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Mr Epidemiology

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stigma

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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New Post on PLOS Blogs Sci-Ed: The Power of Words

Words
Words are powerful. Photo courtesy ManchesterMonkey

In public health we’re faced with a dilemma. We want to help people – that’s our goal, that’s why we do what we do. But at the same time, we also need to be careful how we approach public health concerns – the last thing we want to do is further stigmatize the very people we’re trying to help. One of the most subtle, but most powerful ways we can either empower or belittle others is in the language we use.

One area at the forefront of this is the field of mental health research. The “traditional” language would be a “X person,” where X refers to any mental health issue. But this isn’t the best language to use. For one, it defines the person by their illness – not by who they are. They have X, first and foremost. Not their interests, their personalities, their hobbies. They’re labelled and defined.

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Movember ends, but the message lives on

https://i0.wp.com/ca.movember.com/uploads/images/Home/About%20Movember/ABOUT_3.jpg

I’m going to get up onto my soapbox and rant a little.

Friends. Movember is drawing to a close, and I thank you all for your support, financial and otherwise. And for those of you mocking me for growing such a glorious Mo, well, you’re just jealous.

But there’s more to Movember than just growing a Mo.

There’s the issue of Men’s Health, which sometimes gets lost in the messaging. While women are very proactive and supportive of women’s health issues, men have a level of indifference that is concerning and don’t seek out help (see references below). One of the major reasons Bros don’t seek out help is due to embarrassment. Why? Because we’re afraid of being made fun of? Because we figure if we ignore it it’ll “just go away”? Because we don’t want to appear “weak”? The consequences of not seeking help could include cancer, depression or worse. What’s weak about tackling those issues? Those are incredibly tough things to deal with – if anything they require more strength. If you’re a Mo Bro, get your annual physical. Get checked out. Go see the doctor if you need it – don’t wait. Talk to a healthcare professional if you need it, and make an informed decision on your future. Many health issues are curable and treatable if caught early – the longer you wait the worse they can get. For all the Mo Sistas and Mo Bros out there, support your Bros. Mo Bros are likely to put off seeing the doctor and ignore health concerns, but with support this attitude can shift.

We’ve all had a good laugh over this month, and it’s a fun month for sure. But let’s not forget the serious health consequences that this month highlights.

For more information, check the Movember page on Men’s Health Issues.

Thanks to Michelle D for the idea for this post and Vanessa V for feedback.

References:
Tudiver F, Talbot Y. Why don’t men seek help? Family physicians’ perspectives on help-seeking behavior in men. J Fam Pract. 1999 Jan;48(1):47-52.
Winerman, L. Helping men to help themselves. Available online.
Vogel, DL, Heimerdinger-Edwards, SR, Hammer, JH, Hubbard, A. “Boys don’t cry”: Examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds. Journal of Counseling Psychology, Vol 58(3), Jul 2011, 368-382

Don’t call kids “obese”: Parental preferences for what you call their child

ResearchBlogging.org Obese youth are often stigmatized by society, and this stigmatization can have drastic, and long lasting consequences ranging from decreased self esteem to increased suicidal ideation. And for those youth who remain obese into adulthood, they also face worse employment, educational opportunities and even stigmatization by healthcare professionals.

Knowing that obese youth face this sort of discrimination, and the toll this can take on parents, you have to wonder what effect Pediatricians can have. Given that parents put a lot of trust in pediatricians, and often pediatricians form the first port of call for parents concerned about their child’s weight, the words they use and the policies they promote can make a lot of difference to those concerned about their weight.

The Rudd Center for Food Policy and Obesity is a world leader in obesity stigma research

This led to a study being conducted Dr Rebecca Puhl and colleagues at the Rudd Center for Food Policy and Obesity at Yale University, where they asked parents what terms they would like pediatricians to use when talking about a child with a higher than ideal weight, and also what action they would take if their doctor used stigmatizing language. As I’ll talk about later, the article caused a bit of a firestorm online.

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