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Sexually Transmitted Diseases in San Francisco’s
Young Adolescents
Nicolette Muro WCSN and Danielle Parello WCSN
The Evelyn L. Spiro School of Nursing Wagner College
Introduction
Problem
• STDs are a healthcare problem in San
Francisco due to a lack of education,
decline in condom usage, absence of
screening during a young age, and sexual
behaviors of younger aged men having sex
with men.
Sexually transmitted diseases are rising in the San
Francisco population among the younger adults
ranging mainly from ages 15-30.
• Sexually transmitted diseases are diseases
or infections that are passed from one
person to another through sexual contact.
As of 2021, the Centers for Disease Control and
Prevention (CDC) released
• The STD rate in the United States hit an all
time high record.
• San Francisco was ranked the third highest city
with STD rates in the United States
• Within a study of 100,000 people, San
Francisco displayed as many as 3,150 people
with STD cases.
Data from 2018 has stated that STD rates are at
the highest level in thirty years. (4)
• A large amount of sexually transmitted
diseases come from around 15 to 30 years
of age. (3)
• At the age when you are starting to figure
yourself out, this can cause issues due to a
lack of knowledge about health and the
body
From 2010 to 2017…
• Chlamydia cases increased by 98%
• Syphilis increased by 122%
• Gonorrhea increased by 196%. (1)
• Safety Zone Screening Center would
decrease the amount of adolescents who go
into young adulthood not knowing they had
an STD to begin with, and help eliminate
the transmission.
• Men in San Francisco, specifically men who
have sex with men, are seen to have a greater
prevalence and higher rate of these specific
STDs.
• Specific STDs along with a coinfection of HIV
have higher rates in the San Francisco area,
especially in men and homosexual
relationships
• history of alcohol
• receptive condomless anal sex
• substance use (“club drugs”)
• multiple sex partners
•
This is due to…
• Lack of testing for these diseases
• Decline in condom use among this age group
• Lack of protective sex (condoms,
contraceptives, etc.)
• Drug use
• Poverty
• Lack of education and large population in San
Francisco
Solution ‘Safety Zone Screening Center’
• Safety Zone Screening Center is a health program
aimed to prevent and treat STDs amongst the San
Francisco’s high-school population.
• Health care workers will volunteer at high schools
to educate teachers, students, and parents
• Designed to reduce the risk behaviors and
increase protective behaviors to treat and prevent
sexually transmitted diseases amongst high school
students.
• Cost effective and safe environment
• Teaches the significance of getting screened for
these diseases and how to prevent spread
• The students would be taught how condoms block
the transmission of diseases
• Educated on how sharing items such as needles,
undergarments, towels or anything that may
contain certain body fluids from a person can
spread HIV and AIDS.
• Many adolescents are unaware of the side
effects of untreated STDs, and it solidifies the
importance of getting screened
• Role model stories
• Personal stories of the importance of protection
against sexually transmitted diseases to spread
awareness
• Role play
• The students will get familiar with role playing
and practice saying “no” in a stressful
situation.
• The students will visualize the correct way to
use a condom modeled, and then practice the
skill in a group role play.
• Parent education
• Parents will receive educational pamphlets on
information regarding HIV and AIDS, other
STDs.
• The pamphlets will also include tips on how to
talk with their children about these issues.
Community Assessment
Demographics: (5)
• White: 46.41%
• Asian: 34.40%
• Other race: 7.68%
• Two or more races: 5.57%
• Black or African American: 5.21%
• Native American: 0.37%
• Native Hawaiian or Pacific Islander: 0.36%
(1)
• Smoking rates have gone down to 11.4%, and
there is only 4.8% of the population of San
Francisco that does not have health insurance.
• The life expectancy has risen to 83.8 years,
whereas the national median is 77.5 years of
age. (2)
Resources available:
• Healthy San Francisco• Provides services to eligible residents
regardless of immigration status, employment
status, or pre-existing health conditions
• Provides health coverage to 14,000 uninsured
San Francisco residents
References
1. Data & Statistics.San Francisco City Clinic. (n.d.). Retrieved November 23,
2021, from https://www.sfcityclinic.org/providers/epidemiology-andstatistics.
2. How healthy is San Francisco County, California? | US news ... (n.d.).
Retrieved November 30, 2021, from https://www.usnews.com/news/
healthiest-communities/california/san-francisco-county.
3. Knowledge of Adolescent Development. (n.d.). Retrieved November 30,
2021, from https://cssp.org/wp-content/uploads/2018/08/YT_Knowledgeof-Adolescent-Development.pdf.
4. San Francisco AIDS Foundation, & San Francisco AIDS Foundation San
Francisco AIDS Foundation promotes health. (2020, May 20). STD rates in
California reach the highest levels in 30 years. San Francisco AIDS
Foundation. Retrieved November 23, 2021, from https://www.sfaf.org/
collections/breaking-news/std-rates-in-california-reach-thehighest-levels-in-30-years/.
5. San Francisco, California population 2022 [Internet]. San Francisco,
California Population 2022 (Demographics, Maps, Graphs). [cited
2022Mar14]. Available from: https://worldpopulationreview.com/us-cities/
san-francisco-ca-population
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This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
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Danielle Parello
Nicolette Muro
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Sexually Transmitted Diseases in San Francisco's Young Adolescents
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