Category Archives: Behaviour

Do boys know more about sex than girls?

Do boys know more about sex than girls?

2016-08-31

BY SUZANNA PILLAY – 28 AUGUST 2016 @ 3:22 PM

WHAT do Malaysian youths know about sex? Not a whole lot, according to the findings of a survey on Malaysian Youth Sexual and Reproductive Health (SRH). The little that they know about SRH is gleaned from a hodgepodge of sources, including school, the Internet and friends.

Forty-two per cent believe that withdrawal before ejaculation is effective protection against unplanned pregnancy. Thirty-five per cent believe a woman cannot become pregnant when she has sex for the first time. The survey also reveals that boys know more about SRH than girls.

For instance, when asked whether standing up during sex will prevent pregnancies, 51 per cent of the female respondents said they do not know, compared with 20 per cent of the male respondents. Fifty-one per cent do not know that a woman can get pregnant during menstruation.

Many respondents do not know how to protect themselves from sexually transmitted infections and 25 per cent believe that protection is not required when there is mutual trust between partners.

SRH knowledge-driven programmes are focused on helping youths to understand their bodies, protect themselves and inculcate respect for everyone, but 25 per cent of those surveyed have the impression that SRH education is about teaching them how to have sex.

However, the Women’s Aid Organisation (WAO) says the findings of the survey may not be representative of young people in Malaysia as “we must keep in mind that the survey results are based on a limited pool of respondents”.

A WAO spokesman says it is likely that boys are better informed about sex because it is a greater taboo for girls. “In Malaysian society, girls are expected to keep their virginity, abstinence is the only option that is encouraged and sex before marriage, let alone early sexual activity, is not openly acknowledged.

These factors may result in girls being less educated about sex than boys.” All Women’s Action Society (AWAM) programme officer Choong Yong Yi says it is not enough to only promote abstinence to prevent unwanted pregnancies and sexually transmitted infections.

“It is much better to implement comprehensive and age appropriate sex education for teens where they are taught about consent, peer refusal skills, safe sex and how to value their bodies. Contraceptives must also be made available.”

Her colleague, information communications officer Evelynne Gomez says the taboo over sex education must be broken. “It is a big taboo in Malaysia and it is going to be a difficult issue to approach, but looking at how unsure young people are in the survey, there should be more comprehensive sex education for youths on their sexual and reproductive health.

“There’s scarcely any information on sexually transmitted diseases and many sexually active youths would rather not deal with the issue.” The survey found that 11 per cent of sexually active respondents have had a sexually transmitted infection and 24 per cent did not seek treatment.

Federation of Reproductive Health Associations Malaysia (FRHAM) executive director Mary Pang says the organisation has been advocating sex education for a long time. “In fact, the topic of consent is a chapter on its own in our Life’s Journey module, which is a manual on sexual and reproductive health for adolescents.

“We use the module in all our training sessions at FRHAM centres, as well as in outreach sessions.”

In the chapter on consent, titled Are you ready for a sexual relationship?, Pang says the key messages are:

• Every right comes with responsibility.

• Make an informed choice. Think, before you act. Don’t just do it.

• Sexual relationships should be pleasurable and not under pressure.

• Pregnancy should be intended and desired.

Read More : http://www.nst.com.my/news/2016/08/168825/do-boys-know-more-about-sex-girls

Sex mis-education: What young people ask their sexual health nurse

Sex mis-education: What young people ask their sexual health nurse

2016-08-26

KATIE KENNY

A nurse at a university health centre, Susan* has learnt not to judge the students who appear in her office.

Occasionally, however, she will lean forward, raise her eyebrows, and ask: “Really?”

While she’s often surprised by young people’s lack of knowledge, she’s understanding.

“Our youth have underdeveloped brains yet we are asking them to decide careers, manage money, live away from home for the first time, deal with drugs, sex, alcohol, stress, loneliness, university work load … no wonder they let their hair down.

“Plus they don’t understand consequences. They don’t. That’s why we need to teach good old fashioned communication skills, like talking.”

er day-to-day job involves “a lot of sexual health appointments and smear tests”. It also involves answering a lot of questions. And asking them.

I’m here for the Emergency Contraceptive Pill

Student: “I’m here for the ECP.”

Susan: “Why?”

Student: “I got drunk last night and I think I had sex.”

Susan: “Do you know who you had sex with?”

Student: “Not really”, or, “I woke up beside a guy in bed”, or, “I feel like I’ve had sex but I can’t remember it”.

At this point Susan is wondering if the young woman was drugged, if she passed out, if she gave consent. Susan keeps asking questions. Of course she will give the student the ECP.

Sometimes, Susan will use a diagram to explain basic female anatomy to her patients.

“You tell more than one woman they’ve got three holes. I show them pictures. I explain what a cervix is. There are a lot of things they just don’t get.”

Student: “I think I have chlamydia.”

Susan: “Why do you think that? Are you sexually active?”

Student: “Yes. I’m in a relationship.”

Susan: “How long have you been in a relationship for? And are they your first partner?”

Student: “About 18 months, and yes, she’s my first partner, and I’m her first partner.”

Susan: “Are you using contraception?”

Student: “She’s on the pill.”

Susan: “What makes you think you have chlamydia? Is it because you don’t trust her?”

Student: “Oh no, we’ve just never used condoms. At school we were told if you don’t use condoms you get chlamydia.”

Susan feels for the guy – obviously he had a hard-line health teacher.

I want an STI check

One of the main reasons young men visit a sexual health nurse is for STI checks.

“They might be starting a new relationships and want the all-clear, or their ex-partner has said they’ve got chlamydia, or they’ve had unprotected sex, or they’ve been in a relationship for a while and they want to stop using condoms …”

Student: “I want an STI check.”

Susan: “Why’s that?”

Student: “Because I had sex the other night and we didn’t use condoms.”

Susan: “Why didn’t you use condoms?”

Student: “Because she’s on the pill.”

Susan: “What’s that got to do with anything?”

Student: “Oh.”

Susan: “Why aren’t you using condoms?”

Student: “I don’t need them.”

Susan: “Obviously you do if you think you’ve got an STI.”

If it becomes clear he’s been mistreating a woman, Susan doesn’t hesitate to ask: “How would you like if that was being done to your sister?”

That really gets them, she says. “They can get quite aggressive but most just sit back and go, ‘woah’.”

Peer pressure is often to blame, she says. “That’s the biggest thing kids have got to rise above.”

Many parents ring the clinic to try to get the goss on their kids – details which the centre is prohibited from releasing. A better strategy, Susan says, is to stay in touch with your kids and discuss “the ups and downs”.

“It’s got a lot to do with your parents … being taught about respect and morals and staying safe and that sort of thing.

“Maybe as parents we do have a lot to answer for, in that our kids are being sent out into the world unprepared.”

*To protect the nurse’s identity and that of her patients we have used a pseudonym.

 – Stuff

 1472168354744

We don’t want no sex education

We don’t want no sex education

2016-08-12

In the age of the Internet, gender, sexuality, puberty and sexual health remain taboo topics in schools and homes.-Vangmayi Parakala

vangmayi-kqAB--621x414@LiveMintAdolescents using tools made by the Thoughtshop Foundation. Photo: Thoughtshop Foundation

During a workshop on puberty awareness targeted at 10- to 12-year-old boys, sex educator Anju Kishinchandani was faced with a curious situation. When they were talking about the growth of pubic hair, one of her students thought he would have to stop going to school. Perplexed, she asked him why, and he said that since he wore shorts to school, hair might grow out from under them.

“We take for granted that the child would know things. But (puberty) is completely new for them. It can cause so much worry,” says Kishinchandani, who conducts workshops in Mumbai schools and neighbourhoods through her company, Out of the Box. These include a “My Body is Mine”, a child-friendly workshop for five- to eight-year-olds, and “Let’s Talk”, a complete sex education session for 13- to 15-year-olds, designed to encourage informed decision making.

Kishinchandani and other gender and sexual health educators have a tough job—in rural and urban India, social and cultural stigmas make it difficult to discuss sex, gender and sexual health issues with children and young adults.

A report on sexuality education in India by the Youth Coalition for Sexual and Reproductive Rights, an international organization, noted that “most schools—private and public-affiliated state boards of secondary education—don’t have any form of sexuality education in their curricula”. The Adolescence Education Programme (AEP) launched by the government in 2005 ran into trouble with state governments and didn’t quite take off. Three years ago, in a vision document for education in Delhi schools that the Bharatiya Janata Party’s Harsh Vardhan prepared in the run-up to assembly elections, he stated that “So-called ‘sex education’ (is) to be banned”. A year later, Harsh Vardhan, who became Union health minister for a while, added that he “wholeheartedly supported pedagogy that is scientific and culturally acceptable”.

The magnitude of the problem is all too visible. According to Unicef’s “The State Of World’s Children, 2016” report, India’s adolescent population (10- to 19-years-old) is over 250 million. That’s a lot of children who have to rely on misinformation, misdirected peers, pornographic material that is sexist and demeaning, and risqué Bollywood and regional cinema, to find out about the birds and the bees. Of them, the report reveals, around 71.5% of adolescent girls and 88.2% of adolescent boys use mass media.

There are, however, a handful of non- governmental organizations, parents and educators keen to hold constructive and informative conversations with children. Delhi-based not-for-profit Talking About Reproductive and Sexual Health Issues (Tarshi), for instance, has been running a helpline for sexual and reproductive health since 1996. It conducts workshops, issues publications, holds e-learning courses on sexuality, and engages with organizations to highlight the importance of such learning for young people.

“There has been a general denial of access to information on sexuality and bodies and this is especially acute with regard to younger women and girls,” says Vinita Sahasranaman, director of programmes and advocacy at the YP Foundation, a youth organization set up in 2002 to influence policy on issues of gender and sexuality, art, health and education.

The Thoughtshop Foundation, set up in 1993, creates communication tools for those working on issues like gender equity and adolescent health. It is run by Himalini Varma, a designer from the National Institute of Design, Ahmedabad, along with fellow designer Santayan Sengupta.

Over the years, Varma has found that well-meaning health workers, even those with decades of on-ground experience, are uncomfortable discussing topics of reproductive health with adolescent girls. The problem is a complex one, tinged with social taboos, assumptions that children will figure things out eventually and, paradoxically, that they aren’t old enough for this information.

Their kits are picture-intensive, with a storyline and easily relatable characters designed to address children from differing educational backgrounds. Their two adolescent health kits—“Champa” for girls, and “Shankar” for boys—which initially came out in Bengali, are also available in Telugu and Hindi now. “We design our kits keeping in mind not just the end recipient (the children), but also the grass-roots users (trainers),” says Varma. She recounts a session when a card with the picture of a teenage girl holding a little baby fostered a discussion on issues of child marriage and teenage pregnancy, as the adolescent girls related it to events in their own lives.

The YP Foundation follows a “peer educator model” for its target audience—marginalized young people, in institutional homes and government schools. “We induct and train older young adults, say 15- or 16-year-olds, to (conduct) sessions with us. This is premised on the comfort level that a peer group shares. We (have) observed that children clarified misconceptions around menstruation with less hesitation with peers than with much older adults,” Sahasranaman says.

“The backlash begins only with contentious issues like shame around menstruation, education on gender relations, sexually transmitted infections (STI), or contraceptives,” she says.

Despite this, sexual health educators like to keep things real. Gaurav Kumar, 22, currently a postgraduate student at Delhi University, facilitated sex-education sessions at a private New Delhi school for children of classes IX-XII in the last academic year. His sessions brought up several topics—sexual and reproductive health, awareness of the rights of sexual minorities, the relation between law and sexuality, the issue of Section 377 of the Indian Penal Code and notions of “natural” versus “unnatural” sex. Kumar’s programme at the school also included organizing sessions with activists and film-makers such as Pramada Menon.

“The focus was to make the students more aware and to sensitize them to these issues, even as they are growing up. To do this, I would also bring in pop-culture references, especially stories of celebrities that the kids would read about often. Because the challenge was to make the topics interesting and relatable in a non-awkward way,” says Kumar.

To keep pace with India’s children—literally, the country’s future—sexual health experts are constantly and rapidly modifying their ways of reaching out and providing healthy, much needed information. Regardless of whether they work in rural or urban areas, trainers say the children are brimming with curiosity and ready for information. The question is, are we willing to provide it to them?

 

 

The new secret to losing weight? Water

The new secret to losing weight? Water

2016-07-21

By Sandee LaMotte, CNN

Suddenly starving? Try drinking some water.

That recommendation isn’t new — but it suddenly got some serious evidence to back it up. A study of nearly 10,000 adults ages 18 to 64 shows that staying hydrated by drinking water and eating more water-loaded fruits and vegetables could help with weight management, especially if you’re overweight or obese.
“Staying hydrated is good for you no matter what, and our study suggests it may also be linked to maintaining a healthy weight,” said lead author Dr. Tammy Chang, an assistant professor in the department of family medicine at the University of Michigan Medical School. “Our findings suggest that hydration may deserve more attention when thinking about addressing obesity on a population level.”
Being dehydrated can mess with your mental, physical and emotional health. Numerous studies show attention, memory and mood can be damaged, and physical distress such as headaches, constipation and kidney problems can result.
But when it came to weight loss and gain, the science on the role of water has been murky. Some studies found drinking water helped control weight gain, yet other studies showed the opposite. Part of the problem, said Chang, was the way hydration has been measured.
“Water consumption is not an ideal measure of hydration,” explained Chang. “The amount of water it takes to stay hydrated depends on your body size and many other factors like your activity level and the climate you live in. Imagine if you were a landscaper in Arizona versus a receptionist in Michigan. The amount of water it takes to stay hydrated will be drastically different.”

Some need more water to stay hydrated

Chang and her fellow researchers at the University of Michigan looked at the topic in a new way — not how much water you drink, but how well hydrated you are when you do so. To do that, they measured the concentration of water in urine.
They found that staying hydrated — which helps your heart pump blood more efficiently to your muscles, which then makes them work more efficiently — was especially important for anyone with a body mass index (BMI) over 25, which is technically overweight and unfortunately applies to all too many of us. In fact, two out of every three Americans are overweight or obese.
“We found hydration and BMI/obesity are associated,” said Chang. “A bigger person needs more water than a smaller person to stay hydrated.”
“It could be that those people with higher BMI are more likely to be inadequately hydrated or that those that stay well hydrated are less likely to be obese.”

Signs you need more fluids

More research is needed, said Chang. But in the meantime, here are ways you can find out if your body has enough fluids.
“Feeling thirsty is the most straight forward way to know if your body needs more water,” said Chang. “Your mouth may feel dry. You may feel run down or less alert. However, I have found that my patients often confuse these symptoms with other urges like hunger or general fatigue.”
The color of your urine is another good way to tell. If your urine is light yellow, almost the color of water, you’re in good shape. If your urine is dark yellow, it’s time to drink up.
And yes, water is best. “Other beverages come with other substances like sugar in soda, or caffeine in coffee that are not recommended in large amounts,” said Chang. “Soft drinks typically contain sugar or chemical sugar substitutes that I do not recommend to my patients. Water is the best for hydration for most people.”
Here’s another easy way: Increase your intake of water-laden foods, such as cucumbers, celery, watermelon, raw broccoli and carrots, plums, apples and peaches.
“Eating fruits and vegetables with high water content is good for you not just because of the nutrients they deliver to your body, but also because they can improve your hydration.”
And they don’t come with a ton of calories. It’s a win all around.

Sexual and Reproductive Health in Young Women with CF: Is It Being Discussed?

Sexual and Reproductive Health in Young Women with CF: Is It Being Discussed?

2016-07-01

Dr Lewis First, MD, MS, Editor-in-Chief, Pediatrics

Care of cystic fibrosis has come a long way over the past several decades with patients with this genetic disorder now living way into adulthood—prompting the need for seamless transitions of care from pediatrician to adult clinician and from pediatric multidisciplinary CF program to an adult one. In the midst of these transitions, there is a role for discussion of sexual and reproductive health counseling with teenagers and young adults—and yet while this is an essential conversation to have with these patients, just how often does it occur and if it does, is it done in a way that is comfortable for the patient?

Kazmerski et al. (peds.2015-4452) decided to look into questions like these by performing qualitative interviews with CF patients ages 18 to 30 and their corresponding CF program directors.  Key themes from these discussions emerged including the importance of having such conversations but also the relative discomfort of both patient and CF specialist to talk about sexual health as well as be familiar with resources to improve sexual and reproductive health care in these patients.  It was also noted that earlier discussions were preferred by patients especially if they were initiated by the CF provider.

Yet while one might want to assign this important conversation to CF providers, there is also the CF patient’s general pediatrician who can and should be bringing up issues of sexual and reproductive health during health maintenance visits.  The authors of this study did not focus on the role of the primary care pediatrician to work in collaboration with the CF specialist, but that is why we chose to publish this article—so that all pediatricians can be made aware of the need to sexually counsel a teen or young adult patient with CF just as we would patients at the same age without CF.

This article calls for better sexual and reproductive health education and services for CF patients as well as other chronic disease patients, and there is no reason that education and services cannot be offered by the primary care medical home in conjunction with the CF program in your area.  Are you doing that?  If so, let us know by sharing your practice tips with our readers by responding to this blog, leaving a comment on our online website where the article is posted, or by sharing a post on our Facebook or Twitter links.

Today’s teen troubles: Sex, drugs and texting on the go

Today’s teen troubles: Sex, drugs and texting on the go

2016-06-14

By Ben Tinker, CNN

It’s a question every mom and dad wants answered: What are their kids really up to?

Today, parents are getting some insight from the Centers for Disease Control and Prevention’s Youth Risk Behavior Survey, which has been conducted every other year since 1991. It now covers 118 health behaviors, as well as statistics on obesity and asthma.
The report notes that the prevalence of most health-risk behaviors — such as riding with a driver who had been drinking alcohol, physical fighting and current cigarette use — has decreased. Some behaviors and outcomes have not changed, including suicide attempts treated by a doctor or nurse, smokeless tobacco use, having ever used marijuana and attending physical education classes. Some have increased, such as being obese or overweight and not drinking milk.
The survey “helps us identify newly emerging behaviors and monitor long-standing youth risk behaviors over time,” said Laura Kann (PDF), chief of the CDC’s School-Based Surveillance branch. “While overall trends for the 2015 report are positive, the results highlight the continued need for improvements in reducing risks among teens.”
The 2015 survey includes results from a national survey, 37 state surveys and 19 large urban school district surveys, conducted among students in grades nine through 12. In all, more than 15,000 students took part in the survey. Participation was voluntary, and responses were kept anonymous.
Here are the highlights from each of the report’s six categories, as well as some insight from CNN’s extensive reporting on all of these areas of health and wellness.

1. Motor vehicle crashes remain the top cause of death.

Motor vehicle crashes are the leading cause of death for people ages 10 to 24, accounting for 23% of deaths in that age group, according to the CDC.
“Nationwide, 42% of students who had driven a car or other vehicle during the past 30 days reported texting or emailing while driving,” according to the report. “This percentage did not change from 2013.”
Every day, more than eight people are killed and more than 1,100 are injured in crashes that are reported to involve a distracted driver, according to the CDC. In addition to texting or emailing while driving, the agency warns about activities such as talking on a cell phone, eating or using a navigation system.
Currently, 46 states, plus Washington, Puerto Rico, Guam and the U.S. Virgin Islands, ban texting while driving for drivers of all ages, according to the Governors Highway Safety Association.
“When you’re texting and driving, your reaction time decreases, your concentration decreases,” said CNN Chief Medical Correspondent Dr. Sanjay Gupta. “People have likened it to driving with a blood-alcohol level of .08. Just like they say, you don’t let friends drive drunk; you don’t let friends drive while texting, either.”
New technology allows drivers to utilize auto-replies if someone tries to text or call while you’re behind the wheel. Other apps can monitor your speed (via your phone’s accelerometer) and disable your phone if it detects you’re moving too fast.
“Your best bet, which is something I’ve started doing as well, is just put the phone out of reach,” Gupta said. “However long it takes you to get home, most of those calls, those emails, those texts — they can wait.”

2. Cigarette smoking is down, but …

The report offers good news about where things stand now but is wary about the future.
“Current cigarette smoking is at an all-time low, which is great news,” CDC Director Dr. Tom Frieden said. “However, it’s troubling to see that students are engaging in new risk behaviors, such as using e-cigarettes.”
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Current cigarette use has decreased significantly, from 28% in 1991 to 11% in 2015, according to the report. But 24% of high school students reported using e-cigarettes in the past 30 days. This is the first time the survey has measured e-cigarette use.
In May, the Food and Drug Administration finalized a rule that allows the agency to regulate e-cigarettes, cigars and hookahs in the same manner it regulates traditional cigarettes.
From a health perspective, teenagers — especially between ages 15 and 17 — are most vulnerable to addiction, at a time when their brains are still developing, according to a report released last year by the Institute of Medicine (PDF).
“Tobacco (is) arguably the most addictive substance on the planet, which has no redeeming qualities whatsoever, in any way, shape or form,” Gupta said. “No matter what your age, smoking is one of the single worst things you can do to your body.”
Some studies have shown that e-cigarettes can be an effective aid in smoking cessation. Other research, which has focused on teens, found that those who used e-cigarettes were more than three times as likely to smoke traditional cigarettes.
“We must continue to invest in programs that help reduce all forms of tobacco use, including e-cigarettes, among youth,” Frieden said.

3. Teens are trying opioids, too.

“Nationwide, 17% of students had taken prescription drugs (e.g., Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin or Xanax) without a doctor’s prescription one or more times during their life,” the report said.
Taking a prescription that hasn’t been written for you by your doctor for an explicit purpose is almost never a good idea. What’s more, in many places, it’s illegal to share pills that have been prescribed to you with someone else. Without consulting your doctor, there’s also no way of knowing what reaction you will have or what kind of interaction could occur because of another drug you might be taking or a pre-existing condition you may have.
The biggest potential problem, though, is “stacking.” It’s when someone combines one medication with another prescription drug, an illegal drug or alcohol. It can amplify the effects of one or both substances and can put your health at great risk.

4. Fewer young people are sexually active.

The percentage of high school students who are currently sexually active — meaning they had sex during the past three months — has been decreasing since 1991, according to the report. It dropped from 38% in 1991 to 30% in 2015.
But, “among high school students who are currently sexually active, condom use decreased from 63% in 2003 to 57% in 2015.”
Because of either misinformation or a lack of information, many teens are under the impression that sex while using birth control is safe sex. The bottom line: There is no pill that protects against sexually transmitted infections, with one notable exception. A medication called PrEP has been shown to be almost as effective as condoms in preventing sexual HIV transmission. Currently, the pill (brand name Truvada) is recommended by the CDC only for those at high risk of contracting the virus.
Nationwide, just 10% of students had ever been tested for HIV, according to the report. Some high school students may be worried about getting tested because they’re afraid their parents will find out through their health insurer.
One simple solution for families would be to make getting tested a yearly occurrence, at a minimum, in an effort to remove some of the stigma. If the tests comes back negative, you’ve put your mind at ease. If you do test positive, the sooner you go on medication, the better — and you won’t pass the virus on to someone else.

5. They’re skipping the soda.

The obesity epidemic in this country is getting worse. But there was a glimmer of hope in today’s report, which found a significant decrease in young people drinking soda one or more times a day. It was down from 27% in 2013 to 20% in 2015.
Calories consumed from sugar-sweetened beverages are far worse for you than calories consumed from food, even the fatty fast-food variety. That’s because without the fiber — say, in the skin of an apple — the sugar hits your liver all at once in a sort of “sugar tsunami.” What’s more, added sugars, like the kind found in sugar-sweetened beverages, are far worse for you than naturally occurring ones in fruit and dairy products.
Diet soda isn’t much better. Some interesting researchhas shown that people who drink diet soda may consumer fewer calories overall, but a higher percentage of their calories came from “discretionary foods,” such as cookies, chips, French fries and ice cream. The authors of that study say people who drink diet soda may feel justified to eat worse foods because they’re “saving” calories when it comes to their drinks, or they may drink diet because they feel guilty about eating unhealthy foods.
If you’re looking for a caffeine kick, switch to coffee or tea. If it’s the fizz you’re looking for, try seltzer with a squeeze of lemon or lime.

6. Screen time is eating into outside time.

“Sedentary behaviors are still problematic,” said Dr. Stephanie Zaza (PDF), director of the CDC’s division of Adolescent and School Health. “Although TV watching for more than three hours a day decreased from 43% in 1999 to 25% in 2015, this behavior has been completely replaced by the use of computers.”
“From 2003-2015, the percentage of high school students playing video or computer games or using a computer three or more hours per day (for non-school related work) nearly doubled, from 22% to 42%,” according to the report.
There is an upside to that. Even the most simple games are more active (at least mentally) than passively watching television. The downside? Nearly every parent would agree that when they were a kid, this time was spent outside, doing something active.
The good news is that this might just be one of the simplest problems to fix: Put down the phone and get outside.

#ThatsNotLove: Helping teens spot signs of relationship abuse

#ThatsNotLove: Helping teens spot signs of relationship abuse

2016-03-03

By Kelly Wallace, CNN

Looking back, Mattis Collier, now 20 and a junior at the University of South Carolina, can see all the warning signs.

“It was a very quick relationship. I didn’t know him very well … but the jealousy, the rage, all of that stuff came pretty soon after,” said Collier about her ex-boyfriend, whom she started dating early in high school.

There was so much isolation, she says, remembering how he went through her phone one time, deleting all of her male friends in her contacts and on Facebook, and how he told her she couldn’t talk to guys or go to parties.

Reluctant to get too specific, she says the relationship was abusive in multiple ways. Ultimately, she cut off communication with him after she started college.

“I was very blind to the situation, and you know, when it’s your first love and all of that, you really think that that kind of thing is, ‘Oh it won’t happen again,’ or ‘He was just so mad,’ or ‘I lied to him so I deserved that,’ but it progressively got worse.”

Yeardley Love was beaten to death by her ex-boyfriend in 2010.

This summer, Collier’s father wore a “One Love” baseball cap to support the One Love Foundation — an organization created in honor of Yeardley Love, the University of Virginia lacrosse player who was beaten to death by her ex-boyfriend just three weeks before she would have graduated in May 2010.

Collier’s father encouraged her to check out the foundation. “I think that was his way of saying, ‘I’m wearing this hat in honor of a girl that was not as lucky as you.'”

So one night she went up to her room and looked up every news article and video she could find about One Love, and made a decision to create a campus organization called Team One Love at her college this past fall. “I was like, ‘OK, if I don’t do this for anyone else, I’m going to do it for myself.'”

Mattis Collier's sign says, "I will never let you go even when you want to. #ThatsNotLove"

There are now 40 active Team One Loves on college campuses across the country and nearly 6,000 Team One Love members. The goal is for the students to take the lead in educating and empowering their peers about the signs and dangers of relationship abuse. It’s all part of a #ThatsNotLove campaign that One Love Foundation officially launched back in October.

‘Every kid has a stake in solving this problem’

 

But this goes way beyond a campaign. The One Love Foundation hopes #ThatsNotLove starts a movement.

“I think the idea behind #ThatsNotLove is how can we think of a lot of different, creative ways to emphasize the same core message, which is that there is a difference between relationships that are about love and relationships that are about control, that you can see in some of the earliest phases of a relationship behaviors that are healthy and unhealthy,” said Katie Hood, chief executive officer of the One Love Foundation.

“We’re trying to sort of make this very clear, that every kid has a stake in solving this problem. Every kid has a stake in working for change and thereby make it easier for people to do so,” she said.

To drill that point home and get to teens and college students where they are — on social media — One Love worked with an outside agency to create “couplets,” eight digital shorts featuring animated emojis, which in a very clear-cut way indicate how intensity, obsession, isolation, disrespect, blame, control, anger and put-downs are most definitely not love.

Since the couplets were launched this month in honor of Teen Dating Violence Awareness and Protection Month, they have been viewed nearly 5 million times and counting, according to One Love.

“They demonstrate exactly what we’re trying to say with ‘That’s not love,’ but they do it a lighthearted way,” said Sharon Love, Yeardley’s mother and the founder of the One Love Foundation. “They’re not threatening. They’re very simple but they bring the point home directly.”

Added Lexie Love Hodges, Yeardley’s sister: “They can capture a whole relationship in five seconds.” People don’t always recognize relationship abuse when they read an article about it or listen to someone talk about it, she said, but here they can see the behavior demonstrated in a way they might click with.

“The topic of relationship violence is so heavy. I think that’s why it’s not talked about often and I think that the couplets … make it more approachable for friends to bring it up in a different way,” she said.

In addition to the digital shorts, two public service announcements also titled “That’s Not Love” have been released, and have been viewed more than 5 million times on Facebook and YouTube since October.

‘We were so clueless’

 

Relationship abuse is an issue that was never discussed in her household, Sharon Love said during a phone interview from her home in Baltimore.

“We were so clueless,” she said, adding that she and her family knew nothing about it and didn’t feel like it was a topic they needed to be concerned about either. “We didn’t realize there were signs, and we’re trying to turn that upside down. … The signs are somewhat obvious but they’re masked as love. You can think that they’re madly in love with you when they’re really just trying to control you.”

Love said she also had no idea about the statistics — how one in three women and one in four men will experience some form of physical violence in a relationship in their lifetime, according to the National Coalition Against Domestic Violence, and how young women 16 to 24 experience the highest rate of domestic partner violence — nearly three times the national average.

“I feel like what we thought of domestic violence was of someone that was married with children, that was stuck in a situation, that was dependent on the abuser and couldn’t get out,” said Love, saying what came to mind was Farrah Fawcett’s portrayal in the movie about domestic violence, “The Burning Bed.”

https://youtu.be/4JYyHa03x-U

“That was like stuck in my head. That’s what relationship violence is,” she said.

It didn’t ever occur to her that relationship abuse could impact young people, let alone that young women in Yeardley’s age group were at the highest risk.

On May 3, 2010, when Yeardley was just 22 and weeks away from her college graduation, Sharon Love awoke to police officers at her front door. Life as she and her family knew it was completely over.

“It was incomprehensible to me that someone I knew, someone that Yeardley cared for, had taken her life,” she wrote last year in a letter posted on the One Love Foundation website. (Yeardley Love’s ex-boyfriend George Huguely was convicted of murder and is currently behind bars.)

The MADD for relationship abuse?

https://youtu.be/2PCsnO2oWV0

 

Determined to raise awareness among teens and help them recognize the warning signs of abusive relationships, Sharon Love started the foundation in the hopes of doing for relationship abuse what Mothers Against Drunk Driving has done for drinking and driving.

“They changed a whole mentality, with generations now thinking it’s appalling to drink and drive. My generation didn’t think anything of it,” she said. “So we’re hoping that relationship violence will be appalling behavior and something that you speak up against right away.”

The foundation created a film called “Escalation,” which showcases a fictional relationship between two students, Paige and Chase, that starts to turn very wrong, very quickly. In the film, Chase wants to be with Paige all the time, gets jealous when she spends time with men, begins to isolate her from her friends and grows increasingly more angry and violent as she starts to pull away. The film has a tragic ending and concludes with photos of young women who in real life were killed by their abusive partners.

I watched the film last year as it was being rolled out on college campuses around the country. It left me shaken and so upset. I watched it again before writing this piece and feel exactly the same way.

So far, the film — along with a 45-minute workshop led by student facilitators — has been shown nearly 700 times at colleges and high schools across the country, with nearly 35,000 students participating. According to Hood of One Love, nearly 90% of students who participated in workshops said they thought it should be required viewing at their school, and 97% said they would recommend it to a friend even if it wasn’t required.

‘Rocketed’ to understanding

 

The goal, an ambitious one, is to have 100% of students on every campus in the U.S. see the film and participate in a workshop, said Hood.

“Because movement is our goal, we just want as many eyeballs to see it as possible,” she said. “We now think that if ultimately we want to change the social climate on campuses, so that people can speak up when they see things, then it can’t just be a pocket of kids that see it. It has to be many, many more.”

I wondered why One Love wouldn’t just release the film on YouTube and allow teens across the country and around the world to see it. Hood said there are two reasons. First, it could be triggering for someone who is an abusive relationship, she said, and you would want to make sure there were resources available or you could communicate to that person what resources are available when they watched it. And second, she said, while the film is powerful, the workshops are more powerful.

“You walk in, you think this has nothing to do with you. And in 38 minutes, which is the length of the film … you’re sort of rocketed to not only understanding the issue, being more aware of it, you recognize that you’ve seen it before,” said Hood. “You have a connection to it.”

Because ultimately, that’s part of the sad reality of relationship abuse. We all most likely know someone who has experienced this.

“It doesn’t discriminate. It’s not just poor people. It’s not just people without fathers or mothers or guidance. It’s everybody. It’s your sorority sister. It’s your friend. It’s your sibling. It’s your child,” said Mattis Collier, who hopes to be able to work with One Love after her graduation in December and then go to law school to work on the issue of domestic violence in college athletics.

“And I think it’s very important for people to realize that you need to talk about it and you need to explain it while you’re younger. It’s not just bruises that are giveaways for an abusive relationship. … It’s how someone talks to you. It’s how someone treats you. It’s how someone talks about you to others.”

Showing people they have a role to play

 

Collier wishes the “Escalation” workshop were required at her high school and college. Right now, just over 40 schools require it with a subset of students, including athletic teams, fraternities and sororities, and freshmen, according to One Love.

“I wish that this was a required seminar for high school, for college students, because the lack of knowledge and education awareness in our country is astounding,” said Collier.

As One Love looks to the future, it hopes not only to increase the number of schools where “Escalation” workshops are held and also increase the number of schools where they are required, but also to deepen the engagement of students, with more Team One Loves — more students like Collier facilitating workshops, training students to be workshop facilitators and holding “That’s Not Love” events where they write words on sheets to match what love is and what it is not.

“It may sound crazy to have these ambitious goals about starting a movement and getting to 100% of the kids on college campuses,” said Hood, “but it’s sort of pretty simple what we’re trying to do. We’re trying to just wake people up to their personal connection and get them to develop their voice and understanding that they have a role to play.”

What drives Sharon Love and the rest of her family is trying to prevent what happened to Yeardley from happening to any other young person in a relationship.

“I feel pretty confident already that we are saving lives,” she said. “We’ve gotten so many letters from so many people that have gotten out of a bad situation, and really just one of those letters makes it all worthwhile.”

What do you think is the best way to try to prevent relationship abuse among teenagers? Share your thoughts with Kelly Wallace on Twitter @kellywallacetv or CNN Health on Twitter or Facebook.

Does Misogyny Lead to Unhealthy Sexuality?

Does Misogyny Lead to Unhealthy Sexuality?

2016-02-18

February 16, 2016 by  

To best understand the relationship between misogyny and sexual health I’ll begin this piece with a comprehensive definition for each term.

Misogyny: “[M]isogyny is primarily a property of social systems or environments as a whole, in which women will tend to face hostility of various kinds because they are women in a man’s world  (i.e., a patriarchy), who are held to be failing to live up to men‘s standards (i.e., tenets of patriarchal ideology which have some purchase in this environment)” (Manne, p.2). In other words, misogyny is systemic oppression of women, within patriarchal societies in which women are expected to adhere to patriarchal expectations, otherwise face punishment.

Sexual health: Sexual health “is a state of physical, emotional, mental and social well-being related to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled” (World Health Organization, 2006).

We all are aware that sexual health is not something which is explicitly discussed in Muslim communities. However, subtle messages and lessons regarding sexuality and sexual health are being relayed to women constantly and these messages place a heavy burden on them.

  • “Wear a long shirt when you go to the mosque. You don’t want the men to see your curves.”
  • “Don’t get too comfortable/friendly with the boys in your class.”
  • “Keep your voice down in the mosque. The men shouldn’t be able to hear you.”
  • “If a man sees your hair your wudu is invalidated.” (Yes, I was told this once.)
  • “Don’t stay out past dark. People will talk.”
  • “You don’t need to know those things until you get married. And then, your husband will teach you.” (Though this message may not be explicitly stated, there are ways in which this message is relayed.)

None of these statements mention sex or sexuality explicitly, but they all send a clear message. “You, woman, are a sexual being whose curves and voice will sexually excite and distract men, who, upon seeing your hair, will have thoughts so dirty YOUR wudu will be invalidated. Also, getting friendly with the boys in your class will inevitably lead to sexual relations and if you stay out past dark people will assume you’re out there having sex with men. Oh, and if you know about sex before you get married then your husband will assume you were out having sex with men and he won’t respect you. So just let him teach you because he knows from all the sex he was out having with women, like most guys do.”

Women’s sexuality, in Muslim communities, is too often defined in relation to men. The attitudes, views, opinions, and thoughts of men are given priority over the reality of women’s lives. Women’s behaviour is strictly regulated to the meet the patriarchal expectations laid out by men. And, as a result, women’s behaviour is often viewed in sexual terms such that women are policed to behave in ways that do not “force” men to behave in sexually “haram” ways or that ensure people know you are not engaging in “unlawful” sex. When women do not adhere to these expectations, or are assumed to not be adhering to them, they are faced with derision, disrespect, and sometimes ostracization and isolation.

This is misogyny. And enacting this misogyny in the name of religious duty or obligation is a form of spiritual violence, in which women are denied access to religious and spiritual attainment because they fail to meet patriarchal expectations of women’s behaviour.

So how is this misogyny harmful to women’s sexual health? Because it denies women bodily autonomy, having a detrimental impact on the physical, emotional, mental and social well-being related to sexuality. It denies women the choice to decide what is and isn’t sexual, safe, coercive, pleasurable, violence. It conflates non-sexual behaviours (how long our shirts are) with sexual ones and disguises sexually violent ones (coercion) as sexually healthy (sexual education) or natural (men can’t control themselves).

It places the burden of modesty and honour on the shoulders of women,consequently victim-blaming women for any sexual disrespect and sexual violence they may endure.

It assumes women to be recipients of sex placing them in danger of being abused and manipulated, or in a situation of unpleasurable and uncomfortable sex. It shames women regarding their own sexuality and their bodies, a shame which can have an impact on their self-image, including their sexual self-image, and confidence.

So how do we address this? The answer is simple, yet one that meets a lot of resistance. Stop being misogynistic. Obviously, this is much, much easier said than done. We have had centuries of misogyny built into not only our culture, but also our interpretations of religion. This will take a lot of work and will require that we challenge those very patriarchal notions that so many of our values and beliefs are premised upon. But this needs to be done, one little action, one little step at a time, if we want healthy communities.

misogyny-300x181

A few steps to begin this process:

Stop sending girls and women these harmful messages and start sending boys and men messages that instill the unconditional respect of women.

Educate girls and women on sexual health and give them the tools to make their own decisions on what is and isn’t healthy for them.

Stop defining women’s sexuality in relation to men. Women do not exist to sexually please men. It seems like it should not need to be said, but women are whole and holistic people, and sexuality only one part of our being. Let women, and girls, define and decide what we want.

Recognize women’s right to bodily autonomy. A woman can choose to do with her body what she wishes. No one else has the right to decide for her nor to infringe upon her autonomy.

This is just the beginning, the tip of the iceberg. However, if we, as a community, begin with these few basic steps, we will be on the road to a sexually healthier community.

Sobia Ali-Faisal received her PhD in Applied Psychology from the University of Windsor in 2014. She currently resides in Canada.

Young Men’s Sexual Behavior May Predict Teen Pregnancy Risk, The Kind Of Dad They’ll Be

Young Men’s Sexual Behavior May Predict Teen Pregnancy Risk, The Kind Of Dad They’ll Be

By 

For years, researchers have investigated young women’s views on motherhood in an effort to reduce teen pregnancies. But in a new study from Northwestern University, they shift their attention to young men and their behavioral patterns, which can shed light not only on their chances of becoming fathers, but also the kind of fathers they’d be.

Past research into young men and sex had primarily focused on the link between risky behaviors and sexually transmitted diseases (STDs). But co-author Dr. Craig Garfield and his team were more interested in seeing how attitudes toward risky sex, pregnancy, and birth control related to their future parental outcomes. They found teens and young men with more nonchalant attitudes toward sex were more likely to be nonresident fathers — men who didn’t live with their children.

“I was very surprised that, based on what adolescent males tell us in their teenage years, we could predict whether they would later become a teen father or a nonresident father,” said Garfield, an associate professor of pediatrics at Northwestern, in a press release. “We’re expanding male reproductive health across the lifespan and beginning to see how early beliefs relate to later outcomes and health, including fatherhood.”

fatherhood-predictions

The research team interviewed 10,253 male teenagers and young adults. Participants were asked to respond to statements, like “If you had sexual intercourse, your friends would respect you more;” “it wouldn’t be all that bad if you got someone pregnant at this time in your life;” and “using birth control interferes with sexual enjoyment.” Then 20 years later, they followed up with the participants to compare their responses from the initial interview to whether they had a child, if they lived with the child, and their age when they impregnated the mother.

Those who practiced riskier sexual behavior “significantly increased” their odds of becoming a nonresident father, especially when it was an unintended pregnancy, the researchers found. Specifically, young men who were less concerned about risky sex were 30 percent more likely to become a father who did not live with his child. Teens who felt it “wouldn’t be that bad” if they impregnated a girl were 20 percent more likely to become nonresident fathers.

These findings served as a way to predict the likelihood of young men becoming fathers in their teenage years. But they also show a correlation between boys’ attitudes about sex and the type of fathers they’d grow up to be 14 years later. While it’s unclear what causes this correlation, research shows teen fathers are less likely to finish school, and more likely to rely on public assistance and have lower-income jobs throughout their lives.

The researchers also found teenage boys who understood the pros and cons of using birth control were 28 percent less likely to become nonresident fathers, suggesting sex education may help as an intervention. According to the Sexuality Information and Education Council of the United States, young people who receive comprehensive sex education are 50 percent less likely to become pregnant or get a woman pregnant, and significantly more likely to delay a pregnancy and invest time in a planned pregnancy.

But first, Garfield says we must get teen boys to change their views on pregnancy. He says interventions that focus on this will reduce the number of teens who go on to become fathers and reduce their chances of becoming nonresident fathers. “That’s a role the school system and health care workers can play when seeing young men for physicals,” he said. “Together we can help young men think about their futures.”

Source: Garfield C, Duncan G, Peters S, et al. Adolescent Reproductive Knowledge, Attitudes and Beliefs and Future Fatherhood. Journal of Adolescent Health. 2016.

Testosterone helps older men with low sexual desire, study shows

Testosterone helps older men with low sexual desire, study shows

By Lynne Terry | The Oregonian/OregonLive 
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When it comes to treating older men with testosterone therapy, physicians have largely been on their own. There just haven’t been any good studies.

That changed Wednesday.

Research published in the New England Journal of Medicine shows that testosterone therapy boosted the sexual activity and desire in older men with low levels and no health issues.

But the hormone replacement therapy did little to increase their physical ability or energy level.

The study included nearly 800 men aged 65 and older at dozens of academic medical centers, health care institutions and Veterans Affairs facilities from Seattle to Boston. All of them had low testosterone levels and symptoms such as low sexual desire. They also had no health issues that would mean they shouldn’t get testosterone, such as cardiovascular problems or high levels of a protein produced by the prostate.

Over a year, one group received a testosterone gel that raised their levels to that of a 19 -to 40-year-old. The others got a placebo. The men participated in trials that measured sexual function, physical ability and vitality, or energy level.

They took a quiz every three months. The questionnaires showed that men in the testosterone replacement group experienced an increase in sexual activity, desire and erectile function compared with the placebo group. They also reported an improved mood but the results were minimal, said Dr. Eric Orwoll, an endocrinologist at Oregon Health & Science University.

“It’s not like they went from sad to overwhelmingly happy,” said Orwoll, who wrote an accompanying editorial about the study.

Men reported enjoying exercise more, but the testosterone group didn’t fare better in a six-minute walking test compared to the placebo group. The testosterone therapy didn’t affect their energy level, either.

Though the results weren’t dramatic, the study did break new ground, Orwoll said.

“This is the first really well done study,” Orwoll said. “That in and of itself is really important.”

He said it will give physicians solid data to help them guide a discussion with patients about whether testosterone therapy is the right choice for them.

He cautioned that the results only apply to men who have the same characteristics as the study group. It doesn’t apply to men with normal testosterone levels.

The likely benefactors: men with low testosterone levels who have complaints about sexual function, Orwoll said.

“We know that testosterone therapy is safe for a year,” Orwoll said.

There were four cases of prostate cancer diagnosed during the study. But the group wasn’t large enough to conclude an association with the testosterone therapy, the study said. Researchers also noted that men with a high risk of developing prostate cancer were excluded along with those with moderately severe urinary tract symptoms.

More studies are needed to determine any potential long-term risks and effects, Orwoll said.

“There are a lot of other things that testosterone might have an effect on like anemia or bone strength,” Orwoll said. “There are a lot of still unanswered questions out there.”