Feminist perspective p. 4-5
*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, advise, 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