Which of the following best describes the epidemiological impact of STDs in women?
A. While the rates of syphilis cases have consistently increased, men are most affected
B. HSV-2 seroprevalence continues to rise with the majority of new cases in black women
C. Women are disproportionately affected by chlamydia with a higher rate of new cases in black women
D. There has been a demonstrable increase in the incidence of pelvic inflammatory disease
C. Chlamydia is the most common notifiable STD with women representing three-fold higher rates than men. One report suggests the risk for black women is seven times higher than white women.
A. The rate of primary and secondary syphilis cases have increased nearly every year since 2001 and the greatest increases were noted in women (37.5% vs. 14.7% in men)
B. National Health and Nutrition Examination Survey data demonstrated that there was an overall decrease in HSV-2 seroprevalence from 21.2% in 1988-1994 to 15.5% in 2007-2010.
D. The National Disease and Therapeutic Index suggests a decrease in the number of physician visits due to PID between 2006-2015.
Which of the following best describes appropriate screening or prevention strategies for STDs in women?
A. Only women with no prior STD should receive STD prevention
B. All partners should be screened and treated when possible
C. Vaccination is the most important strategy for preventing STDs
D. The "five Ps" may determine which STD symptoms a patient is experiencing
B. The availability of partner referral and treatment resources and the alarming global increases of STI emphasizes the importance of curtailing these numbers by reaching partners.
A. Women that have also had a prior STD should receive education and counseling for further prevention.
C. Though vaccination is an important element and should be offered to all eligible persons, education remains the cornerstone of prevention.
D. The "five Ps" are given to guide a conversation with patients about possible risk for STD acquisition and guide conversations around STD prevention education and also make decisions on which STDs the patient should be screened
Which of the following best describes screening or testing strategies for STDs?
A. Nucleic acid amplification tests on urine or endocervical swabs are the preferred testing strategy for both chlamydia and gonococcal screening