Back to Top Skip to main content

Sexually transmitted infections on the rise in military

Some sexually transmitted infections are on the rise in the military. To increase awareness, members of Team McConnell attend a briefing on STIs at McConnell Air Force Base, Kansas. (U.S. Air Force photo by Airman 1st Class Alexi Myrick) Some sexually transmitted infections are on the rise in the military. To increase awareness, members of Team McConnell attend a briefing on STIs at McConnell Air Force Base, Kansas. (U.S. Air Force photo by Airman 1st Class Alexi Myrick)

Recommended Content:

Health Readiness | Men's Health | Women's Health

The rates of certain types of sexually transmitted infections, or STIs, are rising dramatically for both male and female service members, according to a recent report. These STIs include chlamydia, gonorrhea, and syphilis. Data from the Centers for Disease Control and Prevention confirm similar surges for these three types of infections in the civilian population. The current high rates in the military pose challenges for more than 1.3 million DoD personnel, 84 percent of whom are men.

“We have a large number of males in the service, and the population we see normally is the 18 to 25 year olds. STI is most common in that age group,” said Norma Jean Suarez, a nurse practitioner in preventive medicine at Brook Army Medical Center in San Antonio. She added that the men she sees often don’t know how prevalent STIs are.

STI myths (MHS graphic)
STI myths (MHS graphic)

“STIs place a significant economic strain on the U.S. and military health care systems,” said Maj. Dianne Frankel, an Air Force internal medicine physician and USU preventive medicine resident. In 2012, STIs in the Navy alone accounted for health care costs of $5.4 million.

“From a military standpoint, STIs can have a significant impact on individual readiness, which in turn impacts unit readiness, which then leads to a decrease in force health protection,” said Frankel. She added that there can be serious health consequences for untreated STIs, including, down the road, cancer in the case of genital human papillomavirus, or HPV.

But why are STIs on the rise, and why now? “There appears to be an increase in high-risk behaviors among service members; that is, having sex without a condom or having more than one sexual partner,” said Frankel, referring to the 2015 DoD Health-Related Behaviors Survey, known as HRBS. This report documented that one-fifth of respondents reported having more than one sexual partner in the past year, while one-third reported having sex with a new partner in the past year without use of a condom. These numbers have doubled since the last reported survey in 2011, said Frankel.

Suarez added another factor she’s been seeing: Dating apps can promote random, anonymous encounters, and when infections result, that anonymity can make partners difficult to track down. Having anonymous sex is one of the CDC’s list of behaviors that can increase risk of contracting an STI or HIV. Others include having vaginal, oral, or anal sex without a condom; having multiple sexual partners; or having sex while under the influence of drugs or alcohol, which can lower inhibitions and result in greater sexual risk-taking.

In general, STIs spread readily if precautions aren’t taken, according to Col. Amy Costello, chief of preventive medicine at the Air Force Medical Support Agency. “Chlamydia and gonorrhea are quite common; they can be transmitted vaginally, anally, or through oral-sexual contact,” she said. “Pretty much any time you have mucous membrane contact with an infected person, you have a chance of getting it.” She added that syphilis is usually spread through open sores that can be non-painful, meaning an infected person might not know the infection is present.

Not all STIs are on the rise, according to the HRBS. Rates for genital herpes simplex decreased slightly between 2010 and 2018, and HPV dropped by almost 52 percent. She credited the widespread adoption of the HPV vaccine for the dramatic decline in the rate of infection.

HIV is another STI of concern. “A lot of service members don’t understand that HIV exists on the active-duty military side,” said Suarez. “Here in San Antonio alone, we manage 30+ HIV-positive active-duty soldiers.” But rates of HIV are much lower in the military than in the U.S. population, Frankel said, adding that numbers for HIV from 2012 – 2017 “have been relatively stable.”

Costello said that chlamydia, gonorrhea, and syphilis are bacterial infections that are treated with antibiotics. HPV, herpes, and HIV are viruses and more difficult to treat. She said the most reliable way to avoid getting an STI is to stay away from oral, vaginal, and anal sex unless in a long-term, mutually monogamous relationship with a partner known to be uninfected. But, she added, “That’s not a realistic plan for many of our younger service members who aren’t yet married or in long-term monogamous relationships.” Therefore, condom use is critical, she concluded, and any symptoms should lead to testing.

Efforts are ongoing to combat the rise of STIs through education. “STIs are preventable,” said Frankel. “It’s important for everyone to know how to protect themselves and their partners.”

You also may be interested in...

Global Influenza Summary: February 19, 2017

Report
2/19/2017

Recommended Content:

Health Readiness | AFHSB Reports and Publications | Influenza Summary and Reports

Global Influenza Summary: February 12, 2017

Report
2/12/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | AFHSB Reports and Publications | Influenza Summary and Reports

Global Influenza Summary: February 5, 2017

Report
2/5/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | AFHSB Reports and Publications | Influenza Summary and Reports

Global Influenza Summary: January 29, 2017

Report
1/29/2017

Recommended Content:

Health Readiness | AFHSB Reports and Publications | Influenza Summary and Reports

Global Influenza Summary: January 22, 2017

Report
1/22/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | AFHSB Reports and Publications | Influenza Summary and Reports

Global Influenza Summary: January 15, 2017

Report
1/15/2017

Recommended Content:

Health Readiness | AFHSB Reports and Publications | Influenza Summary and Reports

Global Influenza Summary: January 8, 2017

Report
1/8/2017

Recommended Content:

Health Readiness | AFHSB Reports and Publications | Influenza Summary and Reports

Global Influenza Summary: January 1, 2017

Report
1/1/2017

Recommended Content:

Health Readiness | Armed Forces Health Surveillance Branch | AFHSB Reports and Publications | Influenza Summary and Reports

MSMR Vol. 24 No. 1 - January 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Update: Malaria, U.S. Armed Forces, 2016; Diabetes mellitus, active component, U.S. Armed Forces, 2008–2015 introduction of the virus in the Western Hemisphere, 1 January 2016; Rates of Chlamydia trachomatis infections across the deployment cycle, active component, U.S. Armed Forces, 2008–2015; Brief report: Selected demographic and service characteristics of the U.S. Armed Forces, active and reserve components, 2001, 2009, and 2016.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 24 No. 9 - September 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Review of the U.S. military's human immunodeficiency virus program: a legacy of progress and a future of promise; Update: Routine screening for antibodies to human immunodeficiency virus, civilian applicants for U.S. military service and U.S. Armed Forces, active and reserve components, January 2012–June 2017; Sexually transmitted infections, active component, U.S. Armed Forces, 2007–2016; Brief report: Use of ICD-10 code A51.31 (condyloma latum) for identifying cases of secondary syphilis

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 24 No. 5 - May 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Viral hepatitis A, active component, U.S. Armed Forces, 2007–2016; Viral hepatitis B, active component, U.S. Armed Forces, 2007–2016; Viral hepatitis C, U.S. military service members and beneficiaries, 2008–2016; Brief report: Tinea pedis, active component, U.S. Armed Forces, 2000–2016; and Surveillance snapshot: Respiratory infections resulting in hospitalization, U.S. Air Force recruits, October 2010–February 2017.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 24 No. 11 - November 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Pregnancies and live births, active component service women, U.S. Armed Forces, 2012–2016; Contraception among active component service women, U.S. Armed Forces, 2012–2016; Complications and care related to pregnancy, labor, and delivery among active component service women, U.S. Armed Forces, 2012–2016; Incidence and burden of gynecologic disorders, active component service women, U.S. Armed Forces, 2012–2016; Department of Defense Birth and Infant Health Registry: select reproductive health outcomes, 2003–2014

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 24 No. 2 - February 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Incident diagnoses of leishmaniasis, active and reserve components, U.S. Armed Forces, 2001–2016; Incidence rates of malignant melanoma in relation to years of military service, overall and in selected military occupational groups, active component, U.S. Armed Forces, 2001–2015; Medical evacuations, active and reserve components, U.S. Armed Forces, 2013–2015.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 24 No. 3 - March 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Diagnoses of traumatic brain injury not clearly associated with deployment, active component, U.S. Armed Forces, 2001–2016; Update: Heat illness, active component, U.S. Armed Forces, 2016; Update: Exertional rhabdomyolysis, active component, U.S. Armed Forces, 2012–2016; Update: Exertional hyponatremia, active component, U.S. Armed Forces, 2001–2016.

Recommended Content:

Health Readiness | Public Health

MSMR Vol. 24 No. 8 - August 2017

Report
1/1/2017

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Multiple sclerosis among service members of the active and reserve components of the U.S. Armed Forces and among other beneficiaries of the Military Health System, 2007–2016; Challenges with diagnosing and investigating suspected active tuberculosis disease in military trainees; Brief report: Mid-season influenza vaccine effectiveness estimates for the 2016–2017 influenza season

Recommended Content:

Health Readiness | Public Health
<< < ... 6 7 8 9 10  ... > >> 
Showing results 76 - 90 Page 6 of 22

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.