Some providers have avoided the discussion of sexual health with their patients because they fear it will present a level of discomfort for the patient or themselves.
As an African-American female who has worked in public health for 20 years I am a little exhausted of the slow progress that the United States has made concerning health equity for minority populations.
American Indian and Alaska Native communities represent smaller numbers but higher risks for STD infection than those found in other sub-groups in the U.S. population. Addressing these requires focused strategies.