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in this course, the assignments build on each other. You will select a health issue that is of national (U.S.) or global significance. Each week you will develop part of the final assignment, including explaining the health issue, doing an annotated bibliography about health policy related to this issue, and identifying a potential solution that you will present as a policy brief to stakeholders. Do not select a disease to write about, rather, an issue. Example: Diabetes is not an appropriate health issue. Lack of diabetic screening services in rural, low-income communities is. Write a formal APA paper on your three three (3) identified national and/or global health issues. Use the material in Unit 1 readings to help you think about your top health issues. Think beyond disease-specific problems to issues related to health. At the end of the course you will move from a health issue to health policy. This paper should be between 2-4 pages and include: a title page, an introduction and conclusion, in-text citations, and references that include at least three scholarly, credible sources to support your topic No abstract is needed Title and references pages do not count in the page total Please use the following subheadings below as APA headings in the body of your paper: Explanation of your personal views of health, based on your readings Identify 3 health issues of significance to a selected group of people. One must be a global issue. Identify the issue and the group(s) affected Give a brief overview of each issue For this assignment, you can use the personal pronoun of “I” since this paper is a reflection of your understanding. Health Threat: HIV prevalence is higher in urban areas compared to rural areas. Mexico and the United States.HIV prevalence is higher in urban areas particularly border cities like Tijuana, Ciudad Juarez (Mexico) and San Diego, California, El Paso, Texas (United States). It is possible to compare the prevalence of HIV in Mexico to the United States. Mexico’s national HIV prevalence is approximately 0.3%, ranking it among the lowest in the Americas. In comparison, the HIV prevalence in the United States is higher, though specific figures are not included in the current data. HIV continues to be a major public health concern worldwide. Although both Mexico and the United States have taken important steps to address the virus, the rate of infection, contributing risk factors, and approaches to prevention and treatment vary between the two countries. Factors influencing HIV rates in Mexico: Migration: the frequent movement of people in border areas results in intricate transmission patterns. Poverty and lack of access to quality healthcare. It hampers prevention, testing, and treatment efforts. Sex Trade activity: regions with high infection rates often experience a rise in commercial sex work, which, in the absence of protective measures, can increase the spread of the virus. Factors influencing HIV rates in the united States Healthcare Inequities: Unequal access to healthcare, especially in Southern regions, leads to increased HIV prevalence in marginalized groups. Substance use: The use of injectable drugs is still a major risk factor, with shared needles playing a role in spreading the virus. Gaps in Prevention: Even though Pre-Exposure Prophylaxis (PrEP) is accessible, its usage among those at high risk is still insufficient. Potential ways to address this health threat for both countries from a nursing perspective. Improving Public health Education Mexico: nurses can take the lead in community education programs to lessen the the stigma surrounding HIV and boost awareness about prevention and treatment options. Also building stronger collaborations among healthcare providers can lead to a more inclusive healthcare system that caters to the needs of vulnerable groups. United States: Creating culturally appropriate educational resources for border communities can help in reducing HIV infections. Also by broadening Medicaid and other support programs in border regions, healthcare access for at-risk populations can be significantly improved. Both Countries: Nurses can champion the expansion of access to condoms, pre-exposure prophylaxis (PrEP), and regular HIV testing, with a focus on high-risk regions. Questions for further research: How do individuals in these regions currently access healthcare, and what barriers remain? What role does substance abuse play in HIV transmission in these regions, and what programs exist to address this issue? What culturally tailored strategies can nurses implement to address stigma and promote HIV testing in diverse communities? References: McIntyre, A. C., Cody, S. L., Ezemenaka, C. J., Johnson, K., Mugoya, G., & Foster, P. (2025). HIV Knowledge, Risk Factors, and Utilization of Services in the US Rural Deep South. Journal of Racial & Ethnic Health Disparities, 12(1), 241-249. https://6o30797o3-mp02-y-https-doi-org.prx-herzing.lirn.net/10.1007/s40615-023-01868-z Simha, A., Prasad, R., Ahmed, S., Dinesh, A. S., & Rao, N. P. (2023). Effect of national cultural dimensions and HIV prevalence rates on stigma towards people living with HIV/AIDS. Psychology, Health & Medicine, 28(10), 2908-2914. https://6o30797o3-mp02-y-https-doi-org.prx-herzing.lirn.net/10.1080/13548506.2022.2057557 Jara, A. G., Tekle, M. T., Sema, F. D., Mekonen, B. T., Ergena, A. E., Tesfaye, A. H., Gebremariam, S. N., Abebe, R. B., Belachew, E. A., Tafese, A. M., Mehari, E. A., & Imran, A. (2024). Self‐Management and Its Associated Factors Among People Living With HIV at University of Gondar Comprehensive Specialized Hospital: A Cross‐Sectional Study. BioMed Research International, 2024, 1-11. https://6o30797o3-mp02-y-https-doi-org.prx-herzing.lirn.net/10.1155/2024/5590331

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