n adolescent girls, 31,000 occur in girls under fifteen (Shafer & Sweet 1995). Sexually transmitted diseases have both short and long term consequences. In a recent study fifteen to nineteen-year-olds accounted for twenty-four percent of all reported cases of gonorrhea (Orr, Wilbrant, & Brack 1998). The incidence of chlamydia of infertility is reported to be five to thirty percent in sexually active teenagers (Orr, Wilbrandt & Brack 1998). A DNA study shows human papillomavirus (HPV) or genital warts is present in eighteen to thirty-three percent in sexually active females aged fourteen to twenty-four (Orr, Wilbrandt & Brandt 1998). Racial and socioeconomic differences put some populations at an even higher risk for sexually transmitted diseases. Sexually active African American women are at twice the risk of developing the pelvic inflammatory disease than Caucasian women. Persons aged thirteen to twenty-one represent one percent of all cases of the acquired
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