Professional Documents
Culture Documents
Introduction
Rationale
Sexually Transmitted Diseases (STDs) are infections that are primarily transmitted
through sexual intercourse. It is passed from one person to another through vaginal, oral, and
anal sex. Some students are still not aware on how STDs may affect their lives or how it can be
prevented. A lot of HIV/STD Prevention Program are being implemented which give people
information about the infection, it can help the people not to be ignorant when others are talking
about it. In some cases, people with these diseases are afraid to consult a professional because of
the thought that they may be discriminated. Using condoms in sexual intercourse can prevent
STD from being transmitted to others but in the Philippines, even though condoms are common
in convenience stores, young people opt not to buy them due to this stigma. Wearing condoms in
the Philippines is also frowned upon or banned outright in conservative communities. In this
case, there is a high risk of young adults being infected with these diseases. According to World
Health Organizations, STD’s have a profound impact on sexual and reproductive health
worldwide. In 2020, they estimated 374 million new infections with one of four STDs: 82
million cases of gonorrhea, 156 million cases of trichomoniasis, 7.1 million cases of syphilis, and
129 million cases of chlamydia. In South-East Asia, there was an alarming spread of STD
including AIDS and pose a major public health and developmental threat to the countries of this
region. In 2017, the Asia and Pacific region was home to an estimated 5.2 million people living
with HIV. In the same year, among those diagnosed with HIV, 71% were on treatment an 85%
were virally suppressed. In the past 6 years, Philippines has registered the fastest-growing
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HIV/AIDS epidemic in Asia-Pacific with a 140% increase in number of new infections. Several
factors affect the rate of growth in HIV prevalence, but the two most important are frequency of
commercial sex and the size of sex worker population. According to an article published by
PubMed Central, STDs are a substantial global burden of diseases, especially in developing
countries. Lack of awareness about the diseases may result to a delay in treatment. If the STDs
don’t seem to be treated adequately, they will cause varied complications. Most folks are also
aware of HIV/AIDs as a result of the notice created by media and therefore the government
programs. In addition, they may not have the pieces of information needed and services to avoid
STDs. Furthermore, they may feel hesitant to approach people or facilities where information is
available. If the STDs are not treated enough, it can lead to various complications such as
urethral stricture, abortions, infertility, perinatal, malignancies, and neonatal morbidities. The
National Coalition of STD Directors stated that while many STDs can be cured or treated with
complications, birth defects, pelvic inflammatory disease, cervical cancer, and a 3-to-5-fold
increased risk of HIV transmission. Discussing this topic allows people to be an advocate for
your own reproductive health. Potential causes for the relationship between sex education
provided before faculty and actual information concerning sexually transmitted diseases once in
the college includes info and also the inability to retain information from years past (Synovitz, et
al., 2002, p. 171). Another potential variable to contemplate is the lack of motivation students
have to be compelled to continue learning regarding updated sexual activity practices and new
information on sexually transmitted diseases when receiving sex education in high school or
Gymnasium. The perception that a student is experienced sexually transmitted diseases when
solely having received data in high school on the topic of physiological property education has
2
diode to an outsized population of scholars UN agency stay uneducated on STD transmission and
measures required to shield oneself from the harmful effects of effort associate degree STD.
In this study, the researchers aim to know the perceptions of Grade 11 TVL Students on
intercourse? Why?
3. At your age, are you aware that you may also get this kind of diseases?
This study focuses on the perceptions of the Grade 11 TVL students on the importance of
limited only for Grade 11 TVL students of Lamo National High School regarding the
3
Significance of the Study
Students: Students will be aware on how to prevent Sexually Transmitted Diseases and
Parents: This research can help parents become aware of STDs and help students to
educate them.
Teachers: This research will help the teachers to be aware and be a tool to educate
Future Researchers: This study will provide baseline data needed for future researchers
and studies related to this one. Also, it would serve as their basis and guide for them to be
Definition of Terms
Sexually Transmitted Disease -it is a disease which can be transmitted through sexual
intercourse.
Condom – It is a device used to prevent sexually transmitted disease and to decrease the
by the penis.
4
5
CHAPTER II
REVIEW OF RELATED LITERATURE
AND STUDY
This Chapter presents the gathered and related literature of the study. The other insights of other
researchers that provide structure and information for the current study.
LOCAL LITERATURE
An article wrote by Chito Chavez (January 26, 2018). A study conducted by a research
group revealed that impoverished women workers are vulnerable to sexually transmitted diseases
The report was revealed by Quezon City-based state think tank Philippine Institute for
Development Studies (PIDS) which based its study from the 2008 Philippine National
Demographic and Health Survey. A study conducted by a research group revealed that
impoverished women workers are vulnerable to sexually transmitted diseases (STD) than those
A new report from the Centers for Disease Control and Prevention (CDC) shows that
sexually transmitted disease (STD) rates for 2015 were the highest ever recorded, with men who
have sex with men (MSM) accounting for most new gonorrhea and syphilis cases.
The annual Sexually Transmitted Disease Surveillance Report released yesterday showed
more than 1.5 million chlamydia cases reported in 2015, 395,216 cases of gonorrhea, and 23,872
cases of primary and secondary (P&S) syphilis. The largest increase in cases reported from 2014
6
to 2015 occurred in P&S syphilis cases, which jumped 19% from 2014 to 2015. Gonorrhea
increased by 12.8%, and chlamydia by 5.9%. "Chlamydia, gonorrhea, and syphilis are curable,
but the new numbers make it clear that many Americans are not getting the preventive services
they need," Donnica Smalls, MA, a health communications specialist with the CDC, told
CIDRAP News. "We know that this is the second year in a row that all three reportable STDs
"STD rates are rising, and many of the country's systems for preventing STDs have
eroded. We must mobilize, rebuild and expand services—or the human and economic burden
will continue to grow." The report said more than half of state and local STD programs
experienced budget cuts in the last 10 years, and more than 20 health department STD clinics
closed in 2015. The closures prevent early treatment for these STDs, many of which can be cured
with antibiotics. The CDC estimates STD cases cost the healthcare system nearly $16 billion
each year.
because they have "silent infections" or "silent symptoms" since unlike their male counterparts,
their genitals are internal. Women with rashes or irritations on the skin will need to undergo tests
to check if these are related to sexually transmitted illnesses.But you see there's a lot of groups
advocating HIV. Unfortunately, wala pang group na naga-advocate (tungkol sa) gonorrhea,
syphilis and herpes. And these are quite common and they have a stigma," said Yang. "In a
random group of 10, based on my clinical practice, STDs include 3 gonorrhea, 2 genital warts, 2
cases of herpes, 1 case of HIV and 2 cases of other sexually transmitted infection, like
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Molluscum contagiosum," he added. Molluscum contagiosum is common in children and is
transmitted by incidental contact and the prevalence may be high, particularly in young children.
According to Abrigo (2017), this can be attributed to the low level of awareness about
STDs among poor female young adults in the country. Recent records of the Department of
Health show that there are 9,217 listed cases of HIV/AIDS from January to October last year
while the total reported cases from January 2010 to May 2017 is at 40,388. Contrary to claims
that mandatory comprehensive sex education in school is likely to lead to earlier sexual initiation
Abrigo’s study showed that implementing sex education programs in schools results to
better sexual behaviors. Specifically, it delays sexual initiation, limits sexual activity, and
increases the use of condoms among some groups in the population.Also, the study found that
increasing knowledge on HIV/AIDS may rake in substantial savings for the government in the
long run. “Focusing on the poor population by increasing HIV/AIDS knowledge could lead to a
decrease in at-risk population by 1.1 percentage points or about 2 to 3 percent. This can translate
to an annual total cost savings of about USD 0.5 million (PHP 25.35 million) to USD 5.8 million
(PHP 294.13 million),” Abrigo explained in his paper. To prevent and minimize the spread of the
disease, the author urged government to make sexuality and reproductive health information
more accessible in the Philippines especially to the young adult population through social and
mainstream media. He also proposed administration’s support to family planning programs under
8
FOREIGN STUDY
transmitted infections were reported in the United States in 2017, According to them there were
nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis—200,000 more than in 2016,
which was a record-breaking year in its own right. Sexually transmitted diseases (STDs) are a
major health problem affecting mostly young people, not only in developing, but also in
developed countries.
According to google, In the year 1985-1996, a general decrease of gonorrhoea, syphilis and
chlamydia infections was noted in developed countries, both in the general population and
among adolescents [1]. From the mid-1990s however, increases in the diagnoses of sexually
transmitted diseases, in particular syphilis, gonorrhoea and chlamydia have been reported in
several European countries, especially among teenagers 16-19 years old [2–7].
The problem with most STDs is that they can occur symptom-free and can on unaware during
inflammatory diseases and possibly lead to ectopic pregnancies and infertility [8–11]. Female
adolescents are likely to have a higher risk of contracting an STD than their male counterparts as
their partners are generally older and hence more likely to be infected [2, 12].
According to data from different European countries, the average age of first sexual intercourse
has decreased over the last three decades, with increasing proportions of adolescents reporting
sexual activity before the age of 16 years [13–18]. An early onset of sexual activity not only
increases the probability of having various sexual partners, it also increases the chances of
9
contracting a sexually transmitted infection [19]. The risk is higher for female adolescents as
The reluctance of adolescents to use condoms is another possible explanation for the increase in
STDs. Some surveys of adolescents have reported that condoms were found to be difficult to use
for sexually inexperienced, detract from sensual pleasure and also embarrassing to suggest [24–
26]. Condoms have also been reported to be used primarily as a protection against pregnancy,
not STD, with their use becoming irregular when other contraceptives are used [15, 27].
[27].
Sexually transmitted diseases (STD) are considered one of the most common healthcare
problems in the world and one of the five main factors that make people look for healthcare
services(1). In Brazil, there are 12 million cases of STD every year and, since notification is not
compulsory and about 70% of people with some STD seek treatment in drugstores, the real
number of cases is well below the estimates, nearly 200 thousand cases a year (2). Contrary to
common belief, STDs may have serious consequences. A person with a STD has a higher chance
of being contaminated by the human immunodeficiency virus (HIV) and the consequent
In Brazil, the behavior of the AIDS epidemic, since its onset in the 1980s, has presented
important changes, allowing for the identification of distinct movements. The first, characterized
by the predominant infection of male homosexuals and bisexuals; the second, by a significant
increase of drug addicts in the young heterosexual population; and finally, the marked advance in
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the transmission among low-income groups and women, and also the current moment of the
epidemic, which consists in increasing cases of the disease in people over 50 years old(3).
Important aspects of behavior and knowledge about STD/AIDS in the investigated population
were made evident, and these results, added to information from other studies, lead to the
conclusion of indicators that may contribute to the monitoring of measures and strategies to
The fact that 72.4% of the respondents had a sexual relation in the past six months, with higher
frequencies for men, suggests similarity with studies by the Brazilian Institute of Geography and
Statistics, that men can keep high nuptial rates throughout their lives, since those studies showed
that 70.9% of men and 27.9% of women in the adult and mature population live with spouses (12).
On the other hand, the sexual activity of participants in this study was higher than in a research
executed by the National DST/AIDS Program, which verified that 67.1% of people between 50
and 59 years old and 39.2% of people older than 60 were sexually active.
Another important result within this study is related to behavior, the practice of protected sex.
The interviewees know the importance of using condoms to prevent STD/AIDS; however, it was
observed that 78.5% of the men and 86.5% of the women did not use condoms in the last sexual
relation. Studies reveal that, despite knowledge about the forms of STD/AIDS transmission,
there are few elderly adults reporting condom use in all of their sexual relations . Since
(1,3,6,13)
AIDS is a recent disease, discovered in the 1980s, older adults may face some difficulty to
become aware of the use of condoms, because this practice is not part of their culture - hence, the
11
From the health perspective, vulnerability is a consequence of factors from the social group that
negatively influence the individual's capacity of controlling his/her own health, and is ruled by
several personal factors related to quality and coverage of prevention, healthcare and social
support programs(14). Vulnerability still depends on a more active and autonomous attitude of the
subjects, besides the role of public policies in contributing to the reduction of collective
vulnerability(15).
Women are known to use healthcare services more frequently. A higher percentage of women
(62.3%) than men (46.7%) seeks healthcare services in Brazil (16). Many times, this may be
justified by the fact that women is responsible for the health of the family, and other times
because they are the main caregivers of some dependent family member. Therefore, they demand
New studies, with designs elaborated with fundamentals from Psychology, Sociology and other
areas, would be necessary to understand the relation between preventive behavior and knowledge
about STD/AIDS. The assimilation of prevention measure practices for STD/AIDS is also part of
the awareness of its importance by the healthcare teams themselves, working in Basic Healthcare
units, Family Healthcare Teams and any other private health plans or insurance services. It is
difficult for healthcare professionals to consider the sexual life of the elderly as a reality; they do
not incorporate this reality in their work agenda and do not discuss STD/AIDS prevention
The prevention of STD/AIDS among people over 50 years old depends on their awareness about
the existence of risk. Adequate awareness would contribute to the adoption of preventive
measures. As for the concept of risk, particularly for AIDS, there have been changes during the
12
history of the epidemic. The term "risk group" was gradually replaced by "risk behavior" (9).
However, the idea of "risk group" still persists in the comprehension and perception of people in
relation to the transmission of and vulnerability to STD/AIDS. This perception was seen in this
study when 32.3% of men answered that some specific groups of people would be more exposed
somehow differentiated, because it consists of people who, besides being active in the job
market, hold a college degree or a high-school education in 80% of cases; 55.5% stated having a
family income higher than six times the minimum wage, and 66.7% have private healthcare
insurances. Another factor that should be observed is the variability of the magnitude of
behavior, knowledge and perception of the risk of contracting a STD/AIDS among the results
found in other studies(7). The perception of risk differs significantly among the groups of people -
young, young adults, young elderly and older elderly beyond their insertion in society,
the vital role parents play in reducing their child’s risk for acquiring a sexually transmitted
disease, as well as their role in promoting sexual health during adolescence. The study
interviewed 28 women of African American, European, Latina, and American Indian descent
ages 19 to 29 years old and explored early romantic decisions and the impact family input and
communication had made on their sexual behavior and decisions (Wisnieski, Sieving, &
Garwick, 2015). The (Synovitz, Hebert, Kelley, & Carlson, 2002). This study found that overall
sexuality knowledge was lower in those who had not received sex education throughout their
high school experience, which supports the importance of providing sex education in high school
to expand on information provided by family figures (Synovitz et al., 2002). However, Synovitz
13
et al. (2002) also found that while the students who had received sex education in high school did
receive higher scores than those who did not attend a school that provided sex education in its
curriculum, scores for those who had only received information on sexual health in high school
on the subject of sexually transmitted diseases than the scores of those who had received some
variation of sexual education since attending college. This finding could be attributed to poor
test-taking skills while taking the survey, misinformation, or inability to retain knowledge from
A study conducted by Weinstein, Walsh, and Ward (2008) used a questionnaire that examined
which types of sex education messages are most effective in increasing student knowledge about
sexual health. After passing the survey out to 347 undergraduate students ages 18 to 23,
Weinstein et al. (2008) found that students who had received sex education covering mainstream
reproductive health issues achieved higher knowledge scores than those students who had
received abstinence-only sexual education prior to the survey. In addition to the study conducted
by Weinstein et al. (2008), a similar study conducted by Kirby (2007) evaluated over 100
different sex education programs in schools and other youth serving organizations across the
United States and compared the programs that taught abstinence-only to those that took a more
comprehensive approach. They found that programs teaching strict abstinence had little influence
on sexual decisions, while programs that incorporated a more extensive approach, advocating for
the use of condoms as well as abstinence resulted in delayed intercourse, reduced number of
partners, and stimulated condom use among sexually active participants (Kirby, 2007). This
study is important because it advocates for inclusion of both abstinence and KNOWLEDGE OF
STDS AMONG COLLEGE STUDENTS 9 contraception, which confronts the rising rates of
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sexually transmitted diseases head-on and emphasizes that teaching promotion of abstinence and
safe sex are compatible goals for sex education (Kirby, 2007). Furthermore, a study by Walcott,
Chenneville, and Tarquini (2011) also supports the implementation of a more comprehensive sex
education program rather than focusing strictly on abstinence based on the knowledge scores
acquired from their questionnaire. Their study surveyed 1,878 students attending colleges in the
states of North Carolina and Florida and found that the highest scores for HIV knowledge
belonged to the undergraduate students who reported having received comprehensive sex
education in high school whereas those who had received abstinence-only sex education in high
school scored significantly lower (Walcott, Chenneville, & Tarquini, 2011). This correlates with
the CDC’s statement that “HIV awareness and education should be universally integrated into all
educational environments,” which is in addition to their strong advocacy for abstinence being the
only way to guarantee prevention of sexually transmitted diseases (Centers for Disease Control
and Prevention, 2016d). Despite research advocating for the effectiveness of a comprehensive
approach in teaching sex education, there is still strong support for abstinence-only teaching.
HowardBarr, Moore, e.t al (2011) noted that out of the twenty-one states that require
schools to teach sex education, only fifteen of those states include information on contraception.
Although there is a variety of reasons to not include both contraception and abstinence teaching
in high school sex education curriculum, one of the most common explanations schools use to
support their decision to leave out contraception education is the misperception that the local
STUDENTS 10 teaching to their children and lead to controversy in the school system between
15
A study by Yarber, Milhausen, Crosby, and Torabi (2005) assessed the public’s opinion
in Indiana concerning condom related issues and found that the majority of participants strongly
or somewhat approved of providing high school students with access to information on correct
use of condoms and STD prevention. Considering the heavily debated issue of whether to
include sex education in high schools, which approach is most effective and appropriate, and that
sex education, in general, can be a very touchy subject in the community, often this results in
misinformed or uninformed students who continue to engage in sexually risky behaviors despite
The national HIV prevalence estimates in South Africa among adults aged 15–49 years
generally increased from 15.3% to 17.9%. HIV prevalence estimates in the Northern Cape
Province were 7.4%.However, there is limited data on the national burden of STIs among
adolescents in South Africa. A study of adolescents in the Eastern Cape Province showed an
overall prevalence of 15.8% for curable STIs among the 1,057 adolescents with a mean age of 17
years, whose biological samples were collected for STI screening. Few studies of HIV and AIDS
have focused on the Platfontein San community. Reports from NGOs, staff at local clinic and
community leaders indicate that HIV/AIDS and tuberculosis severely burden the communities,
although statistics are not available. Risk factors for STIs such as unemployment, alcoholism,
Africa were also entrenched among the Khwe and !Xun in Platfontein. The San Baseline study
conducted by the AIDS Foundation of South Africa revealed that 73% of the Platfontein San
respondents were not using condoms, had multiple sex partners, and they had low knowledge of
16
According to data from a behavioral survey in South Africa, a significant number of youths
reported sexual activity before the age of 13 years. Another explanation for the increase in rates
of STIs could be the reluctance of young people to use condoms. A study conducted among
young people in KwaZulu-Natal Province reports low perceptions of STIs, HIV and AIDS risk
among both males and females and they did not perceive that transmission could be prevented by
condom usage. Condoms have been reported to be used primarily for the prevention of
pregnancy and not STIs, and they are inconsistently used when other contraceptives are
used. The factors influencing health choices for Platfontein adolescents have not been
documented. However, previous studies done in South Africa showed that traditional medicine
De Jager et al observed that people in Platfontein have poor health-seeking behavior, frequently
requiring medical care at a very late stage of disease Sexual health outcomes in the community
can further be exacerbated by the fact that adolescents are likely to encounter problems in getting
the required STI information on prevention and treatment services. Knowledge, awareness and
perceptions studies of STIs, HIV and AIDS, and the STI health care services that are available to
the school-going youths of the San-groups of Platfontein are not well understood. Across
Southern Africa, the indigenous San populations live in remote areas and they face many barriers
to good health. Where health services are available, often health staff do not speak their
languages and are involved in the running of local services. Based on the foregoing, we aimed to
assess the knowledge and risk perceptions of STIs, HIV and AIDS in this indigenous population
and their awareness of available local primary health care (PHC) services.
17
"STD rates are rising, and many of the country's systems for preventing STDs have
eroded. We must mobilize, rebuild and expand services—or the human and economic burden
will continue to grow." The report said more than half of state and local STD programs
experienced budget cuts in the last 10 years, and more than 20 health department STD clinics
closed in 2015. The closures prevent early treatment for these STDs, many of which can be cured
with antibiotics. The CDC estimates STD cases cost the healthcare system nearly $16 billion
each year.
Sexually transmitted diseases (STDs) are a major health problem affecting mostly young people,
Over the period 1985-1996, a general decrease of gonorrhoea, syphilis and chlamydia infections
was noted in developed countries, both in the general population and among adolescents [1].
From the mid-1990s however, increases in the diagnoses of sexually transmitted diseases, in
particular syphilis, gonorrhoea and chlamydia have been reported in several European countries,
According to data from different European countries, the average age of first sexual intercourse
has decreased over the last three decades, with increasing proportions of adolescents reporting
sexual activity before the age of 16 years. An early onset of sexual activity not only increases the
probability of having various sexual partners, it also increases the chances of contracting a
sexually transmitted infection. The risk is higher for female adolescents as their cervical
transmitted pathogens.
18
The reluctance of adolescents to use condoms is another possible explanation for the increase in
STDs. Some surveys of adolescents have reported that condoms were found to be difficult to use
for sexually inexperienced, detract from sensual pleasure and also embarrassing to suggest.
Condoms have also been reported to be used primarily as a protection against pregnancy, not
STD, with their use becoming irregular when other contraceptives are used. Furthermore, many
Although knowledge and awareness have been reported to have a limited effect on changing
attitudes and behaviour, They are important components of sex education which help promote
informed, healthy choices. As schooling in Europe is generally compulsory at least up to the age
of 15 years and sex education is part of the school curriculum in almost all European countries,
school-going adolescents should be well informed on the health risks associated with sexual
activity and on how to protect themselves and others. In view of the decreasing age of sexual
debut and the reported increasing numbers of diagnosed STDs among young people, results of
our review can help point out areas where STD risk communication for school-attending
Synthesis
This finding of this study was oppose by the study of Chito Chavez (January 26, 2018) A
study conducted by a research group revealed that impoverished women workers are vulnerable
to sexually transmitted diseases (STD) than those from the affluent households. This tells that the
sexually transmitted diseases(STD) and study habits are related to each other.
19
CHAPTER III
RESEARCH METHODOLOGY
RESEARCH DESIGN
20
It focuses on the “why” rather than the “what” of social phenomena and relies on
the direct experiences of human beings as meaning- making agents in their everyday
lives.(https://libguides.uta.edu>qual)
The respondents of this study are the selected fifteen (15) grade 11 TVL students.
The researchers will be using the random sampling in selecting their respondents.
“Random sampling is a part of the sampling technique in which each sample has an equal
probability of being chosen”. A sample chosen randomly is meant to be an unbiased
representation of the population.
Research instruments
To seek the purpose of this study, the researchers formulated question. They construct
online form.
of gathering information from the respondents. They can be carried out face to face, by
behavior, attitudes, preferences, opinions and intentions of relatively large numbers of subjects
To collect the needed data to answer the specific question in this study the procedure will
be done;
21
1. The researchers will be utilizing the online platform “facebook messenger” in collecting
the needed data for the pursuit of the study.
2. The researchers will be making a group chat, add all the selected respondents and explain
the purpose of their study. Ask for their active participation for the success of the study.
3. The researchers will now send the picture of questionnaire to the respondents, Instruct
them on how their answer will be collected.
4. The researchers will now express their gratitude to the respondents as a big contributor
for the success of their study. Their time and shared are well appreciated.
1. The researchers will review and identify the response and answer of the respondents.
2. After identifiying, the proponents will now tally the result, they will cope up to count the
similar answer and others different idea.
3. After the tally, the researchers will now interpret the data gathered.
4. When the interpretationof the data is done, The researchers will now come up with
conclusion.
22
Referrences
Chavez, (January 26, 2018) Poor young females more vulnerable to STD than well-off
counterparts — study acquire from https://mb.com.ph/2018/01/26/poor-young-females-
more-vulnerable-to-std-than-well-off-counterparts-study/
Feltman,(aug 29, 2018) Sexually transmitted diseases are at an all-time high (again).but
why? https://www.popsci.com/sexually-transmitted-disease-increase/
23
Yarber, Milhausen, Crosby, and Torabi (2005) Public Opinion About Condoms for HIV
and STD Prevention: A Midwestern State Telephone Survey ;
Public_Opinion_About_Condoms_for_HIV_and_STD_Prevention_A_Midwestern_State
_Telephone_Survey
HowardBarr, Moore, Weiss, and Jobli (2011) The Knowledge of Sexually Transmitted
Diseases Among College Students https://aquila.usm.edu/cgi/viewcontent.cgi?
article=1585&context=honors_theses
24