Tag Archives: gender: health/medicine

A Balanced Look at Female Genital “Mutilation”

While I’m most well-known for my work on hook up culture, I’ve written extensively on a different topic altogether: how Americans talk about female genital cutting practices (FGCs), better known as female genital “mutilation.”  While FGCs are passionately opposed by essentially all Americans who learn about them, our understanding of the practices is, in fact, skewed by misinformation, ethnocentrism, and a history of portraying Africa as naively “backwards” or cruelly “barbaric.”

The main source of distortion has been the mass media.  Aiming to encourage journalists to think twice when covering the topic, the Hastings Center has released a report by the Public Policy Advisory Network on Female Genital Surgeries in Africa.  In the rest of this post, I briefly discuss some of the things they want journalists — and the rest of us — to know and add a couple of my own:

Using the word “mutilation” is counterproductive.

People who support genital cutting typically believe that a cut body is a more aesthetically pleasing one.  The term “mutilation” may appeal to certain Westerners, but people in communities where cutting occurs largely find the term confusing or offensive.

Media coverage usually focuses on one of the more rare types of genital cutting: infibulation.

Infibulation involves trimming and fusing the labia so as to close the vulva, leaving an opening in the back for intercourse, urination, and menses.  In fact, 10% of the procedures involve infibulation.  The remainder involve trimming, cutting, or scarification of the clitoris, clitoral hood (prepuce), or labia minora or majora.  While none of these procedures likely sound appealing, some are more extensive than others.

Research has shown that women with cutting are sexually responsive.

Women who have undergone genital surgeries report “rich sexual lives, including desire, arousal, orgasm, and satisfaction…”  This is true among women who have experienced clitoral reductions and undergone infibulation, as well as women who’ve undergone lesser forms of cutting.

Health complications of genital cutting “represent the exception rather than the rule.”

News reports often include long lists of acute and long-term negative medical consequences of FGCs, and these may feel intuitively true, but efforts to document their incidence suggest that health problems are, for the most part, no more common in cut than uncut women.  The Report concludes: “…from a public health point of view, the vast majority of genital surgeries in Africa are safe, even with current procedures and under current conditions.”

Girls are not generally cut in response to the influence of cruel patriarchs.

Most societies that cut girls also cut boys; some groups that engage in cutting have relatively permissive sexual rules for women, some do not; and female genital cutting practices are typically controlled and organized by women (correspondingly, men control male genital surgeries).

FGCs are not an “African practice.”

The procedures we label “female genital mutilation” occur only in some parts of Africa and occur outside of the continent as well (source):

Moreover, cosmetic genital surgeries in the U.S. are among the fastest growing procedures.  These include clitoral reduction, circumcision of the clitoral foreskin, labia trimming, and vaginal tightening, not to mention mons liposuction, collagen injected into the g-spot, color correction of the vulva, and anal bleaching.  While it would be simplistic to say that these are the same as the procedures we typically call “mutilation,” they are not totally different either.

Western-led efforts to eliminate FGCs are largely ineffective and sometimes backfire.

It turns out that people don’t appreciate being told that they are barbaric, ignorant of their own bodies, or cruel to their children.  Benevolent strangers who try to stop cutting in communities, as well as top-down laws instituted by politicians (often in response to Western pressure), are very rarely successful.  The most impressive interventions have involved giving communities resources to achieve whatever goals they desire and getting out of the way.

In sum, it’s high time Americans adopt a more balanced view of female genital cutting practices.  Reading The Hastings Center Report is a good start.  You might also pick up Genital Cutting and Transnational Sisterhood by Stanlie James and Claire Robertson.  Full text links to my papers on the topic, including a discourse analysis of 30 years of the academic conversation, can be found here.

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Lisa Wade is a professor of sociology at Occidental College.  She frequently delivers public lectures about female genital cutting. You can follow her on Twitter and Facebook.

Steep Drop in Life Expectancy for White High School Drop Outs

The New York Times‘ Sabrina Tavernise reports that the long term trend of increasing life expectancy has reversed it self among one specific group of people.  Between 1990 and 2008, the life expectancy of White men and women without high school degrees has dropped.  Women have lost five years, men three.

The difference in the life expectancy between men and women without high school degrees and those who complete college are even more striking.  Women with a college degree can expect to live, on average, more than 10 years longer than high school drop outs.  Among men, the gap is even larger, a whopping 13 years.

The words “alarming” and “vexing” were used to describe this drop in life expectancy.  Scholars are still unsure of its causes, but note the stress of balancing work and family, “a spike in prescription drug overdoses among young whites, higher rates of smoking among less educated white women, rising obesity, and a steady increase in the number of the least educated Americans who lack health insurance.”

Ultimately, they argue, as fewer and fewer people fail to graduate from high school, the concentration of disadvantages in those that do are making this population especially vulnerable to all kinds of ills, some of which kill them.

Hat tip to The Global Sociology Blog.

Lisa Wade is a professor of sociology at Occidental College and the co-author of Gender: Ideas, Interactions, Institutions. You can follow her on Twitter and Facebook.

Sexual Objectification (Part 2): The Harm

This is the second part in a series about how girls and women can navigate a culture that treats them like sex objects (see also, part One)Cross-posted at Ms. and Caroline Heldman’s Blog.

The “sex wars”  of the 1980s pitted radical feminists, who claimed that female sexual objectification is dehumanizing, against feminists concerned about legal and social efforts to control and repress female sexuality.  Over a decade of research now shows that radical feminists were right to be highly concerned.

Getting back to the “sex wars” and how radical feminists were right, women who grow up in a culture with widespread sexual objectification tend to view themselves as objects of desire for others. This internalized sexual objectification has been linked to problems with mental health (e.g., clinical depression“habitual body monitoring”), eating disordersbody shameself-worth and life satisfactioncognitive functioningmotor functioningsexual dysfunctionaccess to leadership, and political efficacy.  Women of all ethnicities internalize objectification, as do men to a lesser extent.

Beyond the internal effects, sexually objectified women are dehumanized by others and seen as less competent and worthy of empathy by both men and women.  Furthermore, exposure to images of sexually objectified women causes male viewers to be more tolerant of sexual harassment and rape myths.  Add to this the countless hours that most girls/women spend primping and competing with one another to garner heterosexual male attention, and the erasure of middle-aged and elderly women who have little value in a society that places women’s primary value on their sexualized bodies.

Theorists have also contributed to understanding the harm of objectification culture by pointing out the difference between sexy and sexual.  If one thinks of the subject/object dichotomy that dominates thinking in Western culture, subjects act and objects are acted upon.  Subjects are sexual, while objects are sexy.

Pop culture sells women and girls a hurtful lie: that their value lies in how sexy they appear to others, and they learn at a very young age that their sexuality is for others.  At the same time, being sexual, is stigmatized in women but encouraged in men. We learn that men want and women want-to-be-wanted. The yard stick for women’s value (sexiness) automatically puts them in a subordinate societal position, regardless of how well they measure up.  Perfectly sexy women are perfectly subordinate.

The documentary Miss Representation has received considerable mainstream attention, one indicator that many are now recognizing the damaging effects of female sexual objectification.

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To sum up, widespread sexual objectification in U.S. popular culture creates a toxic environment for girls and women.  The following posts in this series provide ideas for navigating new objectification culture in personally and politically meaningful ways.

Producing Bodies in Anti-Smoking Campaigns

Last month the Centers for Disease Control (CDC) released a series of graphic anti-smoking ads intended to “raise awareness of the human suffering caused by smoking and to encourage smokers to quit.”   The campaign, titled “Tips From Former Smokers,” depicts individuals who have experienced some of the potential effects of tobacco use, including stomas, stroke, lung removal, heart attack, limb amputations, and asthma.  For example, this ad features several former smokers who offer “tips” on how to live with a throat stoma (hole), such as “Crouch, don’t bend over—you don’t want to lose the food in your stomach”:

This ad shows Terrie, a throat cancer survivor, completing the morning routine she performs in order to maintain her appearance after losing her hair and teeth and having a tracheotomy:

Finally, this ad depicts several people who suffered a vascular disease brought on by smoking who had to have limbs amputated:

In addition to the whether these ads will be effective in persuading smokers to quit, we might ask whether fear and stigma are appropriate health promotion strategies.  Is it possible or ethical to scare people into changing their behaviors?  What are the implications of using stigmatized people to serve as a warning label to others?

What’s most striking about these ads is how they use and portray the human body.  Medical sociologist Deborah Lupton suggests that health promotion campaigns such as this one do not simply depict bodies but also produce them; that is, the ways we talk about and create images of certain bodies says something about who or what that body is and what it does. She argues that when the body is seen as uncontrolled, say, with holes or missing limbs, then the self is understood as undisciplined.  For these former smokers, their undisciplined selves resulted in their uncontrolled bodies. Lupton suggests that by producing the body as a site of contamination or catastrophe the rest of us can be kept in line by fear.

In these ads, a group of disabled people and cancer survivors are used as a warning for current smokers to quit.  The ads invite us to feel disgust at their bodies and fear at what could happen to our own.  In particular, Terrie’s ad invokes gendered beauty norms and prompts viewers to imagine themselves without traditional markers of attractiveness such a full head of hair.

Paying attention to how health promotion images use the body is one way to think more critically about bodies, well-being, and how to effectively promote healthy behaviors.

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Christie Barcelos is a doctoral candidate in Public Health/Community Health Education at the University of Massachusetts Amherst.

Pink Ribbons: Branding Breast Cancer

Last week, as most of you no doubt heard, the Susan B. Komen for the Cure breast cancer awareness group announced it would no longer fund breast cancer screenings at Planned Parenthood, saying it had a policy against funding organizations that were under investigation (Planned Parenthood is currently under what many see as a politically-motivated investigation about whether it used any federal funds to pay for abortions). The decision drew a lot of attention and criticism of Komen — not just of the decision about Planned Parenthood, but of its role in the breast cancer awareness/research community more generally.

The Komen Foundation is known to many primarily because it’s often listed as a recipient of the funds companies promise to donate when we buy products branded with a pink ribbon. But many critics express concern with this type of marketing-as-awareness, and discussions of the “pinkification” of breast cancer and criticism of the policies supported by groups such as Komen surfaced as part of the debate about the organization over the weekend (which is ongoing, with the VP for Public Policy at Komen announcing her resignation today).

Given this, Dmitriy T.M. thought readers might be interested in the trailer for the documentary Pink Ribbons, which looks at the rise of pink ribbon branding and its impact on breast cancer prevention efforts. I post it with the caveat that I haven’t been able to see the whole film, but would love to hear from those of you who have, or who can speak to the issues it raises:

Database of World Demographic Information

If you’re looking for basic global demographic information, World Health Rankings provides a great overview, using World Health Organization, World Bank, UNESCO, and other data. The website allows you to select a country, then provides a detailed breakdown of many demographic details, such as population pyramids (you can select different years in the past, or look at predictions for the future), leading causes of death, etc. Here’s the 2010 population pyramid for the U.S.:

You can also easily access all the age pyramids here. The 2020 projections for Brazil show the changing demographics due to the dramatic decrease in the fertility rate, which Lisa posted about this weekend:

There’s an interactive map of the top 15 causes of death in the U.S., allowing you to look at variations by county. Here’s the map of deaths due to heart disease, with Clark County, Nevada, highlighted:

You can also look at life expectancy for different nations for every decade between 1960 and 20101, a “real-time” clock that tracks global deaths (you can look at how many have died in the last year or month, or you can click “now” and reset the clock and watch as the clock estimate how many people die of various causes of death worldwide), and maps showing the prevalence of various causes of death around the world. Lots of neat representations of rather depressing information.

Also, as I wrote this post I realized that now every time I see a population pyramid of the U.S., Community‘s song “Baby Boomer Santa” is going to play through my head.

Ideology, Safety, and the Lingerie Football League


Today cheerleading can be an incredibly athletic and risky sport. Because it is associated with women, though, and serves a sideline function for football and other male-dominated sports, cheerleading is often not considered a sport at all. Less than half of U.S. high school athletic associations define high school cheerleading as a sport and neither the U.S. Education Department or the National Collegiate Athletic Association categorize it as one.

Instead, cheerleading is frequently labeled an “activity,” akin to the chess club.  Accordingly, cheerleading remains unregulated by organizations responsible for ensuring the safety of athletes, leading to rates of injury among cheerleaders higher than even those among American football players.

A similar logic appears to be at play regarding the Lingerie Football League, 12 teams of women that play live tackle football in underwear.  Here are some highlights from a game:

So, here’s the thing.    Last month 16 of the 26 players on the Triumph, a team in Toronto, resigned over safety concerns. From a story at the Toronto Star sent in by Emily M.:

…four players described the ill-fitting hockey helmets and one-size-fits-all shoulder pads designed for young males that they had to wear.

“We would have headaches during practice… They made a hockey helmet a football helmet, and that’s not what it’s for.”

Sprained ankles, concussions and pulled hamstrings were among the injuries sustained by Triumph players in their first game… their team had no medical staff.

One of the players reported that, when they brought their concerns to the coach, he shrugged and said: “You know, it is what it is.”

“You know, it is what it is.”  In other words, “You’re women in underwear. It doesn’t matter what you do, you’re not really playing football.”  Ideology triumphing over reality.

Lisa Wade is a professor of sociology at Occidental College and the co-author of Gender: Ideas, Interactions, Institutions. You can follow her on Twitter and Facebook.

Race, Gender, & Sexuality in HIV Prevention Campaigns

Gay men and bisexual men still represent a disproportionate number of HIV cases in the United States (CDC).  In addition, African-American and Latino men are significantly more likely than white men to be diagnosed with HIV and die from AIDS-related illnesses.  Numerous HIV prevention campaigns are thus aimed at these populations.

It’s important to try to reduce the HIV among these populations, but we also need to think critically about how prevention strategies reinforce stigmatization.

For example, this ad from a western Massachusetts clinic uses the phrase “man up, get tested” — taking care of yourself by getting tested for HIV is linked to your masculinity.  What’s interesting is that by including only men of color in the photo, the ad suggests that black and Latino men are particularly obsessed with their masculinity, more so, perhaps, than white men.  It also potentially reinforces stereotypes about black men as hyper-sexualized and Latino men as machismo.

Second, a New York City campaign released in late 2010 uses fear to reach young gay men who are often thought to be complacent about the consequences of HIV disease now that life-saving medications are widely available in the U.S. and people can live with the virus for decades.  Gay and bisexual men are encouraged to use condoms through a commercial that reminds viewers “it’s never just HIV” by featuring a close-up photo of anal cancer among other (potential) HIV/AIDS related illnesses.  The video was applauded for its frank depiction of risk in the face of public apathy about the dangers of HIV/AIDS while simultaneously condemned for sensationalizing and stigmatizing gay sex:

In the face of stark HIV/AIDS inequalities among gay men and people of color, it’s clear that new prevention strategies are needed.  At the same, however, we also need to think about how we reinforce damaging and stigmatizing ideas about race, gender, and sexuality.

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Christie Barcelos is a doctoral student in Public Health/Community Health Education at the University of Massachusetts Amherst.

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