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Articles 15271 - 15300 of 18144
Full-Text Articles in Entire DC Network
Epidemiological Study Of Contributing Factors In The Development Of Peptic Ulcer And Gastric Cancer Initiated By Helicobacter Pylori Infection In India, Rahul Suresh Mhaskar
Epidemiological Study Of Contributing Factors In The Development Of Peptic Ulcer And Gastric Cancer Initiated By Helicobacter Pylori Infection In India, Rahul Suresh Mhaskar
USF Tampa Graduate Theses and Dissertations
Background: Helicobacter pylori (H. pylori) infection is a significant risk factor for peptic ulcer (PU) and gastric cancer (GC). Apart from the virulent CagA genotype of H. pylori environmental and dietary factors influence disease outcomes. There have been no studies addressing these factors in Western India. Hence, we conducted a case control study enrolling PU, GC patients and controls at Pune, India.
Methods: Risk factors for PU and H. pylori infection were assessed in participant interview. H. pylori status was assessed from stool by monoclonal antigen detection. To understand treatment effect, we followed 100 H. pylori positive patients.
Results: We …
Racial Disparities In Healthcare: Challenges Faced By Hispanic Populations, Kaitlin Mcdowell
Racial Disparities In Healthcare: Challenges Faced By Hispanic Populations, Kaitlin Mcdowell
Honors Projects
No abstract provided.
The Ingredients Of Change: A Political Ecology Approach To Diabetes In The Somali Community Of Minnesota, Mina Tehrani
The Ingredients Of Change: A Political Ecology Approach To Diabetes In The Somali Community Of Minnesota, Mina Tehrani
Geography Capstone Projects
In the early 1990’s, due to political circumstances at home, Somali immigrants and refugees began arriving in the state of Minnesota in large numbers. Over the past two decades, Somali immigrants have come to comprise one of the most populous ethnic groups in the Twin Cities, and are the largest Somali population in the world outside of Eastern Africa. Although quantitative data is unavailable, qualitative evidence and testimonies of healthcare professionals support the conclusion that Somali immigrants in Minnesota suffer from higher rates of diabetes than non-immigrant groups and than they likely did before migration. Why might this be the …
Evaluation Of Be Wise About Your Portion Size: A Nutrition Education Program For Floridians, Andrea C. Goosen, Laura K. Guyer, Linda B. Bobroff
Evaluation Of Be Wise About Your Portion Size: A Nutrition Education Program For Floridians, Andrea C. Goosen, Laura K. Guyer, Linda B. Bobroff
Florida Public Health Review
In the U.S., obesity is recognized as a growing epidemic whose increased prevalence among adults, children and adolescents present major health concerns. It is the second leading cause of preventable death, surpassed only by tobacco use. Research indicates that controlling the portion sizes of food is an effective way to lose and maintain weight loss. The nutrition education program, “Be Wise about Your Portion Size (BWPS),” was developed in 2005 by the Florida Interagency Food and Nutrition Committee (FIFNC) to support the efforts of community-based nutrition educators. The resource manual provides background information about obesity, consumer handouts, and lesson plans …
Wandering The Web -- To Your Good Health: Health Websites For Parents, Teens, And Kids, Carol L. Watwood
Wandering The Web -- To Your Good Health: Health Websites For Parents, Teens, And Kids, Carol L. Watwood
DLPS Faculty Publications
Parents, children, and teens are frequent users of health information on the Web. The Medical Library Association, the HONcode designation, and a checklist of quality indicators can be used to find and evaluate information on the Web. Some sites are designed to engage children; others are more suitable for adults or for homework assignments. A list of suggested sites is given.
Coronary Heart Disease Knowledge And Risk Factors Among Filipino-Americans Connected To Primary Care Services, Alona N. Dalusung-Angosta
Coronary Heart Disease Knowledge And Risk Factors Among Filipino-Americans Connected To Primary Care Services, Alona N. Dalusung-Angosta
Nursing Faculty Research
Coronary heart disease (CHD) is the leading cause of death of Filipino-Americans (FAs). Despite the growing numbers of FAs in the United States, little is known about their CHD knowledge and risk factors.
The purposes of this study were to examine the baseline knowledge and risk factors of CHD among FAs and to describe the relationships between knowledge, sociodemographic, and socioeconomic characteristic variables of FAs between the ages of 35-75 years.
The study sample consisted of 120 FAs (N = 120) who were connected to primary care services. Data were collected from three primary care clinics in Las Vegas, …
The Development And Psychometric Testing Of A Hypertension Knowledge Instrument In A Vulnerable Population, Crescent Elayne Rowell
The Development And Psychometric Testing Of A Hypertension Knowledge Instrument In A Vulnerable Population, Crescent Elayne Rowell
Theses and Dissertations (ETD)
The primary objective of the study was to assess the psychometric properties of a hypertension knowledge instrument in a vulnerable population. The secondary objective was to determine the association between hypertension knowledge and outcomes such as systolic and diastolic blood pressure and hemoglobin A1c.
A cross-sectional study was conducted using a convenience sample of 196 adults aged 18 years and older with hypertension. Item analysis was conducted to determine the reliability of the instrument. The factor structure was determined and confirmed using exploratory factor analysis and confirmatory factor analysis, respectively. Logistic regression analysis was used to determine the association between …
Women As Subject And Audience In World War Ii Venereal Disease Posters, Kyra Whitton
Women As Subject And Audience In World War Ii Venereal Disease Posters, Kyra Whitton
Dissertations, Theses and Capstone Projects (Full IR Collection)
Internationally, venereal disease first became a major health concern during World War I. Venereal diseases were some of the most common infections and led to more hospitalizations among soldiers than wounds or battle-related illness. The Selective Service discovered that almost fifteen percent of those who were eligible for the draft were already infected with a venereal disease, sparking an intense anti-venereal disease campaign across America. Red-light districts were shut down, and American cities sought new laws that would criminalize prostitution to protect young men from contracting a venereal infection.
Though venereal disease rates were still high during World War II, …
The Role Of Ambient Air Pollution In The Occurrence Of Emphysema, Shiva Metghalchi
The Role Of Ambient Air Pollution In The Occurrence Of Emphysema, Shiva Metghalchi
Loma Linda University Electronic Theses, Dissertations & Projects
Emphysema is the most common cause of death from respiratory disease in the United States. Emphysema is most common among people aged 50 and older. Those with a genetic predisposition to emphysema may experience the onset as early as their thirties or forties. Men are more likely than women to develop emphysema, but female cases are increasing as the number of female smokers rises.
In the past few years, etiological and pathogenic research has been carried out in an attempt to determine the reason for an increase in deaths and other health problems associated with air pollution, and there have …
Concurrent Sexual And Substance-Use Risk Behaviours Among Female Sex Workers In Kenya's Coast Province: Findings From A Behavioural Monitoring Survey, Simon Pierre Tegang, S. Abdallah, G. Emukule, Stanley Luchters, Nzioka Kingola, M. Barasa, Stephen Mucheke, P. Mwarogo
Concurrent Sexual And Substance-Use Risk Behaviours Among Female Sex Workers In Kenya's Coast Province: Findings From A Behavioural Monitoring Survey, Simon Pierre Tegang, S. Abdallah, G. Emukule, Stanley Luchters, Nzioka Kingola, M. Barasa, Stephen Mucheke, P. Mwarogo
Population Health, East Africa
While many studies confirm the association between HIV, alcohol and injecting drug use by female sex workers (FSWs), little is known about their use of marijuana, khat and other substances and the association of these substances with HIV, risky sexual behaviour, and sexual violence. To better understand this association, data were analysed from a cross-sectional, behavioural survey of 297 FSWs in Mombasa, a well-known tourist destination and the second largest port in Africa and capital city of the Coast Province in Kenya. Among the FSWs, lifetime use of different substances was reported by 91% for alcohol, 71% for khat, 34% …
Physical Activity: The Future Of Learning?, Michael W. Beets, Amanda E. Paluch, Edward C. Archer, Steven N. Blair
Physical Activity: The Future Of Learning?, Michael W. Beets, Amanda E. Paluch, Edward C. Archer, Steven N. Blair
Faculty Publications
No abstract provided.
Vertical Transmission Of West Nile Virus In Culex Spp. Mosquitoes Of Clark County, Nevada, Vivek K. Raman
Vertical Transmission Of West Nile Virus In Culex Spp. Mosquitoes Of Clark County, Nevada, Vivek K. Raman
UNLV Theses, Dissertations, Professional Papers, and Capstones
West Nile Virus (WNV) is an RNA arbovirus that cycles between mosquitoes and birds, but also infects and causes disease in humans, horses and other vertebrate species. Although most infections are asymptomatic, WNV has emerged as the most common cause of epidemic meningoencephalitis in North America and the leading cause of arboviral encephalitis in the United States.
Mosquitoes of the genus Culex are the most active vectors of WNV in North America. Approximately 85% of human WNV infections in the United States occur in late summer with a peak number of cases in August and September. Vertical transmission is defined …
Effects Of Environmental Prompts On Stair Usage, Lori Andersen
Effects Of Environmental Prompts On Stair Usage, Lori Andersen
UNLV Theses, Dissertations, Professional Papers, and Capstones
The objective of this study was to evaluate whether environmental prompts placed in two-story buildings on a university campus would increase stair usage. Three buildings were used. One served as a control, while the other two received an intervention. Participants of three buildings were observed taking the stairs and elevator for seven weeks. Baseline data was collected; signs were introduced, and then removed during this time period. Approximately 2700 observations were collected. Environmental prompts did not appear to increase stair usage. There were significant differences in the amount of stair users between buildings. The stair usage rates of this particular …
The Determinants Of Colorectal Cancer Survival Disparities In Nevada, Lucas N. Wassira
The Determinants Of Colorectal Cancer Survival Disparities In Nevada, Lucas N. Wassira
UNLV Theses, Dissertations, Professional Papers, and Capstones
Different population groups across Nevada and throughout the United States suffer disproportionately from colorectal cancer and its after-effects. Overcoming cancer health disparities is important for lessening the burden of cancer. There has been an overall decline in the incidence of and mortality from colorectal cancer (CRC). This is likely due, in part, to the increasing use of screening procedures such as Fecal Occult Blood Test (FOBT) and/or endoscopy, which can reduce the risk of CRC mortality by fifty percent. Nevertheless, screening procedures are routinely used by only fifty percent of Americans aged fifty years and older. Despite overall mortality decreasing …
Coronary Heart Disease Mortality And Long-Term Exposure To Ambient Particulate Air Pollutants In Elderly Nonsmoking California Residents, Lie Hong Chen
Loma Linda University Electronic Theses, Dissertations & Projects
The purpose of this study is to assess the effect of long-term concentrations of ambient PM on risks of all causes, cardiopulmonary, coronary heart disease (CHD), total cancer, and any mention of nonmalignant respiratory disease (NMRD) mortality.
The health effects of long-term ambient air pollution have been studied with up to 30 years of follow-up in the AHSMOG cohort, a cohort of 6,338 nonsmoking white California adults. Monthly concentrations of ambient air pollutants [particulate matter(PMio), Ozone (O3), sulfur dioxide (SO2), nitrogen dioxide (NO2) or particulate matter
In the AHSMOG cohort, each increment of 10 |ig/m3 in PMio in two-pollutant models …
Effects Of Acculturation On Hiv/Aids Sexual Risk Behaviors Among Asian And Pacific Islander (Api) Women, Margaret Cabotage Salud
Effects Of Acculturation On Hiv/Aids Sexual Risk Behaviors Among Asian And Pacific Islander (Api) Women, Margaret Cabotage Salud
Loma Linda University Electronic Theses, Dissertations & Projects
Background. In the US women are the fastest growing group for sexually transmitted infections (STIs), including HIV and AIDS. In addition, the estimated AIDS cases among female adults and adolescents, aged 13-19, increased from 7% in 1985 to approximately 26% in 2002. Most infections occur by heterosexual transmission with 53% occurring through contact with a high-risk sexual partner. While overall HIV/AIDS rates in the Asian Pacific Islander (API) community remain low, they are rising and HIV testing rates, one of the major prevention strategies for HIV, are lower than that of other populations. Furthermore, very little is known about APIs …
Parental Attitudes And Perceptions Related To Their Children's Physical Activity And Eating Patterns, Megan Leatham Dubois
Parental Attitudes And Perceptions Related To Their Children's Physical Activity And Eating Patterns, Megan Leatham Dubois
All Graduate Theses and Dissertations, Spring 1920 to Summer 2023
Children's physical inactivity and poor eating patterns have received a great deal of attention in our country and worldwide. Studies have been conducted to identify determinates related to children's physical activity and eating patterns and to identify strategies for promoting positive behaviors. Parental support is a well-accepted determinate of children's physical activity and eating patterns. However, little qualitative research has been done to determine parental attitudes and perceptions related to this critical role.
First, the study sought to gain a greater understanding of parental perspectives on their children's physical activity and eating patterns. Second, the study examined parental attitudes and …
Diabetes And Co-Morbid Depression Among Racially Diverse, Low-Income Adults, Chandra Y. Osborn, Kushal A. Patel, Jianguo Liu, Hollister W. Trott, Maciej S. Buchowski, Margaret K. Hargreaves, William J. Blot, Sarah S. Cohen, David G. Schlundt
Diabetes And Co-Morbid Depression Among Racially Diverse, Low-Income Adults, Chandra Y. Osborn, Kushal A. Patel, Jianguo Liu, Hollister W. Trott, Maciej S. Buchowski, Margaret K. Hargreaves, William J. Blot, Sarah S. Cohen, David G. Schlundt
Public Health, Health Administration, and Health Sciences Faculty Research
Background
Research suggests individuals with diabetes are twice as likely as those without diabetes to be clinically depressed. Still unknown is the relationship between diabetes and depression in socioeconomically disadvantaged populations. Purpose
We examined the relationship between diabetes and depressive symptoms in a large, racially diverse, low-income cohort in the southeastern USA. Methods
A total of 69,068 adults were recruited from community health centers in 12 southeastern states. A fully adjusted polytomous logistic regression model tested the relationship between demographics, lifestyle behaviors, antidepressant use, body mass index, diabetes diagnosis, diabetes duration, diabetes medication compliance, and depressive symptoms using the Centers …
Community-Based Intervention Packages For Reducing Maternal And Neonatal Morbidity And Mortality And Improving Neonatal Outcomes, Zohra S. Lassi, Batool A. Haider, Zulfiqar Ahmed Bhutta
Community-Based Intervention Packages For Reducing Maternal And Neonatal Morbidity And Mortality And Improving Neonatal Outcomes, Zohra S. Lassi, Batool A. Haider, Zulfiqar Ahmed Bhutta
Woman and Child Health
Background: While maternal, infant and under-five child mortality rates in developing countries have declined significantly in the past two to three decades, newborn mortality rates have reduced much more slowly. While it is recognised that almost half of the newborn deaths can be prevented by scaling up evidence-based available interventions such as tetanus toxoid immunisation to mothers, clean and skilled care at delivery, newborn resuscitation, exclusive breastfeeding, clean umbilical cord care, management of infections in newborns, many require facility based and outreach services. It has also been stated that a significant proportion of these mortalities and morbidities could also be …
Inactivation Of Ascaris Suum By Ammonia In Feces Simulating The Physical-Chemical Parameters Of The Solar Toilet Under Laboratory Conditions, Ligia Maria Cruz Espinoza
Inactivation Of Ascaris Suum By Ammonia In Feces Simulating The Physical-Chemical Parameters Of The Solar Toilet Under Laboratory Conditions, Ligia Maria Cruz Espinoza
USF Tampa Graduate Theses and Dissertations
Access to sustainable sanitation systems is a determining factor in human health and economic development. However, more than a third of the world’s population lives without access to improved sanitation facilities. To meet the sanitation United Nations Millennium Development target, "halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation", a wide range of non conventional sanitation technologies have been implemented in developing countries, including waterless systems. These systems function by diverting urine away from feces and collecting, storing, and dehydrating the fecal material in watertight dehydration vaults. From a public …
The Relative Influence Of Demographic, Individual, Social, And Environmental Factors On Physical Activity Among Boys And Girls, Carrie D. Patnode, Leslie A. Lytle, Darin J. Erickson, John R. Sirard, Daheia J. Barr-Anderson, Mary Story
The Relative Influence Of Demographic, Individual, Social, And Environmental Factors On Physical Activity Among Boys And Girls, Carrie D. Patnode, Leslie A. Lytle, Darin J. Erickson, John R. Sirard, Daheia J. Barr-Anderson, Mary Story
Faculty Publications
Background: This study aimed to evaluate the associations of selected demographic, individual, social, and environmental factors with moderate-to-vigorous physical activity (MVPA) in a sample of children and adolescents.
Methods: MVPA was assessed among youth (n = 294) 10-17-years-old using the ActiGraph accelerometer. Youth completed measures of demographic and individual variables related to physical activity (PA), perceived social support by parents and peers, and perceived neighborhood characteristics. Parents completed the long-form of the International Physical Activity Questionnaire. The Physical Activity and Media Inventory was used to measure the home environment and Geographical Information Systems software was used to measure the physical …
Building Capacity For Public And Population Health Research In Africa: The Consortium For Advanced Research Training In Africa (Carta) Model, Alex C. Ezeh, Chimaraoke O. Izugbara, Caroline W. Kabiru, Sharon Fonn, Kathleen Kahn, Lenore Manderson, Akinyinka Omigbodun, Margaret Thorogood, Ashiwel S. Undieh
Building Capacity For Public And Population Health Research In Africa: The Consortium For Advanced Research Training In Africa (Carta) Model, Alex C. Ezeh, Chimaraoke O. Izugbara, Caroline W. Kabiru, Sharon Fonn, Kathleen Kahn, Lenore Manderson, Akinyinka Omigbodun, Margaret Thorogood, Ashiwel S. Undieh
Publications and Research
Background: Globally, sub-Saharan Africa bears the greatest burden of disease. Strengthened research capacity to understand the social determinants of health among different African populations is key to addressing the drivers of poor health and developing interventions to improve health outcomes and health systems in the region. Yet, the continent clearly lacks centers of research excellence that can generate a strong evidence base to address the region’s socio-economic and health problems. Objective and program overview: We describe the recently launched Consortium for Advanced Research Training in Africa (CARTA), which brings together a network of nine academic and four research institutions from …
More Collaboration - More Power In Combating Ill Health, Ilkka Vuori, Steven N. Blair, Fiona C. Bull, Peter T. Katzmarzyk
More Collaboration - More Power In Combating Ill Health, Ilkka Vuori, Steven N. Blair, Fiona C. Bull, Peter T. Katzmarzyk
Faculty Publications
This symposium highlighted the position of physical activity as one of the most important factors causally related to common non-communicable diseases (NCDs), and discussed the need for including physical activity in comprehensive prevention strategies and policies to combat the major NCDs. Lifestyle factors such as smoking, physical inactivity, and obesity are all major risk factors for ischemic heart disease, cerebrovascular disease, and several cancers, and physical inactivity globally ranks as the fourth leading risk factor for mortality. Despite the solid evidence that physical activity is related to several NCDs, stronger advocacy actions are required because physical activity is not viewed …
Age-Related Changes In Types And Contexts Of Physical Activity In Middle School Girls, Russell R. Pate, James F. Sallis, Dianne S. Ward, June Stevens, Gregory J. Welk, Deborah Rohm Young, Jared B. Jobe, Patricia K. Strikmiller
Age-Related Changes In Types And Contexts Of Physical Activity In Middle School Girls, Russell R. Pate, James F. Sallis, Dianne S. Ward, June Stevens, Gregory J. Welk, Deborah Rohm Young, Jared B. Jobe, Patricia K. Strikmiller
Faculty Publications
Background - Because girls are less physically active than boys, it is important to understand the types of activities preferred by girls, and changes in those preferences over time, in order to design effective physical activity interventions.
Purpose - To describe developmental trends in participation in specific forms of physical activity in 6th- and 8th-grade girls.
Methods - Data for this study are from the Trial of Activity for Adolescent Girls. Self-reported physical activity, anthropometric, and demographic data were collected from random cross sections of 6th-grade girls in 36 middle schools in six U.S. communities. The same data were collected …
Roundtable On The National Health Security Strategy And At‐Risk Individuals, Behavioral Health, And Community Resilience, Daniel B. Fagbuyi, +Conference Participants
Roundtable On The National Health Security Strategy And At‐Risk Individuals, Behavioral Health, And Community Resilience, Daniel B. Fagbuyi, +Conference Participants
GW mHealth Collaborative
No abstract provided.
Characterization Of The Role Of Nicotine And Delta 9-Thc In Modulation Of Neuroinflammation, Jared C. Ehrhart
Characterization Of The Role Of Nicotine And Delta 9-Thc In Modulation Of Neuroinflammation, Jared C. Ehrhart
USF Tampa Graduate Theses and Dissertations
Neuroinflammation is a major driving force in the progression of neurodegenerative disorders. Nicotinic acetylcholine receptors, as well as cannabinoid CB2 receptors, have been shown to have strong anti-inflammatory properties when activated. These effects are shown, in vivo, to be a result of stimulation of α7 nAChRs and CB2 cannabinoid receptors. Microglia cells, an immune cell in the brain, are shown to express both of these receptor subtypes. The studies detailed herein, investigated the ability of two compounds, nicotine and Δ9-THC, in modulation of inflammatory processes. Stimulation of these receptors on microglia using nicotine and Δ9-THC blocked the activation of these …
Phenotypic And Genotypic Analysis Of In Vitro Selected Artemisinin Resistant Plasmodium Falciparum, Matthew Scott Tucker
Phenotypic And Genotypic Analysis Of In Vitro Selected Artemisinin Resistant Plasmodium Falciparum, Matthew Scott Tucker
USF Tampa Graduate Theses and Dissertations
Artemisinin and its derivatives provide faster clearance of parasitemia than any other antimalarial drugs and these drugs are part of frontline combination therapies in areas where drug-resistant Plasmodium falciparum exists. Clinical resistance to artemisinins is emerging on the Thailand-Cambodia border, making it imperative to investigate mechanisms of artemisinin resistance. Previous work in our laboratory showed ring-stage parasites enter a dormant state after exposure to artemisinin. We hypothesize that this period of dormancy is directly related to recrudescence and prolonged parasite clearance times in patients, and possibly resistance. The target of artemisinin is currently unknown, and potential resistance mechanisms are not …
Evaluation Of The Late Life Disability Instrument In The Lifestyle Interventions And Independence For Elders Pilot (Life-P) Study, Fang-Chi Hsu, W. Jack Rejeski, Edward H. Ip, Jeff A. Katula, Roger A. Fielding, Alan M. Jette, Stephanie A. Studenski, Steven N. Blair, Michael E. Miller
Evaluation Of The Late Life Disability Instrument In The Lifestyle Interventions And Independence For Elders Pilot (Life-P) Study, Fang-Chi Hsu, W. Jack Rejeski, Edward H. Ip, Jeff A. Katula, Roger A. Fielding, Alan M. Jette, Stephanie A. Studenski, Steven N. Blair, Michael E. Miller
Faculty Publications
Background: The late life disability instrument (LLDI) was developed to assess limitations in instrumental and management roles using a small and restricted sample. In this paper we examine the measurement properties of the LLDI using data from the Lifestyle Intervention and Independence for Elders Pilot (Life-P) study.
Methods: LIFE-P participants, aged 70-89 years, were at elevated risk of disability. The 424 participants were enrolled at the Cooper Institute, Stanford University, University of Pittsburgh, and Wake Forest University. Physical activity and successful aging health education interventions were compared after 12-months of follow-up. Using factor analysis, we determined whether the LLDI's factor …
Percepciones De Género En La Medicina Mapuche: Machi, Matriarca, Y Colonización, Krista Douglass
Percepciones De Género En La Medicina Mapuche: Machi, Matriarca, Y Colonización, Krista Douglass
Independent Study Project (ISP) Collection
Gender is a social ordering principle; a definition of masculinity and femininity according to an individual culture. While in Chile gender identity is often shaped by machismo, the Mapuche cosmovision is without gender disparities. Rather, relationships between men and women are governed by principles of equality and duality, just as the Mapuche deities balance both male and female energies. Women hold very important roles in the community as the leaders of the medical community. Although both men and women participate in various roles within this profession, machi, the spiritual healers, are mostly women. Males, or wentru machi, …
More Than Just Biology: Creating An Informational Website For Teens On Sexuality And Lifelong Sexual Health, Sarah Cyr-Mutty
More Than Just Biology: Creating An Informational Website For Teens On Sexuality And Lifelong Sexual Health, Sarah Cyr-Mutty
Independent Study Project (ISP) Collection
“More Than Just Biology – Creating an informational website for teens on sexuality and lifelong sexual health” is the product of four weeks’ research in Amsterdam, NL on sexuality education and the use of the Internet as an educational tool for youth. The research defied a “Dutch approach” to sexuality education and used it to create a website for American teenagers to get confidential and accurate information regarding their sexual lives and health. Information was gathered primarily through personal interviews, as well as a review of existing literature on the subject. Through this research, it was found that the Dutch …