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In the United States, the overall incidence of STIs among adults aged 50 has risen in recent years.

Statistics on STIs such as trichomoniasis, genital herpes, and human papillomavirus are generally lacking for this age group (the CDC does not recommend routine collection of surveillance data in these cases, although a few jurisdictions/states have initiated collection of such data). This extent is especially apparent with regard to syphilis, the incidence of which has tripled among adults aged 50 , from 2.1 cases per 100,000 individuals in 2001-2002 to 6.3 cases per 100,000 individuals in 2014.

One need look only at the AARP Sex, Romance, and Relationships Survey of Midlife and Older Adults to see how sexual attitudes of men and women of this generation have changed.

The most recent survey was completed in 2009 by 1,670 adults aged 45 .

These older adults are more likely to be diagnosed with HIV later in the course of their disease, usually because they are unaware of risk factors.

For women, the major risk factor is having sex with a man infected with HIV, which accounted for 86% of new HIV cases in women in 2015.

Although some of these women came of age during the Sexual Revolution of the 1960s, their parents, from a more conservative generation, may not have discussed sex with them when they were children.

These women graduated from high school before 1980, when comprehensive sex education became common.Intimacy and sexual expression are normal human needs.In the past, as men and women matured, they relied on spouses or long-term partners to satisfy these needs.However, data regarding reportable STIs depict the extent to which the U. Although the incidence of both chlamydia and gonorrhea is much higher in younger adults, these infections have also increased among older adults.Between 20, chlamydia infections increased by about 52% and gonorrhea cases by more than 90% in adults aged 50 .

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