ACA ruling sparks debate. Forgive me for not caring.
Some time ago I wrote a short letter that cheekily called on more people to â€śpee in a cupâ€ť (primarily to test for chlamydia). I pointed out that â€“ along with lack of health insurance â€“ social barriers like stigma and lack of awareness keep many individuals from seeking the sexual healthcare they need.
Iâ€™ve been asked a number of times just what I meant by â€śsocial barriersâ€ť to healthcare, and how in the world does stigma really keep someone from entering a clinic?
To be sure, there are plenty of reasons we might put off seeking any sort of clinic visit; images of cold instruments and sharp needles are hardly inviting. Think of how often we avoid going to the dentist or getting a flu shotâ€¦
With care related to sexual health, you have all that plus the fact youâ€™re dealing with issues â€śdown there.â€ť It can be difficult to even talk about such things, and the worry that we might get unwanted news or perhaps even be judged as â€śdirtyâ€ť can no doubt keep us out of the clinic. Itâ€™s not just patients who get caught up in this, either; healthcare providers are not immune from being uncomfortable when it comes to S-E-X. Also, we (and our providers) may simply think STIs happen only to other people, and we arenâ€™t at risk.
That mix of detriments at least partly explains why screening rates for infections like chlamydia, gonorrhea, and HIV remain less than optimal.Â We can do better.
The impact of STIs is no small matter. There are an estimated 19 million new cases each year, most of which donâ€™t involve tell-tale signs. Testing is crucial: For example, HIV treatment regimens work better when started early, and untreated chlamydia and gonorrhea can lead to chronic pelvic pain and infertility in women (and sometimes does a number on males, too).
But how do we â€śnormalizeâ€ť sexual health and related care?
I want to hear your thoughts, too. What do you think we can do to get past the awkwardness that often tags along with any discussion of sex and reproductive health? How do we talk to parents, teens, health professionals, and patients? What would YOU like to learn about?Â Contact us!
ASHA President and CEO