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Mr Epidemiology

No, I'm not a skin doctor

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Thoughts for the class of 2021

Last week, I saw someone ask a very simple question on Facebook:

“If you could give one piece of advice to those starting undergrad next week, what would it be?”

The comments were interesting. Several people mentioned how grades, while positioned as the be-all and end-all during undergrad, are not a reflection of your worth or ability as a person. The advice that grades are important, so work hard and do your best, but do not let them dictate how you see yourself, is very good and definitely something people need to hear. On the other hand, this is easier said than done, as for that first position out of undergrad, grades are key to getting your application out of the pile (along with relevant experience/networking). Especially in research heavy fields, success begets success, and the better your grades are, the more likely you are to win awards and scholarships, which then gives you a better chance to win subsequent awards and scholarships. But I don’t think that’s the best advice you can get.

Someone else mentioned that you should spend your time networking, and diversify your viewpoints to encompass ideas and values beyond those that you’re familiar with. There’s definite value in this too. For some, going to college or university is the first time they will be exposed to people outside of their community, especially those who are going to pursue education in a new city, state, or country. The opportunity to broaden your horizons and learn from others, as well as respect and appreciate different viewpoints and value structures, is one that will help shape you as a person. Being able to look at issues from different perspectives, and to appreciate the value of these diverse outlooks will help develop your skills and make you a more well-rounded person. But this isn’t the most important advice I’d give someone entering or in undergrad.

Arizona State University//embedr.flickr.com/assets/client-code.js

For me though, the best advice is that there is no fixed path to success. At the start of undergrad, many first years will have a rigid definition of what they want to do upon graduating: gain admission to medical or law school, getting a job with a top company upon graduation, or embark on graduate education in a specific field. However, in being laser-focused on a singular goal, you risk missing out on opportunities that will enrich your experience and provide you with new and valuable experiences. Seeking out additional experiences that come your way that seem interesting and fun at the time, and stepping off the beaten path to engage in those activities, can be valuable and helpful for developing your perspective. Sometimes those experiences with be positive and incredibly fun, and sometimes, those experiences will be the opposite. However, every experience, both positive and negative, is one you can grow from.

If you continue to do that which you enjoy and love and are passionate about, you’ll have the energy and motivation to push through the tough parts. And if you feel a sense of purpose and a belief in what you’re doing, then you’ll be motivated to go the extra mile and make it your own. The Canadian astronaut Chris Hadfield was asked about pursuing a career as an astronaut, and gave the following answer. It’s one that has stuck with me, and provides another perspective on this same issue.

Decide in your heart of hearts what really excites and challenges you, and start moving your life in that direction. Every decision you make, from what you eat to what you do with your time tonight, turns you into who you are tomorrow, and the day after that. Look at who you want to be, and start sculpting yourself into that person. You may not get exactly where you thought you’d be, but you will be doing things that suit you in a profession you believe in. Don’t let life randomly kick you into the adult you don’t want to become. – Chris Hadfield

Enjoy your undergrad. Enjoy every experience that comes your way, and seize every opportunity. But if, on your journey, you end up taking a path you didn’t expect at the start, don’t become disheartened. There are many paths that lead to your destination, and if you are doing that which you’re passionate about and interested in, every destination represents success.

Going to #CPHA2014

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The 2014 CPHA conference will be held in Toronto, ON | Picture courtesy Wikimedia
Commons

Next week, I (Atif) will be heading to the Canadian Public Health Association Conference, where I’ll be presenting at two different points.

I’ll be chairing a session titled “Youth Injury Prevention in Canada – Where should we direct our intervention resources.” It promises to be an interesting presentation, where we’ll be discussing injury in Canada, and where to start tackling the problem of injury. This session is scheduled for Wednesday, May 28th from 1:30pm – 3:00pm.

Injury represents one of the most important negative health outcomes experienced by young people in Canada today. Injuries inflict a large burden on children and adolescents and their
families and communities. Injury events are costly in so many ways, whether measured in premature mortality, or the pain, disability, lost productivity and emotional consequence of non-fatal events.

This panel will be made up of child injury researchers and advocates who will make their case for different forms of injury prevention intervention. At the end of this panel, delegates will: understand more about the burden of youth injury in Canada; be aware of at least four different avenues for injury prevention intervention (primordial intervention, context-level interventions, safe sport and peer-influence interventions); have identified the rationale, strengths and limitations of each intervention approach; and have learned more about ways to undertake and gain support for youth injury prevention (from the CPHA conference program).

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Click to go to the conference website

My second presentation is one of the studies from my PhD, titled “The influence of location of birth and ethnicity on BMI among Canadian youth.” This is a study that’s in press (woo!), and represents my own research focus. This one will be in the Kenora Room, on Thursday May 29th 2014, from 11:00am to 12:30pm.

Background:
Body mass indices (BMI) of youth change when they immigrate to a new country. This occurs by the adoption of new behaviors and skills, a process called acculturation.

Objectives:
We investigated whether differences existed in BMI by location of birth (Canadian vs foreign born) across 7 ethnic groups, both individually and together. We also examined whether time since immigration and health behaviors explained any observed BMI differences.

Methods:
Data sources were the Canadian Health Behaviour in School-Aged Children Study and the Canada Census of Population. Participants were youth in grades 6-10 (weighted n = 19,272). Sociodemographic characteristics, height, weight, and health behaviors were assessed by questionnaire. WHO growth references were used to determine BMI percentiles.

Results:
Foreign-born youth had lower BMI than peers born in Canada, a relationship that did not decrease with increased time since immigration. Similarly, East and South East Asian youth had lower BMI than Canadian host culture peers. Finally, Arab/West Asian and East Indian/South Asian youth born abroad had lower BMI than peers of the same ethnicity born in Canada. These differences remained after controlling for eating and physical activity behaviors.

Conclusions:
Location of birth and ethnicity were associated with BMI among Canadian youth both independently and together.

Implications:
Our findings stress the importance of considering both ethnicity and location of birth when designing and implementing interventions. While currently either one or the other is addressed, our study shows there is heterogeneity in BMI by specific ethnic groups depending on whether they were born in Canada or not.

As always I’ll be trying to livetweet the conference. I’ll be using the #CPHA2014 hashtag, so feel free to follow along online! As always, there are a wide range of presentations and workshops, so I’m excited to attend.

If you’re attending the conference, leave a comment with details of your own presentation so that other readers can attend your talks. And if you see me at the conference, be sure to say hi!

This was posted simultaneously on my blog PLOS Blogs Public Health Perspectives

Thinspo, eating disorders and the seedy underbelly of The Internet

Trigger warning: I’m going to avoid triggering language as much as possible, but I will be discussing eating disorders and body image in this post.

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We’ve all seen those photos. The inspirational quote, set to a background of a sunset, or a “One More Rep” picture with airbrushed model standing there, glistening ever so slightly while doing squats/deadlifts that is supposed to give us the motivation to push through. If we do that one extra rep, or run that one extra mile, maybe we too can look like that person. We all have that model in us, we just need to push through the pain to get there. However, what happens when this mentality goes too far?

The internet, like all tools, can be used for good and for evil, especially when it comes to exercise. Perhaps the biggest strength is the ability to get really good information from people you otherwise wouldn’t. Eric Cressey, Kelly Starrett and others give you access to information and videos based on sound science. They can push you to be stronger, workout smarter, and live the healthiest life you can. And sometimes, you can use those pictures of people being physically active as inspiration, a trend the kids these days call “fitspo,” a portmanteau for fit-inspiration. This can motivate you and gives you a goal to strive towards. Indeed, it’s a trope that has been used in movies ad nauseum. Who can forget the montage in Rocky IV where Rocky keeps looking at the picture of Ivan Drago in the mirror through his montage, eventually crumpling it in a most dramatic fashion (with heavy metal guitars playing in the background). The two ads featured here use the same idea to try and capitalize on this sense of greatness that we all hope is within all of us. However, like all behaviours, this is a balancing act, and can have devastating consequences.

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