Aggregate Health Disparity in Alachua County,
Florida
Prevention of sexually transmitted infections in African American females ages
20-24 living in Alachua County, Florida
What is a sexually transmitted infection? Sexually transmitted infections (STIs), are generally acquired by sexual conduct. The organisms that cause sexually transmitted infections may pass from person to person in blood, semen or vaginal and other bodily fluids. Some such infections can also be transmitted nonsexually, such as from mother to infant during pregnancy or childbirth, or through blood transfusions or shared needles.
(Mayo Clinic, 2015)
+ Types of STIs
Bacterial
Vaginosis
Chlamydia
Genital Herpes
Gonorrhea
Hepatitis B
Hepatitis C
Human Papillomavirus
Lymphogranuloma Venereum (LGV)
Public Lice (Crabs)
Scabies
Syphillis
Trichmoniasis
Yeast Infections
(In The Know, 2015)
Symptoms
Burning when you urinate.
Sores, small bumps or blisters on or near your penis, vagina or anus.
Itching around your penis, vagina or anus.
Discharge from vagina or penis
Lower abdominal pain
Pain in the testicles.
Bleeding after intercourse or between periods.
Pain during sex or masturbation
Unusual bleeding during your period
Some STI’s have no symptoms at all, so you may not even know you have one unless you get tested.
(In The Know,
2015)
Demographics
This project will
20-24 years old
be focusing on females ages in Alachua County, Florida.
Alachua county is a college community
Demographics
Population
(2013)
• 253,451
Age (2013)
• Under 5 years: 5.6%
• Under 18 years: 18%
• 65 years and over: 12%
Gender
(2013)
Race
• Female: 51.7%
• Male: 48.3%
•
•
•
•
•
White: 71%
African American: 20.4%
American Indian: 0.3%
Asian: 5.7%
Hispanic or Latino: 8.9%
(United States Census Bureau,
Healthy People
+ 2020
Objectives
STD-1: Reduce the proportion of adolescents and young adults with
Chlamydia trachomatis infections
STD-2: (Developmental) Reduce Chlamydia rates among females aged
15 to 44 years
STD-3: Increase the proportion of sexually active females aged 24 years and under enrolled in Medicaid plans who are screened for genital
Chlamydia infections during the measurement year
STD4: Increase the proportion of sexually active females aged 24 years and under enrolled in commercial health insurance plans who are screened for genital Chlamydia infections during the measurement year
STD-5: Reduce the proportion of females aged 15 to 44 years who have ever required treatment for PID
STD-6: Reduce gonorrhea rates
STD-7: Reduce sustained domestic transmission of primary and seondary syphillis
STD-8: Reduce congenital syphillis
STD-9: (Developmental) Reduce the proportion of females with HPV infection
STD-10: Reduce the proportion of young adults with genital herpes infection due to herpes simplex type 2
(Office of Disease Prevention and Health Promotion, 2015)
+
Statistics
2012 Females ages 20-24 in Alachua County, FL
Diagnosed with STI by Race
Native
American
0
Evidence Based
Recommendations
Education and counseling of persons at risk on ways to avoid STIs through changes in sexual behaviors and use of recommended prevention services
Identification
of asymptomatically infected persons and of symptomatic persons unlikely to seek diagnostic and treatment services
Effective
diagnosis, treatment and counseling of infected persons
Evaluation,
treatment and counseling of sex partners who are infected with an STI.
Pre-exposure
vaccination of persons at risk for vaccine-preventable STIs.
(CDC, 2010)
Facts
•
More than 1 million people acquire a sexually transmitted infection every day. •
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