Age-specific rates of many sexually transmitted infections ( STIs ) are highest among sexually experienced adolescents and young adults, after controlling for sexual activity. Although some STI pathogens present as STI syndromes with a specific constellation of symptoms, most are…
Sexual assault is an act of violence that may or may not involve rape. Rape, also an act of violence, is not an act of sex. Rape is historically defined as coercive sexual intercourse involving physical force or psychological manipulation…
Epidemiology There has been a trend of decreasing teen births and pregnancies since 1991 ( Figs. 144.1 and 144.2 ). Teen birthrates in the United States are at a historic low secondary to increased use of contraception at first intercourse…
The untoward consequences of sexual activity, including unintended pregnancy (see Chapter 144 ) and sexually transmitted infections (STIs; Chapter 146 ), are experienced by adolescents at unacceptably high rates. Adolescents often do not seek reproductive healthcare until 6-12 mo after initiating…
See also Chapter 565 . Menstrual disturbances, including delayed onset, irregularity, heavy flow, and pain, occur in 75% of females during adolescence. Menstrual problems vary in presentation. For adolescents with minor variations from normal ( Table 142.1 ), an explanation…
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Although varying in percentages by nation and culture, a substantial proportion of adolescents will engage in the use of a wide range of substances, including alcohol, tobacco, natural and synthetic marijuana, opiates, and stimulants. Their reactions to and the consequences…
Violence is recognized by the World Health Organization (WHO) as a leading worldwide public health problem. WHO defines violence as “the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or…
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Healthcare providers play an important role in nurturing healthy behaviors among adolescents, because the leading causes of death and disability among adolescents are preventable. Adolescence provides a unique opportunity to prevent or modify health conditions arising from behaviors that develop…