WGU D588 HUMAN SEXUALITY TASK 1 – COMMUNITY
SELECTION & INTERVENTION LGBTQ+ HIV/STI Health
Inequities Analysis COMPREHENSIVE TASK GUIDE WITH
EVIDENCE-BASED INTERVENTION PROPOSAL
TASK OVERVIEW
This performance assessment requires you to select a specific community, analyze
a sexual health inequity affecting that community, and propose an evidence-
based intervention to address the inequity. Your submission should demonstrate:
1. Community Selection – Identification of a specific community experiencing
sexual health disparities
2. Health Inequity Analysis – Examination of the root causes, social
determinants, and data supporting the inequity
3. Intervention Proposal – An evidence-based, culturally tailored intervention
designed to reduce the inequity
4. Rationale and Evaluation – Justification for the intervention and methods
for evaluating effectiveness
PART 1: COMMUNITY SELECTION
Selected Community: LGBTQ+ Individuals (with focus on gay, bisexual, and other
men who have sex with men [GBMSM] and transgender women)
Justification for Selection:
The LGBTQ+ community experiences profound and persistent sexual health
inequities, particularly related to HIV and other sexually transmitted infections
(STIs). These disparities are not biological but are driven by systemic and
structural barriers including stigma, discrimination, lack of access to quality care,
and social determinants of health. Selecting this community allows for a
, meaningful analysis of how social, cultural, and political forces shape sexual
health outcomes.
Supporting Data:
• HIV Prevalence: Transgender women have an estimated HIV prevalence of
14–19%, the highest of all priority populations in the United States.
• Racial Disparities: Black and Latino transgender people accounted for 88%
of new HIV diagnoses among transgender individuals in 2024, underscoring
severe racial and ethnic inequities.
• Barriers to Care: Transgender women living with HIV report higher rates of
food insecurity (34% vs. 18%), unstable housing or homelessness (33% vs.
18%), and lower rates of viral suppression (66% vs. 74%) compared to
cisgender men.
• STI Rates: Bacterial STI rates are increasing and disproportionately affect
youth, racial and ethnic minorities, and gay and bisexual men.
PART 2: HEALTH INEQUITY ANALYSIS
2.1 Root Causes and Social Determinants
The HIV/STI inequities affecting the LGBTQ+ community are rooted in a complex
interplay of social, structural, and systemic factors:
Stigma and Discrimination:
• Stigma associated with STIs, sexual health, and HIV creates significant
barriers to care engagement.
• Pervasive heterosexism and discrimination limit access to tailored HIV
prevention information and services.
• In 2024, over 500 anti-LGBTQ+ bills swept through U.S. legislatures,
targeting access to gender-affirming care, inclusive education, and LGBTQ+
visibility itself.
SELECTION & INTERVENTION LGBTQ+ HIV/STI Health
Inequities Analysis COMPREHENSIVE TASK GUIDE WITH
EVIDENCE-BASED INTERVENTION PROPOSAL
TASK OVERVIEW
This performance assessment requires you to select a specific community, analyze
a sexual health inequity affecting that community, and propose an evidence-
based intervention to address the inequity. Your submission should demonstrate:
1. Community Selection – Identification of a specific community experiencing
sexual health disparities
2. Health Inequity Analysis – Examination of the root causes, social
determinants, and data supporting the inequity
3. Intervention Proposal – An evidence-based, culturally tailored intervention
designed to reduce the inequity
4. Rationale and Evaluation – Justification for the intervention and methods
for evaluating effectiveness
PART 1: COMMUNITY SELECTION
Selected Community: LGBTQ+ Individuals (with focus on gay, bisexual, and other
men who have sex with men [GBMSM] and transgender women)
Justification for Selection:
The LGBTQ+ community experiences profound and persistent sexual health
inequities, particularly related to HIV and other sexually transmitted infections
(STIs). These disparities are not biological but are driven by systemic and
structural barriers including stigma, discrimination, lack of access to quality care,
and social determinants of health. Selecting this community allows for a
, meaningful analysis of how social, cultural, and political forces shape sexual
health outcomes.
Supporting Data:
• HIV Prevalence: Transgender women have an estimated HIV prevalence of
14–19%, the highest of all priority populations in the United States.
• Racial Disparities: Black and Latino transgender people accounted for 88%
of new HIV diagnoses among transgender individuals in 2024, underscoring
severe racial and ethnic inequities.
• Barriers to Care: Transgender women living with HIV report higher rates of
food insecurity (34% vs. 18%), unstable housing or homelessness (33% vs.
18%), and lower rates of viral suppression (66% vs. 74%) compared to
cisgender men.
• STI Rates: Bacterial STI rates are increasing and disproportionately affect
youth, racial and ethnic minorities, and gay and bisexual men.
PART 2: HEALTH INEQUITY ANALYSIS
2.1 Root Causes and Social Determinants
The HIV/STI inequities affecting the LGBTQ+ community are rooted in a complex
interplay of social, structural, and systemic factors:
Stigma and Discrimination:
• Stigma associated with STIs, sexual health, and HIV creates significant
barriers to care engagement.
• Pervasive heterosexism and discrimination limit access to tailored HIV
prevention information and services.
• In 2024, over 500 anti-LGBTQ+ bills swept through U.S. legislatures,
targeting access to gender-affirming care, inclusive education, and LGBTQ+
visibility itself.
