Wednesday, March 23, 2011

HIV and Sexually Transmitted Infections Risk Behaviors in the USA

I came across this interesting paper in the American Journal of Preventive Medicine- on trends in HIV and sexually transmitted infections risk behaviors among U.S. high school students.

Nationally representative data from the 1991–2009 biennial national Youth Risk Behavior Surveys were analyzed to assess trends in HIV- and STD-related risk behaviors. Surveys were anonymous, self-administered and assessed risk behavior participation.

Decreases were observed in the percentage of U.S. high school students who ever had sexual intercourse, had multiple sex partners, and who were currently sexually active. 

The prevalence of condom use increased during 1991–2003 and then leveled off during 2003–2009. 
 Am J Prev Med 2011;40(4):427– 43

Changes in risk behaviors were not observed in some black and hispanic student groups.


As an infectious diseases physician, this is particularly important to me especially as we are seeing increases in syphilis and new HIV diagnoses in young men. 

Sexual education, particularly for the prevention of sexually transmitted infections, must be evidence based . An excellent resource is the CDC Compendium of Evidence Based HIV Prevention Interventions.