Sexually Transmitted Diseases

  • Donald R. Koester
  • John G. Ryan
  • Grant Fowler


As recently as the mid-1980s, epidemiologic evidence suggested that the incidence of major sexually transmitted diseases (STDs) was decreasing. During following years, however, it became clear that the incidence of major STDs was decreasing in some risk groups while dramatically increasing in others. For example, the incidence of primary and secondary syphilis decreased by 69% among non-Hispanic men between 1982 and 19891 and by 30% among African American men between 1982 and 1985.2 However, this trend reversed in 1986, with the incidence of syphilis increasing by 25% for both African Americans and Hispanics.2 Major STDs that are renewing their threats to population groups at increased risk include gonorrhea, hepatitis B virus, and genital warts caused by the human papillomavirus. Herpes also remains a significant condition that family physicians continue to encounter. Chlamydia infection, thought to be the most common STD and endemic to all sociodemographic population groups, causes significant morbidity.3,4 An insidious recurrent theme among these diseases is that simultaneous infection with more than one STD occurs frequently.3


Human Immunodeficiency Virus Infection Pelvic Inflammatory Disease Genital Wart Genital Herpes Chlamydial Infection 


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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Donald R. Koester
  • John G. Ryan
  • Grant Fowler

There are no affiliations available

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