Abstract

* Abbreviation: SRH — : sexual and reproductive health Despite ongoing efforts to promote sexual and reproductive health (SRH), teenagers continue to engage in risky sexual behaviors. Nearly 60% of high school seniors have had sex, yet only 54% of sexually active teenagers report using a condom during their most recent sexual encounter, down from 62% in 2005.1 Concurrently, rates of sexually transmitted diseases are rising dramatically among adolescents and are increasing at a faster rate among boys than girls.2 A recent Centers for Disease Control and Prevention analysis revealed that over the past 4 years, gonorrhea diagnoses have increased by 67% and syphilis diagnoses have increased by 76%. Nearly 2.3 million new cases of Chlamydia , gonorrhea, and syphilis were diagnosed in 2017 alone, breaking the previous record set in 2016.3 Clearly, new approaches are needed to address these trends. The landscape of SRH is rapidly evolving; contraception options are changing, and the days of health class and textbooks are going by the wayside4 as teenagers increasingly turn to their cell phones and the Internet for information.5 As the culture of SRH changes, so must our tactics for sexual health education. … Address correspondence to Kate Lucey, MD, MS, Department of Pediatrics, Ann & Robert H. Lurie Children’s Hospital of Chicago, 225 East Chicago Ave, Box 152, Chicago, IL 60611. E-mail: klucey{at}luriechildrens.org

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