STD Rate on the Rise

In recent years, there has been an increase in sexually transmitted diseases (STDs), sparking concern among public health officials. Recent reports found a 4.8% increase in STD diagnoses between 2020 and 2023. The only age groups to see a decrease in diagnoses were 18 and younger and 19 to 24. The 65 and older age group saw the highest increase during this period, with a 23.8% increase in STD diagnoses.

Why are STDs on the rise?

Several factors may be contributing to the rising STD rates, including:

1. Lack of comprehensive sex education: Inadequate sex education in schools and communities can lead to misconceptions about safe sex practices and the importance of regular testing.

2. Stigma and barriers to testing: Fear of judgment, confidentiality concerns and lack of access to health care facilities offering confidential testing can deter individuals from getting tested and treated.

3. Changes in sexual behavior: Cultural shifts, dating apps and changes in relationship dynamics may influence sexual behavior patterns, potentially increasing exposure to STDs.

4. Drug use and unsafe practices: Substance use, particularly substances like methamphetamine which can lower inhibitions and impair judgment, is often linked to risky sexual behaviors.

5. Inadequate health care access: Limited access to affordable health care and STD testing services can prevent individuals from seeking timely medical care.

What’s the public health response?

From a policy perspective, the CDC has recommended the following steps to reduce the spread of STDs:

• Rebuilding, and expanding local public health services, especially efforts to offer STI (sexually transmitted infection) testing and treatment programs that respond to the needs of those most affected.

• Making STI testing and treatment more accessible, including the development and of point-of-care rapid tests and self-tests, and by expanding ownership for STI testing and treatment to more organizations and settings.

• Continuing to advance scientific research and explore new interventions, like vaccines or post-exposure prophylaxis (PEP) strategies to prevent bacterial STIs.

What can individuals do?

There are steps you can take to protect yourself and others, including:

• Get tested regularly: Even if you don’t have symptoms, regular testing is essential for early detection and treatment.

• Practice safe sex: Use condoms consistently and correctly and consider discussing your sexual health with your partner(s).

• Stay informed: Educate yourself about STD prevention and treatment options available in your community.

Family Health Centers of San Diego offers STI screening and treatment services at all of our primary care clinics. If you are sexually active, regular screenings for STIs, such as gonorrhea, herpes, syphilis and HIV, can lower your risk of infection and provide you with peace of mind. Learn more about our available services: https://www.fhcsd.org/sti-screening-and-treatment/