Varied reactions surface when we announce the creation of a research center that focuses on the state of sexually transmitted diseases among adolescents. But when we consider the numbers of children whose lives are being destroyed through sexual behavior, we must be concerned. By the time today's adolescent women become adults, forty percent of them have contracted the human papillomavirus, the precursor of cervical cancer. Chlamydia is a sexually transmitted disease found in nearly half of today's college-age women. This infection leads to infertility by destroying fallopian tubes years before a desired pregnancy.
Other risky behaviors, such as the use of tobacco, are increasing among younger teens, especially girls and blacks. Most young adults report that they began smoking at age twelve, and today lung cancer is the leading cause of cancer in both men and women - a direct result of smoking.
We all know that adolescents are willing to take risks. But in a permissive culture that glorifies risk-taking, we are exposing our youth to high stake risks at younger ages than ever before. The precocity characteristic of that time of life leads them to believe they can handle these risks. But in actual fact, they lack the maturity to comprehend the permanent consequences of sexual promiscuity, smoking, or drug usage.
As physicians, we play a role in this unfolding health dilemma. Are we to wait to treat these children until after the severe consequences are encountered, or do we seek ways to intervene? Isn't it time for the professional to promote health rather than disease by providing more attractive behavioral choices?
The proficient physician must become a mentor and role model. We can choose to provide one-on-one support through school programs that introduce teens to positive role models. We also can advocate on behalf of today's youth through our work with service clubs and community organizations. The need is there and growing. It is truly time for each of us to make personal commitments that will influence the behavior of our youth and the future of public health in our country.
Robert W. Holden, MD '63
Dean, Indiana University School of Medicine
Walter J. Daly Professor