Inexpensive testing and antibiotic treatment could wipe out one of Minnesota's fastest-growing public health problems — the rise in sexually transmitted chlamydia infections — if only the sex talk didn't get in the way.
But it does. Many teens and even early twenty-somethings don't want to disclose they have had sex — a standard question before chlamydia testing — or get screened if there is a chance their parents could find out, state and clinic officials say.
The result is that fewer than half of sexually active females aged 16 to 24, a high-risk group for infection, get tested at their primary care clinics, and that chlamydia infections in Minnesota have increased every year for two decades. The 18,724 new infections last year, detailed in a Health Department report last month, are double the amount in 2000.
"You go into a teenager's mind, which can be a very interesting place, and in their world, it's a very, very big deal," said Kelly Boie, a nurse practitioner for Wayzata Children's Clinic. "You tell them, 'This could be your life. This could be your fertility,' and they'll say, 'Yeah, but you're still not going to tell my parents, right?' "
While doctors can promise confidentiality in the clinic, they have no control over off-site labs sending results in the mail or insurance companies listing STD tests on their benefit statements.
The trend is disheartening for public health officials because untreated carriers are spreading the bacteria without knowing it and exposing women to eventual risks of infertility and birth complications. Worse, this isn't a new problem. The Minnesota Chlamydia Partnership was created in 2010 specifically to reduce STD cases, but clinic testing rates haven't improved since then.
Even in the parent-free confines of the residence halls at the University of Minnesota, discussion about sexual health can still seem inhibited, said sophomore Madison Andrews, a psychology major and health advocate who distributes condoms and dental dams provided for free by the U.
"I still feel like it's almost taboo to talk about STDs or STIs in a public forum," Andrews said. "There are still people who are embarrassed to come to me to ask for a condom."