3.4 Flashcards
What are the The United States Healthy People 2020 goals?
Improved pregnancy planning and spacing
Prevention of unintended pregnancy
Promotion of healthy sexual behaviors
Increased access to quality services to prevent sexually transmitted diseases and their complications
What % of highschoolers have had sex?
50%
What % of highschoolers are currently sexually active?
1/3
What STD’s account for almost 90 percent of STIs in highschoolers?
Human papillomavirus (HPV), Chlamydia, and trichomoniasis
What % of highschool girls have at least one of four STI (HPV, Chlamydia, herpes simplex virus (HSV), and trichomoniasis)?
25%
What % of teens identify as lesbian, gay, or bisexual?
5%
How is biological sex defined?
typically is defined by medical assessment of genitalia during infancy
What is anatomic sex?
usually is viewed as a binary concept, male or female
What is gender identity?
is an individual’s innate sense of being male, female, or somewhere in between
What are gender roles?
is society’s expectations of attitudes, behaviors, and personality traits typically based on biologic sex.
What is gender expression?
how gender is presented to the outside world but does not necessarily correlate with gender identity
What are transgenders?
individuals whose gender role or gender identity is not congruent with their biologic or anatomically assigned sex
What is sexual orientation?
individual’s pattern of physical and emotional arousal (including fantasies, activities, and behaviors) and the gender(s) of persons to whom an individual is physically or sexually attracted
What is sexual identity?
An individual person’s assessment of her or his sexual orientation
What is sexual behavior?
alone is neither a sensitive nor a specific predictor of adolescent gender identification, sexual orientation, or sexual identity
What is human sexuality?
a broad concept that embodies interaction among anatomy, hormones, and physiology, psychology, interpersonal relationships, and sociocultural influences
What ages is early adolescence?
10-14
What occurs during early adolescence?
concrete thinking, preoccupations and insecurities surrounding the physical changes of the body, and an egocentric approach to sexuality. Sexual curiosity and exploration may lead to initiating sexual experimentation with masturbation, or early sexual activity with same- or opposite-gender sexual partners
What ages is middle adolescence?
15-18
What are some concerns with pregnant adolescents?
Pregnant adolescents are more likely to delay seeking prenatal care and have higher rates of unfavorable birth outcomes, such as prematurity, infant mortality, and poor health and developmental outcomes.
What occurs during middle adolescence?
complete the physical changes of puberty and begin to have more romantic relationships typically characterized by serial monogamy or having several partners at once and over brief periods of time. Middle teens can begin to imagine the consequences of their actions but still may not fully understand them and, because of this, engage in risk-taking behaviors such as substance use and unprotected sexual activity
What is a critical component of any comprehensive pregnancy and STI prevention strategy?
Contraceptive counseling, including discussion of abstinence
What occurs during late adolescence?
have more mature social skills, empathy, and an understanding of risks and consequences that help them develop more intimate and serious relationships. They have a mature understanding and enjoyment of their physical self, gender role, sexual orientation, and sexual behaviors. They can participate in a variety of intimate and social relationships (romantic partners, friends, family, professional colleagues) with a broader sense of connection and purpose in the community.
Which youth is at highest risk for STIs?
those in juvenile detention facilities, young men having sex with men and youth using injection drugs
What is the first step in establishing basic trust and respect between the medical provider and the adolescent patient?
confidentiality
