WWL>Topics>>2-5-14 1:10pm Angela: on STD's among senior citizens

2-5-14 1:10pm Angela: on STD's among senior citizens

Feb 5, 2014|

Angela talks about the epidemic of STD's plaguing the septugenarian set in America with Dr. Bruce King of Clemson University and Dr. Charles Cefalu of the LSU Health Sciences Center.

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Automatically Generated Transcript (may not be 100% accurate)

And I knew we would see the sun come out again it has been a little grim the last couple days but boy a beauty today and I hope you're having a good one. I think we have three very interesting programs coming up and the one we're gonna start with is an eye opener. Really an eye opener. You know they're not just playing bingo with a senior citizen center or at the assisted living facility for the retirement community. They're actually having sex and apparently a lot of unsafe sex. A recent study from the Department of Health and Human Services. Showed that in the years 2011 and 2012. 2.2. Million Medicare recipients. Received free sexually transmitted screenings. And counseling sessions. And that's very interesting. As are the numbers from the Centers for Disease Control. Showing rapid increases. In sexually transmitted diseases among older people. In just four year period between 2007. In 2011. Chlamydia infections among Americans over age 65. Increased 31%. And syphilis. By 52%. And that's not good. We need to talk and with us for the talk. Is doctor Charles Cephalon professor and chief of geriatric medicine at the L issue Health Science Center school movements. And doctor Bruce king professor of psychology. At Clemson university. And author of human sexuality today. His textbook is in its -- printing. Doctor King was a professor you Leno for over 25 years. Or very miss Doctor King we appreciate you being here and doctor -- -- becoming like a regular production up. We we appreciate both of you very very much. This just my eyes got very wide when I read this and certainly wasn't. In in a moralistic condemnation of people over 65 having sex is good for them. The issue was that the diseases. And it left and I'm -- I'm gonna start off by this my mother lived in an assisted living place the last ten years of her life. And -- and then in the healthier years. It was very much as is described in this report sort of a college campus. And it was a wonderful thing to have friends there and make friends. And but I would go up there this was up north I would go visit her and we have dinner and shoot me I simply give me the scoop. And it would be. Who's going with -- And these are people well about 65. OK so what have we not saying here. Well. First off this report those shocking to me. Haven't worked a long time and then -- syndrome setting. He and a caring for the elderly. It it's as basically. To me. That. You're dealing with a population. That is still vibrant and healthy. And you're probably dealing with a population. That. Came up and an -- Talk about sixty Fabrice in the fat years of age they came back it up as an arrow when there was no pandemic or epidemic. India these venereal diseases. Particularly chlamydia. Now syphilis. Has been around for a long time. But. That they or essentially. I'm practicing. Continuing to have sex. And this is good at and it's a healthy lifestyle. It promotes healthy lifestyle both mentally and physically. But you can't. It's a reflection to me that they don't -- -- it's these dangers because. That -- not the kind of problem that occurred 556065. Years ago -- always use of condoms. And so that's what it says to me if it's -- Doctor King please join in here but I. -- sure. But it's. Picture into the overall. Picture of what's going on in the US soon as you guys I think -- typical. -- -- going to ball with me here this failed it can't be true. But let me and -- what the CDC -- is happening in the United States as a whole. All ages. They estimate that this year. There's going to be over in nineteen point seven new cases. Sexually transmitted. Infections. In the US nineteen point seven million no matches -- -- They also estimate when you add the new cases to existing cases. This year they'll be between hunger and ten million. And a 136. Million cases. Just this year. Now a great many of those and be human apple over a virus infection H. PV. And a great many are gonna be general or B is a little range there. Simmered between 24000015. Million cases. Of those if people are lucky. They'll get one of those cases you can treat generally speaking that's been the bacterial types gonorrhea. -- pleasant but the big -- is warning we're now at a point worse. Some of those are not going to be treatable later gonorrhea. -- you take things like. Take things like genital herpes it's 24000015. Million existing cases and that HIV virus which can lead to. Aides one point one million existing cases -- that once you have those -- have them for life so a lot of these people in their fifties and sixties. Acquire these. Fire since when they were younger -- carry them into their fifties and sixty is anyone who has the sex with them is at risk of getting. These things. So it's not surprising that all of that we're seeing in these large numbers of -- and up in -- older population now. Because there are people are living longer they are living healthier. And given the environments where they're getting together and and again although that's a positive. The thing that struck me just as a layperson wants. They're they're hooking up for lack of a I had to say they're hooking up but they're not saying you know they they say on the widow warrant a little work. But you're not saying that you also dated five of the people or you could sexual relations with five other people. And that's a difficult conversation to hand but the same time you gotta have it. And that well perhaps all I used to know his you know his wife she's a lovely woman but the rest of the conversation hasn't come out. There was a steady used to. Quote from my classes you know. Published a medical journal. Stating that 15%. Of people who knew they were -- I'd be positive did not inform you. Partners of that. When they had sex and the scary part of was that this study was conducted in north. We're talking about we're talking about the name of that conversation. Please everybody stay with -- give -- call if you have any concerns about this any thoughts about this. If you're over 65 if you're dating how do you handle. Give us a call 2601. Point seven. And stay with this this is going to be an interesting -- -- -- -- -- W. -- were talking about. Really sex after 65 timer. Which there's nothing mattered all we are with doctor Charles shuffle with LSU and doctor Bruce -- from Clemson. We're really talking about is sexual activity after 65 that unprotected. Because a recent study has come now that shows within a very short time a four year period. Chlamydia infections among Americans over 65 increased 31%. And syphilis by 52%. And Doctor King you -- some pretty astounding numbers. That work for the entire population not just those over 65. That were it's expected to have nineteen point seven new cases. As TDs this year alone. Nineteen point seven million. If you couple that if you were -- with all the existing ones. We're talking Huntington 236. Million cases of sexually transmitted disease. I mean how many Americans aren't. And it is and you know what were again talking about is this age group 65 an owner. Many of them living bless their hearts healthy and and enjoying their lives. In retirement villages in. Assisted living places and a meeting new friends. And yet. Perhaps as -- simply said not having a conversation. That needs to be said because they are the generation. That didn't talk about it. Not so now all of a sudden they're back in the dating game and it's. The rules have changed because we have these issues right. Experience with talking about -- again. I began teach my course and you have known 1981. Here I am still tension it's 33 years later Clemson. Nothing has changed in those 33 years the first day of class. And how many of them there ever any meaningful discussion with mom or dad. About. Section things small. Minority that hasn't changed in 33. Years so we don't gain that experience. When were young we don't feel. Comfortable and that gives comfort carry on throughout life recently there's an article after article. Published tell your primary care doctors don't. Get bad experiences in. If you don't get that experience in med school and so they're not a comfortable talking with their patients. So. -- It again that we. Get is experiencing conversation. Well you know that that is a very important question up. I'll tell you I mention my mother lived in the and assisted living place and she was having a wonderful time. And my sister. And does what you do that she taught human sexuality for many years just retired -- Texas I am. And she and I talked about you know are concerned about mother wanted her to enjoy her life have a ball meet these guys. But you know it is different and Pam sat down and said. Let me tell you the reality of HIV. Let me tell you that and I remember. Pam sang mother looked like. Panelists from the moon right she she didn't she didn't resisted she just it she was uninteresting to. That 11%. Of newly diagnosed cases of HIV are. And people fifty and -- Well. While long while. I have a comment about that doctor. You know -- Back when now -- Back when I was shown talking. Two to bring that up with my mother and father. Was. So just nothing that you did it was taboo. OK and so. They may be part of that generation but now you just mentioned fifty that brings up a different issue because. Now we're talking about. It may be the baby boom generation. That is beginning to commit to war. And a part of that maybe generation baby boom generation. Was. -- around in the fifties and the sixties. And they. We're a little bit different. All of a little bit different than the typical 65 a seventy year old. So. Could the fifty and older population be the majority of that the baby boom population. Which. I would say might be a little bit more liberal. In their. Or -- outgoing let's say it that way. In their approach to news. Sacks of being more open to sex. Rather than the 65 and older. Group or 75 and older group. Who tend to be more located in an arson that's just a thought. But. It's. What do you think about the doctor came. The years go by day I see a larger proportion of my students the first day of class. Indicate that their parents have had a talk. With them. I haven't seen any change in 33. Years. And that gets is that. Do well for parents are gonna talk to us where are we gonna get this education or are -- -- -- in this conflict and talking about this and that brings to the political issue it's becoming a political issue nothing else. The issue in the US unfortunately he would do we teach can use. Comprehensive sexuality education or do we teach them abstinence. Only now regardless. -- all. On that argument. What would you do with older. Americans certainly the abstinence only people don't think we're gonna be teaching abstinence to do -- is. That's not gonna work. Now and the abstinence only is is really focused more on the pregnancy issue right now of course at that at the age were talking about. They're saying yippee do I don't have to worry about that in all right so I'm not even thinking STD's on partying. I'm free right. With -- Sexually transmitted. To. Infections that is becoming political issue here as well. Look at. Vaccines for. Human apple. Virus. Politically there's a lot of people opposed. To those vaccines because they think it promotes. Promiscuity. -- as a health issue in European countries Australia. Australia is pretty much eradicated. -- human problem a virus. Symptoms by really happen and active HPV. Vaccine. Campaign we know. Have that here because once again is becoming political action. Think the number of cases that we have for what if all of this season he's recommendations. Given routine. Vaccinations. As children approach. Adolescence for HP. Which is important -- nine million. New consistencies. Is that where your -- Is -- We have no. Problems for. If they would just do the necessary things when we were more. You bring up a very good point a fortune and take a quick break and I wanna continue that conversation. Now let's go to the newsroom. We are talking with doctor Charles shuffle Lou of LSU and doctor Bruce king of Clemson. About studies are now showing me enormous increase in. Sexually transmitted diseases among those over the age of 65. We were talking about the HPV -- -- wanna talk about that but we do have a caller. If we could go to -- I appreciate call Kenneth. And a literal -- White. When a -- months ago. I'm about to be 68 years old. This. Information. Out to -- -- complete surprise to me. I -- Bragging impediments -- about never had an industry the I guarantee you are not about to get one now. This (%expletive) possibility to. -- will bless your heart first I'm very sorry for the loss of your wife. And one would hope that as your life goes on it if you didn't meet some nice lady the question I would have as I would have from my own mother. Is can you be comfortable. Talking to that lady and saying you know we need to discuss our our past and so that all the cards are on the table right. But it's a tough talk. And you can -- you know -- is up front if you have been on rating. Yeah. What would you what would you do that lie that's a problem that's a part of that major problem can and let me. You can guarantees. That your not gonna get as treaty if you're going to have. You can minimize. Your chances. If you used condom -- to T. And and you have to take that responsibility. Unfortunately. A lot of them American men refused to take that responsibility. When you were younger a lot of American -- but the responsibility. Of birth control on two women embody your age if you partners around your age. Presidencies not a concern as we're talking about asking these are things you would demand have take that responsibility. Because there's no field technique with perhaps six. With the exception of of female condoms which very few women that is going to give you any protection. Yard and a comment on that I appreciate your comment and again upon I'm sorry for the death of the wife. The Who. What we know is that although we thing is that when your group -- -- -- out. It was not the kind of thing that was an issue. Necessarily. And so the the thought of using a condom. Was not an issue. And so they have brought those ideas into the 60075. Year old where I don't need to use a condom. Now. To comment on what he said. Remember that. Already sexually transmitted diseases. To do occur. Generally. In people who have multiple partners. Rather than monogamous couples and so that plays a role here too. I also wanted to comment. -- this issue of the alarming statistics in those 65 and older. And I'm projecting now. But -- captaincy at. The issue that these statistics being brought to from the CDC. To attention of the United States preventive task force. And a recommendation. Be may be at age 65. With the new ACA act Affordable Care Act which allows for a preventive visit. Once a year that it be recommended. As and and a recommendation you know they have several recommendations ABC DE. -- and the highest that. Those 65 and older. During their preventive health visit paid for -- Medicare. That that be addressed by physicians. And it is up to the position. To address that issue and of course it's up to. The patient as well to bring it up if he doesn't. And that's what I see coming down the road and that's about it being tested for STD's and automatic on here my annual visit you're gonna check my. Blood sugar and you can check all these other things but you're also gonna -- me for STD's right. All right -- standards or at least area are you -- any symptoms. How could see that. You know blood levels who. With the antibodies. Being determined. Course the problem with that known as. STD's are asymptomatic until they present themselves. You know with a lesion. On the penis on the vaginal canal. Or a discharge or something along those lines. Are scanned rested develops in the secondary. Point of syphilis and know. I see. I can't say exactly what it might be. But some type of protocol would be instituted. With this is with these statistics. And they're only gonna get worse assembly. But you know you bring up a very valid point is about information and it's a little bit like what Kenneth -- I can't believe what he's hearing almost. But let's say everybody belongs to our ARP. They on the had big articles on May be there should literally be something and not being -- and all. A flyer that goes in to Social Security mailings way. You know are you aware of race right and all of a sudden people's eyes open up and sale or may not be happening to me. But it's -- it right now you're thinking in those terms sure. The most important. Getting the word out through journals and such is life is the way to -- -- Kenneth I really appreciate your call very much in an -- candor on this. We're gonna take another break but stay with us we'll be right back. As we talk about. All kinds of things after 65. We are talking about. A high rate in a growing rate of as TDs among those over the age of 65. With doctor Charles -- with -- issue and doctor Bruce king of Clemson. Formerly of UN now. Doctor King in in our thoughts about we got to get the word out I'm listening to use say. After thirty years of teaching kids young people in college. Nothing has changed their parents aren't talking any more today than they were thirty years ago. So your thoughts on how we can get the word out about this for people over 65 -- affect them. Well you know what I. Anecdotal. And only referring to my home. Classes all the numbers are huge talk over 50000. Students since you were known this course 660. Year old my course. Here right now nothing's changed in 33 years I don't see any progress been. Parent child communication. The general public does not read. Medical and the scientific journals like we do. I really liked the idea. They're getting the message out such as in AA RPC. Magazine. -- and it is not. Helping. Lots of which. Studies out that. Seeing the effects of references to sex are everywhere and. -- -- -- Only a small minority those scenes. Teach you anything about responsibility. And the consequences. So. Yes -- I think we have to find it. Outlet. A lot of people read among the older. Population are really like the idea of CR PC magazine terrific idea. Let me ask you what you both if you think of the effects of really the advertising and use of Viagra and -- Allen says this added to it. Yes I think that -- added to it like I think the testosterone preparations. Have added to it as well. Which are promoted totally direct. From drug company to consumer owned television. For simply nonspecific symptoms. Let the young and so I think that's a corollary to that. Is relative to background and salas and let nature and that is that. They use of these drugs. And with so many of these older people who may have either partial or complete. Impotence and then to use these drugs it makes some. Free to have sex and so that's definitely part of an in my opinion I don't know what Doctor King thanks. -- localization. Of these. Sexual feel sexual problem that applause sentences. Is is definitely. A very controversial. The issue. But I would agree that -- all of sudden have a generation of men who may have not. Been able to occasions sectional was -- this is made it. Available. To them and a lot of months to stop and think about the consequences. And again it goes back to the you know the comfort zone of once you were starting a new relationship at any age but certainly after 65 -- you've lived a little bit. And you and you have to be able to say to someone you know yes I've been widowed for ten years but I've had three other relationships -- yet let people know. An -- and in Canada and and so that's easy but it's it is the right thing to do it -- The biggest problem -- have been talked about how physicians and my course course some do with young people is the attitude. That young people in particular. That it won't happen to me. Look at any -- I mean every you know every windows as an example -- drinking and -- results themselves of -- he cheer great and many people continue to do it because I think it happened. To that. I think it's fair to say that this attitude among young people with sexually transmitted diseases. -- happen. To them is also true the older generation particularly sixty. And up and I think it is just educated people out for a couple of these things -- in the population it will come to the realization that it can. And emphasized that demographics do not protect you from these things. The biggest problem by with young people in the Portland area. Is people from certain demographics has convinced themselves. As an example if you were a white girl who went to all Catholic. High school. By the hit now that can't happen to me it just happens to. Other people well the same thing here is true with older people we do not acquire immunities. -- TDs as we as we grow older. You know the more people here of seven year old woman with syphilis they're gonna get the message it's a very crude way of saying it. But tragically -- instead of let's have a public discussion. You two -- the best I cannot thank you enough doctor Charles bloom and doctor Bruce -- Thank you thank you will be right. Well what an hour we've had I -- again thing doctor Bruce -- from Clemson who taught for so many years UN now. And doctor Charles Cephalon with LSU Health Science Center it's an important topic I think we're going to be talking about it again. We just have to be very alert after age 65 you still have to use protection and you still have to be very honest. I want to thank each and every one of before calling him and for listening and we'll be talking believe it or not. Businesses manners in the next hour I can't wait. One of my favorite people is going to be on the show a woman who teaches manners to businesses so happiest -- witness.