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i Dedication  iii Acknowledgements  iv List of Tables  viii List of Figures  xi Glossary of Terms and Abbreviations  xiii Preface  xvi Chapter 1: Introduction  1 Adolescent Sexual Health and Behavior  2 Epidemiology of STD, HIV, and Pregnancy for AI/AN Adolescents  8 Social and Structural Factors Affecting AI/AN Sexual Health  14 AI/AN Health Epistemologies  21 Problem Statement  23 Research Aims  23 Hypotheses  24 Study Significance  30 Chapter 2: Literature Review  31 Adolescent Media Technology Use  31 Adolescent Health Information-Seeking using Media Technologies  37 Health Interventions Using Media Technologies  38 Benefits and Drawbacks of Technology-Based Interventions  45 Effective Technology-Based Interventions: Common Features and Strategies  49 Characteristics of Effective Prevention Interventions  59 Influential Theories, Models, and Research Approaches  62 Community-Based Participatory Research.  62 Behavior Change Theories  65 Learning and Health Communication Theories  70 Social-Ecological Model  74

pdxscholar  (portland state university)

Use of Media Technologies by Native American Teens and Young Adults: Evaluating their Utility for Designing Culturally-Appropriate Sexual Health Interventions Targeting Native Youth in the Pacific Northwest