- *Works with individuals as opposed to for individuals
*Uses heterogeneity as an assumption, not homogeneity
*Minimizes or exposes power imbalances
*Rejects androcentric models as normative
*Challenges the medicalization and pathologizing of normal physiological processes
*Seeks social and political change to address health issues
Alcohol consumption and women p. 82, 151 and 155
- *"Unhealthy alcohol use" includes risky drinking, alcohol misuse, hazardous drinking and
alcohol use disorder
*Screening for all women (including pregnant women) 18 years and older
-5.3 million women have alcohol use disorder (more than 7 drinks/week or 3 drinks/day)
-"How many times in the past year have you had four or more drinks in a day?"
-Do not screen adolescents younger than 18
*Brief intervention for at-risk drinkers:
-Five A's framework: ask, advice, assess, assist and arrange follow-up
Cultural perspectives of women p. 178
- Chapter 11?
Tanner stages p. 43
, - Five stages of sexual development in adolescence evaluating pubic hair, genitals and breast
development
-thelarche (breast development)
-pubarche (appearance of pubic hair)
**thelarche to menarche is usually 2-3 years
Primary prevention vs Secondary prevention p. 77
- *Primary: services focus on preventing disease in susceptible populations.
*Secondary: services focus on early detection of disease states and treatment that will reduce
severity and limit short- and long-term sequelae of disease.
US Preventative Services Task Force (USPSTF) recommendations p. 78
- 1) Counseling
-BRCA, breastfeeding, diet and exercise, falls prevention, perinatal depression, STIs, skin
cancer, tobacco use, tobacco use in adolescents, unhealthy alcohol use, weight loss
2) Screening
-alcohol use, cervical cancer, STIs, depression, height and weight, hypertension, HIV, IPV,
Rubella, tobacco, breast cancer, colorectal cancer, Hep C, lipid disorders, osteoporosis
3) Chemophophylaxis (vaccination)
-Hep A, Hep B, HPV, influenza, meningococcal, MMR, pneumococcal, Tdap, varicella, zoster
Preventable causes of death for women
- Tobacco, overweight, physical inactivity, high blood sugar, alcohol use
Common women's health issues p. 78 -
American College of Obstetricians and Gynecologists recommendations
- *The periodic well-woman care visit should include screening, evaluation and counseling,
and immunizations based on age and risk factors
-Gestational diabetes, HPV, STIs, HIV, contraception, breastfeeding, intimate partner violence
Rape and definition of rape p. 313
- Rape is defined as completed or attempted nonconsensual vaginal, anal, or oral penetration,
no matter how slight, with any body part (penis, fingers, etc.) or object.