Showing posts with label std. Show all posts
Showing posts with label std. Show all posts

Tuesday, September 20, 2022

She who cannot be discussed: Behavior

 Cross posted from my regular blog, but more details.


the US Navy has implemented a "don't ask don't tell" program for sailors, and pushing education on those with old fashioned ideas.

What is not discussed: The behavior. Even though the Tailhook scandal was mentioned as the reason the Navy realized they had a problem. 

In a ship, there is a hot house atmosphere, and minor micro aggressions can become real problems. One of my friend's son deserted during the VietNam war because he couldn't take the racial bigotry he was faced with every day.

But what worries me about this: in their zeal to retrain sailors to drop their beliefs (in this case, deep seated cultural and religious beliefs), will the result of the policy be not harmony but a blindness to real sexual agresseion by predators who will twist the policy to silence those who object? LINK UKGuardian article from ten years ago about cover up of sexual assault against military women...  but this also hapens in men.

and the number or reports have increased in recent years, although it is not certain if the numbers are higher because micro agressions are included in the reports, or if the increase is because people are more willing to report serious cases that in the past would not bave been reported because of shame or fear.

The Pentagon's latest survey on reported sexual assaults in the military show that in 2021 an estimated 8.4% of active duty women and 1.5% of active duty men indicated experiencing at least one incident of unwanted sexual contact.

Also not discussed: without discussing how this training goes against religious beliefs that some behavior is wrong, (italics mine) the end rsult  might mean a lot of the best and brightest will either leave or will tell their kids not to join the service. 

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Similarly, in this monkeypox in an infant report leaves out the question: Why is a small baby sleeping in the same bed as two caregivers, one of whom had done high risk behavior and started having symptoms three weeks before the child's rash started ? 

Sleeping with an infant in the same bed is an African custom, so if the case is in immigrants that custom should be explained. If it is white Americans, then we have to ask why an educated white adult with a rash and fever and a known behavior that makes him or her high risk for monkeypox is exposing their baby to an illness by sleeping in the same bed.

CBS news laments the west isn't helping with cases in Africa, but a close look shows only small numbers of cases until the recent spread via high spreader events in the west resulted in 50 thousand reported cases, most in countries where it is not endemic.

But what I wonder: In an epidemic that spread in the white MSM community, why have cases in more recent weeks changed to having 41 percent African American and 25 percent Hispanic?

Instead of trying to change behavior by shutting down raves and high risk meeting places, we see an outreach to the gay community to get a vaccine. Problem: Is there an outreach to the minority gay community also? Culturally gays are less welcome in black and Hispanic communities, so they might not have gotten the message.

But given the reports that monkey pox was a white middle aged MSM disease, even I was aghast that in recent weeks that there had been an increase in the numbers of people who were minority background.

NBC report about this, and the barriers to minority men who suspect they have the disease: not just the stigma against MSM, but the bureaucratic problems that stopped people from getting tested and treated, including the slowness in contacting possible contacts to the gentleman who first came down with symptoms.


Meanwhile, the disparity in those who have contracted monkeypox and those who have access to vaccines is glaring. While Black people account for about a third of monkeypox cases in the U.S., about 10% of vaccines have been administered to the group, according to the CDC. The vaccine distribution disparities come as Dr. Rochelle Walensky, the head of the CDC, acknowledged that the agency must make drastic changes to respond better and faster to public health emergencies, following missteps during the Covid pandemic.

one of the untold stories of covid is the refusal of the black community to get the vaccine, partly due to lack of outreach, but also because of mistrust in the medical community that dates from the Tuskegee study. 

Outreach and local clinics where people know you would help, but no one wants to admit that the takeover of medicine by bureaucrats who stress efficiency spending time documenting everything you do rather than having a doc waste time getting to know you personally has lowered the trust in the medical community.

And the problems of rural and inner city health outreach is not just about the black community, but about other minorities, including working class whites.

Tuesday, September 25, 2018

What are kids actually doing?

The NYTimes is asking people to relate stories of their sexual escapades in high school and colleges.

They will then presumably presume this survey is significant: but it's not, since anecdotes don't give you an idea of what is going on, and of course, people will lie and make up stories.

If you want hard data, check the CDC data: Youth Risk Surveillance survey which I cited below to put the pedophilia crisis into perspective.

Nationwide, 45.3% of students had had sexual contact with only the opposite sex, 1.6% had had sexual contact with only the same sex, 5.3% had had sexual contact with both sexes, and 47.8% had had no sexual contact (Supplementary Table 5).
So yes, there are virgins in high school.
....
and yes, date rape happens

Nationwide, 7.4% of students had ever been physically forced to have sexual intercourse when they did not want to (Supplementary Table 34). The prevalence of having been forced to have sexual intercourse was higher among female (11.3%) than male (3.5%) students; higher among white female (11.2%), black female (11.7%), and Hispanic female (11.2%) than white male (3.3%), black male (3.4%), and Hispanic male (3.6%) students

.................
and date rape rates varies according to your sexual orientation:

Analyses based on the question ascertaining sexual identity indicated that nationwide, 5.4% of heterosexual students; 21.9% of gay, lesbian, and bisexual students; and 13.1% of not sure students had ever been physically forced to have sexual intercourse when they did not want to (Supplementary Table 34). .

.........
rates vary widely in different areas:

Analyses of state and large urban school district data indicated that across 34 states, the overall prevalence of having been forced to have sexual intercourse ranged from 5.7% to 19.2% across state surveys (median: 8.3%) (Supplementary Table 35). Across 20 large urban school districts, the prevalence ranged from 6.8% to 11.9% (median: 9.2%)

............
and a lot of kids are assaulted or forced into sexual situations short of rape. Note that this analyzed only those who were dating, so cut the percentage in half to see the actual percentage of all kids.

Among the 68.3% of students nationwide who dated or went out with someone during the 12 months before the survey,¶ 6.9% had been forced to do “sexual things” (e.g., kissing, touching, or being physically forced to have sexual intercourse) they did not want to do one or more times during the 12 months before the survey by someone they were dating or going out with (i.e., sexual dating violence) (Supplementary Table 38).
and the rate varies according to who you are dating, i.e. heterosexual vs homosexual vs not sure;
Analyses based on the question ascertaining sexual identity indicated that nationwide, among the students who dated or went out with someone during the 12 months before the survey, 5.5% of heterosexual students; 15.8% of gay, lesbian, and bisexual students; and 14.1% of not sure students had experienced sexual dating violence
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so kids are all promiscuous, right? uh, not really:

Nationwide, 9.7% of students had had sexual intercourse with four or more persons during their life (Supplementary Table 137). The prevalence of having had sexual intercourse with four or more persons was higher among male (11.6%) than female (7.9%) students; 

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but what about normal intercourse? a lot of statistics ask who has had intercourse at any time, but the actual number who are routinely sexually active is lower than you think

Nationwide, 28.7% of students had had sexual intercourse with at least one person during the 3 months before the survey (i.e., currently sexually active) ,,,,The prevalence of being currently sexually active was higher among 10th-grade (24.9%), 11th-grade (35.3%), and 12th-grade (44.3%) than 9th-grade (12.9%) students;

This pretty well agrees with what I saw in practice: younger teenagers are at great risk for problems, including pregnancy and STDs, and that group continues to have problems:

but a lot of more mature teenagers are having intercourse with regular partners. Since in my day, I have had friends who married at age 16 to 18, I figure this is just the same behavior as their grand parents, except they don't marry nowadays.

In summary:

 there is also a subgroup of teenagers at risk for sexual coercion.

You just can't arrest every time this is done, but school and public health authorities need to address this (as do churches).

This behavior to be addressed, but it is not universal.

By the way: The survey also has statistics on bullying, threats of violence, kids carrying guns, using alcohol and tobacco and drugs, were depressed, thought about suicide, and if they ate their veggies.

 Nationwide, 26.6% of students had eaten vegetables (green salad, potatoes [not counting French fries, fried potatoes, or potato chips], carrots, or other vegetables) two or more times per day during the 7 days before the survey