Indiana University

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Tuesday, November 1, 2011

Last modified: Tuesday, November 1, 2011

IU researchers discuss birth control, childhood obesity and more at the American Public Health Association meeting

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Editors: Dozens of studies by Indiana University researchers have been discussed at the American Public Health Association annual meeting Oct. 29-Nov. 2 in Washington, D.C. Below is a sample of the studies.

FOR IMMEDIATE RELEASE
Nov. 1, 2011

Bisexual men: When sexual health requires stealth
A community-based, family-focused approach to childhood obesity
Not your mother's birth control

Bisexual men: When sexual health requires stealth. Bisexual men have unique health needs compared to exclusively homosexual and heterosexual men, but the stigma they face makes learning of their needs -- and even reaching these men in their "hidden communities" -- difficult for public health professionals, say Indiana University researchers. The reported need for privacy, because of the perceived stigma and lack of acceptance in both homosexual and heterosexual communities, is so pervasive that bisexual men often do not feel comfortable accessing sexual health-related services, even those targeted toward "gay and bisexual men," because of a concern over what others would think of their bisexuality. A more general approach to providing services, framed as "men's health" or "men's sexual health," will most likely be more effective, researchers learned. "In terms of designing a specific program for behaviorally bisexual men, we've learned it will not be effective to openly advertise about it or put it on billboards; we have to be more discreet," said Brian Dodge, associate director of the Center for Sexual Health Promotion at IU. Dodge's research for nearly 10 years has involved bisexual behavior and associated health needs, yet these findings from his recent study were "surprising." "The fear of disclosure, desire for privacy, and anticipation of stigma are even more problematic than we anticipated," he said. "The reasons for these issues eventually need to be addressed not only with bisexual men but also at the societal level if we are to increase participation in effective health services without operating in stealth."

About the study:

Dodge's study "Administering Sexual Health-Related Services to Bisexual Men: Privacy, Trust and Appropriate Messaging" was the recipient of the annual Excellence in Abstract Submission award from the HIV/AIDS Section of the APHA. Dodge is delivering an oral presentations about this study on Tuesday, and on Monday discussed "Community Based Research in 'Hidden' Communities: Understanding Individual and Social Health Concerns among Bisexual Men." He also delivered a poster presentation, "Sexual Behaviors and Experiences among Bisexual Men in the Midwestern United States." Co-investigator Omar Martinez on Tuesday is also presenting on issues specific to Latino participants in his talk "Sexual Health and Access to Care: Voices from Bisexual Latino Men in the Midwestern United States."

Dodge, an associate professor in the Department of Applied Health Science in IU's School of Health, Physical Education and Recreation, will discuss "Administering Sexual Health-Related Services" Tuesday, Nov. 1, at 11:30 a.m. in the Washington Convention Center. Co-authors are Phillip Schnarrs, Gabriel Goncalves, Michael Reece and Omar Martinez, all with the IU School of HPER; David Malebranche of Emory University School of Medicine; Ryan Nix of Step Up Inc. in Indianapolis; Barbara Van Der Pol of IU School of HPER; and J. Dennis Fortenberry of the IU School of Medicine.

Dodge can be reached at bmdodge@indiana.edu and 812-856-0792. Top

It takes a community to address childhood obesity? A dynamic community collaboration in Monroe County, Indiana, is taking a team approach to helping children who struggle with weight issues. The 24-week program, which is free and includes eight community partners, has helped children reduce their Body Mass Index (BMI), increase their interest in nutrition amd exercise and improve their self-esteem. "We want to promote healthy eating, fun physical activity and postitive emotions," said Hannah Laughlin, program coordinator of G.O.A.L. (Get Onboard Active Living) and community health educator at Indiana University Health Bloomington. "Our mission is to provide children and families with education and support on nutrition, exercise, behavioral habits and even community resources to help them make positive, healthy, life-long changes." Laughlin discussed the ins and outs of the family-centered program on Monday during a presentation at the American Public Health Association annual meeting in Washington, D.C.

Here are the results after the first year, during which the program involved 40 children ages 6-18.

Families can be referred to G.O.A.L. by their primary care physician. Once enrolled, community partners provide medical, behavioral, nutrition, exercise and community education and support. The partners include a local hospital, YMCA, public schools, and Indiana University. "G.O.A.L. is unique because it offers the support of so many community partners and utilizes community field trips to introduce families to local resources," Laughlin said. Catherine Sherwood-Laughlin, clinical associate professor in the School of HPER and an evaluator of the program, said the response she receives when discussing the program is predictable. First colleagues, students and community members say the program is remarkable. "And then they ask, 'How do you make it work?'" she said. She said it involves a lot of dedication from the partners and near-constant reassessment of what works and what does not. The individuals involved -- and the institutions and organizations that support them -- realize that maintaining a healthy weight is complicated, much more than simply calculating calories consumed and calories burned. It requires more than diet and exercise assistance. "The G.O.A.L. program team knows that these children experience bullying, have low self-esteem, have experienced discrimination and have been diagnosed with obesity related co-morbidities," said Sherwood-Laughlin. "The approach is multifaceted, multi-dimensional while at the same time is individualized for each child."

The community partners are IU Health Bloomington, Southern Indiana Pediatrics, the City of Bloomington Parks and Recreation, Monroe County YMCA, Monroe County Community School Corp., Richland Bean-Blossom Community School Corp., The Office of Community Health Engagement in IU's School of HPER, and the School of HPER's Department of Kinesiology.

Co-authors of the study are the G.O.A.L. program and planning team: Catherine Sherwood-Laughlin, with IU's Office of Community Health Engagement; Scot B. Moore, M.D., Southern Indiana Pediatrics; Lindsay Buuck, City of Bloomington Parks and Recreation; Stacey Matavuli and Samantha Schaefer, IU Health Bloomington; Jean Sherfick, Monroe County YMCA; Danielle Neukam, IU's Department of Applied Health Science; Jessica Bare, AmeriCorps Improving Health Throughout Indiana; and Ann Moore, behavioral consultant.

Laughlin can be reached at 812-353-9342 and hlaughlin@iuhealth.org. Sherwood-Laughlin can be reached at 812-855-2673 and csherwoo@indiana.edu. Top

Not your mother's birth control, same troubles. Today's hormonal forms of birth control are vastly different from those used by earlier generations of women, both with lower levels of hormones and with different means of delivery (not just a pill), but many of the same problems related to women's pleasure remain. An Indiana University study that examined how newer forms of hormonal contraception affect things such as arousal, lubrication and orgasm, found that they could still hamper important aspects of sexuality despite the family planning benefits and convenience. "Contraception in general is a wonderful way for women to plan their families," said lead researcher Nicole Smith, project coordinator at IU's Center for Sexual Health Promotion. "It's something women are often on for as many as 30 years or more; it plays a huge part in their life. If they're experiencing these negative effects, they might stop using contraception correctly or altogether. They need to know that there are options, such as lubricants or other sexual enhancement products that may help to alleviate some of the negative effects they are experiencing. "Women should also be counseled on the many highly effective forms of birth control currently available; switching to another method might work better for them," she said.

About the study:

Smith said she is very interested in seeing whether women's contraception choices change when components of the federal Affordable Care Act are implemented next year, making preventive care features such as contraception free for women with insurance. This will make the more expensive, longer-acting forms of contraception available to more women, Smith said.

Smith, a doctoral student in the Department of Applied Health Science in IU's School of Health, Physical Education and Recreation, presented her study on Monday. Co-authors are Kristen N. Jozkowski, College of Education and Health Professions at the University of Arkansas; and Stephanie A. Sanders, IU's Kinsey Institute for Research in Sex, Gender and Reproduction, and the Department of Gender Studies in the College of Arts and Sciences.

Smith can be reached at 406-431-4758 and smithnk@indiana.edu. Kristen Jozkowski can be reached at 516-480-0206 and kjozkows@uark.edu. Top

For additional information on these items, contact Tracy James, 812-855-0084 and traljame@in.edu.


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