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Articles 7171 - 7200 of 7978
Full-Text Articles in Medicine and Health Sciences
Development And Formative Implementation Of A Nutrition Assessment And Peer Education Program Based On Dietary Analysis At A California State University, Janay Jelso
Master's Theses
A healthy diet has been established as a key component contributing to an individual’s quality of life. Statistics show that the diet of Americans needs improvement (Guenther et al., 2007) indicating possible lack knowledge of what healthy eating behaviors are. There is an abundance of nutrition misinformation available to the consumer (American Dietetic Association, 2002a). Dietary interventions that provide credible education based on readiness to change behaviors and goal setting have been successful in increasing awareness of what healthy eating behaviors are and changing existing behaviors over time (Ammerman et al., 2002; Evans & Sawyer-Morse, 2002; Gambera et al., 1995; …
Penilaian Kualitas Pelayanan Puskesmas Dengan Model Donabedian: Studi Kasus Puskesmas Di Kota Depok, Dian Ayubi
Penilaian Kualitas Pelayanan Puskesmas Dengan Model Donabedian: Studi Kasus Puskesmas Di Kota Depok, Dian Ayubi
Kesmas
Perkembangan struktur sosio-demografi penduduk dan infrastruktur Kota Depok yang pesat berpengaruh terhadap masalah kesehatan yang semakin kompleks. Pada era desentralisasi, Dinas Kesehatan Pemerintah Kota Depok dituntut memberikan pelayanan kesehatan masyarakat yang berkualitas antara lain melalui pelayanan kesehatan tingkat primer di puskesmas. Penelitian ini bertujuan menganalisis mutu pelayanan puskesmas dan hubungan struktur dan proses terhadap hasil pelayanan puskesmas, kepuasan pelanggan. Survey di rumah responden dilakukan pada bulan Maret 2004, dalam wilayah kerja enam puskesmas kecamatan di Kota Depok. Populasi adalah semua penduduk yang bermukim di wilayah kerja Puskesmas Kecamatan se-Kota Depok. Sampel adalah 300 rumah tangga yang tersebar di setiap kelurahan …
Masyarakat Depok Memilih Fogging Yang Tidak Dimengerti, Tri Krianto
Masyarakat Depok Memilih Fogging Yang Tidak Dimengerti, Tri Krianto
Kesmas
Sampai kini, demam berdarah dengue masih menjadi masalah kesehatan yang utama di Kota Depok. Hal tersebut terlihat pada jumlah kasus yang terus meningkat dan semua kelurahan sudah berkembang menjadi daerah endemis demam berdarah dengue yang dapat dicegah dengan mengendalikan vektor. Upaya pembersihan sarang nyamuk PSN 3M Plus adalah teknologi yang disarankan untuk mengendalikan kejadian demam berdarah dengue, tetapi belum mendapat dukungan pelaksanaan dari masyarakat. Studi ini bertujuan untuk menggali informasi tentang pengetahuan, sikap dan praktek masyarakat dalam pengendalian vektor demam berdarah dengue di Kota Depok. Hasil studi menunjukkan bahwa pengetahuan dan partisipasi masyarakat dalam pengendalian vektor DBD masih rendah, dan …
The Effect Of An Educational Intervention On The Sexual Perceptions And Practices Of Adolescents In Trinidad And Tobago, Vanessa Jones
The Effect Of An Educational Intervention On The Sexual Perceptions And Practices Of Adolescents In Trinidad And Tobago, Vanessa Jones
Loma Linda University Electronic Theses, Dissertations & Projects
Background. Human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS) is one of the fastest spreading infectious diseases in the Caribbean, and is second only to Sub-Sahara Africa in the prevalence of HIV/AIDS cases. Trinidad and Tobago is the southernmost twin island republic in the Caribbean. In 1999, the 5th leading cause of death among individuals ages 15-34 in Trinidad and Tobago was HIV/AIDS. According to UNAIDS (2006), the prevalence rate of HIV in Trinidad and Tobago is 2.6%.
Purpose. Currently, there is no standardized HIV/AIDS education program in secondary schools in Trinidad and Tobago. Since HIV/AIDS is …
Food Insecurity Among Homeless And Marginally Housed Individuals Living With Hiv/Aids In San Francisco, Sheri D. Weiser, David R. Bangsberg, Susan Kegeles, Kathleen Ragland, Margot B. Kushel, Edward A. Frongillo Jr.
Food Insecurity Among Homeless And Marginally Housed Individuals Living With Hiv/Aids In San Francisco, Sheri D. Weiser, David R. Bangsberg, Susan Kegeles, Kathleen Ragland, Margot B. Kushel, Edward A. Frongillo Jr.
Faculty Publications
Food insecurity is a risk factor for both HIV transmission and worse HIV clinical outcomes. We examined the prevalence of and factors associated with food insecurity among homeless and marginally housed HIV-infected individuals in San Francisco recruited from the Research on Access to Care in the Homeless Cohort. We used multiple logistic regression to determine socio-demographic and behavioral factors associated with food insecurity, which was measured using the Household Food Insecurity Access Scale. Among 250 participants, over half (53.6%) were food insecure. Higher odds of food insecurity was associated with being white, low CD4 counts, recent crack use, lack of …
Solid Waste Driver Dies After Single Vehicle Rollover, Kentucky Injury Prevention And Research Center
Solid Waste Driver Dies After Single Vehicle Rollover, Kentucky Injury Prevention And Research Center
Fatality Case Reports--Motor Vehicle
On the morning of a fall day in 2008, a 59 year-old male solid waste worker (Driver 1) entered the cab of a company solid waste truck parked in his driveway and drove to a restaurant a few miles away. After leaving the restaurant, the driver was observed weaving by another solid waste driver (Driver 2) at least two times in the northbound lane of a two-lane state highway. After he had driven 1.8 miles in a little over 2 minutes away from the restaurant, the driver entered a right-hand curve in the highway. While in the curve, the driver …
Perilaku Hidup Bersih Sehat Dengan Pendekatan Partisipatif, Tri Krianto
Perilaku Hidup Bersih Sehat Dengan Pendekatan Partisipatif, Tri Krianto
Kesmas
Murid sekolah dasar adalah sasaran strategis upaya promosi kesehatan, karena mereka berjumlah besar serta berada pada tahap awal perkembangan kepribadian. Mereka seharusnya berperilaku sehat, tetapi di Cisalak memperlihatkan keadaan yang sebaliknya. Studi intervensi yang dilakukan terhadap anak-anak sekolah dasar menunjukkan bahwa observasi sebelum intervensi memperlihatkan bahwa tingkat pengetahuan dan praktik mereka adalah rendah. Namun, pada akhir studi, skor pengetahuan dan praktek mereka terlihat lebih tinggi daripada sebelumnya. Uji non parametric seperti Wilcoxon sampel berpasangan dan korelasi Spearman digunakan dalam analisis. Studi ini menyimpulkan : a) intervensi promosi kesehatan yang dilakukan pada anak sekolah dasar terbukti dapat meningkatkan perilaku murid pada …
Pengaruh Penyuluhan Demam Berdarah Terhadap Perilaku Ibu Rumah Tangga, Resmiati Resmiati, Yatnita Parama Cita, Arif Susila
Pengaruh Penyuluhan Demam Berdarah Terhadap Perilaku Ibu Rumah Tangga, Resmiati Resmiati, Yatnita Parama Cita, Arif Susila
Kesmas
Pada periode tahun 1989-1995, insiden demam berdarah di Indonesia berada pada kisaran 6-15 per 100.000 penduduk. Pada tahun 1998, dengan angka insidens demam berdarah meningkat tajam menjadi 35,19 per 100.000 penduduk dengan angka kematian (CFR) 2 %. Penelitian ini bertujuan mengetahui pengaruh penyuluhan terhadap perilaku. Penelitian ini dilaksanakan di RW 12, Pondok Kelapa, Kecamatan Duren Sawit, Jakarta Timur, terhadap 227 respondent. Penelitian ini menggunakan rancangan penelitian kuasi eksperimen pra-pasca tes dalam satu kelompok (One group pra test and post test design). Pengetahuan dan sikap diukur dengan lembar kuesioner serta tindakan diukur dengan lembar observasi yang sebelumnya telah dilakukan uji coba. …
Predicting Intention To Wean From The Bottle Among Hispanic Mothers, Elaine K. Fleming
Predicting Intention To Wean From The Bottle Among Hispanic Mothers, Elaine K. Fleming
Loma Linda University Electronic Theses, Dissertations & Projects
Background. Hispanic children carry a disproportionate burden of prolonged bottle use and associated disease. Children in low-income households who use the bottle beyond age 12 months are at risk for iron deficiency anemia, obesity, and early childhood dental caries.
Purpose. The purpose of this study was to identify predictors of intention to wean from the bottle among low-income Hispanic mothers of infants enrolled in the Special Supplemental Food Program for Women, Infants and Children (WIC).
Method. A convenience sample of 266 low-income Hispanic mothers of infants age 5 to 14 months old were categorized into four groups by experience …
Attitudes And Beliefs That Predict Taiwanese Older Adults' Intentions To Attend Strength And Balance Training Programs, Shih-Fan Lin
Attitudes And Beliefs That Predict Taiwanese Older Adults' Intentions To Attend Strength And Balance Training Programs, Shih-Fan Lin
Loma Linda University Electronic Theses, Dissertations & Projects
The rate of participation in the strength and balance training (SBT) program, an effective fall prevention intervention, is very low among older adults. To increase older adults' participations in SBT programs, this study involved an observational and cross-sectional study design to understand factors that affect Taiwanese older adults' intention to attend SBT programs utilizing the theory of planned behavior. Questionnaires that measured constructs of the theory of planned behavior (attitude, subjective norm, perceived behavioral control, and behavioral, normative, and control beliefs) were collected from 221 community-dwelling Taiwanese elderly women between the age of 55 and 94. Simple correlations and multiple …
Body Weight Perceptions And Weight Control Behavior Among Adult Bermudians, Kyla J. Raynor
Body Weight Perceptions And Weight Control Behavior Among Adult Bermudians, Kyla J. Raynor
Loma Linda University Electronic Theses, Dissertations & Projects
Background. Overweight and obesity is a serious public health concern that has major consequences on health and quality of life. As of 2006, 64% of adults in Bermuda were overweight or obese. There remains a gap in the literature related to how adult Bermudians perceive their body weight and body image, and if perceptions of being overweight or obese are associated with weight control behaviors.
Purpose. This study was undertaken to develop a better understanding of the perceptions of ideal body weight, level of overweight, body image and weight control behavior in adult Bermudians.
Methodology. This was a cross-sectional observational …
Tuberculosis In San Bernardino County, 1993-2004 : Lifestyle And Environmental Factors, Anuj Bhatia
Tuberculosis In San Bernardino County, 1993-2004 : Lifestyle And Environmental Factors, Anuj Bhatia
Loma Linda University Electronic Theses, Dissertations & Projects
An observational retrospective study was conducted for tuberculosis (TB) cases between San Bernardino County (SBC), Riverside County, and the state of California from 1996 to 2004. A univariate comparison between San Bernardino County and California indicated a higher proportion of U.S. born cases in SBC. Additionally, it was found that San Bernardino had a higher proportion of non-injection drug using TB cases, compared with California in 1996. Further comparisons were made along country of birth between TB cases in San Bernardino County from 1993 to 2004. Notable differences were observed for injection drug use, non injection drug use, alcohol abuse, …
Detecting, Preventing, And Treating Sexually Transmitted Diseases Among Adolescent Arrestees: An Unmet Public Health Need, Steven Belenko, Richard Dembo, Matthew Rollie, Kristina Childs, Christopher Salvatore
Detecting, Preventing, And Treating Sexually Transmitted Diseases Among Adolescent Arrestees: An Unmet Public Health Need, Steven Belenko, Richard Dembo, Matthew Rollie, Kristina Childs, Christopher Salvatore
Department of Justice Studies Faculty Scholarship and Creative Works
Studies of detained and incarcerated adolescent offenders in the United States indicate that these juveniles have an elevated risk of sexually transmitted diseases (STDs). However, many more arrestees enter the “front end” of the juvenile justice system that is detained or incarcerated, and research into the STD risk profiles and service needs of this larger group is lacking. An expansion of STD testing (including of asymptomatic youths), prevention, and treatment is needed, as is improved knowledge about gender- and race-specific services. A pilot program in Florida has shown that juvenile justice and public health systems can collaborate to implement STD …
Driver Of A Semi-Tractor Pulling Twin Trailers Fatally Injured In Single Vehicle Crash, Kentucky Injury Prevention And Research Center
Driver Of A Semi-Tractor Pulling Twin Trailers Fatally Injured In Single Vehicle Crash, Kentucky Injury Prevention And Research Center
Fatality Case Reports--Motor Vehicle
In the spring of 2008, a 40-year-old tractor-trailer driver died after his vehicle left the interstate highway, crashed, and was engulfed in flames. The tractor drifted over the fog line and rumble strip onto the right shoulder, began to skid and left the highway. The tractor slid through the grass beside the roadway, struck a concrete culvert, sideswiped a small tree and then hit a large tree head-on. The tractor and trailers then skidded back down the embankment toward the highway where the entire unit came to rest. The tractor and lead trailer overturned onto the driver’s side. The second …
Coal Truck Driver Dies In Rollover After Tire On Trailer Fails, Kentucky Injury Prevention And Research Center
Coal Truck Driver Dies In Rollover After Tire On Trailer Fails, Kentucky Injury Prevention And Research Center
Fatality Case Reports--Motor Vehicle
In the fall of 2006, a twenty-three year old male tractor-trailer driver who was hauling coal, died when a rear outer tire on the trailer failed. After the tire failed, the trailer slipped off the right side of the road, overturned, and went over an embankment. The trailer remained attached to the tractor as both went over the embankment, flipping the entire unit upside down. A witness called emergency medical services who arrived and called the county coroner. The coroner arrived and declared the driver dead at the scene. It was determined by Kentucky State Police that the driver was …
To Vaccinate, Or Not? Health Care Providers And The Hpv Controversy, Nicole Elizabeth Hanbury
To Vaccinate, Or Not? Health Care Providers And The Hpv Controversy, Nicole Elizabeth Hanbury
Honors Scholar Theses
Gardasil® – the vaccine was first thought to be a medical breakthrough in the fight against cancer, but it quickly became plagued with controversy. Despite wide media coverage, little attention has been paid to today’s health care professionals who are ultimately responsible for prescribing the vaccine, and who may be the most knowledgeable about it. The present study seeks to expand on previous literature by investigating health care providers’ current beliefs and practices with the human papillomavirus (HPV) immunization. It is essential that more recent research be performed in order to encompass current views of the vaccine, post FDA-approval.
Data …
Predictors Of Hpv Knowledge And Awareness In Rural America, Melanee Dulfon
Predictors Of Hpv Knowledge And Awareness In Rural America, Melanee Dulfon
UNLV Theses, Dissertations, Professional Papers, and Capstones
Prior research has shown that overall awareness of HPV is low among women in America. Yet limited research exists as to the awareness of HPV among rural U.S. women. The goal of this study was to determine the factors that predict women's knowledge and awareness of HPV in rural America. Secondary data was utilized from the National Cancer Institute Health Information National Trends Survey (HINTS) of 2005. The sample consisted of 788 adult women over the age of 18 from rural areas of the U.S. Results indicated younger age, increased education, receipt of a Pap exam in over three years, …
Advance Practice Nurses Readiness To Change Assessment Methods In Parents Of Obese Children, Carolyn Leach
Advance Practice Nurses Readiness To Change Assessment Methods In Parents Of Obese Children, Carolyn Leach
UNLV Theses, Dissertations, Professional Papers, and Capstones
The worldwide epidemic of child and adolescent overweight and obesity continues to increase at disturbing rates. Unhealthy dietary practice is one of multiple causative behaviors leading to child and adolescent overweight and obesity. This behavior can contribute to short and long-term health consequences. Parents are modulators in the development of children's dietary behavior practices. It is recommended clinical practice that pediatric nurse practitioners (PNPs) assess readiness to change behavior in parents of overweight or obese children. The components of the Prochaska and DiClemente's Transtheoretical Model (TTM) in correlation with the counseling style of Rollnick, Miller and Butler's methods of Motivational …
Modifying National Public Health Performance Standards For Local Public Health Department Accreditation, Jeffrey G. Kuhr
Modifying National Public Health Performance Standards For Local Public Health Department Accreditation, Jeffrey G. Kuhr
College of Education and Human Sciences: Dissertations, Theses, and Student Research
Public health officials throughout the United States are currently preparing for a national accreditation initiative for local and state public health agencies. As a voluntary program, the accreditation process will measure the degree to which state, local, tribal, and territorial public health departments meet nationally recognized standards and measures. Proponents of the initiative feel that evaluating public health agencies on their capacities to achieve certain standards will lead to improved service quality, consistency of public health roles nationally, and a greater understanding of those roles among the general population. However, in planning for agency accreditation some potential barriers must be …
Hansen, Gregory Alfred (Fa 396), Manuscripts & Folklife Archives
Hansen, Gregory Alfred (Fa 396), Manuscripts & Folklife Archives
Folklife Archives Finding Aids
Finding aid and full-text of paper (click on "Additional File" below) for Folklife Archives Project 396. Paper: "[Nautilus Center at Lovers Lane Racquetball Club]" written by Gregory Alfred Hansen for a Western Kentucky University folk studies class.
Pemanfaatan Posyandu Lansia Di Kota Pariaman, Yullie Mulyadi
Pemanfaatan Posyandu Lansia Di Kota Pariaman, Yullie Mulyadi
Kesmas
Pemanfaatan Posyandu Lansia di Wilayah Kerja Puskesmas Naras Kota Pariaman 2007 masih sangat rendah yaitu 13,23% dari standar pelayanan minimal (SPM) Kota Pariaman 40%. Penelitian ini untuk mendapatkan informasi yang mendalam tentang pemanfaatan posyandu lansia serta faktor yang mendorong dan menghambat dalam pemanfaatan posyandu lansia di Kota Pariaman pada 2008. Menggunakan data primer dengan metode wawancara mendalam dan diskusi kelompok terarah. Informan berjumlah 53 orang, terdiri dari 24 orang informan yang memanfaatkan posyandu lansia, 24 orang informan yang tidak memanfaatkan posyandu lansia dan 5 orang informan kunci. Data dianalisis dengan teknik analisis isi dengan validasi hasil penelitian dilakukan triagulasi sumber …
Pengaruh Perilaku Keluarga Terhadap Penggunaan Jamban, Erlinawati Pane
Pengaruh Perilaku Keluarga Terhadap Penggunaan Jamban, Erlinawati Pane
Kesmas
Secara nasional , hanya 39% rumah tangga yang menggunakan jamban yang sehat, di daerah perkotaan (60%) lebih tinggi daripada di perdesaan (23%). Penggunaan jamban merupakan salah satu masalah kesehatan yang penting di daerah perdesaan seperti Desa Sukamurni di Kabupaten Bekasi. Hanya 19,8% rumah tangga yang mempunyai jamban sendiri di Desa Sukamurni. Tujuan penelitian ini adalah mengetahui determinan perilaku keluarga terhadap penggunaan jamban di Desa Sukamurni. Penelitian ini menggunakan desain cross-sectional. Sampel adalah ibu rumah tangga yang mempunyai anak balita sebanyak 196 responden yang dilaksanakan pada bulan April hingga Mei 2008. Pengumpulan data dilakukan dengan wawancara langsung menggunakan kuesioner. Hasil penelitian …
Effect Of Oral Stimulation On Feeding Progression In Preterm Infants, Brenda Lessen
Effect Of Oral Stimulation On Feeding Progression In Preterm Infants, Brenda Lessen
Scholarship
This is a poster presentation of original research conducted to assess the safety and efficacy of a newly developed prefeeding oral stimulation intervention (Beckman Oral Motor Intervention-Premature Infant) on feeding progression and length of stay on preterm infants younger than 30 weeks PMA.
Implications For Child Welfare Teaching And Human Services Personnel Perspectives Experiences Of Children With Special Needs, Sarah Huesmann
Implications For Child Welfare Teaching And Human Services Personnel Perspectives Experiences Of Children With Special Needs, Sarah Huesmann
Honors Capstones
Capstone submitted as a graduation requirement for the BSU Honors Program.
Appropriate Practices In College/University Physical Activity Instructional Programs, Bridget F. Melton, Michele M. Sweeney, Jared A. Russel, Carrie L. Moore
Appropriate Practices In College/University Physical Activity Instructional Programs, Bridget F. Melton, Michele M. Sweeney, Jared A. Russel, Carrie L. Moore
Community Health: Faculty Presentations (1993-2018)
This session will introduce the audience to a new NASPE document that supports basic instructional programming at the college and university level. Based on NASPE’s former K-12 Appropriate Practice documents, this document will serve as an advocacy document for the importance of quality programming at the college/university level. Come and preview this new document!
College Of Health And Human Services International Service Learning Program: Gales Point, Belize, Jordan Norris, Carrierobin Menapace
College Of Health And Human Services International Service Learning Program: Gales Point, Belize, Jordan Norris, Carrierobin Menapace
Impact Belize
No abstract provided.
Revisiting The Regulation Debate: The Effect Of Food Marketing On Childhood Obesity, Nicole E. Hunter
Revisiting The Regulation Debate: The Effect Of Food Marketing On Childhood Obesity, Nicole E. Hunter
The University of New Hampshire Law Review
[Excerpt] “Despite the widespread concern regarding childhood obesity, there is broad divergence of opinion regarding responsibility for the crisis. Whether the government, food industry, or parents are accountable has become the focus of much debate. Public health groups have attempted various strategies to confront childhood obesity, such as litigation, legislation, and government regulation. While many researchers and advocates agree that government should play an affirmative role with respect to childhood obesity, they are very much divided over what that role should be. For example, although none of these acts has become law, eighty-six bills have been proposed regarding obesity since …
Religion And Hiv In Tanzania: Influence Of Religious Beliefs On Hiv Stigma, Disclosure, And Treatment Attitudes, James Zou, Yvonne Yamanaka, Muze John, Melissa Watt, Jan Ostermann, Nathan Thielman
Religion And Hiv In Tanzania: Influence Of Religious Beliefs On Hiv Stigma, Disclosure, And Treatment Attitudes, James Zou, Yvonne Yamanaka, Muze John, Melissa Watt, Jan Ostermann, Nathan Thielman
Faculty Publications
Background
Religion shapes everyday beliefs and activities, but few studies have examined its associations with attitudes about HIV. This exploratory study in Tanzania probed associations between religious beliefs and HIV stigma, disclosure, and attitudes toward antiretroviral (ARV) treatment.
Methods
A self-administered survey was distributed to a convenience sample of parishioners (n = 438) attending Catholic, Lutheran, and Pentecostal churches in both urban and rural areas. The survey included questions about religious beliefs, opinions about HIV, and knowledge and attitudes about ARVs. Multivariate logistic regression analysis was performed to assess how religion was associated with perceptions about HIV, HIV treatment, and …
Impact Of Pedometer Use And Self-Regulation Strategies On Junior High School Physical Education Students' Daily Step Counts, Jane Shimon, Linda M. Petlichkoff
Impact Of Pedometer Use And Self-Regulation Strategies On Junior High School Physical Education Students' Daily Step Counts, Jane Shimon, Linda M. Petlichkoff
Kinesiology Faculty Publications and Presentations
Background: The aim of this study was to determine the impact of pedometer use and self-regulation strategies on adolescents’ daily physical activity.
Methods: Junior high school students (n = 113) enrolled in seventh- and eighth-grade physical education classes (52 girls, 61 boys) volunteered to participate in a 5-week study to assess daily step counts. Ten physical education classes were randomly assigned to 1 of 3 groups: (a) self-regulation, (b) open, and (c) control.
Results: A repeated-measures, mixed-model analysis of variance revealed a significant 3 × 4 (Group by Time) interaction effect, F6,290 = 2.64, P < .02. Followup analyses indicated participants in the self-regulation group took 2071 to 4141 more steps/d than the control. No other significant differences emerged among groups on step counts.
Conclusions: It appears that …
The Prevalence And Determinants Of Health Risk Behaviors Among High School Students In Mexico, Nellie León
The Prevalence And Determinants Of Health Risk Behaviors Among High School Students In Mexico, Nellie León
Loma Linda University Electronic Theses, Dissertations & Projects
The Centers for Disease Control and Prevention report that despite health promotion efforts, adolescents continue to engage in behaviors that put them at risk for morbidity and mortality. Alcohol consumption, illicit drug use, smoking, and risky sexual behaviors are among the behaviors that contribute to leading causes of morbidity and mortality in youth; these four behaviors were explored in this study. An observational cross-sectional design was utilized. The Youth Risk Behavior Survey from the Centers for Disease Control and Prevention was utilized to assess the prevalence of the four risk behaviors among high school students in Jalisco, Mexico. Items constructed …