ETR Fall 2024 Health Promotion Catalog

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The Science of Emotional Health In the past, treating mental disorders after they showed up was the main option. Today, the idea is that you can build mental fitness to help prevent problems. • Resilience. People who cope well and stay mentally healthy despite trauma, poverty and other risks in their lives are said to be resilient. Researchers believe that people can learn to handle difficult events by identifying and relying on their strengths and capabilities. • Optimism. Studies show that a hopeful, positive attitude is important for good mental health. People can learn to focus on the positive much of the time.

Physical fitness feeds the mind Keeping your body fit helps your mental fitness too! • Be physically active every day. • Eat healthy foods in the right amounts. • Reduce or stop tobacco, alcohol and other drug use. • Get regular checkups from a health care provider. What is happiness? Most people think of happiness as a sign of good mental health. But it depends on the type of happiness. Some things might make you feel happy for a while. • Eating a bowl of ice cream • Getting a raise or a good grade • Watching a football game

BEING EMOTIONALLY HEALTHY IN A STRESSFUL WORLD Mental Fitness

Genes play a role Just as heredity can increase your risk of diabetes, heart disease or cancer, your genes may put you more at risk for depression, anxiety or drug problems. People with a family history of mental disorders may be at higher risk. Without help they might feel strong symptoms no matter what they do. Even without genetic risk, life-changing events may challenge you from time to time. You can get professional help during these times.

Trusted Materials for Public Health, School Health, and Health Care Since 1981 HEALTH Promotion 5 6 • Emotional intelligence. Understanding their own and others’ feelings helps people relate. You can learn skills to recognize, talk about and manage emotions. With help from a professional, it’s very possible to improve your mental health, no matter where you are right now. But having a lot of short-term happy times doesn’t add up to long-term happiness or well-being. When people use their personal strengths to guide their life decisions, their actions build these strengths and lead to longer-term happiness. Some things can lead to well-being: • Doing kind things for other people. • Speaking up for what you feel is fair. • Appreciating the good things that happen.

Professional models were used in all photos. This brochure is not intended as a substitute for your health professional’s opinion or care. Written by Kay Clark. Reviewed 2021. Revised 2014. © 2005 ETR. All rights reserved. It is a violation of U.S. copyright law to reproduce any portion of this publication. Title No. 369 [21-0107]

In 2020, ETR launched our 3 in 30 Series to provide free webinars where guest experts share three actionable tips in a 30-minute chat on a variety of timely topics. Some of our favorite informational webinars include:

Youth to Youth - Youth Led Substance Use Prevention

ViiV - Supporting Youth Centered Solutions in HIV Prevention, Treatment, and Care

HEARTS - Trauma-Informed Tools for Supporting Educator Wellness and Alleviating Burnout

Adolescent Health Initiative - Providing Virtual Care to Adolescents

Youth Engagement Network - Fostering Youth Adult Partnerships

One Love Foundation - Identifying Digital Dating Abuse

View all our previous 3 in 30’s and access the recordings and related resources at http://etr.my/3in30

Science-based solutions that work

Science-based products for: + Sexual & Reproductive Health + Nutrition & Physical Activity + Obesity & Chronic Disease + Health Education + Bullying, Violence & Injury Prevention + Substance Use & Addiction + Mental Health & Wellness 40 Years Experience ETR’s team of professional researchers, health educators, content specialists, and editors use the latest science, research, and evidence to produce the best health resources. Nonprofit Commitment ETR is a nonprofit, science-based research organization that invests all proceeds into promoting health education.

Health Literacy Focus ETR is dedicated to promoting health literacy. Our materials use plain language and clear design to convey complex information inclusively and respectfully. Most materials are written at the 6th-8th grade reading level and our easy-to-read materials are at the 2nd-5th grade level. Award Winning Our acclaimed materials the National Health Information Award, and the Health Literacy Award for Healthcare Advancement. ETR resources are used by thousands of health professionals nationwide. Product Partners If it’s not developed by ETR, it’s sourced from leading developers of science-based health education materials. have garnered honors such as the Web Health Award,

Affordable Our resources are extremely

affordable. In fact, we will beat all published prices on any comparable pamphlet. Take advantage of quantity discounts for our lowest prices. All materials are backed by our 100% guarantee. GSA Discounts Qualified government agencies and contractors are eligible for substantial GSA savings, plus free ground shipping and handling on most orders over $100. See if you’re eligible: etr.org/about-us/working-with-us gsa-info@etr.org ETR GSA Contract #GS-02F-0115R Need a Quote? Give us a call and we can create a same-day customized quote to maximize your health promotion budget.

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Table of Contents

Abstinence �� 12 Birth Control & Pregnancy Prevention ��10 Condoms �� 13 Diabetes ��18 Drugs ��26 Emotional Health �� 24 HealthSmart K–12 �� 38 HIV �� 6 Hygiene �� 22 LGBTQ+ �� 20 Men’s & Women's Health �� 16

Nutrition & Weight �� 21 Parenting & Childcare �� 17 Physical Activity . . . . . . . . . . . . 38 Pregnancy �� 15 Safer Sex �� 14 Sexual & Reproductive Health. . . . . 28 STD/STI �� 2 Substance Use Prevention. . . . . . . 36 K12 Title IX �� 23 Violence Prevention. . . . . . . . . . 25

STD/STI

Cover the essentials for common STDs/STIs STD Facts and STI Facts provide an indispensable overview of 8 common sexually transmitted infections: chlamydia, gonorrhea, hepatitis B, HPV, herpes, HIV, syphilis, and trich. Each title covers: + How you get the STD/STI + Symptoms to watch for + What happens if you don’t get treated + The importance of getting tested + How to protect yourself

STD Facts Our best-selling pamphlet has been completely updated with the latest information and a fresh modern design. Large-Format Pamphlet English #153 Spanish #165 More languages available online!

STI Facts The same vital sexual health information found in STD Facts is now available as STI Facts for educators who prefer to use the term STI to help clients understand sexually

transmitted infections. Large-Format Pamphlet English #154 Spanish #154SP

Visit etr.org/store for more STD/STI materials. 800•321•4407

STD/STI

Be prepared with this handy pocket guide

STD: Protect Yourself

STD Facts for Teens

+ Fits easily into wallet or purse + Unfolds to reveal facts about common STDs

+ Adapted especially for teens + Delivers indispensable information about 8 common STDs + Supports condom use and stresses abstinence is the only guaranteed way to be safe + Foldout chart highlights key information Large-Format Pamphlet English #516 Spanish #517

and tips for protecting yourself + Includes a QR code that links to free online video instructions for using a condom Pocket Guide #E009 See pricing options on page 14.

Perfect for health fairs, lobbies, classrooms

STD: Protect Yourself Banner + Eye-catching banner delivers vital messages about STD + Durable 13 oz. vinyl. Over 6 1/2’ tall! + Retractable. Includes canvas carrying case Retractable Banner #K080 $249.99

STD Testing + Reassures that tests are quick and easy + Includes who should be tested + Lists cures or treatments + Chart describes tests for 8 common STDs Large-Format Pamphlet English #414 Spanish #422

QUANTITY 50 100 200 500 1K 5K+ Large-Format Pamphlets $36 $68 $130 $306 $540 Call for pricing

Visit etr.org/store for more STD/STI materials. 800•321•4407

STD/STI

Popular series targets concerns about STDs + Common symptoms + How you get the STD + What happens if you don’t get treated + The importance of getting tested + How to protect yourself

Chlamydia Pamphlet English #116 Spanish #166 Syphilis Pamphlet English #185 Spanish #R858

Gonorrhea Pamphlet English #186 Spanish #R779 Herpes Pamphlet English #117 Spanish #R778 Hepatitis B Pamphlet English #003 Spanish #R890

Vaginitis Pamphlet English #125 Spanish #218

STD Genital Warts & HPV

STD Gonorrhea

Protect yourself. What about sex?

Gonorrhea can be cured. See a health care provider.

Protect yourself. What about sex?

WHAT IS THE HPV VACCINE?

Talk to your health care provider about the HPV vaccine to see if it’s right for you.

It’s very important to treat gonorrhea right away.

Not having sex is the surest protection against gonorrhea and other STD. Having sex with only one uninfected partner who only has sex with you is also safe. Safer Sex • Barriers such as latex condoms and dental dams will protect you from STDs most of the time. Using them when you have vaginal, anal, or oral sex is a great way to protect yourself. • Soft plastic (polyurethane) or nitrile condoms work well and you can use them if you’re allergic to latex. These come in both external and internal styles. • Try using water-based or silicone lubes with condoms and other barriers—lube can help sex feel better and protects condoms from breaking. • Get checked for gonorrhea and other STD regularly. Ask your health care provider to help you decide how often and which tests you should have.

Not having sex is the surest protection against genital warts and other STD. Having sex with only one uninfected partner who only has sex with you is also safe. Safer Sex • Barriers such as latex condoms and dental dams will protect you from HPV when they cover the area with active virus. Using them when you have vaginal, anal, or oral sex provides good protection. • Soft plastic (polyurethane) or nitrile condoms work well and you can use them if you’re allergic to latex. These come in both external and internal styles. • Try using water-based or silicone lubes with condoms and other barriers—lube can help sex feel better and protects condoms from breaking. • Get checked for genital warts and other STD regularly. Ask your health care provider to help you decide how often and which tests you should have.

• There is a vaccine that protects against most types of HPV that cause cancer and genital warts. • The vaccine is given in 2 or 3 shots over a 6-month period. It is recommended for people between ages 9 and 26. Older adults who want to be vaccinated may also get the shots. • The vaccine works best before a person begins to have sex. But it can also protect someone who has already had sex. • People with a vagina should still have regular Pap tests even if they get the vaccine. If you have genital warts… Get checked by a health care provider. • Don’t use remedies sold in stores for removing warts from other parts of the body. They won’t work on genital warts, and may even be harmful. • Tell your sex partner(s). Your partner should be examined and treated if they have warts. • Tell your provider if you’re pregnant and you think you might have genital warts.

Genital Warts & HPV Pamphlet English #157 Spanish #R889 HPV & Cervical Cancer Pamphlet • If you have gonorrhea, your provider will give you antibiotic pills or a single shot. • If you are given pills, take all the pills. Gonorrhea may come back if you don’t. • Wait to have sex. Ask your provider how long after treatment you must wait. • Tell your sex partner(s). Your partner must be treated, too. Otherwise he or she could give gonorrhea to someone else or back to you. It felt a little awkward to talk about getting checked for STD, but it felt good to go to the clinic together.

PID Pamphlet

To Learn More CDC-INFO 1-800-232-4636 www.cdc.gov/std/gonorrhea

To Learn More CDC-INFO 1-800-232-4636

English #187 Spanish #217

NGU Pamphlet

Get an STD check any time you’re concerned about risk, even if you don’t have symptoms.

Professional models were used in all photos. This brochure is not intended as a substitute for your health professional’s opinion or care. Written by Kay Clark. Revised 2021. © 1987 ETR. All rights reserved. It is a violation of U.S. copyright law to reproduce any portion of this publication. Available in Spanish Title No. 157 [21-1011]

Professional models were used in all photos. This brochure is not intended as a substitute for your health professional’s opinion or care. Written by Katherine Forrest, MD. Revised 2021. © 1989 ETR. All rights reserved. It is a violation of U.S. copyright law to reproduce any portion of this publication. Available in Spanish Title No. 186 [21-0201]

English #127 Spanish #216 5

English #085 Spanish #219

Combine & Save! Get 50 each of all 10 STD pamphlets. $280 value. English #S074 $162 Spanish #S077 $162

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$32 $61 $115 $272 $480 Call for prices $36 $68 $130 $306 $540

Pamphlets

Large-Format Pamphlets

Visit etr.org/store for more STD/STI materials. 800•321•4407

STD/STI

Cover 3 types of hepatitis with 1 pamphlet Hepatitis ABCs + Provides an essential overview of hepatitis A, B, and C + Explains how people get each type + Covers symptoms, tests, and treatment + Tells how to protect yourself, including vaccines + Foldout chart compares main points Large-Format Pamphlet English #235 Spanish #302

Hepatitis B + Stresses that hep B is serious and can be dangerous + Explains how you get it + Describes how it’s spread and who’s at risk + Discusses how to protect yourself + Recommends getting the vaccine Pamphlet English #003 Spanish #R890 Sex Myths + Designed especially for teens to address common myths + Explains that there’s a lot of misinformation online + Suggests how to find out the truth about sex + Recommends good sources of information + Discussion guide, activity sheets, and video available online Pamphlet (with free online video)

Hepatitis C + Stresses that hep C is serious and can turn into a chronic disease + Explains how it’s passed from person to person + Emphasizes treatments that can cure hep C in 8–12 weeks + Discusses how to prevent it Pamphlet English #H271 Spanish #R942

Easy to Read

What Is HPV? + Provides easy-to-understand information about HPV + Explains that HPV often doesn’t cause problems + Discusses genital warts and cervical cancer Pamphlet

English #458 Spanish #473

English #498 Spanish #632

Visit etr.org/store for more STD/STI materials. 800•321•4407

HIV

The important facts in a single pamphlet One of our top-selling titles, HIV Facts is an essential tool for HIV educators. + Gives HIV prevention facts at a glance + Discusses how people get HIV and what to watch for + Emphasizes the importance of testing and steps to take after getting results + Includes information on safer sex, PrEP, PEP, and U=U

HIV Facts Large-Format Pamphlet

English #H196 Spanish #R736 More languages available online!

HIV Facts for Teens Delivers the same indispensable information about HIV, presented using language, concepts, and images to engage teens. It supports condom use, but also stresses that abstinence is the surest way to prevent HIV. Large-Format Pamphlet English #529 Spanish #541

"We love HIV Facts because it’s so thorough. We give one to every person who receives an HIV test at our agency." Meredith Short, Community Health Educator, Positive Link, Bloomington Hospital, Indiana

HIV

Prevent HIV—PrEP gives you choices Updated! Is PrEP for You? Using PrEP to Prevent HIV

Is PrEP for You? Using PrEP to Prevent HIV

hiv/basics/prep.html

ePrEPMe epme.org Locator tor.org y, Set, PrEP prep.hiv.gov

+ Provides an overview of what it means to use PrEP to reduce the risk of HIV, answering common questions + Discusses how to decide if PrEP is the right choice + Includes how to use on-demand PrEP, or PrEP 2-1-1 + Explores the difference between PrEP and PEP Pamphlet English #630 Spanish #631 Updated! Preventing HIV: PrEP Gives You Choices + Durable poster complements the pamphlet. + Provides an overview of how PrEP can reduce the risk of HIV, how to decide if PrEP is the right choice, and how to access PrEP Laminated Poster (22" x 29") #K077L $29.99 ea

Pre-exposure prophylaxis, PrEP , is a Food and Drug Administration (FDA) approved breakthrough in HIV prevention. However, there are still many health equity barriers that exist for clients and patients. In this Physician’s Weekly article, ETR’s Dr. Rebecca Braun discusses study results that found the importance of scaling telehealth services to increase access to PrEP for communities facing significant inequities in PrEP availability and utilization. http://etr.my/PrEP-Telehealth

U=U Undetectable = Untransmittable + Emphasizes the success of HIV treatment + Defines an undetectable viral load + Explains HIV cannot be sexually transmitted when virus is undetectable + Discusses the need to stay with treatment Pamphlet English #637 Spanish #637SP Treatment is prevention!

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Pamphlets

Large-Format Pamphlets

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HIV

Comprehensive series answers common questions

Testing at Home + Addresses the importance of testing + Provides information about different test kits + Discusses what to do if you test positive Pamphlet #543 Antibody Test + Discusses confidential vs. anonymous testing + Explains what the results mean + Suggests where to get tested Pamphlet #044 Rapid Test + Describes how the rapid test works + Discusses what results mean + Explains the counseling procedure + Choice of covers for different audiences Pamphlet #366 See more covers online

After the Test + Explains what a negative test means + Suggests what to do if you test positive + Covers how to prevent HIV Pamphlet #198 What If I’m Negative? + Explains what a negative test means + Discusses the HIV testing window + Offers steps to protect yourself Pamphlet #H274 What If I’m Positive? + Outlines steps to take after positive result + Discusses treatment + Explains how to protect yourself and others + Gives tips to stay healthy + Choice of covers for different audiences Pamphlet #197 See more covers online

HIV Q&A SET with Rack Save 20%! Consists of 50 each of 8 HIV Q&A pamphlets, plus a handy 8-slot pamphlet rack. Set #S131

Living Healthy with HIV + Lists ways to eat healthy and be physically fit + Explores how to deal with stress + Discusses treatment options + Includes how to find a doctor and get services + Covers ways to have great sex with very low or no risk Large-Format Pamphlet English #508 Spanish #527

HIV

HIV/STD Message Pen + 6 powerful messages, just click + Promotes sexual responsibility + Popular event give away! Pen #T031 $62.99 (set of 25)

12 Reasons: Get Tested for HIV + Notes that many people with HIV don’t know they have it + Includes a risk assessment quiz + Emphasizes that anyone can get HIV + Describes the test, explains how it works, and lists places to go for testing Pamphlet #514 HIV + Sex + Provides no-risk and low risk safer sex guidelines + Discusses how to talk about sex with new and/or steady partners + Suggests PrEP as an option for serodiscordant couples + Explains how a doctor can help with HIV meds, T-cell and viral load check-ups, and more Pamphlet #530

Motivational Interviewing (MI) is an evidence-based, patient centered, collaborative communication style that providers can adopt as part of a comprehensive HIV prevention strategy. When talking with patients and clients about HIV prevention, here are some MI-style questions to ask: “What are your thoughts on your current sexual health practices?” “How would your life be different if you were able to reduce your risk of HIV?” “How about we work together to develop a plan that includes regular testing, safer sex practices, and possible PrEP use?” To learn more about Motivational Interview techniques, check out this free webinar at http://etr.my/ MI-HIV

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Pamphlets

Large-Format Pamphlets

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Birth Control & Pregnancy Prevention

Our popular Birth Control Facts pamphlets cover: + Most popular methods in order of effectiveness + Chances of not getting pregnant + Advantages and health concerns + Level of protection from HIV/STD + Questions to help them decide on a method + Emergency birth control options Guide them through the choices

Birth Control Facts Covers IUD, implant, Depo-Provera, pill/patch/ring, condoms, diaphragm, natural family planning/fertility awareness method, foam/suppositories/films, and sterilization. Large-Format Pamphlet English #137 Spanish #148 More languages available online!

Birth Control Facts for Teens Designed especially for teens, covers abstinence, IUD, implant, Depo-Provera, pill/patch/ring, condoms, diaphragm, and foam/suppositories/films. Large-Format Pamphlet

English #R811 Spanish #292

Birth Control Choices Poster + Designed specifically for teens

+ Describes the most popular contraceptive methods + Lists strong and weak points of different methods + Includes a listing for abstinence + Complements Birth Control Facts for Teens pamphlet

+ Visually appealing 22" x 29" poster Laminated Poster (22" x 29") $29.99 ea English #K047L Spanish #K047SP

Visit etr.org/store for more materials.

Birth Control & Pregnancy Prevention

Emergency Contraception + Explains what EC is and when it can be used + Describes emergency contraceptive pills and the copper-T IUD + Discusses timing, effectiveness, cost, and side effects + Answers common questions Pamphlet

So many options! Multiple formats deliver facts about birth control

Birth Control Methods A Quick Guide + Presents birth control methods in order of effectiveness + Includes up-to-date information on LARCs (Long-Acting Reversible Contraceptives) Booklet (8.5" x 5.5" cardstock) #H980 $29.99

English #R019 Spanish #R827

Find Your Birth Control Match + Emphasizes that there are many kinds of birth control + Encourages people to keep trying until they find the right match + Discusses the benefits of various methods + Provides practical, common sense tips for choosing a method Pamphlet #547

Birth Control Banner + Introduces questions to consider about contraception + Durable 13 oz. vinyl + Includes canvas carrying case Retractable Banner (32.5" x 80") #K081 $249.99

Implants & IUDs: Easy Birth Control That Works + Explains why implants and IUDs are good choices for young people + Emphasizes how effectively they prevent pregnancy + Addresses common myths + Encourages also using condoms to protect against STD Pamphlet #546

Perfect for health fairs, lobbies, and classrooms

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Pamphlets

Large-Format Pamphlets

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Abstinence

Help youth acquire the skills to resist sexual pressure and make healthy decisions about relationships

Abstinence Facts Explains that it's important for people to take care of their sexual health whether they choose to have sex or not. + Lists benefits of abstinence and tips for waiting + Includes a "Will It Work for You?" quiz + Discusses qualities that make a relationship healthy + Includes information about HPV vaccine Large-Format Pamphlet #119 Refusal Skills Message Pen + 6 powerful messages, just click + Resist pressure with the right response + Disengage from unhealthy behavior + Popular event give away! Pen #T008 $62.99 (set of 25) 101

101 Ways to Make Love Without Doin’ It ® Lists fun alternatives to sex including taking a walk together, talking about your feelings, and eating dinner by candlelight. Pamphlet English #063 Spanish #H101 101 Ways to Say NO to Sex Lists emphatic ways to say no to sex including "Let’s ask my parents," "I said No and I mean it," and "I don’t want to get pregnant." Pamphlet #H102 101 Reasons to Be Abstinent Lists benefits of not having sex including that it's the surest way to prevent pregnancy and STD, reduced stress, and a chance to learn about commitment. Pamphlet #H264

Visit etr.org/store for more abstinence materials. 800•321•4407

Condoms

Condoms are great at preventing HIV/STD and unintended pregnancy

Condom Facts + Why use condoms and where to find them + How to choose and use them + Talking to a partner + Practicing to get comfortable Large-Format Pamphlet English #526 Spanish #539

Condom Facts Poster + Details 10 things to know about choosing and using condoms + Complements Condom Facts Pamphlet Laminated Poster (22" x 29") #K057L $29.99 ea

Using Condoms Side 1: External (Male) Condom Side 2: Internal (Female) Condom + Features detailed illustrated instructions for using both kinds of condoms + Explains the benefits of using each kind + Includes tips for making condoms sexy Pamphlet #540

Condoms: Think About It (Bilingual) + English on one side and Spanish on the other side + Describes what a condom is and why using condoms is important + Includes illustrations of 4 easy steps to condom usage + QR code links to online video instructions in Engish and Spanish Pamphlet #008

Condom Demonstrator Designed to help educators and health care providers demonstrate how to use a condom. + Appropriate for multiple audience—does not have anatomically detailed features + Encourages students to ask questions and become comfortable with the topic + Made of durable, lightweight wood that is easy to clean + Approximately 7 1/4" long Model #T037 $21.99

Condom Educator Kit + Everything you need in one kit to demonstrate—model, brochures, and more + Convenient carrying case Kit #S313 $89.99

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Pamphlets

Large-Format Pamphlets

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Safer Sex

Condoms: Hot Tips + Unfolds to reveal great tips on using condoms to make sex better + Discusses condom care, lubes, and talking to your partner

Pocket Guide English #E001 Spanish #E008 More languages available online!

Safer Sex: Hot Sex + Offers tips on making sex relaxed and safe + Reviews safer sex basics + Encourages talking, being playful, and exploring touch Pocket Guide #E007

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Pocket Guides

9 Sexually Responsible Behaviors + Shows why responsible choices make sense + Encourages staying informed about birth control and STD + Suggests getting friendly with condoms + Stresses clear communication about “yes” and “no” + Supports living by your values and taking steps to protect yourself Pamphlet #310 6 Things You May Not Know About Oral Sex + Explains that STD can be passed during oral sex + Provides tips on how to protect yourself + Encourages conscious choices + Recommends discussing oral sex with a partner + Stresses that it’s always OK to say no to oral sex Pamphlet #413

12 Reasons: Let’s Talk Before We Have Sex + Discusses good reasons for talking with your partner + Offers tips to help you get started + Describes STD basics + Encourages people to get tested Pamphlet #515

HIV + Sex + Explains that people with HIV can have great sex safely + Provides no-risk and low-risk safer sex guidelines + Discusses how to talk about sex with new and/or steady partners + Suggests PrEP as an option for serodiscordant couples + Talks about how a doctor can help with HIV meds, T-cell and viral load check-ups, and more Pamphlet #530

Visit etr.org/store for more materials. 800•321•4407

Pregnancy

Having a healthy pregnancy is one of the best ways to have a healthy birth

During my third month, I heard my baby’s heartbeat!

Pregnancy Facts + Comprehensive overview details body changes and blood to see if you’ve had rubella (German measles). If you get rubella during pregnancy, it can cause problems for your baby.

to show a picture of the baby. It may be done if the baby seems too small or too large, or if you have bleeding or other problems. • Alpha Fetal Protein test for problems with the baby’s brain, spine and stomach. It’s done between weeks 15 and 18. • Group B strep test from your vagina and rectum. Untreated group B strep can cause pneumonia or meningitis in your baby.

cervix. Some cells will be taken from your cervix and checked to make sure they’re normal.

• Pap test checks for cancer of the

checks your

type and checks whether your blood is Rh positive or negative. If you’re Rh negative you’ll need a special shot at 7 months or right after the baby is born. • Rubella titer test

checks cells

gonorrhea and chlamydia.

• STD tests check for syphilis,

have hepatitis B. If you do, your baby can get a vaccine within 12 hours of birth. This will greatly reduce the chance your baby will get Hepatitis B. causes AIDS. If you have HIV, you can take medicine to greatly reduce the chance of passing it to your baby.

how the baby grows in each trimester + Offers tips for a healthy pregnancy • Hematocrit or hemoglobin test checks how many red blood cells you have. These cells carry oxygen to your baby. This test is done again in your seventh month.

checks

• HIV test checks for the virus that

• Blood type test shows your blood

• Hepatitis test checks to see if you

• Ultrasound uses sound waves

Tests Done at Your First Visit

+ Covers ways to ease common pregnancy conditions + Folds out to a chart that illustrates stages of fetal development Large-Format Pamphlet English #183 Spanish #R737 You’ll answer questions health, the baby’s father’s health and your family’s health. You’ll be asked the date of your last period and about any other pregnancies. You’ll have a checkup. will weigh you and take your blood pressure. He or she will check your heart, lungs, breasts, belly and the area around your vagina. You’ll have a pelvic exam. provider will check your cervix (the bottom part of your uterus). This is to see how far along your pregnancy is.

You May Have

Other Tests

Your can be checked. Sugar, protein, bacteria or blood in your urine can be a sign of problems. This is done at every visit. • Your blood pressure will be need other tests to find out what the problem is.

checked. If it gets too high, you may

before each visit.

Your

Your provider blood sample will be taken and used for several tests. You’ll have a urine test and a Pap test. You may have a TB test and tests for sexually transmitted disease (STD), including HIV. You’ll learn your due date. provider will talk to you about how to have a healthy pregnancy. This is a good time to ask questions.

write down your questions

You may want to

so your urine • You’ll be asked about your health and any concerns. any changes or anything you’re worried about. • Your tummy will be measured check the size of your uterus. This shows how your baby is growing.

your baby is growing. • You’ll urinate in a cup

Report

A small What to Expect at Later Visits • You’ll be weighed at every visit. The right amount of weight gain shows that you’re eating well and

You’ll have some tests.

about your

What to Expect at Your First Visit

Prenatal Care

What Is Prenatal Care?

Danger Signs Call your health care provider if you have: • Bleeding from the vagina. • Swelling of your face and hands. • Bad pain in your abdomen. • A fever over 100 degrees. • Burning when you urinate. • Decreased fetal movement or fewer than 10 kicks in 2 hours after the 28th week. • Vomiting or diarrhea that lasts more than 24 hours. • Fluid leaking from your vagina. • Pain or pressure in your belly or back that gets stronger over several hours. • Bad headaches. • Blurry eyesight.

Prenatal care is the health care you get when you’re pregnant. You can get prenatal care from a doctor, nurse practitioner or nurse midwife. Another name for all these people is “health care provider.” Checkups should start as soon as you think you might be pregnant: • In your first 6 months, you’ll usually get a checkup once a month. • In months 7 and 8, you’ll go twice a month. • In your last month, you’ll go every week.

There are many reasons to get prenatal care.

Prenatal Care + Gives a thorough overview of prenatal care + Discusses why it’s so critical + Covers nutrition and danger signs that require immediate medical attention Large-Format Pamphlet English #087 Spanish #033

• Your provider can check your health and take care of any problems before they become serious. • Your provider can make sure your baby is growing well. • Some important tests are done while you’re pregnant to check your health and your baby’s health. • Prenatal visits give you a chance to ask questions and to learn about your pregnancy. You can get prenatal care from many places: • the public health department • county hospitals • family planning clinics • a private doctor If you don’t know where to go, call your local public health department for help.

I know it’s important to get prenatal care to keep my baby and me healthy.

Professional models were used in all photos. This brochure is not intended as a substitute for your health professional’s opinion or care. Written by Jane Hiatt. Reviewed 2019. Revised 2006. © 1991 ETR. All rights reserved. It is a violation of U.S. copyright law to reproduce any portion of this publication. Title No. 087 [19-0430]

Prenatal care gives you the best chance of having a healthy baby.

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Trimester Series This series covers all the stages of pregnancy. Each pamphlet includes: + Fetal development in that trimester + Relief from common conditions + Warning signs to watch for + Common emotional experiences 1st Trimester Pamphlet #R327

2nd Trimester Pamphlet #R328 3rd Trimester Pamphlet #R329

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Pamphlets

Large-Format Pamphlets

Men's & Women's Health

Male Self-Exam + Provides easy instructions for genital self-exam + Covers what’s normal and when to seek treatment + Explains early detection of cancer and STD Pamphlet English #191 Spanish #200

Know Your Numbers: For Men Explains how to protect your health by tracking and improving numbers for: + blood pressure + cholesterol + body mass index + blood sugar + waist circumference Pamphlet #518

Female Facts + Clearly describes reproductive organs with illustrations + Covers puberty and health stages throughout life (puberty, breast health, etc.) + Provides insight for commonly asked questions Pamphlet #193

Male Facts + Clearly describes reproductive organs with illustrations + Covers puberty and health stages throughout life (puberty, prostate health, etc.) + Provides insight for commonly asked questions Pamphlet #188

Men’s Health What’s Normal, What’s Not + Describes and illustrates the male reproductive system + Discusses the life cycle of sperm + Covers premature ejaculation, impotence, and prostate health + Explains when to see a health care provider Pamphlet #R017

Men: Protect Your Sexual Health + Discusses testicular cancer and self-exams + Covers STD symptoms and how to protect yourself + Urges making a birth control plan + Shows how to use a condom + Includes safer sex guidelines Pamphlet #H235

Visit etr.org/store for more materials. 800•321•4407

Men's & Women's Health

Breast Self-Exam + Describes how to do a breast exam + Includes clear illustrations + Discusses clinical exams and mammograms + Explains when to call your doctor Pamphlet Empower women to advocate for their health

Breast self-exam is a way to check your breasts for any signs that could mean cancer. • It’s quick (about 10 minutes). • It’s easy. • Do it once a month. Checking your own breasts, along with regular mammograms and breast exams by your doctor, is the best way to find a lump early.

How do your breasts look? Stand in front of a mirror. Put your arms at your sides and look at your breasts.

How do your breasts feel?

Check standing up. (Some women do this in the shower.) • Put one hand behind your head. Check your left breast with your right hand. Check your right breast with your left hand. • Pretend there are straight lines on your breast. Use the flat ends of 3 or 4 fingers. Feel your breasts a little at a time, in small, dime-size circles. • Move your fingers down along a straight line from right under your arm to the bottom of your breast. • Move your fingers up the next line until you get to the top. • Repeat until you’ve checked your whole breast. • Repeat on your other breast. Check again lying down. • Put a pillow under the shoulder of the breast you’re checking. • Use the same steps as for standing up.

Check with arms at your sides.

Move your fingers down and up your breast as you check.

Check with arms above your head.

When breast cancer is found early it’s easier to treat and cure.

Check with hands on hips, bending forward slightly.

3 steps to healthy breasts

Has the size or shape changed? Is there any dimpling or puckering? Has the color of the skin or nipples changed? Do you have sores, scaly skin, itching or swelling on or around the nipple? Do you have a discharge from either nipple without squeezing? See your doctor if you answer yes to any of these questions.

Have regular mammograms. Ask your doctor how often you should have one. Have regular breast exams by your doctor. Go every 1 to 3 years before age 40. Go every year after age 40. Know your own breasts. Learn what’s normal for you. Report any changes to your doctor.

Discuss any lump or change with a doctor.

“I check my breasts every month.”

English #234 Spanish #247

Easy to Read

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Abnormal Pap + Reassures readers that not all abnormal results are serious + Explains that some cell changes can be very early signs of cancer + Covers treatment and what to know and ask Pamphlet

Your Pap Test + Explains the Pap test, how it works, and what the results mean + Includes ways to prepare for the test and prevent cervical cancer + Suggests how often to get tested + Describes the HPV vaccine Pamphlet #H210

English #H211 Spanish #513

Know Your Numbers: For Women Explains how to protect your health by tracking and improving numbers for: + blood pressure + cholesterol + body mass index + blood sugar + waist circumference Pamphlet #558

Women’s Health What’s Normal, What’s Not + Describes a normal menstrual cycle + Addresses breast health + Includes ways to relieve cramps and PMS + Discusses vaginitis and vaginal discharge + Explains when to see a health care provider Pamphlet #H236

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Pamphlets

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There are 2 main types of diabetes.

normal lives and prevent serious problems if they get treatment. If diabetes isn’t treated, it can be life threatening.

What is diabetes? Human bodies, like engines, need fuel to work. One source of fuel we use is the glucose, or sugar, that comes from food. The right amount of sugar helps cells work right so your body can throw a baseball or read a book. A hormone called insulin makes sure the sugar balance in the body is right. It is made by the pancreas. If the pancreas doesn’t make enough insulin, or the body can’t use the insulin well, the sugar level in the blood gets too high. This causes a disease called diabetes.

Diabetes

can lead

People with diabetes

It can be. Having diabetes puts people at higher risk for: Heart and blood vessel damage Kidney damage Eye damage, including blindness Nerve damage Loss of feet or limbs People with diabetes can greatly lower these risks by keeping their blood sugar under control.

American Diabetes Association www.diabetes.org Centers for Disease Control and Prevention www.cdc.gov/healthyweight

To Learn More

Is it serious?

More than 1 in 3 Americans could have diabetes by 2050 Steps for staying healthy include: + Aim for a healthy weight + Eat healthy + Be active + Get regular checkups + Quit smoking + Ask for support Diabetes Facts + Offers a general overview and lists symptoms + Explains that it’s a serious disease + Discusses risk factors + Features a foldout chart with ways to stay healthy Large-Format Pamphlet English #490 Spanish #500 Diabetes Facts Poster + Lists 6 steps to living healthy with diabetes + Explains how each step helps manage diabetes + Suggests people and organizations for support Poster (22" x 29") #K046L $29.99 ea

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How do I know if I have it?

What if I have diabetes? Having diabetes can seem scary. But many people with diabetes lead normal lives and avoid serious problems.

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If you have any risk factors, talk with your health care provider about a blood test. The test measures your blood sugar levels the first thing in the morning before you eat. You may be tested again on another day to make sure the test is accurate. A blood sugar level of 100 or less means your blood sugar is normal. A blood sugar level of 100 to 124 means you have prediabetes. You can make healthy changes to prevent or delay getting diabetes. If your blood sugar measures over 125, you have diabetes.

What about pregnancy? Some women have high blood sugar levels during pregnancy. This is called gestational diabetes. Sugar levels need to be con trolled to keep both mother and baby healthy. Often a woman’s blood sugar levels return to normal after giving birth. But having gestational diabetes puts her at higher risk for getting Type 2 diabetes later. Learn as much as you can about how to keep your blood sugar under control. To manage your blood sugar you can: Manage your weight. Eat a healthy diet. Be active. Learn how to check your blood sugar at home. Keep a diary to show your provider. Get regular health care. Things that keep your blood sugar on track can also improve your health in other ways. Many people who control their blood sugar feel better than they have for a long time.

Your provider may recommend pills or insulin shots to help you manage diabetes. Diabetes pills help lower blood sugar. They are not the same as insulin. Insulin shots are needed when your body doesn’t make enough insulin. Blood pressure and cholesterol medicines may be needed to lower heart disease risks. Baby aspirin (81 mg) every day to lower your heart attack risk.

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“I was scared about having diabetes. But I learned how to manage my blood sugar and now I feel good most of the time.”

“My mother has diabetes, so I got tested. Now we help each other stay healthy.”

Diabetes Basics + Fits easily into a wallet or purse + Unfolds to reveal lots of great diabetes tips + Encourages healthy eating and physical activity + Discusses blood glucose meters + Emphasizes regular health care + Describes what to do in a blood sugar crisis Pocket Guide #E011 See pricing options on page 14.

Visit etr.org/store for more materials. 800•321•4407

Nutrition & Weight

Healthy Choices Poster + Encourages 5 days a week of aerobic activity and 2 days a week of strength-building activity + Urges adults and teens to unplug and get enough sleep + Offers ideas on eating right, exercising, and a healthy lifestyle + Offers recommendations on stress management and rest + Connects healthy lifestyle and positive outlook on life Laminated Poster (22" x 29") #K056L $29.99 ea

What’s a Serving? + Compares recommended serving sizes to common objects to illustrate healthy portions + Promotes a diet of sensible portions of grains, vegetables, fruit, protein, and dairy products + Recommends healthy limits for sugar, fat, and salt Pamphlet #237

Weight Facts How to Maintain a Healthy Weight + Discusses why a healthy weight matters + Explains how to use a BMI scale and food journal + Suggests ways to eat healthy using MyPlate guidelines + Stresses the importance of physical activity Large-Format Pamphlet #560

My Plate on a Budget + Comprehensive healthy eating guide + Offers dozens of ways to eat well for different budgets, including tips on shopping, portions, and planning + National Health Information Award Winner Pamphlet #519

Body Image + Provides five points to determine body image + Discusses healthy and distorted body image

+ Links body image and self esteem and offers resources for help Pamphlet #H114

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Pamphlets

Large-Format Pamphlets

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LGBTQ+

New materials promote open, honest communication and inclusive environments

Pronoun Pins + Colorful 1.5-inch pins promote everyone's personal pronouns + Includes 25 of each: she/her/hers, he/him/his, she/they, he/they, they/them/theirs, and ask my pronouns + Pins easily to clothing, bulletin boards and more Pins #010 $99.99

What's Your Pronoun? + Reassures people they are welcome and can expect support and respect + Encourages sharing pronouns publicly + Clearly declares a safe space for all people Laminated Poster #K036L $29.99

Safe Space + Helps create a safe environment for LGBTQ+ students, employees, customers, and visitors + Reassures that their experiences will be respected and believed + Appropriate for organizations that offer trauma-informed services Laminated Poster #K035L $29.99

IN.clued + Addresses the sexual health disparities affecting LGBTQ+ youth across the United States + Combines LGBTQ+ youth-friendly health services with direct, relevant, and inclusive sex education Curricula #N220 $599.99

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Pamphlets

LGBTQ+

Transgender: Understanding Gender Differences + Description and explanation of the facets of being Transgender and coming out + Provides recommendations on being an ally and offering support + Promotes understanding and acceptance Pamphlet #374 Being Lesbian, Gay or Bisexual + Covers sexual orientation discovery, gender, and coming out + Explains how homophobia is hurtful for all + Recommends how to be an ally or provide support + Emphasizes safer sex practices for all Pamphlet #R038

ETR is committed to championing evidence-based policies and practices that promote inclusivity and support the well-being of all young people. As part of this work, we create tools that support LGBTQ+ communities, such as webinars that provide tips from knowledgeable guests; blogs written by ETRians with expertise in the field; and downloadable resources that can be shared in classrooms, clinics, and community centers. View them all at http://etr.my/LGBTQ Resources

Supporting LGBTQIA+ Youth New Third Edition! + Contains a step-by step teaching plan for an informative and

engaging class on sexual and gender identity + Provides background information for teachers + Offers practical guidelines for ensuring classroom activities are inclusive, and provides discussion questions for more than 20 teaching strategies Curricula #A230 $39.99

Visit etr.org/store for more LGBTQ+ materials. 800•321•4407

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