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Newly Nominated Surgeon General Will Need To Talk More Openly About HIV/AIDS, Opinion Piece Says
Newly nominated Surgeon General Regina Benjamin has a "tall order" ahead of her being "[c]hief health educator" of the U.S., "and, if confirmed, she will have to talk to us all in terms we plainly understand," Lorraine Teel, executive director of the Minnesota AIDS Project, writes in a Minneapolis Star Tribune opinion piece. She adds, "But when it comes to unintended pregnancies, sexually transmitted diseases and AIDS, the message becomes more difficult" than messages related to nutrition and obesity. Teel says that "former Surgeon Generals tried to educate us," on HIV/AIDS, such as Surgeon General C. Everett Koop, but he "was prevented from speaking frankly." Teel continues, "Let"s hope that this Surgeon General"s administration sounds the alarm, loud and clear, about HIV. A major factor in why we are not winning the battle against AIDS is because we have been forced to only politely talk about risk" (7/1).

A Selection Of Opinions And Editorials
The Elephant In The Room On Health Care Minneapolis Star Tribune
News of the day
'Pro-choice Community' Should Find New 'Way Of Talking About Reproductive Freedom,' Opinion Piece Says
"Most of the push-back" from antiabortion-rights advocates to a recent e-mail message from author Judy Blume on behalf of Planned Parenthood -- which asked mailing list subscribers for donations -- was generated by an article in the antiabortion-rights publication LifeNews, columnist Meghan Daum writes in a Los Angeles Times opinion piece. The article put a "heavy, misrepresentative spin" on Blume"s message, which urged donors to "do all [they] can to support" the increasing number of women turning to Planned Parenthood centers for health care during the economic downturn.The LifeNews article said, "Blume notes how more women are seeking abortions from Planned Parenthood because of the difficult economy, and she urges readers of the e-mail to use that as a reason to support the abortion business." According to Daum, "this is just the kind of thing that makes abortion-rights advocates apoplectic," noting that abortion-rights advocates "fired-back" in the "blogosphere ... imparting the statistic about abortion making up only 3% of Planned Parenthood"s services and pointing out that many of the women being yelled at by picketers in clinic parking lots aren"t even pregnant but, rather, trying to avoid getting pregnant." Daum continues that the organization, much like Blume, "occupies a clear position on the post-Roe cultural map," adding, "Generally speaking, if you"re on board with abortion rights, you"re on board with Planned Parenthood." In addition, if you are against abortion rights, the "organization is the headquarters of Godlessness," she adds. Daum writes that it is not difficult to see why Planned Parenthood enlisted Blume -- an "icon of 1970s-era feminism and its efforts on behalf of sex education and women"s health" -- because she conjures "nostalgia for the early days of the fight that makes pro-choicers want to keep fighting today."Daum writes that as she watched this "saga unfold in [her] inbox," she was "struck by a troubling question. Even though Blume may not be associated with abortion in and of itself … is there something about her persona that signals a lack of dispassion about its ramifications? Is she reminding people of a time when, in the relief of Roe being decided, there was a cultural perception that abortion was a simple procedure that needn"t come with attendant emotional baggage?"Daum adds that there is "no denying that the language and overall tone around abortion has changed. Despite what many pro-life groups seem to think, most abortion-rights advocates prefer "safe, legal and rare" to "no big deal."" According to Daum, President Obama, "pro-choice though he is, is hardly strident -- and even a little evasive -- on the issue." She adds that Obama favors language about reducing the need for abortions and "finding common ground with the other side." Daum notes that the pop cultural arena "has become downright allergic to the issue" of abortion, with a recent movie coining the term "shmashmortion" because the characters "can"t even get the word out." Daum adds that although Blume "was undoubtedly effective" at bringing in funding for Planned Parenthood, perhaps what might have been "even more radical is if the pro-choice community could find a way of talking about reproductive freedom that neither reverts to the perceived casualness of the 1970s nor panders to the "shmashmortion" dialect of today. "Safe, legal and rare" comes close. But "safe, legal, rare and a big deal" might be even better" (Daum, Los Angeles Times, 5/14).
Mental Health

Ontario Women Live Longer But Don't Prosper: Study

While Ontario women live longer than men, a majority are more likely to suffer from disability and chronic conditions, according to a new women"s health study by St. Michael"s Hospital researcher Dr. Arlene Bierman. What"s more, low-income women have more chronic conditions, greater disability and a shorter life expectancy than women in high-income groups. While inequities in health among men and women have been well documented, the findings strongly suggest that the size of the inequities among women is often larger than the overall differences between men and women. "Women with less education and low income were found to experience a greater burden of illness overall compared to men and women with higher incomes," said Dr. Bierman. "While we already knew these inequities exist, we are quite startled by just how large the gap is among different groups of women. The good news is that there is much that can be done to close this gap. The inequities we found are associated with chronic disease, so by focusing on chronic disease prevention and management, and improving the living and working conditions that increase the risk of chronic disease, we can improve health outcomes for all women and men." The joint study, titled POWER (the Project for an Ontario Women"s Health Evidence-Based Report), from St. Michael"s Hospital and the Institute for Clinical Evaluative Sciences (ICES), is the first in Ontario to provide a comprehensive overview of women"s health in relation to gender, income, education, ethnicity and geography. POWER reports on indicators of population health and of how well the health system is performing. Policymakers and health-care providers may use these research findings to improve access, quality and outcomes of care for Ontario women. The POWER Study was funded by Echo: Improving Women"s Health in Ontario, an agency of the Ontario Ministry of Health and Long-Term Care. Key findings released include: Chronic conditions * The majority of women and men in Ontario have at least one chronic condition and many have two or more. * Thirty-nine per cent of low income women have two or more chronic conditions compared to 28 per cent of women in the highest income group and 21 per cent of higher income men. * Among women aged 65 and older, 70 per cent of low-income women have two or more chronic conditions compared to 57 per cent of higher-income women and 50 per cent of higher-income men. Disease risk factors * Overall, more than half of Ontario adults age 25 years and older reported physical inactivity (51 per cent) and inadequate fruit and vegetable intake (57 per cent), 53 per cent were overweight or obese and 22 per cent were current smokers * Women are less physically active than men, but eat more fruits and vegetables, and are less likely to be overweight or obese and smoke than men. * While rates of smoking have decreased over time, 28 per cent of women with less than a high school education report smoking compared to eight per cent of women who had a university degree or higher. Length of Life * Low-income women and men are more likely to die prematurely. * Twenty-six per cent of women and 41 per cent of men in the lowest income range die before age 75 compared to 19 per cent of women and 28 per cent of men in the highest income bracket. Pain * Thirty-five per cent of low income women age 65 and older say their activities are limited by pain compared to 18 per cent of higher income women in this age group. * Among women age 25-64, 26 per cent of low income women, and 10 per cent of higher income women report their activities are limited by pain. Disabilities * More than half of low-income women age 65 and older have a disability that requires the help of another person to carry out routine daily activities such as grocery shopping, housework and meal preparation. * Older women are also about 50 per cent more likely than older men to be admitted to hospital for a fall-related injury, which can result in long-term disability and health problems. Low income * Across all age groups, women are more likely to live in lower-income households than men, with gender differences in income greatest among those age 65 years and older. * Forty-four percent of women age 65-79 and 52 per cent of those aged 80 and older reported lower income compared to 33 per cent and 35 per cent of men in these age groups, respectively. Common modifiable risk factors such as smoking, diet, and lack of exercise are responsible for much of the chronic illnesses present in both women and men. Chronic diseases are estimated to account for 87 per cent of disability in Canada. According to the researchers, socioeconomic factors including income, education, housing, and environment as well as health behaviours must be addressed to eliminate the gap and improve population health. The POWER Study recommends: * A comprehensive chronic disease prevention and management strategy that involves both community-based and health-sector interventions * Better co-ordination of population-based health promotion, community-based services and clinical care services aimed at improving health among Ontarians * Incorporation of gender and equity into health indicator reporting and monitoring to reduce disparities in health and health care. "We must improve our knowledge of the diverse health needs of Ontario women. The POWER Study is a huge step in that direction," said Pat Campbell, CEO of ECHO. "By monitoring our progress in improving health outcomes and reducing disparities, there will be better care for women and more equitable care to all Ontarians. The findings of the study will provide strong evidence to inform priority setting and provide a baseline from which to measure progress in women"s health." Notes: For more information on the POWER Study and to access the burden of illness report, visit http://www.powerstudy.ca. Dr. Arlene Bierman is a researcher in the Keenan Research Centre at the Li Ka Shing Knowledge Institute of St. Michael"s Hospital, a scientist at ICES and Echo"s Ontario Women"s Health Council Chair in Women"s Health at St. Michaels Hospital and the University of Toronto (Lawrence S. Bloomberg Faculty of Nursing). Julie Saccone St. Michael"s Hospital


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