Primary post: write a 400 word essay using APA discussion qualities (excellent organization, grammar, spelling, citations, introduction, body and conclusion, 3 (or more) references).

You are a PHN assigned to a district that has a large ethnic population with a high incidence of consanguineous marriages.  The local community health clinic provides primary care to this population.  You are planning a pre-conception genetic education class that respects the users’ rights to informed consent and privacy. The education provided must be culturally sensitive, accurate, and respectful to long-held beliefs. To be informed, you review the 2019 evidence (article linked above).

Introduce and define Consanguinity (i.e., consanguineous marriages). 
Specify the genetic risks of consanguineous marriages. 
Identify global prevalence of consanguinity.  What are the five countries with the highest incidence of consanguineous marriages ( list percentages, too)? 
Identify two (2) U.S. communities that are at risk.
Discuss three (3) of the social/cultural beliefs that are predisposing or perpetuating factors for these consanguineous practices.
Discuss two factors that have reduced consanguinity in some populations. 
Discuss confidentiality issues:  Link to the following American Journal of Nursing website: (Links to an external site.) Discuss ethical and privacy issues you, as a PHN, must consider if/whether to disclose genetic information to

a spouse or
to relatives.
8. Conclude with your opinion of weighing the cultural issues and ethical obligations to inform the at-risk party of genetic risks, and, legal requirements to respect and protect the patient’s privacy.