Can a person diagnosed with the human papillomavirus have sex again? What is chlamydia? Why are water-based condoms best?
Golden Valley High School students asked these questions and more. This was not a sex education class, but a Q&A session with Kaiser Permanente Educational Theatre actor-health educators, following one of their first performances in Kern County, California aimed at reducing sexually transmitted disease rates.
The “What Goes Around” production stresses in a hip, nonjudgmental way how STDs such as chlamydia, genital herpes, gonorrhea, syphilis, HPV and the human immunodeficiency virus can be contracted through unprotected sex.
“We’re not here to tell you how to live your life – we want to provide accurate medical information so you can make informed decisions if you choose to be sexually active,” said actor-educator Ray Auxais as he and the other cast members answered the audience’s questions in the Bakersfield school’s auditorium.
“Abstinence is always an option, and will prevent getting an STD or becoming pregnant,” continued Auxais, who portrays Eli, a charming high school senior who contracts two STDs.
“Remember, it’s not about who you are, but what you do. Don’t be a statistic.”
Escalating STD rates
STD rates have reached record highs nationwide over the past two years, with California near the top. California had more chlamydia, gonorrhea, syphilis and congenital syphilis cases in 2016 than any other state in the country, according to the Centers for Disease Control and Prevention data.
The message is important to deliver in Kern County, where STD rates rank among the highest in the state. Kern County scored among the worst of California counties, with nearly 9,000 reported cases. Here’s how Kern County’s case totals compared to the state average:
- Chlamydia – 42 percent higher
- Gonorrhea – 23 percent higher
- Primary and secondary syphilis – 90 percent higher
- Congenital syphilis (transferred from infected mothers to unborn babies) – 344 percent higher
The rates reflect in part decreasing condom usage, a lack of public awareness about STDs, a dwindling number of STD clinics and an increase in STD testing, according to state health officials.
Youth are particularly at risk. One in four high school students becomes infected with an STD, and people age 15 to 24 account for nearly half of all STDs reported in the U.S., according to the CDC. To combat the issue, Kern County Public Health Services in 2016 launched “Know Your Risk,” a comprehensive, multiyear awareness campaign.
Some STDs including chlamydia, gonorrhea and syphilis can be cured, but if left untreated they can cause infertility or other serious health problems. Other STDs such as HIV, herpes and HPV are viral and can only be managed, not cured.
A relatable story
In “What Goes Around,” Eli cheats on his girlfriend Alicia (portrayed by Sandra Smith) with another girl he meets at a party. But when Eli realizes the second girl left him a “downtown souvenir,” he’s shocked. He thought he was safe from catching a disease since the girl was on birth control. When Eli’s friend convinces him to get tested at a clinic, he learns he has chlamydia and HPV. Now Eli must tell Alicia – but how?
Using oversized monitors, text messaging, music and social media technology, the hour-long production focuses on Eli’s dilemma as well as dispels common STD myths. The program also emphasizes:
- abstinence is the only risk-free option
- if a person is sexually active:
- getting tested is important, and
- only a condom can decrease the risk of contracting or spreading an STD
“The play was excellent,” said GVHS Principal Paul Helman. “It reached the kids at their level – very appropriate and relatable. It’s helping to break down barriers in talking about a difficult subject.”
“STD rates are climbing, especially in the African-American and Latino population,” said Kalvin Yu, MD, chief integration officer and physician lead for community benefits and public health, Southern California Permanente Medical Group. “’What Goes Around’ helps reach groups that don’t have access to health care or are growing up in a cultural environment where this subject is not discussed.”
“Because the students see the actors-educators more as peers, they feel more comfortable asking questions than in a conventional school setting or doctor’s office,” continued Yu, who is also an infectious diseases physician.
GVHS senior Stephanie Guzman, who plans to pursue a medical career, agreed the production is needed: “This was a good wake-up call. We had sex education in ninth grade but this is a reminder of things we may have forgotten.”
Fellow senior, Jayro Olvera, wishes more youth and adults had the opportunity to see “What Goes Around.” “If people in Bakersfield could watch this, everyone could come together as a community to affect the STD problem,” said Jayro, whose goal is to become a nurse anesthetist.
“What Goes Around” to reach entire KHSD
“What Goes Around” has been educating Southern California youth for the past 10 years, with more than 60,000 high schoolers seeing the performance annually. However, Kern High School District only recently gave the green light and adopted a more comprehensive sex education program to align with state requirements mandated by the California Healthy Youth Act.
“What Goes Around” debuted in November 2017 in KHSD to juniors and seniors at four campuses. By the end of the 2018-2019 school year, the district’s other 19 comprehensive and alternative high schools and more than 16,000 students will view the production.
“This is the first time our Educational Theatre is providing a program to an entire school district,” said Gerry Farrell, director, Educational Theatre. “By improving the health of our youth, we also are helping to improve the health of these communities.”
Educational Theatre is a free Kaiser Permanente Community Benefit program. For more than 30 years, it has used live theatre to help K-12 students and their families in at-risk communities develop healthy, lifelong habits. Educational Theatre offers six unique programs that address environmental social factors that impact good health, including violence in our communities, school bullying, STD prevention and nutrition.