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011<br />

<strong>Union</strong>-Endicott<br />

\N1-IA T IS YOUR PJ:SK?<br />

SEXUALLY TR..A.NSMll I=.D DISEP..SE<br />

Personal. Assessment<br />

Level: Grade 7 -12<br />

This is a private, anonymous activity. You will not be asked to share results of<br />

your assessment, so please answer the questions honestly. The purpose of this<br />

risk assessment tool is to help ;LQl.1. examine your own risk for getting an STD<br />

(Sexually transmitted disease) including HIV ¡.AIDS.<br />

l.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

7.<br />

8.<br />

9.<br />

10.<br />

Begin with zero ·1<br />

If you are 14-16 years old, add 5 points<br />

If you are 18-22. years old, add 7 points<br />

If you have never had sexual interc:ou...'"Se subtract 5 points<br />

If you have had sexual intercourse add 3 points for acll sex partner you<br />

have in the last two yeaxs ..<br />

Subtract 1 paint for each sex partner who you knew far at least six months<br />

before you had sex<br />

Subtractl point for each sex partner with whom you discussed STD's and<br />

past sex partners before having sex.<br />

Subtract 3 points if you always used a latex condom with spermicide for<br />

~ sex partner<br />

Subtract 1 point if you understand all the STD symptoms and would seek<br />

testing for STO's (including HIV testing) at regular intervals<br />

My personal risk score is: (total)<br />

No risk or low risk<br />

Moderate risk'<br />

Serious risk<br />

0-5 points<br />

6-10 points<br />

11+ points<br />

Reducing your risk for an STD is a matter of making choices<br />

a. Practice abstinence - not having sex is, obviously, a foolproof way to avoid.<br />

sexually transmitted diseases.<br />

b. Practice monogamy - having sex with onlyone partner who has sex only<br />

with you greatly reduces your risk.<br />

e. Practice prevention - use a latex condom (also known as a "rubber" or<br />

prophylactic"). Properly used, a condom will prevent many STD's.<br />

Diaphragms, spern:úcidal foams, and jellies, containing a nànoxynol-9<br />

type spermicide may add extra protection when used with a latex condom<br />

d. . Reduce your number of partners - the more partners you have, the more<br />

you increase your c.ha.nce of getting an STO<br />

e. Behave responsibly with partne...-s - discuss health concerns with partners<br />

and know STO sym.ptoms.<br />

£. Request tests for STDs and HIVbefore becoming pregnant and if already<br />

pregnant '. .. oo'<br />

I can reduce my risk by ---<br />

AdaplCd: by Eiken Ponto Î!'OmAmerican Social Hc:a.lth Associanon .<br />

1 ill<br />

.'

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