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Overview

Wisconsin Youth Sexual Behavior and Outcomes: 2000-2009 Update Sexual Behaviors, Cases of STD and HIV, and Teen Births W isconsin Department of Health Services and Wisconsin Department of Public Instruction April 2011. Purpose

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Overview

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  1. Wisconsin Youth Sexual Behavior and Outcomes: 2000-2009 UpdateSexual Behaviors, Cases of STD and HIV, and Teen BirthsWisconsin Department of Health Servicesand Wisconsin Department of Public InstructionApril 2011

  2. Purpose • To present data available from a variety of sources regarding youth sexual behaviors and outcomes Sections • Sexual behaviors • Sexually transmitted diseases • HIV infection • Births to teens • Display of data • Trends • Comparisons by gender, race/ethnicity, geography within Wisconsin and to other jurisdictions in the United States • Data sources • Listed at the end of each section Overview

  3. Sexual BehaviorsWisconsin Youth Risk Behavior Survey Selected questions • Ever had sexual intercourse • Had sexual intercourse with 4 or more partners during their life • Used a condom at last intercourse • Drank alcohol or used drugs before last intercourse • Had sexual contact with a partner of the same sex

  4. SEXUAL BEHAVIOR: INTERCOURSEFigure 1. Percentage of high school students who reported ever having had sexual intercourse, 1999-2009 Source: CDC, Youth Risk Behavior Surveillance System, http://apps.nccd.cdc.gov/youthonline/App/Default.aspx

  5. SEXUAL BEHAVIOR: INTERCOURSEFigure 2. Percentage of high school students who reported ever having had sexual intercourse, 2009: 36 reporting states Indiana Illinois U.S. Michigan Wisconsin State Source: CDC, Youth Risk Behavior Surveillance System, http://apps.nccd.cdc.gov/youthonline/App/Default.aspx

  6. SEXUAL BEHAVIOR: INTERCOURSE Figure 3. Percentage of high school students who reported ever having had sexual intercourse, 2009: selected jurisdictions Milwaukee Chicago Jurisdiction 6 Source: CDC, Youth Risk Behavior Surveillance System, http://apps.nccd.cdc.gov/youthonline/App/Default.aspx

  7. SEXUAL BEHAVIOR: FOUR OR MORE LIFETIME PARTNERS Figure 4. Percentage of high school students who reported having had sex with 4 or more lifetime partners, 2009 Source: CDC, Youth Risk Behavior Surveillance System, http://apps.nccd.cdc.gov/youthonline/App/Default.aspx

  8. SEXUAL BEHAVIOR: FOUR OR MORE LIFETIME PARTNERS Figure 5. Percentage of high school students who reported having had sex with 4 or more partners in their lifetime by race/ethnicity and sex, Milwaukee, 2009 * Breakdown by sex is not available for Whites in Milwaukee due to the limited sample size. Source: CDC, Youth Risk Behavior Surveillance System, http://apps.nccd.cdc.gov/youthonline/App/Default.aspx

  9. SEXUAL BEHAVIOR: CONDOM USE Figure 6. Percentage of sexually active* high school students who reported using a condom at last intercourse, 1999-2009 * Students who reported having had sexual intercourse in the previous 3 months Source: CDC, Youth Risk Behavior Surveillance System, http://apps.nccd.cdc.gov/youthonline/App/Default.aspx

  10. SEXUAL BEHAVIOR: CONDOM USE Figure 7. Percentage of sexually active* high school students in the U.S. and Milwaukee who reported using a condom at last intercourse, 2009 * Students who reported having had sexual intercourse in the previous 3 months ** Data for Whites in Milwaukee are not available due to the limited sample size 10 Source: CDC, Youth Risk Behavior Surveillance System, http://apps.nccd.cdc.gov/youthonline/App/Default.aspx

  11. SEXUAL BEHAVIOR: DRINKING OR DRUG USE BEFORE SEX Figure 8. Percentage of sexually active* high school students who reported drinking or using drugs before last sexual intercourse, 2009 * Students who reported having had sexual intercourse in the previous 3 months Source: CDC, Youth Risk Behavior Surveillance System, http://apps.nccd.cdc.gov/youthonline/App/Default.aspx

  12. SEXUAL BEHAVIOR: SAME-SEX SEXUAL CONTACT Figure 9. Percentage of sexually active high school students who reported same-sex contact, 2007 and 2009 Same-sex sexual contact Opposite-sex sexual contact only Milwaukee Wisconsin • Source: Wisconsin Youth Risk Behavior Survey, Department of Public Instruction and Department of Health Services, 2010

  13. Key Points: Sexual Behaviors of Wisconsin Students 46% of U.S. students reported ever having had sexual intercourse compared to 41% of Wisconsin students. 61% of U.S. students reported using a condom at last sexual intercourse compared to 63% of Wisconsin students. Overall, students in Wisconsin, report sexual risk behaviors that occur with about the same frequency as their U.S. peers. In 2009: 13

  14. Key Points: Sexual Behaviors of Milwaukee Students 63% of students in Milwaukee reported lifetime sexual intercourse compared to 41% for students in the rest of Wisconsin and 46% of students in the U.S. 33% of male students in Milwaukee reported 4 of more lifetime partners compared to 11% in Wisconsin and 16% in the U.S. African American students report higher risk behaviors than students of other races; 44% of African American male students in Milwaukee reported 4 or more lifetime partners, compared to 19% of Latino males. 16% of sexually-active students in Milwaukee reported same-sex contact compared to 9% of students statewide in 2007 and 2009 combined. However, students in Milwaukee report riskier sexual behaviors than their peers in the rest of Wisconsin and in the U.S. In 2009: 14

  15. Data Sources: Sexual BehaviorsYouth Risk Behavior Survey Wisconsin Department of Public InstructionWisconsin Youth Risk Behavior Survey, 2009http://www.dpi.state.wi.us/sspw/yrbsindx.htmlCenters for Disease Control and Prevention Youth Risk Behavioral Surveillance System, 2009http://www.cdc.gov/HealthyYouth/yrbs/index.htm Data for the United States and jurisdictions:http://apps.nccd.cdc.gov/youthonline/App/Default.aspx?SID=HSWisconsin Department of Health Services, Division of Public Health, AIDS/HIV Program Risk Behaviors and Health Conditions of Youth Engaging in Same-Sex Sexual Behaviors: Analysis of the 2009 Wisconsin Youth Risk Behavior Survey, June 2010 http://www.dhs.wisconsin.gov/lgbthealth/HealthReports/2009YRBSReport.pdf

  16. Sexually Transmitted Diseases in Wisconsin Youth • Chlamydia • Gonorrhea • Syphilis

  17. SEXUALLY TRANSMITTED DISEASES:CHLAMYDIA, GONORRHEA, AND SYPHILISFigure 10: Percentage of reported STD cases by age group, Wisconsin, 2009 Percent * Source: Wisconsin Division of Public Health, STD Program

  18. Overview: Sexually Transmitted Diseases in Wisconsin Youth Chlamydia is the most common STD; there were more than 7,000 cases reported in young people, ages 15-19 in Wisconsin in 2009. More than 1,600 cases of gonorrhea were reported in this age group in Wisconsin in 2009. 20 cases of syphilis were reported in young people, ages 15-19 in Wisconsin in 2009. 18

  19. SEXUALLY TRANSMITTED DISEASESFigure 11: Reported cases of Chlamydia and Gonorrhea, rates per 100,000 population in persons ages 15-19 by geographic area, 2009 Rate per 100,000 population 19 Source: Centers for Disease Control and Prevention, http://www.cdc.gov/std/stats08/Natprointro.htm and Wisconsin Division of Public Health, STD Program

  20. SEXUALLY TRANSMITTED DISEASES:CHLAMYDIA, GONORRHEA, AND SYPHILISFigure 12: Male-female distribution of reported STD cases by disease, ages 15-19, Wisconsin, 2005-2009 Percent Source: Wisconsin Division of Public Health, STD Program

  21. Chicago Minneapolis Detroit SEXUALLY TRANSMITTED DISEASES: CHLAMYDIAFigure 13: Chlamydia rates per 100,000 population for the 50 largest U.S. metropolitan areas, 2008 Milwaukee Rate per 100,000 population Source: Centers for Disease Control and Prevention, http://www.cdc.gov/std/stats08/tables/6.htm

  22. SEXUALLY TRANSMITTED DISEASES: CHLAMYDIAFigure 14. Reported cases of Chlamydia per 100,000 population, ages 15-19 years, 2000-2009 Milwaukee County 5-fold difference in 2009 Wisconsin excluding Milwaukee County Source: Centers for Disease Control and Prevention, http://www.cdc.gov/std/stats08/chlamydia.htm and Wisconsin Division of Public Health, STD Program

  23. SEXUALLY TRANSMITTED DISEASES: CHLAMYDIAFigure 15. Reported cases of Chlamydia per 100,000 population, ages 15-19 years, by race/ethnicity, Wisconsin 2000-2008 13-fold difference in 2008 Source: Wisconsin Division of Public Health, STD Program

  24. SEXUALLY TRANSMITTED DISEASES: CHLAMYDIAFigure 16: Chlamydia cases by Wisconsin county, ages 15-19, 2009 Source: Wisconsin Division of Public Health, STD Program

  25. SEXUALLY TRANSMITTED DISEASES: CHLAMYDIAFigure 17: Chlamydia cases by zip code, City of Milwaukee, ages 15-19, 2009 25 Source: Wisconsin Division of Public Health, STD Program

  26. Key Points: Sexually Transmitted Diseases in Wisconsin Youth • Chlamydia and gonorrhea rates in Wisconsin teen aged 15-19 are about 10% lower than those in the U.S. • The majority of chlamydia cases in Wisconsin are located in the southeastern part of the state; Milwaukee County has the largest number of cases, with Dane, Racine, and Green Bay in the second tier. • STD rates are especially high in Milwaukee — the second highest in the nation of major cities. The chlamydia rate in Milwaukee teens in 2009 was more than double the U.S. rate and nearly five times that of the rest of Wisconsin. The gonorrhea rate was more than triple the U.S rate and more than ten times that of the rest of Wisconsin. • Large racial/ethnic disparities are evident in STD rates. In 2008, STD rates for African Americans were more than ten times higher than those of Whites. 26

  27. Data Sources: Sexual Transmitted Diseases Wisconsin Department of Health Services, Division of Public Health, Wisconsin STD Program Wisconsin STD surveillance system Reports are available at: http://www.dhs.wisconsin.gov/communicable/std/Statistics.htm Centers for Disease Control and Prevention Sexually Transmitted Diseases - Interactive Data 1996-2008 http://wonder.cdc.gov/std-std-v2008-race-age.html

  28. HIV Infection in Young People in Wisconsin

  29. HIV INFECTIONFigure 18: AIDS diagnosis rate for the United States and Wisconsin, 2008 Rate per 100,000 population Sources: Centers for Disease Control and Prevention http://www.cdc.gov/hiv/surveillance/resources/reports/2008report/ and Wisconsin Division of Public Health AIDS/HIV Program, 2010.

  30. HIV INFECTIONFigure 19: Percentage of reported cases of HIV infection by age at diagnosis, Wisconsin, 2005-2009 Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010, http://www.dhs.wisconsin.gov/aids-hiv/Stats/2009CompSurvReportRev03192010.pdf

  31. HIV INFECTIONFigure 19: Reported cases of HIV infection for persons* ages 15-24 by sex, rate per 100,000 population, Wisconsin, 2000-2009 5-fold difference in 2009 Case rate per 100,000 population Year of report * Initially diagnosed with HIV or AIDS in Wisconsin Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010

  32. HIV INFECTIONFigure 20: Reported cases of HIV infection for persons* per 100,000 population, ages 15-24 by race/ethnicity, Wisconsin, 2000-2009 African American 28-fold difference in 2009 White * Initially diagnosed with HIV or AIDS in Wisconsin Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010

  33. HIV INFECTIONFigure 21: Reported cases of HIV infection for persons ages 15-24, by adjusted risk, Wisconsin, 2000-2009 IDU = 2% Heterosexual = 14% MSM = 84% * Initially diagnosed with HIV or AIDS in Wisconsin Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010

  34. HIV INFECTIONFigure 22: Reported cases of HIV infection in persons* ages 15-24, by county, Wisconsin , 2005-2009 Milwaukee County, 154 cases Dane County, 40 cases 1 dot = 1 case * Initially diagnosed with HIV or AIDS in Wisconsin 34 Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010

  35. Impact of HIV on young people (15-29) in different demographic groups in WisconsinOf 100 Wisconsin residents, ages 15-29. How many have HIV? • All residents in that age group • Young white men who have sex with men (MSM) • Young Latino MSM • Young African American MSM

  36. Figure 23: 100 Wisconsin residents, ages 15-29. How many have HIV? Less than 1 Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010

  37. Figure 24: 100 White MSM, ages 15-29 in Wisconsin. How many have HIV? 1 Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010

  38. Figure 25: 100 Latino MSM ages 15-29in Wisconsin. How many have HIV? 4 Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010

  39. Figure 26: 100 African American MSM, ages 15-29 in Wisconsin. How many have HIV? 12 Source: Wisconsin Division of Public Health AIDS/HIV Program, 2010

  40. Key Points: HIV Infection Rates of HIV in young men who have sex with men, increased markedly over the decade, especially in African American men. Young African American MSM is the group most affected by HIV; as many as 13% are infected with HIV.

  41. Data Sources: HIV Infection Wisconsin Department of Health Services, Division of Public Health, Wisconsin AIDS/HIV Program, HIV surveillance systemReports available at: http://www.dhs.wisconsin.gov/aids-hiv/Stats/index.htm Centers for Disease Control and Prevention, 2008 Diagnoses of HIV infection and AIDS in the United States and Dependent Areas, 2008, HIV Surveillance Report, Volume 20 http://www.cdc.gov/hiv/surveillance/resources/reports/2008report/

  42. Births to Wisconsin Teens

  43. BIRTHS TO TEENSFigure 27: Birth rates* to teens by age group, Wisconsin, 2008 Rate per 1,000 population * Rates per 1,000 population Source: Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics. Births to Teens in Wisconsin, 2008 (P-45365-08).  November 2009, http://www.dhs.wisconsin.gov/births/pdf/08teenbirths.pdf

  44. BIRTHS TO TEENS Figure 28: Birth rates* to teens, ages 15-19, by race/ethnicity, Wisconsin, 2008 Rate per 1,000 population * Rates per 1,000 population Source: Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics. Births to Teens in Wisconsin, 2008 (P-45365-08).  November 2009, http://www.dhs.wisconsin.gov/births/pdf/08teenbirths.pdf

  45. BIRTHS TO TEENS Figure 29: Births to teens as a percent of all births in each racial/ethnic group, Wisconsin, 2008 * Rates per 1,000 population Source: Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics. Births to Teens in Wisconsin, 2008 (P-45365-08).  November 2009, http://www.dhs.wisconsin.gov/births/pdf/08teenbirths.pdf

  46. Minneapolis BIRTHS TO TEENS Figure 30: Births to females less than 20 years of age as a percent of all births in the 50 largest metropolitan areas, 2006 Detroit Milwaukee Chicago Percent Source: Child Trends Analysis of 1990-2006 Natality MicroData files from Centers for Disease Control and Prevention, National Center for Health Statistics, http://datacenter.kidscount.org/data/acrossstates/Rankings.aspx?loct=3&by=v&order=d&ind=4&dtm=252&tf=17

  47. BIRTHS TO TEENS Figure 31. Births rates* to teens, ages 15-19, U.S., Wisconsin, and Milwaukee, 2000-2008 * Rates per 1,000 population Source: Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics. Births to Teens in Wisconsin, 2008 (P-45365-08).  November 2009, http://www.dhs.wisconsin.gov/births/pdf/08teenbirths.pdf

  48. BIRTHS TO TEENS Figure 32. Births rates to teens ages 15-19, City of Milwaukee, 3-year rolling average 2000-2008 5-fold difference in 2009 * Rates per 1,000 population Source: Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics. Births to Teens in Wisconsin, 2008 (P-45365-08).  November 2009, http://www.dhs.wisconsin.gov/births/pdf/08teenbirths.pdf

  49. BIRTHS TO TEENS Figure 33. Teen birth rate (births per 1,000 females) ages 15-19, Wisconsin Counties, 2006-2008 Menominee County, 138.5 Milwaukee County, 63.8 Sources: Wisconsin Department of Health Services, Division of Public Health, Office of Health Informatics, Wisconsin Interactive Statistics on Health (WISH) data query system, http://www.dhs.wisconsin.gov/WISH/ Teen Births, module accessed 10/15/10

  50. Key Points: Births to Wisconsin Teens In 2008, the Wisconsin teen birth rate was 30.9 births per 1,000 females ages 15-19, 27% lower than the U.S. teen birth rate of 42.5 in 2007. Of large U.S. cities, Milwaukee was sixth highest in the percentage of all births that are to teens. In Milwaukee, teen birth rates are five times higher for African Americans, American Indians, and Latinas, compared to those of Whites. Teen birth rates declined in the nation, in Wisconsin, and in the City of Milwaukee over the past decade, most notably by 19% in African Americans in Milwaukee from 2000 to 2008. For the period 2006 to 2008, the counties of Milwaukee and Menominee had the highest teen birth rates in Wisconsin.

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