Please provide a paragraph or two in response to the discussion below. please do not provide a whole

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Please provide a paragraph or two in response to the discussion below. please do not provide a whole new discussion but more like agreeing to the one below by adding a little information. Please provide references within last five years


Explain what the data indicates about infections rates based on age, race, and gender.

The data indicates that in the state of Maryland, the overall rate of STD infections (syphilis, gonorrhea, and chlamydia) continues to increase. African Americans across all ages and in both male and female genders are disproportionality affected by syphilis, gonorrhea, and chlamydia. In 2019, the rate of syphilis infections in African American was much higher (32.0 per 100,000) than any other race/ethnicity (whites 6.0 per 100,000 and Hispanics 10.6 per 100,000). The rate of gonorrhea and chlamydia infections were also higher in African Americans than Caucasians and Hispanics.

There also seem to be a trend in age as well regarding the rate of STD infections. The rate of STD infections is higher in adolescents and young adults (between the ages 20-29) than any other age group. In 2019, the rate of chlamydial and gonorrheal infections were higher in young adults between the ages 20-24 (chlamydia 2856.4 per 100,000, gonorrhea 786.3 per 100,000) than older adults between the ages 35-39 (chlamydia 381.2 per 100,000, gonorrhea 231.4 per 100,000).

Lastly, in 2019, males were predominantly affected by STD infections than females across all ages and race/ethnicities. The rate of both syphilis and gonorrheal infections were higher in males (syphilis 25.5 per 100,000, gonorrhea 240 per 100,000) than females (syphilis 3.9 per 100,000 , gonorrhea 146.6 per 100,000) in 2019.

Identify evidence of disparities. Explain your rationale.

Evidence of disparities would be the fact that there are higher rates of STDs among some racial or ethnic minority groups compared to whites. These higher rates are likely due to limited access to health care amongst African American males between the ages of 20-29 who live in poverty-stricken neighborhoods with fewer job options due to low education levels which makes it more challenging for people to stay sexually health. Also this group is at high risk for engaging in risky behaviors.

Discuss biases or barriers that may contribute to disparities in STD rates in your state.

Many African American young adult males have a negative perception of the health-care system due to fearing discrimination and mistreatment from doctors and other health-care professionals as they are often misjudged or stereotyped. This could lead to apprehension about getting STD screenings and treated if necessary. In poverty-stricken areas where prevalence of STDs are significantly high, sexually active people may be more prone to contract an STD because they are at an increased risk of engaging in sexual activity with an infected partner.

Other barriers are limited or no access to healthcare and pride.


Return to the left side of the screen and change the geography indicator category to the United States. Discuss how rates in your state compare to those of the U.S. as a nation.

The rates of STD infections in the state of Maryland are similar to the rates of the U.S. as a nation. African Americans are disproportionately affected with all types of STD infections compared to other races/ethnicities. In 2018, African Americans had the highest reported rates of chlamydia, gonorrhea, and primary/secondary syphilis in the United States; with black males between age 20-24 having the highest rate of infection of all three types of STDs (CDC, 2020).

Describe two person-centered actions the nurse practitioner can use to promote STD self-care management for marginalized clients.

Provide a culture sensitive environment that is friendly and welcoming to all patients, paying close attention to at-risk patients who maybe apprehensive of medical care. This is a way to reassure the patient that this is a judgement free zone that’s free of bias and negative options but full of education and information on preventative measures.
Advocate for quality services that provides same day screening and treatment when and/or if available to prevent delay in diagnosing and treatment and educate patient of status and other valuable information.

Discuss opportunities for interprofessional collaboration to address disparities in STD rates.

Opportunities for interprofessional collaborations to address disparities could be utilized during community engagements such as health screening fairs or during patient referrals. During community health screening events several vendors and/or providers are usually present providing information about their services and primary preventative care measures. This would be a good time to discuss creating partnerships and interest in developing local STD prevention programs that would counteract health inequity .

Patient referrals is another way for interprofessional collaboration. This is a time when providers exchange information and knowledge about a diagnosis or treatment for a particular patient. Providers can exchange ideas on how to address dispartities in STD rates and create a standard of care that is conducive to lowering the incidence and prevalence of STD infections.  

NR 511


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