Some things that caught my attention this week, with bonus “this week in misogyny” content.

I don’t know how many people noticed, and I assume it won’t go anywhere, but Michele Bachmann introduced a forced ultrasound for abortion bill in the House. It’s been sent to the Subcommittee on Health.

The National Campaign to Prevent Teen and Unplanned Pregnancy has launched a new website, Bedsider, about birth control and says it’s intended for women ages 18-29 years. I haven’t looked through it thoroughly, but it includes comparisons of different methods of preventing pregnancy by factors like cost, immediacy, STI prevention, ease of getting and using the method, ease of hiding it from a partner, and degree of mistake-proofed-ness. It is focused through a pregnancy prevention lens, so the site is focused on penis-in-vagina sex, not other forms of sex or prevention. I haven’t reviewed the site thoroughly, but let me know what you think. Some of the language seems a little, uh, teen magazine-y for my tastes and for a target audience that is actually made up of adults, but perhaps it’s my advanced age talking there (early 30s).

Over at OBOS, between C and I we’ve covered Mississippi, personhood, and reproductive justice, and new research on in vitro fertilization and ovarian cancer risks.

The CDC released the final data on 2009 births [PDF] in the United States. It’s full of data on the number of births, birth rates by things about women, like their age and marital status, and rates of cesarean (another all-time high), low birth weight, preterm, and out of hospital births. [hat tip to Jill]

Jaclyn Friedman, who I met briefly at the Our Bodies Ourselves 40th, has a new book out, What You Really, Really Want: The Smart Girl’s Shame-Free Guide to Sex and Safety. I haven’t read it yet, but there’s a Twitter chat happening at 9pm Eastern tonight using the hashtag #shamefreesex.

B points out the ridiculousness of news coverage taking the “vodka-soaked tampon” story seriously. Notably, liquid-soaked tampons expand and are not exactly convenient for insertion. Aside from which, alcohol+mucous membranes would probably hurt. And the likelihood of it being widespread for teenage boys to be inserting said vodka-soaked tampons rectally is just absurdly small. And then there was the follow-up to B’s post, which takes a quick downward spiral in the comments to “if we take your picture without permission but link to you, you should be glad of the traffic”-land.

The FDA released a new statement on Makena, a drug intended to help prevent preterm birth. It has been the subject of controversy because versions of the same ingredient in Makena has been available for pretty cheap through compound pharmacies for a long time. FDA’s approval of Makena with it’s extremely high price, have generated strong reactions and concerns about access. The FDA’s new statement basically says, “The company that makes Makena says those vastly cheaper compound pharmacy products vary in their strength and purity, so we’re going to look into it.”

The agency also approved the first therapy derived from cord blood cells.

Jill at Feministe had a note left in her suitcase by the TSA when she checked what she’s referring to as a “personal item.” A note that read, “get your freak on girl.” Jill follows up that the TSA agent who left that note has been suspended, and Jill responds to the lack of response to the real problem here: “…I get no satisfaction in hearing that someone may be in danger of losing their job over this. I would much prefer a look at why ‘security’ has been used to justify so many intrusions on our civil liberties, rather than fire a person who made a mistake.”

This week, the CDC is running a campaign focused on the smart and appropriate use of antibiotics. Go to the website to learn more about why you don’t always need antibiotics and why it’s bad for all of us to use too many.

Transgender Day of Remembrance is coming up on November 20th.

The Abortioneers ask when to speak up, when to keep your mouth shut, and how to know the difference.

The fact that women prisoners often get shackled during labor is discussed at Smart Bitches, Trashy Books, in an interview with a fiction writer who covered this practice in a book.

Sometime this week, I stumbled across #occupyhealthcare and the accompanying website. The contributors seem to be mostly healthcare providers and adjacents, focused on increasing access to healthcare.

The government has issued a “Leading Health Indicators App Challenge,” soliciting developers to create apps that promote the use of key measures of health (“indicators”) to improve the health of communities.

The Census released new data with the headline, “Half of First-Time Mothers Receive Paid Leave, Census Bureau Reports.” Before you get too excited, “paid” leave included not just official paid maternity leave, but using up your own existing balance of paid sick and/or vacation leave, if you’re fortunate enough to have that. They also noted that women who got some type of paid leave were *more* likely to return to work within 3-5 months, making me wonder if they are often returning to work when they exhaust their reserves of paid sick or other time. Then there’s this limitation: “Given that FMLA and other leave policies in the United States do not allow for leave for more than 12 weeks, it is not entirely surprising that new mothers return to work relatively soon.”

ePatientDave writes about how impossible to understand an “explanation of benefits” document can be and how we’re prevented from stopping errors and reducing costs because of this lack of transparency.

This week in misogyny:
Rick Perry’s “departments I would close” gaffe has received most of the news coverage, but in the same GOP candidate debate, Herman Cain referred to Representative/former Speaker Nancy Pelosi as “Princess Nancy.” He or his team reiterated this remark on Twitter, before offering the fauxpology that he “probably shouldn’t have” made the remark, but “was trying to make a point.” A point that required a gendered diminishing and dismissal of a powerful woman politician, apparently. I guess he thought he had built up too much goodwill with women over the course of his sexual harassment scandal.

Using the #mencallmethings hashtag (which Sady Doyle apparently started), feminist women bloggers took to Twitter to talk about some of the vile things that have been said to them in the course of their writing, including rape and death threats. I contributed a rape threat I received through the comments here because I had the temerity to dislike a rape joke on tv. Just another humorless feminist who deserved threats of violence because of it, right? @metalmujer and others pointed out that the hashtag itself would be better focused on misogyny rather than “men.” Yes, most of the excessively hateful and threatening remarks I’ve been subjected to have been made by men, but the problem is not something about all men, it’s the misogyny these particular men have carried out and a culture that encourages them to do so.

I also keep seeing this image on Facebook intended at a critique of dubstep and its fans. I don’t have an opinion one way or the other about the actual quality of dubstep or its fans over time, but I do know that when the main critique is presented as “it was good when it was a bunch of men standing around, now it sucks and is by/for little girls,” that’s misogyny.

Filed under: Abortion, Abuse, Rape, & Safety, Access, Rights, & Choice, Birth, Contraception, Drugs, Events & Observances, Government, Laws, Legislation, & Courts, Miscellaneous, News Round-Ups, Sex & Sex Education, Web Resources

Two new reports came out of the AHRQ Evidence-Based Practice Center at Vanderbilt this week, one a review of the effectiveness of various therapies for children with autism spectrum disorders, and the other a technical brief on maternal-fetal surgical procedures.

I’m always enthused to see new reports coming out of this EPC, because even if I haven’t personally worked on the topic, my colleagues have – and they’re great, smart folks. And, hey, the gracious acknowledgement in the autism report doesn’t hurt, either. [page iv]

The autism review looked at literature from the last 10 years in order to evaluate therapies in children ages 2-12 years with autism spectrum disorders. The therapies considered include behavioral, educational, drug, speech/language, dietary, alternative, and other interventions.

The body of literature available on this topic seems to be lacking – of the 159 studies considered for the review, the authors characterize the quality of only 13 as good, while 90 were considered poor quality; they note that “The needs for continuing improvements in methodologic rigor in the field and for larger multisite studies of existing interventions are substantial.” The overall conclusion was:

Medical interventions including risperidone and aripiprazole show benefit for reducing challenging behaviors in some children with ASDs, but side effects are significant. Some behavioral and educational interventions that vary widely in terms of scope, target, and intensity have demonstrated effects, but the lack of consistent data limits our understanding of whether these interventions are linked to specific clinically meaningful changes in functioning.

Because so many interventions were considered, I don’t want to try to detail them all here, but the full report is freely available as a PDF for those who are interested.

The maternal-fetal surgery report looked at the last 30 years of literature on fetal surgical procedures for congenital diaphragmatic hernia, cardiac malformations, myelomeningocele, obstructive uropathy, sacrococcygeal teratoma, twin-twin transfusion syndrome, and thoracic lesions. Not too surprisingly, a need for longer term and better studies was found – much of the literature in this area consists of case studies and cohorts, with randomized trials being rare. The authors explain:

While developing rapidly, research on fetal surgical procedures has not achieved the typical level of quality of studies and aggregate strength of the evidence used to reach definitive conclusions about care and policy. Overall momentum is toward more robust research and rigorous, more consistent documentation of outcomes over longer periods of time.

In other words, the existing literature is not ideal, but we think it’s going to get better.

One item of concern I’d like to highlight is the authors’ finding that “Near absence of maternal outcome assessment, including a significant lack of data on future maternal reproductive health, is especially concerning.”

It’s a fairly technical report, but is also freely available for those interested in more details on the state of the science in fetal surgery for each of the aforementioned conditions.

Filed under: Miscellaneous, Pregnancy, Web Resources

The New England Journal of Medicine published a freely available Clinical Practice article, “Care of Transsexual Persons.” It covers hormones, surgery, and adolescents. Note that it does use the problematic gender identity “disorder” language as included in the DSM and it also promotes the standard psychological counseling hoops that transgender persons must jump through prior to obtaining treatment – Julia Serano‘s “Whipping Girl” provides a good primer on why those hoops can be problematic. It might be worth checking out what kinds of materials health care providers are seeing regarding these topics, including how they’re problematic.

Relatedly, there’s a possibility that “gender identity disorder” will be renamed “gender incongruence” in the DSM-V.

Laura Chapin at a US News politics blog asks why anti-choice extremism is so commonplace and continuous threats against providers are considered acceptable:

It’s the acceptance of a level of hatred directed at women, especially poor women, seeking reproductive healthcare and abortions. And it’s the acceptance of threats and violence directed at the doctors, staff, and healthcare workers trying to provide it to them.

The Boston Globe has a very brief story illustrating the problem of giving obesity too much focus and attention when diagnosing a patient.

In The Crocodile Tears of Anti-Choice Billboarders, Gaylon Alcarez outlines the failures and disingenuousness of anti-choice billboards targeting Black women. Just read it.

Relatedly, NARAL and SisterSong have partnered to fight such billboards in Texas.

The CDC notes April as STD Awareness Month (can we get that changed to STI?), including some resources for providers and for finding testing.

Studies presented at meetings always have the caveat that they need to be peer-reviewed and have the methods and data published in order for the public to fully review and understand them. However, I wanted to note this recent news item:

New Orleans residents were found to have three times the rate of heart attacks four years after the devastation of Hurricane Katrina than before the storm and levee break that flooded the city, according to a study presented at a major heart meeting on Sunday.

I’ll be interested to see the paper when published; the news item focuses on psychiatric illness, stress, and employment, but I wonder how much people with more financial resources leaving the area and access to care generally play a role.

Via TransTalk, U.S. Department of Health and Human Services Recommended Actions to Improve the Health and Well-Being of Lesbian, Gay, Bisexual, and Transgender Communities, which includes a summary of actions taken and recommendations for future actions. What do you think? Will this make a difference? Have they focused the right way?

The Institute of Medicine released a new report, The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. It’s freely available if you read the PDF online; I haven’t read it yet, so I can’t vouch for how truly inclusive or useful it is.

Note to self: don’t ever move to the Dakotas. Most recently, North Dakota approved abstinence-only sex education.

A worthy rant from tigtog at Hoyden: Don’t mistake expressing contempt for taking offense.

Via Siobhan (who I’ll get to see at a health literacy conference in May – yay!) at BHIC, HHS Launches New Consumer-Focused Immunization Website. The new site is vaccines.gov.

Shameless Self-Promotion: at work, we’re posting staff profiles to our Facebook page leading up to an open house event; here’s mine. I’d appreciate if any personal comments were left here or on my own Facebook page instead of there.

Unrelated to health, except for the insurance aspect: an employer of 500+ people in my hometown is closing. The employees (largely hourly, relatively low wage) of this furniture factory were called together and basically told that – in addition to the upcoming closing – their health insurance was ending effective immediately. If that doesn’t illustrate a major problem with employer-based insurance, I don’t know what does. The county already has an unemployment rate over 10% so I expect those folks will have a hard time finding work; the company had been in town for more than 70 years.

Filed under: Abortion, Abuse, Rape, & Safety, Access, Rights, & Choice, Events & Observances, Heart Health, Infectious Diseases, Laws, Legislation, & Courts, Libraryland, News Round-Ups, Sex & Sex Education, Shameless Self-Promotion, Web Resources

It’s LGBT Health Week at work, which consists of lectures on the health and issues faced by LGBT persons and an LGBT health fair on Saturday in Nashville. As a result of the timing and previous conversations, I’ve been looking for LGBT health resources to add to our e-resource portal, and thought I’d share here this set of items I found from AMSA.

LGBT National Inclusion Campaign – includes materials for use by educators/presenters on the health of queer people of color and transgender patients.

Transgender Health Resources – provides links to clinical guidelines, patient education materials, and trans health 101 resources.

LGBT Local Projects in a Box – tools for organizers/students/educators on LGBT health 101, being an ally, inclusive terminology/language bias, LGBT primary care, Transgender Day of Awareness, and other issues, with activity suggestions.

LGBT White Coat Cards – extremely basic pocket card references for practicing clinicians on gay, lesbian, and transgender health.

Spotlight: TransMedicine: How will you treat your transgender patients? – from The New Physician, April 2006. Warning: uses problematic term “transgendered.”

Filed under: Access, Rights, & Choice, Health, Web Resources

Some things that caught my eye this week; for new folks, the Sunday news round-up tends to focus more on social issues than research or resources, including whatever I’ve noted for later reading from my RSS feeds or Twitter.

First, the English-language site for Al Jazeera has the most complete coverage I’ve seen of what’s going on in Egypt for those who need it in the English language.

I’m woefully behind on the “No Taxpayer Funding for Abortion Act,” proposed by House Republicans, so this first chunk is catching up. It seems to me to be completely unnecessary political posturing on the backs of women (and especially rape victims, as we’ll see), given that there are existing restrictions preventing federal funding for abortion. I know it includes an exception for “forcible rape,” which as far as I know is not a real legal term with an actionable definition. Many folks have expressed concerns would seem to exclude women who are date raped, or drugged, or otherwise not sufficiently otherwise physically abused in the course of being raped. Perhaps those women didn’t suffer enough for House Republicans to be considered for access to the means to make their own decisions about their own pregnancies. *headdesk*

It also fails to mention statutory rape, includes incest only if the victim is a minor, and includes only a “danger of death” exemption, not a health exemption.

Some things that caught my eye this week; for new folks, the Sunday news round-up tends to focus more on social issues than research or resources, including whatever I’ve noted for later reading from my RSS feeds or Twitter.

First, the English-language site for Al Jazeera has the most complete coverage I’ve seen of what’s going on in Egypt for those who need it in the English language.

I’m woefully behind on the “No Taxpayer Funding for Abortion Act,” proposed by House Republicans, so this first chunk is catching up. It seems to me to be completely unnecessary political posturing on the backs of women (and especially rape victims, as we’ll see), given that there are existing restrictions preventing federal funding for abortion. I know it includes an exception for “forcible rape,” which as far as I know is not a real legal term with an actionable definition. Many folks have expressed concerns would seem to exclude women who are date raped, or drugged, or otherwise not sufficiently otherwise physically abused in the course of being raped. Perhaps those women didn’t suffer enough for House Republicans to be considered for access to the means to make their own decisions about their own pregnancies. *headdesk*

It also fails to mention statutory rape, includes incest only if the victim is a minor, and includes only a “danger of death” exemption, not a health exemption.

Some things that caught my eye this week; for new folks, the Sunday news round-up tends to focus more on social issues than research or resources, including whatever I’ve noted for later reading from my RSS feeds or Twitter.

First, the English-language site for Al Jazeera has the most complete coverage I’ve seen of what’s going on in Egypt for those who need it in the English language.

I’m woefully behind on the “No Taxpayer Funding for Abortion Act,” proposed by House Republicans, so this first chunk is catching up. It seems to me to be completely unnecessary political posturing on the backs of women (and especially rape victims, as we’ll see), given that there are existing restrictions preventing federal funding for abortion. I know it includes an exception for “forcible rape,” which as far as I know is not a real legal term with an actionable definition. Many folks have expressed concerns would seem to exclude women who are date raped, or drugged, or otherwise not sufficiently otherwise physically abused in the course of being raped. Perhaps those women didn’t suffer enough for House Republicans to be considered for access to the means to make their own decisions about their own pregnancies. *headdesk*

It also fails to mention statutory rape, includes incest only if the victim is a minor, and includes only a “danger of death” exemption, not a health exemption.

Some things that caught my eye this week; for new folks, the Sunday news round-up tends to focus more on social issues than research or resources, including whatever I’ve noted for later reading from my RSS feeds or Twitter.

First, the English-language site for Al Jazeera has the most complete coverage I’ve seen of what’s going on in Egypt for those who need it in the English language.

I’m woefully behind on the “No Taxpayer Funding for Abortion Act,” proposed by House Republicans, so this first chunk is catching up. It seems to me to be completely unnecessary political posturing on the backs of women (and especially rape victims, as we’ll see), given that there are existing restrictions preventing federal funding for abortion. I know it includes an exception for “forcible rape,” which as far as I know is not a real legal term with an actionable definition. Many folks have expressed concerns that it would seem to exclude women who are date raped, or drugged, or otherwise not sufficiently physically abused in the course of being raped. Perhaps those women didn’t suffer enough for House Republicans to be considered for access to the means to make their own decisions about their own pregnancies. *headdesk*

It also fails to mention statutory rape, includes incest only if the victim is a minor, and includes only a “danger of death” exemption, not a health exemption.

Some of my recent posts at Our Bodies Our Blog are highlighted below. Don’t forget the upcoming 40th anniversary of the landmark book; a new edition will come out next year to celebrate the milestone! In the meantime, catch up with health news and commentary over at http://www.ourbodiesourblog.org

Election-Related Repro Rights Round-Up – a collection of commentary from reproductive rights advocates on what the recent election may mean for women.

NPR Takes on Pink Ribbon Fatigue: Views from Komen, Breast Cancer Action – NPR talked to a representative of Breast Cancer Action, which has criticized pink ribbon campaigns for breast cancer, and a representative of Komen, which kind of thrives on them.

Meeting Dispatch: Resources from the CUE/Cochrane/Campbell Colloquium – Includes links to plenary session videos from speakers including Susan Love and former Rep. Patricia Schroeder, as well as online resources for health information.

Letters Respond to Lancet Home Birth Editorial With Feminist Perspective – snippets from letters responding to an editorial that proclaimed that “Women have the right to choose how and where to give birth, but they do not have the right to put their baby at risk.” Oh hell yeah we do. Ahem.

And also, from our fearless leader Judy Norsigian: Share Your Story: What Have You Learned About Your Body from a Women’s Health Nurse-Practitioner Or Other OB-GYN Clinician? – a call for clinicians to share their stories of educating women about their bodies, and for women who have benefited from clinicians who really take the time to explain what’s going on with their bodies to tell those stories as well. See the post for further details.

Filed under: Access, Rights, & Choice, Boobs, Cancer, Events & Observances, Government, Miscellaneous, Web Resources, Women’s Health