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:
Dmitriy T.M. sent in a TED talk in which Ben Goldacre discusses the problems with many of the scientific findings we hear about in the media, highlighting the importance of scientific literacy and critical consumption of science reporting:
And while we’re on the topic of potentially misleading statistics, Dolores R. and Sarah E. sent in an image posted at boing boing as one of “the best set of infographics ever,” helpfully illustrating the difference between correlation and causation:
Amy H. sent in a link to a Pew Research Center report on age and economic well-being in the U.S. The results indicate that over time, the economic situation has generally improved for older individuals in the U.S. Those over age 65 are much less likely to be poor today than they were a few decades ago, for instance:
Why the dramatic reduction beginning in the late 1960s? One important factor is the role of public policy. In 1965, the U.S. passed legislation establishing Medicare, which greatly increased access to medical care for the elderly regardless of income. Medical costs had previously been a major drain on savings; a significant illness could quickly eliminate a lifetime’s savings. Medicare reduced the risk posed by medical expenses and the percent of income spent on health care among the elderly.
Today, retirement-age Americans have significantly higher net worth than those under age 35, and the gap has widened since the 1980s. The younger age group actually lost ground, with a lower median net worth in 2009 than in 1984:
Of course, we expect individuals to become better off economically over time as they settle into jobs, save for retirement, perhaps pay off a home so that housing expenses go down. But the improving economic well-being of older Americans isn’t just a natural outcome of the lifecourse; it reflects changing public policies that have over time increasingly allowed the elderly to access medical care and other services without impoverishing themselves in the process.
In this 8 1/2 minute talk, sent in by Dmitriy T.M., AJ Jacobs recounts his efforts to perfectly follow every single piece of health advice he encountered.
by Guest Blogger Leah Berkenwald, Jan 24, 2012, at 12:45 pm
The Physicians Committee for Responsible Medicine (PCRM) sponsored two new billboards in Albany, NY, warning residents that cheese makes you fat in what is possibly most irresponsible way ever. The first features an obese man’s disembodied torso and the words, “Your abs on cheese.” The second features an obese woman’s butt and thighs and the words, “Your thighs on cheese.” The images make a very clear statement: fat people are disgusting. The PCRM advocates for a vegan diet. The aim of this campaign is to get Albany residents to reduce their cheese intake, as cheese is a common source of saturated fat and, according to the PRCM, a major contributor to obesity in the United States. In Albany, home to several dairy farms, 63 percent of adults are obese. This is higher than the statewide obesity level of 59 percent. Obesity prevention is a valid cause, to be sure, but at what cost to other health issues?
According to their website, the PCRM is “a nonprofit health organization that promotes preventive medicine, conducts clinical research, and encourages higher standards for ethics and effectiveness in research.” For an organization so concerned with ethical standards, the PCRM has sunk pretty low with this offensive and damaging campaign. In the jargon of health communication ethics, the PCRM have committed a common and classic misstep: the failure to consider the unintended consequences of their message.
Just like a single food item (in this case, cheese) is not responsible for the entire obesity epidemic, obesity is not the only serious health problem facing Americans. We are also struggling with our body image and self-esteem as we cope with the barrage of photoshopped and unrealistic “ideal bodies” in the media. The National Eating Disorders Association states that “in the United States, as many as 10 million women and 1 million men are fighting a life and death battle with an eating disorder such as anorexia or bulimia. Millions more are struggling with binge eating disorder.”
In the medical hegemony, physical health tends to outrank mental health in “importance.” But the line between physical and mental health issues is not always clear, especially with the confluence of obesity, body image disturbance, eating disorders, and self-esteem. The PRCM is wearing blinders to these interrelated health issues in their dogmatic pursuit of a singular, isolated objective.
Physicians are taught to “do no harm.” The PRCM needs to understand that insensitive words and pictures are absolutely harmful to our health. There are better ways to educate and motivate people to make healthier food choices; ethical health campaigns do not sacrifice one health issue to promote another.
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Leah Berkenwald is a graduate student of Health Communication at Emerson College, in collaboration with the Tufts University School of Medicine, and holds a MA in American Studies from the University of Nottingham. She is currently designing a social marketing campaign on body image for the Massachusetts Institute of Technology. She also works as the Online Communications Specialist at the Jewish Women’s Archive, and blogs at talkinreckless.com.
The mysterious SocProf, who writes The Global Sociology Blog, offered a nice review of Richard Wilkinson and Kate Pickett‘s book, The Spirit Level: Why More Equal Societies Almost Always Do Better. Wilkinson and Pickett offer transnational research showing how, exactly, income inequality is related to bad outcomes on average. In other words, as SocProf puts it, ”…egalitarianism is not a bleeding heart’s wet dream but rather the only rational course of action in terms of public policy.” The 11 graphs, available at the Equality Trust website, speak for themselves.
Societies with more income inequality have higher infant death rates than other societies:
Societies with more income inequality have higher rates of mental illness than other societies:
Societies with more income inequality have a higher incidence of drug use than other societies:
Societies with more income inequality have a higher high school drop out rate than other societies:
Societies with more income inequality imprison a larger proportion of their population than other societies:
Societies with more income inequality have a higher rate of obesity than other societies:
Individuals in societies with more income inequality are less likely to be in a different class than their parents compared to other societies:
Individuals in societies trust others less than people in other societies:
Societies with more income inequality have higher rates of homicide than other societies:
Societies with more income inequality give less in foreign aid than other societies:
Children in societies with more income inequality do less well than children in other societies:
The authors sum it up pretty simply: : “Th[e] dissatisfaction [measured in this data is] a cost which the rich impose on the rest of society.”
And they have a clear policy proposal relevant to the current economic crisis.
[This is] a clear warning for those who might want to place low public expenditure and taxation at the top of their priorities. If you fail to avoid high inequality, you will need more prison and more police. You will have to deal with higher rates of mental illness, drug abuse and every other kind of problems. If keeping taxes and benefits down leads to wider income differences, the need to deal with ensuing social ills may force you to raise public expenditure to cope.
Readers Ana and Dmitriy T.M. sent in a TED talk of Richard Wilkinson discussing the relationship between income inequality and social problems:
How does the U.S. compare to other developed countries on measures of social justice? According to the New York Times, not very well. The visual below compares countries’ poverty rates, poverty prevention measures, income inequality, spending on pre-primary education, and citizen health. The “overall” rating is on the far left and the U.S. ranks 27th out of 31.
In an interview discussing whether teen sleepovers can actually prevent teen pregnancy, CNN’s Ali Velshi says flatly, “This is a little bit counter-intuitive.” But as his interviewee, UMass sociologist Amy Schalet (who wrote on this subject in Contextsin “Sex, Love, and Autonomy in the Teenage Sleepover” in the Summer of 2010), explains:
Let me clarify: it’s not a situation where everything goes… It’s definitely older teenage couples who have established relationships and whose parents have talked about contraception.
Which is to say, as Velshi puts it, sex and sex education in countries like the Netherlands, in which parents are more permissive—or as Schalet says, “parents are more connected with their kids”—about allowing boyfriends and girlfriends to sleep over, take “a holistic approach.”
Schalet’s research, explored more deeply in her new University of Chicago book Not Under My Roof, takes a look at American parenting practices surrounding teen sex and the practices of parents in other countries. Using in-depth interviews with parents and teens and a host of other data, she finds:
The takeaway for American parents… isn’t necessarily “You must permit sleepovers.” Many parents are going to say, “Not under my roof!” That’s why it’s the title of my book. The takeaway is that you can have more open conversations—you should probably have more open conversations—about what’s a good relationship, sex and contraception should go together, what does it mean to be “ready,” how to get rid of some of these damaging stereotypes (gender stereotypes). Those are all things that are going to help promote teenage health and better relationships between parents and kids.
Schalet is clear that parental approaches are nowhere near the only factor in the stark differences in teen pregnancy rates between the U.S. and the Netherlands, but says they are, in fact, particularly important. “Kids are having sex, clearly,” Velshi says. And that’s precisely the point, no matter whether parents believe their kids should be able to have sex in their own homes, Schalet believes: “I think what you emphasize is that, above all, the conversation is important, and the conversation itself does not make kids have sex.” Ideally, she points out, that conversation will take place at home with parents, but a holistic talk about sexuality, relationships, and health can also take place in schools, with clergy, and in many other locations.
Dr. Schalet on CNN (we apologize for the commercial):
Letta Page is the Associate Editor and Producer of The Society Pages. She has a decade of experience in academic editing across a range of disciplines, including two years as the managing editor of Contexts. Page holds degrees in history and classical studies from Boston University and an art degree from the University of Minnesota.
Sociological Images encourages people to exercise and develop their sociological imaginations with discussions of compelling visuals that span the breadth of sociological inquiry. Read more...
