Table_A1
Table A1. Healthy People 2000 Sexually Transmitted Diseases Objective Status ======================================================================================================================================================================================= Baseline Target Healthy People 2000 Objective Year Baseline 1990 1991 1992 1993 1994 1995 2000 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- 19.1 Gonorrhea (per 100,000) 1989 300 278 247 197 172 165 150 100 a. Blacks (non-Hispanic) 1989 1990 1941 1714 1408 1206 1201 1087 650 b. Adolescents 15-19 years 1989 1123 1114 1031 869 733 739 665 375 c. Females 15-44 years 1989 501 495 417 364 309 316 300 175 19.2 Chlamydia prevalence among females 15-24 years Females 15-19 years 1988 12.2% --- --- --- --- --- 6.7% 5% Females 20-24 years 1988 8.5% --- --- --- --- --- 4.2% 5% 19.3 Primary and secondary syphilis (per 100,000) 1989 18.1 20.3 17.2 13.4 10.3 7.9 6.3 4 a. Blacks 1989 118 143 122 97 76 59 46 30 19.4 Congenital syphilis (per 100,000 live births) 1990 91.0 ... 107.3 94.7 80.7 55.6 39 40 a. Blacks 1992 417.8 (a) ... ... ... 357.3 230.6 173.2 175 b. Hispanics 1992 134.6 (a) ... ... ... 103.8 78.6 55.2 50 19.5 Annual number of first time consultations (1) Genital herpes 1988 163,000 172,000 (2) 235,000 139,000 172,000 142,000 160,000 138,500 Genital warts 1988 290,000 275,000 (2) 282,000 218,000 167,000 238,000 253,000 246,500 19.6 Pelvic inflammatory disease Hospitalizations per 100,000 females 15-44 years 1988 311 261 233 212 196 177 162 100 Initial visits to physicians (number of visits) (1) 1988 430,800 357,522 376,540 334,793 386,860 312,000 24,5000 290,000 Hospitalizations per 100,000 females a. Blacks 15-44 years 1988 655 567 523 539 399 378 296 150 b. Adolescents 15-19 years 1988 342 279 239 205 159 184 141 110 19.7 * Sexually transmitted Hepatitis B (number of cases) 1987 47,593 47,881 58,393 52,882 35,849 35,077 29,446 (3) 30,500 19.8 Repeat gonorrhea infection 1987 20% --- --- 18% 17.4% 14.1% 15.3% 15% a. Blacks 1992 21.3% ... ... ... 21.2% 15.9% 17.3% 17% 19.9 * Adolescents engaging in sexual intercourse Adolescents 15 years All females 1988 27% --- --- --- --- --- 22% 15% In-school females ... --- 35% 36% --- 37% --- 38% ... All males 1988 33% --- --- --- --- --- 27% 15% In-school males ... --- 48% 44% --- 45% --- 42% ... a. All black males 1988 69% --- --- --- --- --- 60% 15% In-school non-Hispanic black males ... --- --- 79% --- 82% --- 77% ... Adolescents 17 years All females 1988 50% --- --- --- --- --- 51% 40% In-school females ... --- 62% 66% --- 66% --- 67% ... All males 1988 66% --- --- --- --- --- --- 40% In-school males ... --- 73% 68% --- 68% --- 65% ... b. All black males 1988 90% --- --- --- --- --- --- 40% In-school non-Hispanic black males ... --- --- 90% --- 92% --- 88% ... c. All black females (15-17 years) 1988 66% --- --- --- --- --- 48% (4) 40% In-school non-Hispanic black females ... --- --- 84% --- 80% --- 75% ... 19.10 * Condom use at last sexual intercourse Sexually active unmarried females 15-44 years (by their partners) 1988 19% --- --- --- --- --- 25% 50% a. Sexually active females 15-19 years (by their partners) 1988 26% --- --- --- --- --- 37% 60% Sexually active females 15-19 years in grades 9-12 (by their partners) ... --- 40% 38% --- 46% --- 49% ... b. Sexually active males 15-19 years 1988 57% --- --- --- --- --- --- 75% Sexually active males 15-19 years in grades 9-12 ... --- 49% 54% --- 59% --- 61% ... c. Injecting drug users 1992 34% ... ... ... --- --- --- 75% d. Black females 15-44 years (by their partners) 1988 12.4% --- --- --- --- --- 25% (4) 75% 19.11 * Clinic services for HIV and other sexually transmitted diseases ... --- --- --- --- --- --- --- 50% Family planning clinics 1989 40% --- --- --- --- --- --- ... Title X Funded Family Planning Clinics STD testing (excluding HIV) ... --- --- --- --- --- 95.1% --- ... STD counseling (excluding HIV) ... --- --- --- --- --- 97.8% --- ... STD treatment (excluding HIV) ... --- --- --- --- --- 92.7% --- ... Gonorrhea Client testing (5) ... --- 97% --- --- --- --- --- ... Client treatment ... --- 82% --- --- --- --- --- ... Partner notification (6) ... --- 23% --- --- --- --- --- ... Partner testing ... --- 60% --- --- --- --- --- ... Partner treatment ... --- 62% --- --- --- --- --- ... Syphilis Client testing (5) ... --- 86% --- --- --- --- --- ... Client treatment ... --- 48% --- --- --- --- --- ... Partner notification (6) ... --- 29% --- --- --- --- --- ... Partner testing ... --- 57% --- --- --- --- --- ... Partner treatment ... --- 40% --- --- --- --- --- ... Chlamydia Client testing (5) ... --- 66% --- --- --- --- --- ... Client treatment ... --- 73% --- --- --- --- --- ... Partner notification (6) ... --- 15% --- --- --- --- --- ... Partner testing ... --- 29% --- --- --- --- --- ... Partner treatment ... --- 50% --- --- --- --- --- ... HIV Client Pretest Counseling ... --- 66% --- --- --- 81.8% --- ... Client Testing ... --- 60% --- --- --- 73.5% --- ... 19.12 * HIV and other STD education curricula in schools 1988 95% --- --- --- --- --- --- 95% Proportion of middle and senior high schools HIV prevention included in required courses ... --- --- --- --- --- 86% --- ... STD prevention included in required courses ... --- --- --- --- --- 84% --- ... 19.13 Correct management of sexually transmitted disease cases by primary care providers 1988 70% --- --- --- --- --- --- 90% 19.14 * Clinician counseling to prevent HIV and other sexually transmitted diseases 1987 10% --- --- --- --- --- --- 75% Percent of clinicians routinely providing service to 81-100% of patients a. Providers practicing in high incidence areas ... --- --- --- --- --- --- --- 90% b. Family physicians 1992 27% ... ... ... --- --- --- 75% c. Internists 1992 30% ... ... ... --- --- --- 75% d. Nurse Practioners 1992 50% ... ... ... --- --- --- 75% e. Obstetricians/Gynecologists 1992 46% ... ... ... --- --- --- 75% f. Pediatricians 1992 46% ... ... ... --- --- --- 75% g. Mental health care providers ... --- --- --- --- --- --- --- 75% 19.15 Partner notification of exposure to sexually transmitted diseases Patients with bacterial sexually transmitted diseases 1988 20% --- --- --- --- --- --- 50% 19.16 * Adolescent abstinence from sexual intercourse for previous 3 months All sexually active females 15-17 years 1988 23.6% --- --- --- --- --- 27% 40% In-school sexually active females 15-17 years ... --- 24% 25% --- 25% --- 23% ... All sexually active males 15-17 years 1988 33% --- --- --- --- --- --- 40% In-school sexually active males 15-17 years ... --- 30% 36% --- 33% --- 34% ... 19.17 * HIV and STD education for students at colleges and universities Students given: AIDS or HIV infection prevention information 1995 49.1% ... ... ... ... ... ... 90% STD prevention information 1995 43.4% ... ... ... ... ... ... 90% Students taught about AIDS or HIV in a college class 1995 41.4% ... ... ... ... ... ... 90% ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---/Data not available. .../Category not applicable. (a) Baseline has been revised. (1) As measured by first-time visits to physicians' offices. (2) 1989 data. (3) Data are provisional. (4) Data are non-Hispanic black females. (5) Includes testing at initial visit, at annual visit, or if symptomatic. (6) By family planning clinic staff via telephone or mail. NOTE: Data include revisions and, therefore, may differ from data previously published in these reports and other publications. Data sources: Objective number Data source 19.1, 19a-c Sexually Transmitted Disease Surveillance System, CDC, NCHSTP. 19.2 Sexually Transmitted Disease Surveillance System, CDC, NCHSTP. 19.3, 19.3a Sexually Transmitted Disease Surveillance System, CDC, NCHSTP. 19.4 Sexually Transmitted Disease Surveillance System, CDC, NCHSTP. 19.5 National Disease and Therapeutic Index, IMS America, Ltd. 19.6, 19.6a-b For hospitalizations, National Hospital Discharge Survey, CDC, NCHS. For number of visits, National Disease and Therapeutic Index, IMS America, Ltd. 19.7 * Viral Hepatitis Surveillance System, CDC, NCID. 19.8 Gonococcal Isolate Surveillance Project, CDC, NCHSTP. 19.9 * Baseline for all females and all black females: National Survey of Family Growth, CDC, NCHS. Data for in-school females: National School-based Youth Risk Survey, CDC, NCCDPHP(1990). Youth Risk Behavior Survey (YRBS), CDC, NCCDPHP(1991, 1993, 1995). Baseline and update for all males and all black males - National Survey of Adolescent Males (NSAM), NIH, NICHD. Data for in-school males and in-school black males: National School-based Youth Risk Behavior Survey, CDC, NCCDPHP (1990), Youth Risk Behavior Survey, CDC, NCCDPHP (1991, 1993, 1995). 19.10 *, 19.10d National Survey of Family Growth, CDC, NCHS. 19.10a Baseline: National Survey of Family Growth, CDC, NCHS. 1990 Update: National School-based Youth Risk Behavior Survey, CDC, NCCDPHP. 1991-95 Updates: Youth Risk Behavior Survey, CDC, NCCDPHP. 19.10b Baseline: National Survey of Adolescent Males, NIH, NICHD. 1990 Update: National School-based Youth Risk Behavior Survey, CDC, NCCDPHP. 1991-95 Updates: Youth Risk Behavior Survey, CDC, NCCDPHP. 19.10c National AIDS Demonstration Research Program, NIH, NIDA. 19.11 * Baseline: State Family Planning Directors. 1990 Updates: National Questionnaire on Provision of STD and HIV Services by Family Planning Clinics, PHS, OPA. 1994 Updates: The Urban Institute. Family planning clinics: Current status and recent changes in services, clients, staffing, and income sources. March 1994. 19.12 * 1988 Data: AIDS education: Public school programs require more student information and teacher training, GAO, 1990. 1994 Baseline: School Health Policies and Programs Study, CDC, NCCDPHP. 19.13 National Disease and Therapeutic Index, IMS America, Ltd. 19.14 * 1987 Baseline: Sexual history-taking and counseling practices of primary care physicians, Lewis CE and Freeman HE. Western Journal of Medicine, 147: 165-7, 1987. 1992 Baselines: Primary Care Provider Surveys, OASH, ODPHP. 19.15 Sexually Transmitted Disease Surveillance System, CDC, NCPS. 19.16 * Baseline and update for all females: National Survey of Family Growth, CDC, NCHS; Baseline for all males: National Survey of Adolescent Males, NIH, NICHD. Data for in-school males and females for 1990: National School-based Youth Risk Behavior Survey, CDC, NCCDPHP. 1991-95 Updates: Youth Risk Behavior Survey, CDC, NCCDPHP. 19.17 * College Youth Risk Behavior Survey, CDC, NCCDPHP. * Objective shared with other Healthy People 2000 priority area(s). =======================================================================================================================================================================================
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