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Before AIDS, the role of behavioral interventions in preventing transmission of sexually transmitted diseases was acknowledged in text books and journals but rarely promoted effectively in public health practice. This book addresses the complexities and social contexts of human behaviors which spread STDs, the cultural barriers to STD education, and the sociopolitical nuances surrounding treatment.
One in five people in the United States had a sexually transmitted infection (STI) on any given day in 2018, totaling nearly 68 million estimated infections. STIs are often asymptomatic (especially in women) and are therefore often undiagnosed and unreported. Untreated STIs can have severe health consequences, including chronic pelvic pain, infertility, miscarriage or newborn death, and increased risk of HIV infection, genital and oral cancers, neurological and rheumatological effects. In light of this, the Centers for Disease Control and Prevention, through the National Association of County and City Health Officials, commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee to examine the prevention and control of sexually transmitted infections in the United States and provide recommendations for action. In 1997, the Institute of Medicine released a report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Although significant scientific advances have been made since that time, many of the problems and barriers described in that report persist today; STIs remain an underfunded and comparatively neglected field of public health practice and research. The committee reviewed the current state of STIs in the United States, and the resulting report, Sexually Transmitted Infections: Advancing a Sexual Health Paradigm, provides advice on future public health programs, policy, and research.
- Covers all aspects (historical, epidemiological, diagnostic, clinical, preventative, public health and medico-legal) of STIs in complete detail with a special emphasis on STIs in special groups—migrants, homosexuals, and sexually abused. - Covers basic and laboratory sciences extensively to blend with the basics required by the clinician for proper understanding of the disease process. - Clinical photographs, illustrations, photographs of specimens and cultures, histopathology, flow charts and line diagrams are given extensively throughout the text to make relevant clinical situation self-explanatory. - Has very useful and practical information for even the clinician in the periphery, where the investigative component is either non-existent or very basic and many new drugs are not available or unaffordable. - Management of HIV in adults and children in resource-poor countries has been covered extensively along with syndromic management of STIs. This enables a physician to choose from approaches in a particular situation depending upon the available means—laboratory or therapeutic. - Covers sexual dysfunction in both men and women and the basics of human sexual behavior and sexual health. - Section Editors and Contributors from all continents of the world have made this a truly global reference book. - It is a useful reference text for epidemiologists, public health experts, clinicians, microbiologists, health workers, social organizations and counselors working in the field of STIs, sexual health, and HIV.
The close supervision of adolescents dramatically reduces the incidence of risky sexual behavior, drug and alcohol use, and other activities that could negatively affect one's health and well-being. Because of the strong correlation between parental monitoring and a child's welfare, social workers, psychologists, child development specialists, and other professionals who work with children now incorporate monitoring into their programs and practice. A definitive resource providing the best research and techniques for productive supervision within the home, this volume defines and develops the conceptual, methodological, and practical areas of parental monitoring and monitoring research, locating the right balance of closeness and supervision while also remaining sensitive to ethnic and socioeconomic backgrounds. Assembled by leading experts on childrearing and healthy parent-child communication, Parental Monitoring of Adolescents identifies the conditions that best facilitate parental knowledge, ideal interventions for high-risk youth, and the factors that either help or hinder the monitoring of an adolescent's world. The volume also sets a course for future research, establishing a new framework that evaluates the nature and approach of monitoring within the parent-adolescent relationship and the particular social realities of everyday life.
The United States has the dubious distinction of leading the industrialized world in overall rates of sexually transmitted diseases (STDs), with 12 million new cases annually. About 3 million teenagers contract an STD each year, and many will have long-term health problems as a result. Women and adolescents are particularly vulnerable to these diseases and their health consequences. In addition, STDs increase the risk of HIV transmission. The Hidden Epidemic examines the scope of sexually transmitted infections in the United States and provides a critical assessment of the nation's response to this public health crisis. The book identifies the components of an effective national STD prevention and control strategy and provides direction for an appropriate response to the epidemic. Recommendations for improving public awareness and education, reaching women and adolescents, integrating public health programs, training health care professionals, modifying messages from the mass media, and supporting future research are included. The book documents the epidemiological dimensions and the economic and social costs of STDs, describing them as "a secret epidemic" with tremendous consequences. The committee frankly discusses the confusing and often hypocritical nature of how Americans deal with issues regarding sexualityâ€"the conflicting messages conveyed in the mass media, the reluctance to promote condom use, the controversy over sex education for teenagers, and the issue of personal blame. The Hidden Epidemic identifies key elements of effective, culturally appropriate programs to promote healthy behavior by adolescents and adults. It examines the problem of fragmentation in STD services and provides examples of communities that have formed partnerships between stakeholders to develop integrated approaches. The committee's recommendations provide a practical foundation on which to build an integrated national program to help young people and adults develop habits of healthy sexuality. The Hidden Epidemic was written for both health care professionals and people without a medical background and will be indispensable to anyone concerned about preventing and controlling STDs.
Historically, community health nursing has responded to the changing health care needs of the community and continues to meet those needs in a variety of diverse roles and settings. Community Health Nursing: Caring for the Public's Health, Second Edition reflects this response and is representative of what communities signify in the United States--a unified society made up of many different populations and unique health perspectives. This text provides an emphasis on population-based nursing directed toward health promotion and primary prevention in the community. It is both community-based and community-focused, reflecting the current dynamics of the health care system. The Second Edition contains new chapters on disaster nursing and community collaborations during emergencies. The chapters covering Family health, ethics, mental health, and pediatric nursing have all been significantly revised and updated.