk to my partner about this easily? If you can’t talk about sex, then you are not ready to have sex. 36

37. Am I Ready For Sex? 3.Do I know my partner well enough? If you just met your partner or have not been going out long, then it is not time for sex. 4.Is it legal? The age of consent in Kentucky is 16. This is the age the government believes young people are mature enough to handle the responsibilities of a sex relationship. Often teens at 16 – 18 are still not mature enough to handle a relationship. 37

38. Am I Ready For Sex? 5.Do I know enough about sex? Do you know what happens during sex? If you are worried about making a fool of yourself and that your partner will laugh then you probably should not be doing it! 6.Do I feel comfortable enough with my partner to do this, and do it sober? If you have to drink to have sex then you are not ready. 38

39. Am I Ready For Sex? 7.Do I know how to have sex safely? It is really important that you and your partner know how to prevent pregnancy and STIs, have discussed it and are willing to take precautions every time you have sex. 8.Will I be glad when I am older that I lost my virginity at the age I am now? If there is ANY way you will regret losing your virginity you are not ready for sex. 39

40. Am I Ready For Sex? 9.Do we both want this? For sex to work, you both have to be willing to do it. If either person is being pressured or having second thoughts then it is not the right time. 10.Does sex fit in with my/my parent’s personal beliefs? You, your partner, or either of your families may have beliefs that say sex at a young age (or before marriage) is wrong. Do you feel comfortable going against these views? If sex will cause you worry or have guilt then it is not the right time. 40