Health Reports & Data

Sexually Transmitted Diseases

Goal

Promote healthy sexual behaviors, strengthen community capacity, and increase access to quality services to prevent sexually transmitted diseases (STDs) and their complications.

Overview

STDs refer to more than 25 infectious organisms that are transmitted primarily through sexual activity. STD prevention is an essential primary care strategy for improving reproductive health.1

Despite their burdens, costs, and complications, and the fact that they are largely preventable, STDs remain a significant public health problem in the United States. This problem is largely unrecognized by the public, policymakers, and health care professionals. STDs cause many harmful, often irreversible, and costly clinical complications, such as:

  • Reproductive health problems
  • Fetal and perinatal health problems
  • Cancer
  • Facilitation of the sexual transmission of HIV infection2

Why is Sexually Transmitted Disease Prevention Important?
The Centers for Disease Control and Prevention (CDC) estimates that there are approximately 19 million new STD infections each year—almost half of them among young people ages 15 to 24.3 The cost of STDs to the U.S. health care system is estimated to be as much as $15.9 billion annually.4 Because many cases of STDs go undiagnosed—and some common viral infections, such as human papillomavirus (HPV) and genital herpes, are not reported to CDC at all—the reported cases of chlamydia, gonorrhea, and syphilis represent only a fraction of the true burden of STDs in the United States.

Untreated STDs can lead to serious long-term health consequences, especially for adolescent girls and young women. CDC estimates that undiagnosed and untreated STDs cause at least 24,000 women in the United States each year to become infertile.5

Additional Resources

HP2020’s National Objectives for Sexually Transmitted Diseases
HHDW Reports on HIV

References

  1.  United Nations. Report of the International Conference on Population and Development, Cairo, Egypt, September 5–13, 1994. New York: United Nations; 1995.
  2. Louis ME, Wasserheit JN, Gayle HD, editors. Janus considers the HIV pandemic: Harnessing recent advances to enhance AIDS prevention. Am J Public Health. 1997;87:10-12.
  3. Weinstock H, Berman S, Cates W Jr. Sexually transmitted diseases among American youth: Incidence and prevalence estimates, 2000. Perspect Sex Reprod Health. 2004 Jan–Feb;36(1):6-10.
  4. Chesson HW, Blandford JM, Gift TL, et al. The estimated direct medical cost of sexually transmitted diseases among American youth, 2000. Perspect Sex Reprod Health. 2004 Jan–Feb;36(1):11-9. [Review].
  5. Centers for Disease Control and Prevention. Unpublished estimate.
ID
OBJECTIVES AND SUB-OBJECTIVES

STD-1
Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infections

State Indicator Definition:
Percentage of females aged 15 to 24 years attending family planning clinics who tested positive for Chlamydia in the past year. The national indicator definition is exactly the same.

State Baseline:
8.3 (2010)

Most Recent State Value:
8.5% (2011)

HP2020 Target:
National: 6.7%

National Data Source:
STD Surveillance System

State Data Source:
Hawaii State Department of Health, STD/AIDS Prevention Branch

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of newly reported cases of Chlamydia among females in the past 12 months per 100,000 females. The national indicator is developmental, but is limited to females aged 15-44 years. No national baseline data or target is available.

State Baseline:
639.1 new cases per 100,000 females (2010)

Most Recent State Value:
643.5 new cases per 100,000 females (2014)

HP2020 Target:
National: TBD

National Data Source:
STD Surveillance System

State Data Source:
Hawaii State Department of Health, STD/AIDS Prevention Branch

Data Reports:
HHM Report

STD-6
Reduce gonorrhea rates

State Indicator Definition:
Number of newly reported cases of gonorrhea among all females in the past 12 months per 100,000 females. The national indicator is limited to females aged 15-44 years.

State Baseline:
46.1 new cases per 100,000 females (2010)

Most Recent State Value:
50.4 new cases per 100,000 females (2014)

HP2020 Target:
National: 251.9 new cases per 100,000 females aged 15-44 yearshttp://hhdw.org/health-reports-data/hp2020/sexually-transmitted-diseases/#collapseOne

National Data Source:
STD Surveillance System

State Data Source:
Hawaii State Department of Health, STD/AIDS Prevention Branch

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of newly reported cases of gonorrhea among all males in the past 12 months per 100,000 males. The national indicator is limited to males aged 15-44 years.

State Baseline:
65.2 new cases per 100,000 males (2010)

Most Recent State Value:
94.3 new cases per 100,000 males (2014)

HP2020 Target:
National: 194.8 new cases per 100,000 males aged 15-44 years

National Data Source:
STD Surveillance System

State Data Source:
Hawaii State Department of Health, STD/AIDS Prevention Branch

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

STD-7
Reduce sustained domestic transmission of primary and secondary syphilis

State Indicator Definition:
Number of newly reported cases of primary and secondary syphilis among all females in the past 12 months per 100,000 females. The national indicator definition is exactly the same.

State Baseline:
1.0 new cases per 100,000 females (2010)

Most Recent State Value:
0.3 new cases per 100,000 females (2014)

HP2020 Target:
National: 1.3 new cases per 100,000 females

National Data Source:
STD Surveillance System

State Data Source:
Hawaii State Department of Health, STD/AIDS Prevention Branch

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of newly reported cases of primary and secondary syphilis among all males in the past 12 months per 100,000 males. The national indicator definition is exactly the same.

State Baseline:
4.1 new cases per 100,000 males (2010)

Most Recent State Value:
9.3 new cases per 100,000 males (2014)

HP2020 Target:
National: 6.7 new cases per 100,000 males

National Data Source:
STD Surveillance System

State Data Source:
Hawaii State Department of Health, STD/AIDS Prevention Branch

Data Reports:
HHM Report
DHHS Health Indicators Warehouse