ADOLESCENT

SEXUAL HEALTH IN APPANOOSE COUNTY


WHAT WE KNOW

APPANOOSE COUNTY

Sexuality is a natural, human trait.
In adolescence, we experience significant physical, psychological, and social changes related to our sexuality. We also explore behaviors, values, and feelings which in turn shape our identities.

Sexual health isn’t simply avoiding negative outcomes.
Sexual health at any age is “a state of physical, emotional, mental, and social well–being in relation to sexuality; it is not merely the absence of disease, dysfunction, or infirmity.”

Sexual health is determined by life choices, social and structural factors, and access to education and services.
Healthy sexual development is impacted by an adolescent’s level of access to quality sex education, safe and affordable healthcare, and family support. Outcomes are also influenced by poverty and discrimination, gender inequities and gender role expectations, and the assumption that everyone is or should be heterosexual.


THE FACTS: In Appanoose County, the number of teen births has decreased 47% since 2011.

APPANOOSE County 2016 2017 2018 2019 2020
Number of teen births (mothers 15 – 19) 12 6 9 6 6
Population of 15 – 19 year old females 350 342 349 345 352
Percent of births to teen mothers 8% 5% 7% 4% 5%
Teen birth rate (per 1,000 females, 15 – 19 years) 34 18 26 17 17
Rank among peers** (Counties of <10K pop.) 3 18 4 9 11
Overall rank** among Iowa’s 99 counties 7 43 10 32 30
*Counts of 5 or less but greater than 0 are suppressed to protect confidentiality.
**Rank of 1 = highest birth rate, rank of 42 or 99, respectively = lowest birth rate

Statewide, between 2016 and 2020 teens 15 – 19 years accounted for 25% of chlamydia cases, 14% of gonorrhea cases, and 4% of syphilis cases.

APPANOOSE County 2015 - 2016 2017 - 2018 2019 - 2020
Chlamydia * 19 36
Gonorrhea * * 6