Category Archives: Health Education

SCOTUS for the Win!

Photo credit – ThinkProgress

Are you still a bit confused by the details? Check out this great paragraph in the Atlantic that details the decision.

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Filed under Health Education, Health Policy, Media, Politics, Public Health

Child Mortality – What Are the True Biggest Causes?

A great image from Population Services International‘s most recent issue of their magazine, Impact, from the cover article written by Desmond Chavasse, Ph.D, Vice President, Malaria Control & Child Survival, PSI, about causes of child mortality globally.

Causes of Child Mortality – Image courtesy of Population Services International

One of the purposes of the image, of course, is to show the stark contrast between directed funding for treatment and eradication of certain diseases and the number of children afflicted with these illnesses. How does this impact our understanding of global health and of the marketing around certain hot topic health issues and ways in which donors feel as though they are contributing to a decline in preventable deaths?

When I worked in development for HIV/AIDS organizations, it was fascinating to speak with donors about their reasons for giving and their understanding of the prevalence and incidence (and the general audience grasp of the word incidence, which is the measure of risk of contracting a certain illness or disease within a specified time frame) of HIV. Contrast this with the understanding of malaria, TB, diarrhea, deaths due to childbirth complications (for the mother and the infant), and the gap between perception and reality was startling. In no way do I want to deny the importance of consistent development support for all diseases on a global scale, but I do think there is something lacking in terms of the education around these issues for donors and even some advocates.

Solutions? Come chat with me on Twitter.

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Filed under Child Development and Child Health, Health Education, International, Public Health

Is This Real Life? The Reproductive Rights Version

My support of a woman’s right to choose has been well-documented. I champion a woman’s freedom to make a decision about whether or not she should be carrying a fetus, and the availability of resources for her to safely and quickly terminate a pregnancy if she sees fit.

We are in troubled, troubled times. Ceaseless efforts to deny women these rights are abound, and I could link to hundreds of articles that document this, but the handful I’ve chosen certainly upset me enough. I, along with scores of women’s health advocates, have tried any number of measurable ways to fight back – raising more money; drafting opposing legislation and striking down initiatives; testifying before hearings; writing op-ed pieces that detail our positions and rationally lay out the reasons why these reproductive rights are essential to women’s health, well-being, and even economic prospects; explaining that abortions and contraception are also necessary for reasons far beyond prevention pregnancy, and that all reasons are valid and worthwhile.

We’ve been insulted, condescended to, systematically stripped of essential healthcare resources.

I’m tired. I’m tired of the hypocrisy of the anti-choice wing. Tired of the false rhetoric. Tired of their offensively misguided and false claims to care about women as much as they care about fetuses, tired of the aggressive push to force women to maintain pregnancies that they are unprepared for and do not want, and further impact their educational and economic statuses. Tired of the trumpeting of false information about contraception that is subsequently followed up by happily taking money from the very creators of products that prompted their supposed moral outrage. Tired of their total disregard of the reality of many of these women who make the decision to have an abortion. Tired of total disregard of the statistics that undermine their arguments about the United States valuing children and their yet-to-be-realized lives. Tired of the total disregard and dismissal of real ways that abortions could be prevented – complete and comprehensive sexual health education and easy access to a variety of contraceptives. Tired of the complete disdain for women as sexually independent beings, tired of their disgust of the sexual lives of women while giving men and their sperm an unlimited free pass and the ability to impregnate and take off without even a slap on the wrist. Tired of the inability to empathize and simultaneously mete out punishments to the half of the population they deem fit the ostensible crime of engaging in sexual activity. If you want to harp on the issue of responsibility, then it is essential to ensure that both parties are equally responsible in every way – and as about half of the links I have put in this post show, that simply does not happen. Women are disproportionately – vastly so – shouldered with the entire burden of and the entire blame. That’s the reality, and it can’t be separated from the issue.

I’m tired but not worn out. I remain entirely committed to this cause, and won’t be sidetracked by opponents who use everything from personal insults to false science to shaky numbers to try to distract me. Nancy Keenan, the president of NARAL, recently announced that she is stepping down – largely due to the fact that she feels millennials need to begin steering the abortion rights ship, to combat the intense dedication of anti-abortion activists. Over 50% of anti-choicers maintain that abortion is a primary issue for them in elections, while only about a quarter of pro-choicers say the same. Well, I’m here. This remains my number one issue. Are you with me?

A friend recently sent me yet another HuffPo article, that I certainly enjoyed, but that for some reason was the straw that broke my camel’s back in many ways, as I saw her argument struggling mightily to encompass all of the above reasons why we should protect contraceptive access for all women. I’m so tired, in fact, that my response to these attacks has been harrowingly brought down to the essential core that I never thought I would need to stray from when I first realized what being pro-choice was; stripped of the attempts to rationalize (issues of medical necessity outside of pregnancy prevention aside, issues of risk to the mother aside, issues of childcare concerns and education concerns aside) with those who are, in fact, irrational about these issues. What happens in my uterus is my business alone. If you want the babies that these fetuses become, that women made the decision they cannot care for, then there should be no difficulty in deciding that you should take them. Take them all. Take them lovingly and fully, not cynically or begrudgingly. Cultivate them for 9 months, care for the baby when it’s born, love her, feed him, clothe her, educate him, without any help from me. If your goal is to punish women who you think have made flagrantly immoral mistakes, let us air all of your dirty laundry as well, and dissect every single decision you in your life made, and force you to pay for it as we see fit. And by all means, find a way to keep the men who didn’t use condoms, or bullied their partners into not using contraception and subsequently fled, or who threatened or coerced their partner, sitting firmly next to a baby’s crib. Come up with solutions to the myriad of complex social and economic issues that contribute to reasons women get abortions. Re-educate yourself on the fundamental fact that it is not your right to dictate the decisions of another person, and while that lack of control may infuriate you, it’s the way it is.  What happens in my uterus is my business alone. Wherever I go, the uterus goes. You don’t get to stake your judgment flag in my sex organs selectively at will, running “protectively” towards it when it suits you, and fleeing from it (and from what it carries) when it doesn’t. You don’t get to be there at all!

So don’t tell me that we have a collective duty to care for these unborn babies when what you are actually doing is attempting to control the freedom of women while doing everything you can to make sure that no true collectivism actually does benefit women or their babies.

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Filed under Feminism, Health Education, Politics, Public Health, Reproductive and Sexual Health, Women's Health

Body Judgments Begin…Pretty Close to Birth

I know it’s been a while since I’ve written – I took six weeks off to finish my dissertation and prepare for its defense (I passed!), and to take a bit of a breather after all that required writing! But what better way to start a new month than with a new post?

One of the many reasons I went to graduate school to study adolescent female and women’s health was because I wanted to gain a better understanding of why women and girls develop disordered eating behaviors, what makes them worse, and most importantly, how to prevent them. And more and more studies are telling us what many researchers, clinicians, and patients themselves have been telling us for years.

A few recent studies in particular that have been published in the past few weeks highlight these issues well. One new study out of UCLA has again proven that strong self-perception is key to the prevention of risky behaviors in teen girls. The results of this study showed that overweight girls who had high body satisfaction and who were happy with their size and shape were less likely to engage in a range of unhealthy and disordered eating behaviors like fasting, skipping meals, and self-induced vomiting. And more importantly, the study also showed that these girls had lower rates of anxiety and depression, which are so disturbingly common among girls with burgeoning eating disorders.

And the best thing about the study’s results was the discussion that these public health experts, dieticians, and professors had, in which they emphasized that for effective, healthy weight-loss interventions for teens who may need to lose weight for real medical reasons (preventing the onset of diabetes or hypertension and increasing cardiovascular health, for example), these programs need to be rooted in positive self-esteem and the enhancement of self-image. When you feel better about yourself, you want to keep taking care of yourself. You are also more likely to want to share yourself with others, and creating positive social networks increases the likelihood that people will have supporters pushing them to stay healthy as well as a community that makes them feel worthwhile, appreciated, and worth the kind of self-care that diet and exercise changes require.

So why do companies, organizations, media outlets, and other vocal critics keep harping on the idea that shame, insults, and bullying will help people lose weight? To me, the root of this problem lies in the misguided thought that anyone else’s weight is anyone else’s business. It isn’t.

Another recent study has unfortunately shown something I find really upsetting. Preschoolers - remember, that’s ages 2-5 – show negative perceptions of overweight children. The way this study was conducted involved an adult reading four different stories to a group of children, in which one character was ‘nice’ and the other was ‘mean.’ They then showed the children pictures of one overweight figure and one normal weight figure, and asked them to select which one was the ‘nice’ character from the story and which was the ‘mean’ character. Nearly half of all students said that in all four stories, the overweight figure was selected as the ‘mean’ one. Mind you, these figures had no faces. No physical expressions. One was just bigger than the other. And because of that, the children thought they were meaner.

I mean…whoa. Ages 2-5 are in the early developmental stages, when children are absorbing and processing and incredible amount of information - verbally, visually, and physically – and learning how to reason. We do not need judgments about others’ weight getting ingrained at this age, creating perceptions that are very difficult to change. Of course, this one study bears repeating, and should incorporate additional measures of exploring these outcomes; nonetheless, these results are troubling.

Of course, this study begs the revisiting of one of my most pressing points on this blog. Weight, just like food, is not a characteristic that is inherent in measures of good versus evil. That’s very dangerous territory to traverse – once one allows weight to dictate the assessment of whether or not someone is not only of value and worth (societally speaking, this already happens, when overweight people are ignored, more easily dismissed, not taken as seriously), but whether or not they are actually truly ‘bad’ or ‘mean’ or capable of certain sins because they are overweight, one’s morality becomes game for critics. I also always remain shocked at some critics’ short-sightedness in this relam – if you yourself gain weight in the future – something which may happen for a variety of reasons – are you readily willing to take on the label of weakness, ‘meanness’, gluttony? The impassioned rhetoric around the blaming and shaming of overweight people is so starkly in need of an infusion of compassion.

What this shows is that children are inundated with messages, both direct and indirect, from so many different sources at such a young age, that the idea of being overweight is coded as bad in so many ways, that it seems nearly inescapable. To me, this means we have to keep making intense efforts to combat these messages, because we are climbing one steep hill.

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Filed under Child Development and Child Health, Disordered Eating, Health Education, Mental Health

Why Doctors Think mHealth Will Cut Down on Doctor’s Visits

This is a great infographic, courtesy of Mashable, that details the vareity of ways mobile health improves patient outcomes and an individual’s ability to manage their preventitive behavior on their own. It’s a pretty robust outline:

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Filed under Health Education, Public Health, Technology

Barbara Boxer’s Blunt Amendment Condemnation

Many of you saw my post of Barbara Boxer’s response to the all-male congressional panel on women’s health. I wanted to add to that her remarks on the condemnation of the Blunt Amendment, which was luckily killed in the Senate yesterday:

As a reminder, this amendment would have allowed any health insurance company to deny coverage to any person for any reason. Most notably, of course, denying women contraception coverage if these insurance companies – real stalwarts of morality themselves with their attempts to wiggle out of paying for nearly everything – felt women were being so immoral as to want to prevent pregnancy. While funding their male partners’ Viagra, since that’s clearly a medical issue while managing reproductive cycles is the duty of the moon.

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Filed under Feminism, Health Education, Politics, Women's Health

Senator Boxer’s Excellent Response to Attacks on Women’s Health

I’m sure most of you saw the photo of the all-male women’s health panel this past week in Congress:

Sure.

So, I wanted to spread the response of Senator Barbara Boxer, long time fighter for women’s health, and senator from my home state of California. It’s spot on:

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Filed under Feminism, Health Education, Politics, Public Health, Women's Health

Reader Roundup (It’s Been a While…)

I am currently very guilty of completely falling behind on my (totally self-prescribed) schedule of at least weekly, hopefully twice weekly, original writings. I’m in a major data analysis crunch in my dissertation, and the stats interpretation is taking up a healthy number of my hours everyday. That being said, I’ve tried to keep up with my reading schedule, and with that in mind, I’ve done a little round up of some great articles I’ve read in the past couple weeks that I think some of my readers might enjoy. Without further ado:

For those of you interested in adolescent development, the Wall Street Journal had a great article about how the teen brain works, and how it’s changed: What’s Wrong With the Teenage Mind?

ESPN had a section on their website specifically devoted to viewers being able to comment on how much they hated female commentators. So, there’s that: ESPN Allowed People to Complain About ‘Female Commentators.’

Great details from the Huffington Post about what is at stake in an election year for women’s health, and how women’s health is used as fodder for politicos: What Does an Election Year Mean for Women’s Health and Rights?

Gail Collins, who I am a huge fan of, takes this to task as well, questioning how the allowance for employers who oppose birth control to deny coverage for female employees can be seen as a risky precedent: Tales From the Kitchen Table

Mother Jones, with excellent reporting as always, details The Republican War on Contraception – it’s even more frightening when all the facts are compressed into one terrifying testimony.

The International Center for Research on Women has a new series: HIV and AIDS: Are We Turning the Tide for Women and Girls? The chronicle case studies of women driven efforts to prevent HIV infection, projects that adapt to the need of the communities they work in (I’m always amazed that this essential element of global development remains sometimes misunderstood and underestimated), and innovative new endeavors is some great coverage on current global health initiatives aimed at reducing HIV infections and AIDS progression.

What interesting pieces have you read lately?

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Filed under Child Development and Child Health, Education, Feminism, Health Education, International, Politics, Public Health, Sexism

Shame Won’t Make You Healthy. Really.

Some of you public health and social marketing gurus have likely already come across the recent slew of ads in Georgia, published by an organization called Strong4Life, that are ostensibly part of an effort to curb childhood obesity. A lofty goal, indeed, but a misguided approach, the criticisms of which have already begun. The images are pictures of overweight and obese children with a variety of captions, including “It’s hard to be a little girl if you’re not,” and “Fat may be funny to you, but it’s killing me,” and “Fat prevention begins at home. And the buffet line.”

Shaming rarely works as a strategy for behavior change. It’s been shown in efforts ranging from drug use behavior to HIV-prevention goals and marketing campaigns. If you click on the images in the Strong4Life campaign you get taken to video spots of these children, who seem burdened by sadness and depression (which can be both causes of and side effects of being overweight – exacerbating these emotional states does not help in weight loss endeavors). Recognizing if one is at an unhealthy weight is an essential step towards healthy weight loss, but the children do not appear buoyed by information, support, and new ideas on ways to be healthy. They seem downtrodden and embarrassed, the very characteristics that a shaming and body-bullying culture easily pounce on and cultivate. The video of Bobby, which portrays a mother who appears shamed by her son’s question doesn’t make me want to hit the gym or eat a platter of vegetables. Instead, the voyeuristic quality of the mock confessions feels more than a bit exploitative and it triggers a gut reaction of sympathy and protectiveness, making me want to yank the camera from the hands of Strong4Life. It’s like they took a message from the Jillian Michaels’ school of adding insult to injury, splashing in an additional dose of fear and intimidation, and expecting that this will result in a lifelong substantial increase in meaningful self-esteem.

The well-developed criticisms of this campaign point out that not only does shaming and negative marketing not induce healthy behavior change, but that these ads do nothing educationally. One girl near-tearfully admits that she gets made fun of at school because she’s fat, and the video slams down a tag line of “being fat takes all the fun out of being a kid” before fading out. While the Strong4Life campaign has a “Get Started” tab offering facts about nutrition and screen time and physical activity, the impact of the original image has already been made. Advertising relies on quick one-liners, on stark imagery, and emotional reactions. In this case, what we see is a tag line reiterating that this girl is not a normal kid, a solitary image of an overweight girl connected to an emotional plea on her part of loneliness and victimization. It’s powerful all right, but not empowering. The ad emphasizes fat loss, heightening the importance placed on size, instead of cultivating an interest in healthy lifestyles and appreciation of the fact that people come in different sizes and can be equally healthy. Critics of the appreciation-of-all-sizes approach say it borders on supporting obesity, which I see as short-sighted. Very high weight status can certainly indicate other problems, like diabetes, early heart and respiratory problems, and difficulties engaging in physical activity. But it’s also essential to make sure that the message that larger sizes are universally unhealthy is quashed, and it’s vital to promote instead that appreciating people of all sizes is essential – and more importantly, that valuing people regardless of size is a priority. This is a topic that deserves that kind of nuance.  I would welcome ads that excitedly show kids engaging in active lifestyles, enjoying sports and enjoying healthy, full diets – creating characters in ads that viewers want to emulate, as opposed to characters that viewers are meant to distance themselves from or who are meant to be repelling, is not only good business sense but inclusive and supportive. These ads further emphasize and underscore the cultural norm categories of “normal weight kids are normal” and “overweight kids are not normal and therefore not ok” – this certainly won’t help curb teasing or bullying in this arena. And since we do know that consistent, positive social support is one of the key factors in healthy behavior change, it’s obvious why public health experts met this series with skepticism. And here’s what else we know – healthy lifestyle changes significantly decrease mortality, regardless of baseline body mass index. Changes in fitness level are what alter all-cause mortality, not changes in BMI.

The response that these ads are cultivating “important conversation” is somewhat moot. It may get people talking, and it hopefully it will encourage media platforms with a larger audience than this blog to come out with constructive, evidence-based, supportive tips and strategies for a healthy lifestyle – but the fact remains that these ads are contributing to the negative, body-shaming noise that fuels so much of popular media and it remains that the effect can be really damaging and counter-productive at the outset. Individuals who ultimately are successful at losing large amounts of unhealthy weight (or who more consistently use condoms, for example) do so not merely because someone called them fat (or because they knew someone who became infected with HIV) – this has happened many times over to individuals seeking or needing to enact behavior change. The change happens because they not only begin to see themselves as deserving of these changes, but also because they become helpfully informed with concrete action steps that help move them through behavior change, are supported and consistently cheered on, and because they know what to do if they feel themselves slipping.

The bottom line is that discussions about healthy living need to happen to prevent long-term chronic health problems, and these conversations do need to happen early. But they shouldn’t start with shaming, embarrassment, or the putting on display of children who have weight problems and asking them to broadcast what’s so horrible about it while telling them that their love of the buffet is what got them to this point. We can do better.

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Filed under Advertising, Child Development and Child Health, Education, Health Education, Media

Ready for 2012?

I certainly am! In case you’re interested, here are some interesting stats for INTY for 2011:

Top Five Posts of the Year:

Good Riddance, Paterno

Duke Nukem – Seriously?

Beyonce – A Word

Yes, Summer’s Eve Has Bad Marketing. Oh, and the Product is Not Good for You

I Still Don’t Think Yoplait Gets It

An interesting mix, indeed! Check them out if you missed them. And for kicks, my favorite Google searches that brought people to my blog:

* “does summer’s eve cause yeast infections”

* “disney feather duster” (which brought them to the Billy Bush post)

* “self-image”

* “i think i’m a feminist” (yay!)

* “consent”

* “abortion”

* “feminism does not necessarily mean hating men”

* “equinox advertisements jealous” (which brought them here)

* “eating disorders”

* “miss usa”

* “eroticization of girls”

* “sexualization of girls”

* “sexualized advertising”

* “advertising desensitization”

* “advertising and behavior”

* “real housewives ignorant” (the RHOBH post did get a lot of comments)

* “gay stereotypes in reality television” (Zel’s guest post)

* “gender identity”

* “adolescent/human development”

* “mitch albom accept who you are and revel in it” (which took them here…showing Albom not reveling in it)

And some creepy and disturbing searches that hopefully led searchers to this blog and perhaps taught them something:

* “how to get any woman to drop her panties”

* “how do young girls get hotter”

* “funny rape jokes”

* “sexy women lying on train tracks”

* “in duke do you need to use the vibrator on the woman”

* “how to take a feminist down a peg”

* “how to take a woman down a peg”

Well, that about sums it up! Looking forward to many more conversations in the upcoming year!

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Filed under Advertising, Child Development and Child Health, Defining Gender, Education, Feminism, Gender Stereotyping, Health Education, Media, Politics, Pop Culture, Public Health, Rape and Sexual Assault, Sexism, Violence, Violence Against Women