ADOLESCENT

SEXUAL HEALTH IN SCOTT COUNTY


WHAT WE KNOW

SCOTT 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.


MEET THE TEENS

Scott County’s population is 172,126 with 10,935 teens (6%) 15 – 19 years old identifying as:

*Non-Hispanic / Latino


WHAT WE SEE

Education, family and community support, health care access, and poverty influence adolescent sexual health outcomes. Barriers may increase depression, isolation, and violence.

In this county, 92% of students graduate high school, 16% live below the poverty level, and 4% under age 18 lack health insurance.

The Iowa Youth Survey reports that of 6th, 8th, and 11th graders:

  • 78% have positive family relationships while 68% experience family involvement and support
  • 81% agree adults in their community care about teens
  • 72% agree their school peers respect each other’s differences (e.g., gender, race, culture, sexual orientation)
  • 50% report having been bullied at least once (including name-calling, being excluded or ignored, having false rumors spread, making sexual jokes, being physically hurt, or electronically bullied)
  • 8% have received a hurtful electronic message while 7% had something hurtful shared on social media
  • 25% of 11th graders drank alcohol, 13% used tobacco products, 14% used e-cigarettes, & 17% smoked marijuana in the past 30 days

TEEN BIRTH RATE ON THE DECLINE

Despite progress, teens still need age–appropriate, accurate information on abstinence and contraception.

  • About 2550 women aged 13 – 19 need publicly-funded contraceptives and services.
  • Most teen mothers are 18 – 19 years old (70%); 28% of teen mothers are 15 – 17 years.
  • The cost of teen childbearing is estimated to be $6.6 million (2008 dollars).


THE FACTS: : In Scott County, the number of teen births has decreased 40% since 2011.

SCOTT County 2011 2012 2013 2014 2015
Number of teen births (mothers 15 – 19) 196 166 185 120 118
Population of 15 – 19 year old females 5315 5334 5360 5354 5307
Percent of births to teen mothers 9% 8% 8% 5% 5%
Teen birth rate (per 1,000 females, 15 – 19 years) 37 31 35 22 22
Rank among peers** (Counties of 20K to <100k pop.) 2 out of 6 2 out of 6 1 out of 6 2 out of 6 2 out of 6
Overall rank** among Iowa’s 99 counties 18 28 14 41 27
:
*Counts of 5 or less suppressed to protect confidentiality / ** Rank of 1 = highest. Rank of 41 or 99, respectively = lowest.
 

Births per 1,000 females, 15-19y

Source: Iowa Department of Public Health, Bureau of Health Statistics, Vital Records, 2011-2015
 

THE FACTS: Scott County’s teen birth rate is higher than Iowa’s statewide rate. In addition, minority teens have a disproportionately higher teen birth rate compared to the county rate: Hispanic / Latina 50 Black / African American 69 births per 1000 females, 15-19 years


SEXUALLY TRANSMITTED DISEASES and HIV/AIDS

Gender disparities in STD rates exist due to physiological and social factors, and greater female testing rates.

  • Statewide, teens 15 – 19 years account for 22% of chlamydia cases, 18% of gonorrhea cases, and 5% of syphilis cases.

  • There are 203 people living with HIV/AIDS in Scott County, and 12 of them are under age 19.
MALES
SCOTT County 2013 # Cases 2013 Rate 2014 #Cases 2014 Rate 2015 #Cases 2015 Rate
Chlamydia 39 688 34 599 47 835
Gonorrhea * 6 10
FEMALES
SCOTT County 2013 # Cases 2013 Rate 2014 #Cases 2014 Rate 2015 #Cases 2015 Rate
Chlamydia 162 3022 185 3455 191 3599
Gonorrhea 25 466 12 23 433
* Counts less than six but greater than zero are suppressed to protect confidentiality / Rate: Number of cases per 100,000 males or females, respectively
Source: Iowa Department of Public Health, Bureau of Disease Prevention & Immunization, Iowa Reportable Sexually Transmitted Disease Data, 2011-2015.