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These older adults are more likely to be diagnosed with HIV later in the course of their disease, usually because they are unaware of risk factors.For women, the major risk factor is having sex with a man infected with HIV, which accounted for 86% of new HIV cases in women in 2015.
Statistics on STIs such as trichomoniasis, genital herpes, and human papillomavirus are generally lacking for this age group (the CDC does not recommend routine collection of surveillance data in these cases, although a few jurisdictions/states have initiated collection of such data). This extent is especially apparent with regard to syphilis, the incidence of which has tripled among adults aged 50 , from 2.1 cases per 100,000 individuals in 2001-2002 to 6.3 cases per 100,000 individuals in 2014.
Although some of these women came of age during the Sexual Revolution of the 1960s, their parents, from a more conservative generation, may not have discussed sex with them when they were children.