+By: Courtney Parker

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

AsianAfrican
Pac.
American
Islander
1

370

White

Hispanic

Unk Race

157

14

208

2012 Diagnosed with STI by Sex
Female
Male
0%

10% 20% 30% 40% 50% 60% 70% 80%
(Florida Health, 2015)

+

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. •

Each year, an estimated 500 million people become