# Presentation: 591857

## Mandy Meloy
National Network of Libraries of Medicine Southeastern/Atlantic Region
mbayerme@hshsl.umaryland.edu

- Mandy Meloy
- National Network of Libraries of Medicine Southeastern/Atlantic Region
- mbayerme@hshsl.umaryland.edu

## Introductions

- Sexual health?
- Teaching consumers/patients about quality health information
- General Health Resources for Women and Teens
- Teens
- Women
- Other links to great resources
- Evaluation
- Title?

## By the end of the presentation, the participant should be able to:

- Have a working definition of Sexual Health and understand why it is important
- Evaluate the quality of a internet health resource
- Identify reliable health websites about sexual health for women and teens

## Sexual health is "A state of physical, emotional, mental and social well-being related to sexuality; not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence”

- World Health Organization
- _[http://www.who.int/reproductive-health/gender/sexualhealth.html](http://www.who.int/reproductive-health/gender/sexualhealth.html)_

**Notes:**
I really like this definition because it includes physical, emotional, mental, and social well-being. It helps us understand the importance of a happy, healthy body.

## Men

- Women
- Teenagers
- Children
- Elderly
- Individuals who are starting families
- Gay, Lesbian, Bisexual, Transgendered, Questioning
- Teachers
- Nurses
- Doctors
- Other Health Professionals

## To educate ourselves and others about

- The Human Body
- Reproductive Health
- Sexually Transmitted Diseases
- Birth Control
- Emotional, Mental, and Physical Health
- Domestic Violence and Sexual Assault
- Family Issues
- Pregnancy
- Screenings, Vaccinations, Prevention
- Healthy and Happy Relationships
- Stigmas toward Sex and Sexual Health

## TEENAGERS

- 1 in 4 teenage girls has an S.T.D. (CDC)
- Boys who witness domestic violence are *twice as likely *to abuse their own partners and children when they become adults (Physical Violence in American Families)
- In 2005, 47% of high school students (grades 9-12) reported ever having had sexual intercourse, down from 54% in 1991. (CDC)
- Despite impressive declines over the past decade, the United States still has the highest rates of teen pregnancy and births in the industrialized world. Teen pregnancy costs the United States at least $7 billion annually. (*The Guttmacher Institute. (2006). *

## WOMEN

- In general, direct medical costs associated with STDs in the United States are estimated at up to $14.7 billion annually in 2006 dollars (CDC)
- 1 in 4 women will experience domestic violence in her lifetime (National Institute of Justice and CDC)
- Centers for Disease Control and Prevention reported that the national cesarean rate in 2006 reached a record high, 31.1%, according to its preliminary birth data for that year. The percentage of all births delivered by cesarean has climbed 50 percent over the last decade.
- The percentage of infants who were ever breastfed increased from 60% among infants who were born in 1993-1994 to 77% among infants who were born in 2005-2006. (NCHS)
- Almost half of all postmenopausal women in the U.S. reported having ever used hormone replacement therapy (HRT). (CDC)

## Authority

- Look for websites that have:
- Accuracy
- Audience
- Up-to-date and Maintained
- Easy to Contact

## Body changes, images, and general health

- Emotional Health
- Sexual and Reproductive Health
- Sexually Transmitted Diseases
- Pregnancy
- Teens
- Women
- Gay, Lesbian, Bi-sexual, Transgendered

## Quality health information from the National Library of Medicine and the National Institutes of Health

- Information for general health
- Health Topics
- Drugs and Supplements
- Interactive Tutorials
- Surgery Videos
- Great for school projects
- English and Spanish

**Notes:**
Also includes topics such as teen health, rape, domestic violence, social/family issues, sexual health, sexually transmitted diseases, female and male reproductive systems, gay and lesbian health, eating disorders

## SEE CHILDREN AND TEENAGERS

- Alcohol and Youth
- Menstruation
- Smoking and Youth
- Teen Health
- Teen Mental Health
- Teen Pregnancy
- Teen Sexual Health
- Teen Violence
- Teen's Page
- Teen Development
- Gay, Lesbian and Transgender Health
- Birth Control or Contraception

## SEE SENIORS

**SEE WOMEN**
**Divorce **
**Domestic Violence **
**Family Issues**
**Female Reproductive System **
**Pregnancy and Reproduction**
**Reproductive Health **
**Folic Acid **
**Preconception Care**
**Prenatal Care **
**Prenatal Testing **
**AIDS and Pregnancy **
**Childbirth **
**Postpartum Depression or Baby Blues **
**Pregnancy and Substance Abuse **
**Pregnancy Loss or Miscarriage**
**Breast Feeding (Lactation or Nursing) **
**Infant and Toddler Nutrition **

**SEE SENIORS**
**Alzheimer’s Caregivers **
**Bereavement **
**Caregivers **
**Senior Health **
**Senior Health Issues Topics **
**Assisted Living **
**Elder Abuse or Violence **
**End of Life Issues **
**Exercise for Seniors **
**Home Care Services **
**Mammography **
**Menopause **
**Nursing Homes **
**Nutrition for Seniors **
**Urinary Incontinence or Overactive Bladder **

## Slide 14

## Slide 15

## Quality information by The Nemours Foundation's Center for Children's Health Media

- Separate categories for parents, kids, and teens
- Body
- Mind
- Sexual Health
- Fitness and Food
- Drugs and Alcohol
- Diseases and Conditions
- School and Jobs
- English and Spanish

## Slide 17

## Slide 18

**Notes:**
Notice on each article, you see article, more article links, and resources. Interactive diagrams, Resources,  Sign up for emails

## Parents: Information for you about general health, safety, medical issues, etc.

- Lesson Plans for Educators from preschool to high school

## Teenwire.com is an award-winning sexual health Web site for teens created by Planned Parenthood Federation of America.

- Topics include:
- Birth Control
- Pregnancy, Parenting, and Adoption
- Lesbian, Gay, Bisexual, Transgendered
- Body, Sex, Emotion
- Abortion
- Relationships
- School, career
- Entertainment
- Mostly written in English, but it has some Spanish material available

## Slide 21

## Videos about Sexual Rights and saying NO

- Dating Abuse and Violence

- In your own words: blog-like

- Ask the Experts

- Body image and Self Esteem

- Abortion Questions

- Sexually Transmitted Diseases

- Reproductive Organs

- Rape

**Notes:**
The video, “All Falls Down” is about making the right choices for yourself and standing up for yourself.

## Slide 23

## A service of the Office on Women's Health (OWH) in the US Department of Health and Human Services (HHS).

- Its mission is to “provide leadership to promote health equity for women and girls through sex/gender-specific approaches.”
- Health For Women:
- Health Topics
- Publications
- Health Tools
- Health Professional Information
- Recursos en español and Minority Health

## Slide 25

## Under ABOUT US: 

**Under ABOUT US: **
**See First-Time Visitor**

**Under About Us: **
**See Selection Criteria**

## Slide 27

## Slide 28

## Look at womenshealth.gov, office of women’s health, and en español

- Examples:
- _[How to Talk to your Doctor or Nurse](http://www.womenshealth.gov/pub/howtotalk.cfm)_
- _[Menopause Resource Guide](http://www.womenshealth.gov/pub/menopause.cfm)_
- _[Lesbian Health Fact Sheet](http://www.womenshealth.gov/owh/pub/lesbianhealth.cfm)_
- _[¡Mujeres: Cuidado! Puede ser un ataque al corazón](http://www.womenshealth.gov/espanol/publicaciones/cuidado.cfm)_

## Mom-To-Be - 

- Mom-To-Be -
- Baby Shopping List
- Due Date Calculator
- Ovulation Calculator
- When to Call the Baby’s Doctor
- Food and Diet
- Healthy Weight Menu Planner
- How to Read a Food Label
- Working with you Doctor or Nurse
- State and Regional Resources
- State Domestic Violence Resource List

## Clinical Trials

- Cultural Competency
- CME/ CE Credit
- For your patients
- Journals and Publications
- Medicines and Treatments

**Example of CME/CEs for Women’s Health**

## Slide 32

## National Women's Health Week empowers women across the country to get healthy by taking action. The nationwide initiative, coordinated by the U.S. Department of Health and Human Services' Office on Women's Health (OWH), encourages women to make their health a top priority and take simple steps for a longer, healthier and happier life. 

- National Women's Health Week empowers women across the country to get healthy by taking action. The nationwide initiative, coordinated by the U.S. Department of Health and Human Services' Office on Women's Health (OWH), encourages women to make their health a top priority and take simple steps for a longer, healthier and happier life.

## Developed by the not-for-profit National Women's Health Resource Center (NWHRC)

- We believe all women should have access to the most trusted and reliable health information.
- Toll Free Number 1-877-986-9472
- Information On:
**Health Topics**
**Publications and Resources**
**“****Health Centers”**
**Website in English. Spanish Resources are available**

## Slide 35

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## Slide 38

## Slide 39

## Metabolic Syndrome Health Center 

**Metabolic Syndrome Health Center **
**Midlife Health Center **
**Reproductive Health Center **
**Sexual Health Center **
**Breast Health Center **
**Wellness **

## Slide 41

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## Slide 46

**Notes:**
RSS (Really Simple Syndication) is a format for sharing content, such as news headlines, on the Web. Many sites offer RSS "feeds" so that readers can remain up-to-date on the site's latest news and updates. By using an RSS reader, you can view feeds from multiple sources, such as Healthywomen.org, and access headlines, summaries and links to full articles

## Scarleteen: www.scarleteen.com

***Go Ask Alice***: _[http://www.goaskalice.columbia.edu/](http://www.goaskalice.columbia.edu/)_
- General Health, Emotional Health, Sexuality, Sexual Health
***Family Doctor: ***_***[www.familydoctor.org](http://www.familydoctor.org/)***_ or _[http://familydoctor.org/online/famdocen/home/children/teens.html](http://familydoctor.org/online/famdocen/home/children/teens.html)_
- General Health, Sexual Health, Homosexuality, Rape, special sections for teens and parents
***Advocates for Youth: ***_***[http://www.advocatesforyouth.org/index.htm](http://www.advocatesforyouth.org/index.htm)***_
- Sexual health, well being, violence, for both teens and parents
***Sex, etc***.: _[www.sexetc.org](http://www.sexetc.org/)_
- Girls health, boys health, sex, love, Gay, Lesbian, Bisexual, Transgendered, emotional, sexual, and pregnancy
***I wanna know***: _[Iwannaknow.org](file:///Iwannaknow.org)_
- Sexual health, Prevention, also a page for parents
- Scarleteen: _[www.scarleteen.com](http://www.scarleteen.com/)_
- Body, Sexual Health, well-being
***Girls Health***: _[www.girlshealth.gov](http://www.girlshealth.gov/)_
- Body, Sexual Health (Abstinence Heavy), Mind

**Notes:**
There are many other good sites. Use your skills to find quality health information.

## National Center for Complementary and Alternative Health: http://nccam.nih.gov/health/

***CDC.gov for Women’s Health- ***_*[http://www.cdc.gov/women/](http://www.cdc.gov/women/)*_** **- statistics, healthy living, etc.
***Family Doctor ****– *_[www.familydoctor.org](http://www.familydoctor.org/)_* - *General Health, Sexual Health, Homosexuality, Rape, Spanish and English Women’s health information on _[http://familydoctor.org/online/famdocen/home/women.html](http://familydoctor.org/online/famdocen/home/women.html)_
***FDA Women’s Health ***_[http://www.fda.gov/womens/](http://www.fda.gov/womens/)_
***Publications and Free Resources ***_[http://www.fda.gov/womens/pubs.html](http://www.fda.gov/womens/pubs.html)_
***Spanish: ***_[http://www.fda.gov/womens/getthefacts/Spanish/default.htm](http://www.fda.gov/womens/getthefacts/Spanish/default.htm)_
**National Center for Complementary and Alternative Health: **_[http://nccam.nih.gov/health/](http://nccam.nih.gov/health/)_
**Menopause: **_[http://nccam.nih.gov/health/menopauseandcam/](http://nccam.nih.gov/health/menopauseandcam/)_
***National Institute on Aging ****–Women’s Health Brochures and Publications *_[http://www.niapublications.org/shopdisplayproducts.asp?id=34&cat=Women%27s+Health](http://www.niapublications.org/shopdisplayproducts.asp?id=34&cat=Women's+Health)_*** ***
*For Spanish, see *_[http://www.nia.nih.gov/Espanol/](http://www.nia.nih.gov/Espanol/)_
***NIHSeniorHealth.gov ***_[www.nihseniorhealth.gov](http://www.nihseniorhealth.gov/)_

## Gay, Lesbian, Bisexual, Transgendered:

***Gay, Lesbian, Bisexual, Transgendered:***
- _[http://www.advocatesforyouth.org/publications/safespace/safespace.pdf](http://www.advocatesforyouth.org/publications/safespace/safespace.pdf)_ - Creating Safe Space for GLBTQ Youth: A Toolkit
- _[http://www.sexetc.org/resource/glbtq/link#resource_link](http://www.sexetc.org/resource/glbtq/link#resource_link)_ – Good Resources from Sex, etc.
- _[http://www.brown.edu/Student_Services/Health_Services/Health_Education/general_health/lgbt.htm](http://www.brown.edu/Student_Services/Health_Services/Health_Education/general_health/lgbt.htm)_ - Brown University LGBT
***Rape and Domestic Violence:***
- _[http://www.rainn.org/](http://www.rainn.org/)_  Rape, Abuse, and Incest National Network
- _[http://www.ncadv.org/](http://www.ncadv.org/)_ National Coalition Against Domestic Violence
- _[www.thenetworklared.org](http://www.thenetworklared.org/)__ _**The Network / La Red** (English and Spanish) GLBT and domestic violence
- _[http://www.acog.org/departments/dept_web.cfm?recno=17](http://www.acog.org/departments/dept_web.cfm?recno=17)_** American College of Obstetrics and Gynecology Resources – includes check lists for DV and Sexual Assault**

## Pregnancy:

- _[http://www.marchofdimes.com/](http://www.marchofdimes.com/)_ March of Dimes
- _[http://www.nacersano.org/](http://www.nacersano.org/)_ March of Dime in Spanish
- _[http://www.americanpregnancy.org/](http://www.americanpregnancy.org/)_ American Pregnancy Association
- _[http://lactmed.nlm.nih.gov](http://lactmed.nlm.nih.gov/)_ – Lactmed, database of drugs to which breastfeeding mothers may be exposed
- _[www.childbirthconnection.org](http://www.childbirthconnection.org/)_ – Resources about Pregnancy for Women and Health Professionals
- www.teenpregnancy.org –Teen pregnancy and prevention
- Cancer
- http://www.cdc.gov/cancer/gynecologic/ - CDC pamphlets for gynecologic cancers
- AIDS/HIV
- http://www.aidsinfo.nih.gov/ - AidsInfo, Drugs, Live Help
- http://aidsinfo.nih.gov/infoSIDA/ - Spanish
- http://www.thebody.com/ - AIDS/HIV

## Virginia Sexual Assault and Domestic Violence Action Alliance 

- Virginia Sexual Assault and Domestic Violence Action Alliance
-  http://www.vadv.org/
- Virginia Department of Public Health
- http://www.vdh.state.va.us/
- Virginia’s Public Libraries
- http://www.lva.lib.va.us/whoweare/directories/valib/
- http://www.lva.lib.va.us/whoweare/directories/valib/libweb.asp

## Thank you for your time!

**Thank you for your time!**
***Mandy Meloy***
***National Network of Libraries of Medicine Southeastern/Atlantic Region***
***www.nnlm.gov/sea or mbayerme@hshsl.umaryland.edu***
***1-800-338-7657 press 1***

## Centers of Disease Control “Nationally Representative CDC Study Finds 1 in 4 Teenage Girls Has a Sexually Transmitted Disease” March 11, 2008. http://www.cdc.gov/STDConference/2008/media/release-11march2008.pdf

- Strauss, Gelles, and Smith, “Physical Violence in American Families: Risk Factors and Adaptations to Violence” in 8,145 Families. Transaction Publishers (1990).
- Centers of Disease Control “National Youth Risk Behavior Survey 1991-2005: Trends in the Prevalence of Sexual Behaviors. http://www.cdc.gov/HealthyYouth/yrbs/pdf/trends/2005_YRBS_Sexual_Behaviors.pdf
- U.S. Teenage Pregnancy Statistics, National and State Trends and Trends by Race and Ethnicity. New York: The Guttmacher Institute. 2006. http://www.guttmacher.org/pubs/2006/09/12/USTPstats.pdf

## Centers of Disease Control. “Trends in Reportable Sexually Transmitted Diseases in the United States, 2006 National Surveillance Data for Chlamydia, Gonorrhea, and Syphilis” http://www.cdc.gov/STD/STATS/trends2006.htm

- Tjaden, Patricia & Thoennes, Nancy. National Institute of Justice and the Center of Disease Control and Prevention, “Extent, Nature and Consequences of Intimate Partner Violence: Findings from the National Violence Against Women Survey,” 2000.
- Centers of Disease Control. “Teen Birth Rate Rises for First Time in 15 Years” 2007. http://www.cdc.gov/nchs/pressroom/07newsreleases/teenbirth.htm
- Margaret M. McDowell, Chia-Yih Wang, and Jocelyn Kennedy-Stephenson, Breastfeeding in the United States: Findings from the National Health and Nutrition Examination Surveys, 1999-2006. http://www.cdc.gov/nchs/data/databriefs/db05.htm
- Brett, KM, Chong Y. Hormone Replacement Therapy: Knowledge and Use in the United States. Hyattsville, Maryland: National Center for Health Statistics. 2001. **http://www.cdc.gov/nchs/data/misc/hrt_booklet.PDF**