PopulationAll sexually active adolescentsAdults at increased risk for STIsNon-sexually-active adolescents and adults not at increased risk for STIs
RecommendationOffer high-intensity counseling.
Grade: B
Offer high-intensity counseling.
Grade: B
No recommendation.
Grade: I (Insufficient Evidence)
Risk AssessmentAll sexually active adolescents are at increased risk for STIs and should be offered counseling.
Adults should be considered at increased risk and offered counseling if they have:
  • Current STIs or have had an STI within the past year.
  • Multiple sexual partners.
In communities or populations with high rates of STIs, all sexually active patients in non-monogamous relationships may be considered at increased risk.
InterventionsCharacteristics of successful high-intensity counseling interventions:
  • Multiple sessions of counseling.
  • Frequently delivered in group settings.
Suggestions for PracticeHigh-intensity counseling may be delivered in primary care settings, or in other sectors of the health system and community settings after referral.
Delivery of this service may be greatly improved by strong linkages between the primary care setting and community.
Evidence is limited regarding counseling for adolescents who are not sexually active. Intensive counseling for all adolescents in order to reach those who are at risk but have not been appropriately identified is not supported by current evidence. Evidence is lacking regarding the effectiveness of counseling for adults not at increased risk for STIs.
Other Relevant USPSTF RecommendationsUSPSTF recommendations on screening for chlamydial infection, gonorrhea, genital herpes, hepatitis B, hepatitis C, HIV, and syphilis can be found at http://www‚Äč

Abbreviation: STI = Sexually Transmitted Infection

From: Recommendations for Adults

Cover of The Guide to Clinical Preventive Services 2012
The Guide to Clinical Preventive Services 2012: Recommendations of the U.S. Preventive Services Task Force.

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