2. Sexually Transmitted Disease Prevention 101 Presented by Lora Lock RN and Tessa Dillon RN Nova Southeastern University

3. OBJECTIVES Define Human Immunodeficiency Virus (HIV) and Sexually Transmitted Diseases (STD) Define Human Immunodeficiency Virus (HIV) and Sexually Transmitted Diseases (STD) Become Knowledgeable About Ways to Prevent HIV and STDs Become Knowledgeable About Ways to Prevent HIV and STDs Learn to talk to Healthcare Provider and Intimate Partner about HIV and STD Prevention Learn to talk to Healthcare Provider and Intimate Partner about HIV and STD Prevention

4. Healthy People 2010 Goals for this initiative include Goals for this initiative include Promoting responsible sexual behavior Promoting responsible sexual behavior Providing access to quality healthcare services Providing access to quality healthcare services Decreasing the number of reported sexually transmitted disease and HIV cases. Decreasing the number of reported sexually transmitted disease and HIV cases. Promoting health communication Promoting health communication US Department of Health and Human Services, 2005, Fact Sheet

5. What are STDs? Sexually transmitted diseases or STDs are any disease that is spread through sexual contact Sexually transmitted diseases or STDs are any disease that is spread through sexual contact Any intimate contact where body fluids are exchanged can lead to STDs Any intimate contact where body fluids are exchanged can lead to STDs Also known as Venereal Diseases (VD) and Sexually transmitted infections (STI) Also known as Venereal Diseases (VD) and Sexually transmitted infections (STI)

6. Examples of STDs HIV HIV Gonorrhea Gonorrhea Herpes Herpes Human Papilloma Virus (HPV) Human Papilloma Virus (HPV) Chlamydia Chlamydia Syphilis Syphilis Hepatitis B Hepatitis B

7. What is HIV? Human Immunodeficiency Virus is one kind of STD that is spread by sexual contact or contact with infected body fluids Human Immunodeficiency Virus is one kind of STD that is spread by sexual contact or contact with infected body fluids It is the virus that causes AIDS It is the virus that causes AIDS It is a preventable disease It is a preventable disease There is currently no cure for this disease There is currently no cure for this disease

8. Who is at risk for STDs and HIV? Anyone who has sex with even one person who has an STD Anyone who has sex with even one person who has an STD Anyone who has multiple sex partners Anyone who has multiple sex partners Anyone who uses Intravenous Drugs Anyone who uses Intravenous Drugs Anyone who has sex with a new or casual partner without using a condom Anyone who has sex with a new or casual partner without using a condom In summary if you have sex…you are at risk In summary if you have sex…you are at risk

9. Let’s look at the numbers for STDS Individuals who are infected with STDs are at least two to five times more likely than uninfected individuals to acquire HIV infection Individuals who are infected with STDs are at least two to five times more likely than uninfected individuals to acquire HIV infection According to the Centers For Disease Control (CDC) approximately 19 million new STD infections occur each year. According to the Centers For Disease Control (CDC) approximately 19 million new STD infections occur each year. Department of Health and Human Services, 2007

10. What about HIV? According to the Florida Department of Health (2007) “in 2007, those 50+ made up 17% of the HIV cases in Florida” According to the Florida Department of Health (2007) “in 2007, those 50+ made up 17% of the HIV cases in Florida” Of those cases less than 1% contracted the disease from a blood transfusion Of those cases less than 1% contracted the disease from a blood transfusion 74% where males having heterosexual sex 74% where males having heterosexual sex 26% were females 26% were females

11. Why does it matter? Persons 50+ are more active Persons 50+ are more active Social interaction among the aging population is increased Social interaction among the aging population is increased We are living longer, healthier and more vibrant lives We are living longer, healthier and more vibrant lives This leads to more opportunity for sexual contact especially with… This leads to more opportunity for sexual contact especially with… Viagra Viagra Cialis Cialis Levitra Levitra

12. Common Facts Mature people are less likely to use condoms Mature people are less likely to use condoms Mature people do not consider themselves to be at risk of STDs Mature people do not consider themselves to be at risk of STDs Mature people were never educated that condoms should be part of their sex lives. Mature people were never educated that condoms should be part of their sex lives. Mature people are less likely to discuss their sexual history with a new partner Mature people are less likely to discuss their sexual history with a new partner

13. You and Your Partner (s) Talking to your partner is an important part of protecting yourself from HIV and STDs Talking to your partner is an important part of protecting yourself from HIV and STDs Get the conversation started by Get the conversation started by Discussing what you both know about HIV and STDs Discussing what you both know about HIV and STDs Talking about your risks Talking about your risks Are you committed only to each other? Are you committed only to each other? Deciding about getting tested Deciding about getting tested Considering Abstinence Considering Abstinence Consider using condoms (Latex or Polyurethane) Consider using condoms (Latex or Polyurethane)

14. You and Your Healthcare Provider Sexually active persons should have a check-up for sexual health along with their annual physical Sexually active persons should have a check-up for sexual health along with their annual physical Your physician may not ask about your sexual health assuming you are not having sex Your physician may not ask about your sexual health assuming you are not having sex Discuss HIV and STDs with your doctor so you are sure to receive the information you need to remain healthy Discuss HIV and STDs with your doctor so you are sure to receive the information you need to remain healthy

15. Let’s Lower the Risk Safest Safest Abstinence and do not share needles Abstinence and do not share needles Next Best Next Best ALWAYS use a latex condom when having sex ALWAYS use a latex condom when having sex Limit sex partners Limit sex partners Be aware alcohol and certain drugs affect ability to make decisions Be aware alcohol and certain drugs affect ability to make decisions

16. Questions

17. References CDC Department of Health and Human Services. (2007). Sexually transmitted diseases. Retrieved July 20, 2008 from, http://www.cdc.gov/std/hiv/default.htm CDC Department of Health and Human Services. (2007). Sexually transmitted diseases. Retrieved July 20, 2008 from, http://www.cdc.gov/std/hiv/default.htm http://www.cdc.gov/std/hiv/default.htm Florida Department of Health (2007). HIV/AIDS among persons age 50+ in Florida. Retrieved June 6, 2008 from http://www.doh.state.fl.us/Disease_ctrl/aids/updates/facts/ 07Facts/2007_50_YO.pdf Florida Department of Health (2007). HIV/AIDS among persons age 50+ in Florida. Retrieved June 6, 2008 from http://www.doh.state.fl.us/Disease_ctrl/aids/updates/facts/ 07Facts/2007_50_YO.pdf http://www.doh.state.fl.us/Disease_ctrl/aids/updates/facts/ 07Facts/2007_50_YO.pdf http://www.doh.state.fl.us/Disease_ctrl/aids/updates/facts/ 07Facts/2007_50_YO.pdf US Department of Health and Human Services. (2005). Healthy people 2010. Retrieved May 14, 2008 from, http://www.healthypeople.gov/About/hpfact/htm US Department of Health and Human Services. (2005). Healthy people 2010. Retrieved May 14, 2008 from, http://www.healthypeople.gov/About/hpfact/htm http://www.healthypeople.gov/About/hpfact/htm