Wikipedia, Google Trends and Diet: Assessment of Temporal Trends in the Internet Users' Searches in Italy before and during COVID-19 Pandemic.

We obtained data from Google Trends and Wikipedia in order to assess whether an analysis of Internet searches could provide information on the Internet users' behaviour/interest in diets. Differences in seasonality, year and before/during COVID-19 pandemic were assessed. From Wikipedia, we extracted the number of times a page is viewed by users, aggregated on monthly and seasonal bases. We also used Google Trends to evaluate the frequency of the users' web searches. The Mediterranean diet was the most frequently (33.9%), followed by the pescatarian diet (9.0%). Statistically, significant seasonal differences were found for the Mediterranean, vegetarian, Atkins, Scarsdale, and zone diets and pescetarianism. The most commonly searched diet and consequent diet-related queries on Google resulted to be: Dukan diet, Dukan and weight loss. Ketogenic, FODMAP and intermittent fasting diets were statistically more frequently searched during the pandemic compared with before. Our data show a different trend of searches based on the seasonality, year and the pandemic. These data could be useful for scientists, practitioners and policy makers because they can inform educational campaigns via the Internet, especially in periods when the population is more receptive.

[Considerations of Providing the Public with Health Information].

Nowadays, approximately 90 percent of the general population in Japan uses the internet and many of them look for health-related information. However, there have been serious concerns about the contents and credibility of these information. Among "mixture of wheat and chaff", information provided by the public domains are expected as accurate and reliable ones. This article reviews five public websites that provide health or health care information for users including the general population: Minds by the Japan Council for Quality Health Care, e-health net, evidence-based Japanese Integrative Medicine (eJIM), Cancer Information Service by the National Cancer Center, Center for Cancer Control and Information Services, Information system on safety and effectiveness for health foods (HF net) by National Institute of Health and Nutrition. These websites show their running policy transparently and have constructed collaborative relationships with each domain experts, and from the people who are not related with the healthcare field including patients in some cases. Each of them is content-rich and well-organized as an individual unit. The organizations that run these websites share the common goal that provides the general population with quality health-related information, however, cooperation have been limited. To increase awareness among the public, it is worthy considering joint efforts of these organizations in future.

Concientización facilitadora: alternativa al concepto tradicional de la motivación en el campo de la salud / Facilitating conscientization: alternative to the traditional concept of motivation in the field of health

Durante las últimas décadas, el mundo se ha expuesto a una serie de amenazas por brotes virales emergentes de diferente índole. Ante la nueva pandemia del COVID-19 las actitudes, las creencias, las expectativas, o la representación que se haga del problema de salud/enfermedad, cumplen un papel determinante. Alfabetizar en salud es concientizar, aprender a reflexionar, mostrar a los pacientes la vivencia problemática, conseguir inculcar una conciencia crítica para hacerles capaz de percibir lo malo, y de descubrir los medios a emplear para su mejora. Aplicando el proceso de concientización de Paulo Freire, es posible el paso de una conciencia pasiva a una conciencia crítica activa (concientización), mediante un método activo de alfabetización y concientización en salud, de diálogo y de crítica, con propuestas y contenidos apropiados para cada caso

Over the past few decades, the world has been exposed to a number of threats from emerging viral outbreaks of different kinds. In the face of the new COVID-19 pandemic, attitudes, beliefs, expectations, or representations of the disease/health problem, play a determining role. Alphabetize in health is to raise consciousness, to learn to think, to show patients their problematic experience, to inculcate a critical conscience to make them capable of perceiving what is bad, and to discover the means to be used for its improvement. Applying Paulo Freire's process of conscientization, it is possible to pass from a passive conscience to an active critical conscience (conscientization), through an active method of alphabetization and conscientization in health, dialogue and critique, with appropriate proposals and contents for each case

A Content Analysis of Coronavirus Tweets in the United States Just Prior to the Pandemic Declaration.

This study examined public comments on Twitter about coronavirus in the weeks after news stories across the globe on the coronavirus outbreak. A total of 600 tweets were assessed (N = 600) for sentiment, risks presented, attribution of blame, and outrage. A sample of 300 tweets was taken from Sunday, February 9, through Wednesday, February 19, 2020, and an additional 300 tweets from Sunday, March 1, through Wednesday, March 11, 2020, to assess how public communication changed over time. Results show that risk, blame, and outrage differed significantly between February and March in a variety of ways. Specifically, more significant risks were noted in February than in March, with the majority of March tweets not noting any specific risks. Although most tweets did not present any specific blame, more blame was presented in February than in March, although more tweets in March attributed blame to countries and governments. Finally, outrage varied in several ways, with hazards generally being higher in February and outrage being higher in March.

Analysis of dermatologic conditions in Turkey and Italy by using Google Trends analysis in the era of the COVID-19 pandemic.

Many areas of life including patterns of dermatological diseases that patients attend to the hospital were tremendously affected by implementing stay-at-home orders during the COVID-19 pandemic. We aimed to identify the dermatologic interest of the public during the COVID-19 pandemic by using Google Trends. The terms "acne", "hair loss", "eczema", "genital warts", "molluscum contagiosum", "botox", "skin cancer", and "sunscreen" were analyzed on April 1, May 1, June1, 2020, and the corresponding period of the previous year in Turkey and Italy by using Google Trends. The searching spectrum was between March 31, 2019 and June 1, 2020. The relative change of search term "acne" was +10, +29, +13/-1, +17,+33, "hair loss" was +14, +40, +16/+3, +16, +15, and "eczema" was +2, +34, -4/ +3, +25, +18, on the other hand, the relative change of the "genital warts" was -15, -48, +10/-44, -30, +18 and "molluscum contagiosum" was -12, -2, -4/-4, -1, -12 while "botox" was, -10, -43, -8/-41, -31, +4, "skin cancer" was -27, -38, -38/-22,+33, -7 and sunscreen was -6, -25, -71/-13, 0, -45 in Turkey/Italy on April 1, May 1, and June 1, 2020, respectively. A statistically significant positive correlation was found between the number of COVID-19 cases in Turkey and search terms of the general dermatology group during the COVID-19 pandemic (P < 0.05). The search terms including "acne", "eczema", "hair loss" appears to be increasing while "molluscum contagiosum", "genital warts" "botox", "skin cancer", and "sunscreen" decreasing in the era of the COVID-19 pandemic. Understanding the trends and impacts of dermatologic diseases on public perceptions during the COVID-19 pandemic will allow for better preparation of dermatologists.

Heterogeneity in Trust of Cancer Information among Hispanic Adults in the United States: An Analysis of the Health Information National Trends Survey.

BACKGROUND: Hispanics are differentially burdened by inequities in cancer outcomes. Increasing knowledge about cancer and cancer services among Hispanics may aid in reducing inequities, but little is known about what information sources are considered most effective or most trusted by this diverse population. The goal of this study was to examine heterogeneity in trust of cancer information from various media sources among U.S. Hispanic adults. METHODS: Using data from the Health Information National Trends Survey (HINTS) 4, Cycles 2 and 4 and HINTS 5, Cycle 2, we examined nine trust questions, divided into four domains of health communication sources [doctor, government health/charitable organizations, media (including Internet), and family/friends and religious organizations]. Independent variables examined were gender, Hispanic ethnic categories (Mexican American, Cuban/Puerto Rican, and other Hispanics), age, education, income, language, and nativity. We used multivariable logistic regression with survey weights to identify independent predictors of cancer information source use and trust. RESULTS: Of the 1,512 respondents, trust in sources ranged from 27% for radio to 91% for doctors. In multivariable models, Cubans/Puerto Ricans were twice as likely to trust cancer information from print media compared with Mexican Americans. Hispanics 75 years and older were nearly three times as likely to trust cancer information from religious organizations compared with those ages 18 to 34. Hispanic women were 59% more likely to trust cancer information from the Internet compared with men. CONCLUSIONS: Subgroup variability in source use and trust may be masked by broad racial and ethnic categories. IMPACT: Among Hispanics, there is significant variation by ethnicity and other sociodemographics in trust of sources of cancer information across multiple constructs, with notable implications for disseminating cancer information.

Analysis of the Filipinos' Interest in Searching Online for Oral Cancer.

Objective: This study analyzed the health-seeking behavior of Filipinos using Google Trends tool to quantify relative search volume by term . Oral cancer, mouth cancer, tongue cancer, gum cancer, and lip cancer were used as predetermined search terms. Material and method: Comma-separated values file containing relative search volumes of search trends pertaining to oral cancer from 2009 to 2019 were assessed. Brown-Forsythe one-way ANOVA was used to measure differences with respect to oral cancer across different years and months. Two-way repeated measures ANOVA was applied to detect differences regarding mouth cancer, tongue cancer, gum cancer, and lip cancer across the years. Time series models were fitted and used to forecast search interests. Results: The results revealed that interest in oral cancer was significantly higher in 2019 (43.75±5.5, p<0.05) compared to 2009 (29.0 ± 6.7). In terms of months, searches were higher in February (45.0 ± 6.6) compared to May (24.8 ± 3.4, p=0.015), June (25.3 ± 4.4, p=0.020), and December (26.5 ± 4.0, p=0.038). Search interests for gum cancer and lip cancer remained significantly lower from 2011 to 2019, and tongue cancer from 2016 to 2018 but approximated mouth cancer in 2019. The forecast showed that mouth cancer (31.67%), tongue cancer (23.75%), and lip cancer (3.83%) would fluctuate through time pass, while gum cancer (8%) would remain steady in 2020. Conclusion: Health-seeking behavior through search trends showed an increased interest in oral cancer in 2019 and during February. It was anticipated that search interests would fluctuate in 2020, but at the end of the year would decrease for mouth cancer and tongue cancer, increase for lip cancer, and remain steady for gum cancer.

Electronic direct-to-consumer advertising of pharmaceuticals: an assessment of textual and visual content of websites.

Considering the important role of the Internet in health information seeking by consumers, it is critical to examine the health information that is available to them through the Internet. This study contributes to existing knowledge by employing a content analysis to examine visual and textual information on prescription medication websites. A stratified random sample was selected from a list of the 100 most-prescribed medications in the United States. Findings point to under-utilization of audiovisual components on the homepage of prescription medication websites as well as a lack of racial diversity in people pictured. Medications for chronic conditions were more likely to have homepages with a positive emotional tone than those for acute conditions. Further, more depictions of women on homepages predicted a greater number of prescriptions filled. This study includes implications for health education and healthcare professionals, patients and the Food and Drug Administration.

Media coverage of harm reduction, 2000-2016: A content analysis of tone, topics, and interventions in Canadian print news.

BACKGROUND: Harm reduction interventions reduce mortality and morbidity for people who use drugs (PWUD), but are contentious and haphazardly implemented. This study describes volume and content of Canadian newspaper coverage of harm reduction produced from 2000 to 2016. METHODS: Searches of 54 English-language newspapers identified 5681 texts, coded for type (news reports, opinion pieces), tone (positive, negative, or neutral/balanced coverage), topic (health, crime, social welfare, and political perspectives on harm reduction), and seven harm reduction interventions. RESULTS: Volume of coverage doubled in 2008 (after removal of harm reduction from federal drug policy and legal challenges to Vancouver's supervised consumption program) and quadrupled in 2016 (tracking Canada's opioid emergency). Health perspectives on harm reduction were most common (39% of texts) while criminal perspectives were rare (3%). Negative coverage was over 10 times more common in opinion pieces (31%) compared to news reports (3%); this trend was more pronounced in British Columbia and Alberta, a region particularly affected by Canada's opioid emergency. Supervised drug consumption accounted for 49% of all newspaper coverage. CONCLUSIONS: Although federal policy support for harm reduction waxed and waned over 17 years, Canadian newspapers independently shaped public discourse, frequently characterizing harm reduction positively/neutrally and from a health perspective. However, issue framing and agenda setting was also evident: supervised drug consumption offered in a single Canadian city crowded out coverage of all other harm reduction services, except for naloxone. This narrow sense of 'newsworthiness' obscured public discourse on the full spectrum of evidence-based harm reduction services that could benefit PWUD.

Enfermedades raras y Pediatría: una amistad de cine a través de las películas / Rare diseases and Pediatrics: a brilliant friendship made through movies

Las enfermedades raras (ER) son muy frecuentes, pues la suma de todas las personas con ER se estima entre el 6 y 8% de la población, de ahí la importancia como problema de interés sanitario y social. Pero uno de los principales retos en el campo de las ER es que estas entidades se hagan visibles. Y un terreno esencial para trabajar por su visualización son los medios de comunicación, siendo el cine un recurso esencial. El proyecto Cine y Pediatría apuesta por el objetivo de mejorar la humanización de nuestra práctica clínica a través de la prescripción de películas. Y en este artículo adaptamos este objetivo de forma específica a la prescripción de películas en las ER, para conocer y reconocer a nuestros protagonistas y sus diferentes enfermedades de baja prevalencia. Proponemos diez películas argumentales sobre ER, esenciales para vivir las emociones y reflexiones que nos devuelven sus protagonistas y familias: La parada de los monstruos (Tod Browning, 1932), El aceite de la vida (George Miller, 1992), Máscara (Peter Bogdanovich, 1984), El inolvidable Simon Birch (Mark Steven Johnson, 1998), Gabrielle (Louise Archambault, 2013), Al frente de la clase (Peter Werner, 2008), Medidas extraordinarias (Tom Vaugham, 2010), Cromosoma 5 (María Ripoll, 2013), Línea de meta (Paola García Costas, 2014) y Wonder (Stephen Chbosky, 2017). Pero también sugerimos otras diez películas relevantes al respecto: El milagro de Anna Sullivan (Arthur Penn, 1962), También los enanos empezaron pequeños (Wernez Herzog, 1970), El hombre elefante (David Lynch, 1980), El protegido (M. Night Shyamalan, 2000), Los otros (Alejandro Amenábar, 2001), Frágiles (Jaume Balagueró, 2005), XXY (Lucía Puenzo, 2007), El curioso caso de Benjamin Button (David Fincher, 2008), Insensibles (Juan Carlos Medina, 2012) y Los milagros del cielo (Patricia Riggen, 2016). La observación narrativa de estas películas argumentales (y también de las relevantes) nos permitirá acercarnos a este apasionante mundo de las ER, pero sobre todo de las extraordinarias personas y familias que hay detrás del frío nombre de cada entidad médica. Y es por ello por lo que lo raro se convierte en extraordinario en el séptimo arte

Rare diseases (RD) are very frequent, in fact, the sum of all people with RD represents between 6 and 8% of the population, hence the importance as a problem of health and social interest. One of the main challenges in the field of RD is that these entities become visible, therefore media is playing a relevant role in order to achieve such a challenge, and cinema is one of the essentials. Cine y Pediatría project aims to improve the humanization of our clinical practice through the prescription of films. In this article we concrete this objective specifically to the prescription of films in RD, to know and recognize our heros and their different diseases of low prevalence. We propose ten main plot films about RD, essential to live the emotions and reflections that their heros and families give us back: Freaks (Tod Browning, 1932), Lorenzo's oil (George Miller, 1992), Mask (Peter Bogdanovich, 1984), Simon Birch (Mark Steven Johnson, 1998), Gabrielle (Louise Archambault, 2013), Front of the class (Peter Werner, 2008), Extraordinary measures (Tom Vaugham, 2010), Cromosoma 5 (María Ripoll, 2013), Línea de meta (Paola García Costas, 2014) and Wonder (Stephen Chbosky, 2017). But we also suggest another ten relevant films about it: The Miracle Worker (Arthur Penn, 1962), Even Dwarfs stated small (Wernez Herzog, 1970), The elephant man (David Lynch, 1980), Unbreakable (M. Night Shyamalan, 2000), The others (Alejandro Amenábar, 2001), Frágiles (Jaume Balagueró, 2005), XXY (Lucía Puenzo, 2007), The curious case of Benjamin Button (David Fincher, 2008), Insensibles (Juan Carlos Medina, 2012) and Miracles from heaven (Patricia Riggen, 2016). The narrative observation of these main plot films (and also of the relevant ones) will allow us to approach this exciting world of RD, but above all the extraordinary people and families behind the cold name of each medical entity. And this is why the rare becomes extraordinary in the seventh art

Exhaustividad y tono crítico de las noticias en la prensa escrita que informan de una innovación médica / Exhaustivity and critical tone of the news in print media reporting medical innovations

Objetivo: Conocer la exhaustividad y el tono crítico de las noticias sobre innovaciones médicas publicadas en la prensa escrita generalista y analizar qué características pueden estar relacionadas. Método: Análisis del contenido de las noticias sobre el descubrimiento, la introducción o la mejora de una innovación médica a través de un cuestionario con diez criterios de exhaustividad que permiten calcular un índice global de exhaustividad. También se analizó el tono crítico de las noticias. Dos investigadores evaluaron de forma independiente las noticias. Resultados: Se analizaron 204 noticias que obtuvieron como puntuación media de exhaustividad 4,5. El 70% se clasificó con un tono crítico optimista. Los criterios de exhaustividad mejor valorados fueron el nivel de detalle sobre la innovación y la correcta diferenciación entre hechos y opiniones. Los criterios peor valorados se refirieron a los posibles conflictos de intereses económicos y a los riesgos potenciales de la innovación. Las variables autor, longitud de la noticia y clasificación de la innovación se relacionaron tanto con la puntuación de exhaustividad como con el tono crítico. El índice de exhaustividad se relacionó además con la patología, el número de fuentes de información y el tono crítico de la noticia, mientrás que el tono crítico se relacionó también con la difusión del periódico y la relevancia de la noticia. Conclusiones: Se identificaron imprecisiones, sesgos o un exceso de optimismo (intencionado o involuntario) en las noticias analizadas. Un mayor detalle en algunos aspectos de las noticias proporcionaría soluciones a muchas de las deficiencias identificadas

Objective: To quantify how exhaustive and critical were stories reporting medical innovations published in print media and to analyze the characteristics that may be related. Method: Content analysis of the newspapers stories related to the discovery, introduction or improvement of a medical innovation through a questionnaire with ten criteria that allows calculating an overall score of exhaustiveness. The critical view was also included. Results: We analyzed 204 newspapers stories that on average obtained a comprehensiveness score of 4.5. Were optimistic 70% of the stories. The most valued criteria were: level of detail of the explanation of the innovation and the correct differentiation between facts and opinions. While the worst-valued criteria were: disclosure of financial conflicts of interest and the quantification of harms. The variables author, length of the story and classification of the innovation were related to both the comprehensiveness score and the critical view. The comprehensiveness score was also related to the pathology, number of sources of information and the critical tone of the story, while the critical view was also related to the newspapers diffusion and the relevance of the news. Conclusions: The analyzed stories presented inaccuracies, biases or an excess of optimism (either intentional or involuntary). Some aspects of the stories discussed in more detail would provide solutions to many of the identified shortcomings

Contraception and the media: lessons past, present and future.

The rise in social media and the pressure on conventional media to garner online hits has the potential to distort the quality of health information available to the consumer. It should be possible to learn from the 'scares' of the past to develop strategies to counter the effects of misinformation and scaremongering so commonly seen in any discussion of contraceptive risks. That balanced, evidence-based information is available to all couples considering their contraceptive options should be a priority for all clinicians, academics and journalists working in this area.

Health literacy and self-care in adults with type 2 diabetes mellitas

Adequate management of noncommunicable diseases is dependent on self-care1. Being diabetes mellitus one of these major diseases2, several determinants con-tribute to the process of health care and outcomes, however, in the last decades the evidence has been illustrating the concept of health literacy as a relevant and influential factor in diabetes3. In this cross-sectional study, developed in the municipal health centres of the Autonomous Region of Madeira, we used a data collection instrument with the sociodemographic and clinical characteristics created for this purpose and use the European Health Literacy Survey for Portugal4, the Diabetes Self-Care Activities Scale5 and the Treatment Adherence Scale6, too. In the sample (n = 138), we observed a low control of diabetes, including glyca-ted hemoglobin, low density lipoprotein, blood pressure and weight. About a quarter of respondents already showed complications of diabetes. In health literacy, we found a higher percentage of individuals with limited li-teracy in all domains. Adherence to self-care activities was also poor and activities with greater adherence were with medication. Given the inconsistency in the statistically significant relationship between health literacy and health outcomes, and that the results of this study seem to su-ggest that nursing interventions can condition the adherence to some of self-care activities, seeking to optimize the promotion of self-care, we suggest further re-search on the determinants that may influence it, namely the therapeutic relation-ship between the nurse and the adult with diabetes in the community context.

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Aplicaciones informáticas pro-tabaco: análisis de la situación / Pro-tobacco computer applications: analysis of the situation

No disponible

Readability of Prostate Cancer Information Online: A Cross-Sectional Study.

Reading and understanding health information, both components of health literacy, can influence patient decisions related to disease management. Older adults, the population of males at greatest risk for prostate cancer, may have compromised capacity to understand and use health information. The purpose of this study was to determine the readability of prostate cancer materials on the Internet using five recommended readability tests. Using a cleared Internet browser, a search was conducted for "prostate cancer." The URLs of the first 100 websites in English were recorded to create the sample. The readability scores for each website were determined using an online, recommended service. This service generates five commonly recommended readability tests. All five tests revealed that the majority of websites had difficult readability. There were no significant differences identified between websites with .org, .gov, or .edu extension versus those with .com, .net, or other extension. It is apparent that the Internet is used often as a resource for health-related information. This study demonstrates that the large majority of information available on the Internet about prostate cancer will not be readable for many individuals.

The Quality and Veracity of Digital Data on Health: from Electronic Health Records to Big Data / La calidad y veracidad de los datos digitales en salud: de la historia clínica a los datos masivos / La qualitat i veracitat de les dades digitals en salut: de la història clínica a les dades massives

The quality of health information online depends on our ability to assess whether it is accurate, whether we are making this assessment as citizens/patients or whether we are using predictive software tools. There is a vast literature on the quality of health data online, and it suggests that the various tools for ensuring such quality are not fully adequate. I propose to address this problem by getting technological, organizational, and legal tools to work synergistically together. Integral to this vision -across all three elements- is the training needed for professionals delivering healthcare services as well as for patients using and generating health information online

La calidad de la información de salud que podemos encontrar en línea depende de nuestra capacidad para evaluar si ésta es precisa o no, de si estamos haciendo esta evaluación como ciudadanos/pacientes o de si estamos usando herramientas de software de predicción. Existe una amplia gama de literatura sobre la calidad de los datos de salud que podemos encontrar por internet, y ésta sugiere que las diversas herramientas para garantizar una alta calidad de la información no son totalmente adecuadas. Propongo abordar este problema obteniendo herramientas tecnológicas, organizativas y legales para trabajar juntos y generar sinergias. Integrada a esta visión, a través de los tres elementos, es necesaria la formación de los profesionales que prestan servicios de atención médica, así como de los pacientes que usan y generan información de salud en línea

La qualitat de la informació de salut que podem trobar en línia depèn de la nostra capacitat per avaluar si aquesta és precisa o no, de si estem fent aquesta avaluació com a ciutadans/pacients o de si estem fent servir eines de software de predicció. Existeix una àmplia gama de literatura sobre la qualitat de les dades de salut que podem trobar per internet, i aquesta suggereix que les diverses eines per garantir una alta qualitat de la informació no són totalment adequades. Proposo abordar aquest problema obtenint eines tecnològiques, organitzatives i legals per treballar junts i generar sinèrgies. Integrada a esta visió, a través dels tres elements, és necessària la formació dels professionals que presten serveis d'atenció mèdica, així com dels pacients que fan servir i generen informació de salut en línia

Information-Seeking about Anxiety and Perceptions about Technology to Teach Coping Skills in Older Veterans.

OBJECTIVE: We sought to learn where older veterans seek information about anxiety and coping. Due to increasing use of technology in health care, we also explored benefits and barriers of using technology to teach coping skills. METHODS: Twenty veterans (mean age = 69.5 years, SD = 7.3) participated in semi-structured interviews in which we inquired about where they seek information about anxiety. We explored quantitative and qualitative differences for veterans with high versus low anxiety. In follow-up focus groups, we examined opinions about learning coping skills using technology. RESULTS: Though veterans primarily named health care professionals as sources of information about anxiety, online searches and reading books were frequently mentioned. Reported benefits of using technology were convenience and standardized instruction of coping skills. Barriers included lack of interaction and frustration with technology usability. CONCLUSION: Older veterans use multiple sources, heavily rely on interpersonal sources (e.g., professionals, friends), and employ varied search strategies regarding how to cope with anxiety. Using technology to teach coping skills was generally acceptable to older veterans. CLINICAL IMPLICATIONS: Health care professionals could guide patients towards credible online and book sources. Providing instruction about using technology may help older adults use technology to learn coping skills.

(Un)safe sex in James Bond films: what chance for sex education?

BACKGROUND AND AIMS: Many women in Bond films make love to James Bond (alias 007). Our objective was to quantify the practice of (un)safe sex in Bond films. METHODS AND RESULTS: All 24 Bond films were watched together by the authors and the following data were recorded: if the women had sex with 007, whether the women consumed any alcohol before they had sex, whether contraceptives were mentioned and/or used by 007 or the women and whether the women survived the film. Bond had sexual relations with a total of 58 different women. Twenty-two percent of the women had consumed alcohol. In none of the films was any type of contraception mentioned or used. A total of 28% women did not survive the film. CONCLUSION: If he were real, Bond outnumbers the British men at least fivefold when it comes to the number of sexual partners over a lifetime. Nevertheless, over time casual sex is becoming less frequent for 007. Sexually transmitted diseases, safe sex and (unwanted) pregnancies seem not to exist in the films. Some suggestions were made to promote safe sex in future Bond films as movies can play an important role in sex education.