Why are sexually transmitted diseases on the rise in America?
EVEN as headline writers have spent recent years bemoaning the supposed demise of sex among the young, the incidence of sexually transmitted disease has surged in America. Between 2000 and 2016—the latest year for which data are available—rates of chlamydia rose by 98%. Rates of syphilis, which public-health researchers once thought was on the cusp of eradication, have shot up fourfold.
Much of the increase in STDs has come from gay and bisexual men. Although a relatively small share of the population, they accounted for 81% of male syphilis cases in 2016, according to the Centres for Disease Control. As with heterosexuals, this seems to be because sex is now seen as less risky. That is due to the advent of PrEP, a prophylactic drug cocktail which gay men can take to nearly inoculate themselves from HIV.
All this shows that changing sexual mores, and a reduced fear of the risks of unprotected sex, seem to be at fault—especially since the problem is not just limited to America. England experienced a 20% increase in syphilis diagnoses in 2017 and a 22% increase in those of gonorrhoea. Other countries in western Europe have seen ever worse outbreaks, sometimes exceeding 50%.
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