title: "Are they still having sex?" STI's and unintended pregnancy among mid-life women.
abstract: Research has shown that women remain sexually active throughout mid-life and into the post-menopausal years. Recent data reveal that significant numbers of STIs (sexually transmitted infections) and unintended pregnancies occur among mid-life women. Data on STI prevalence indicate several STIs have relatively high rates among women over age 30, including HIV and HSV-2. Racial/ethnic disparities in STI prevalence between mid-life African American, Hispanic, and Caucasian women have also been noted. Data from the 1995 National Survey of Family Growth reveal 51% of pregnancies among women 40 and older are unintended. Both STIs and unintended pregnancy can result in serious health consequences for mid-life women. STIs can result in pelvic inflammatory disease and ectopic pregnancy. Unintended pregnancy can result in increased morbidity and mortality to the woman and the fetus. Mid-life women are also highly likely to go through relationship transitions (e.g., separation, divorce) and the subsequent initiation of new sexual relationships. As a result, these women are at elevated risk of STIs and unintended pregnancy. Despite these realities, there is a lack of programs addressing these two health issues among mid-life women and the unique life circumstances of women at this stage of life. The authors assert there is a compelling need for interventions to reduce STIs and unintended pregnancy in this population of women, review the literature regarding STIs and unintended pregnancy in mid-life women, identify gaps in current resources, and make recommendations for health care practice and future research.
authors.affiliation: Oregon Research Institute, Eugene, OR 97403, USA. christys@ori.org
authors.forename: Christy A
authors.initials: CA
authors.lastname: Sherman
authors.forename: S Marie
authors.initials: SM
authors.lastname: Harvey
authors.forename: John
authors.initials: J
authors.lastname: Noell
mesh_terms: D000328:Adult; D000367:Age Factors; D003075:Coitus / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D011247:Pregnancy; D011275:Pregnancy, Unwanted / Q000523:psychology; D015995:Prevalence; D011322:Primary Prevention / Q000592:standards*; D012307:Risk Factors; D012736:Sex Education / Q000592:standards; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000517:prevention & control; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D016387:Women's Health