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Indian Journal of Dermatology, Venereology and Leprology
Medknow Publications on behalf of The Indian Association of Dermatologists, Venereologists and Leprologists (IADVL)
ISSN: 0378-6323 EISSN: 0378-6323
Vol. 76, No. 5, 2010, pp. 489-493
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Bioline Code: dv10152
Full paper language: English
Document type: Symposium
Document available free of charge
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Indian Journal of Dermatology, Venereology and Leprology, Vol. 76, No. 5, 2010, pp. 489-493
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Sexually transmitted diseases in children in India
Dhawan, Jyoti; Gupta, Somesh & Kumar, Bhushan
Abstract
Sexually transmitted diseases (STDs) in children are not uncommon in India, though systematic epidemiological studies to determine the exact prevalence are not available. STDs in children can be acquired via sexual route or, uncommonly, via non-sexual route such as accidental inoculation by a diseased individual. Neonatal infections are almost always acquired intrauterine or during delivery. Voluntary indulgence in sexual activity is also an important factor in acquisition of STDs in childhood. Sexual abuse and sex trafficking remain the important problems in India. Surveys indicate that nearly half of the children are sexually abused. Most at risk children are street-based, homeless or those living in or near brothels. Last two decades have shown an increase in the prevalence of STDs in children, though most of the data is from northern part of the country and from major hospitals. However, due to better availability of antenatal care to majority of women, cases of congenital syphilis have declined consistently over the past two-three decades. Other bacterial STDs are also on decline. On the other hand, viral STDs such as genital herpes and anogenital warts are increasing. This reflects trends of STDs in the adult population. Concomitant HIV infection is uncommon in children. Comprehensive sex education, stringent laws to prevent sex trafficking and child sexual abuse, and antenatal screening of all the women can reduce the prevalence of STDs in children.
Keywords
Children, sex education, sex trafficking, sexual abuse, sexually transmitted diseases
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© Copyright 2010 Indian Journal of Dermatology, Venereology, and Leprology. Alternative site location: http://www.ijdvl.com
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