Make Sex Normal

26 04 2013

About a month ago, I contributed to the new “Make Sex Normal” project:

“I teach college courses on sexual diversity, do research on the lives of LGBT people, and blog with some amazing scholars and advocates at KinseyConfidential.org” -

Kinsey Confidential

- Eric Grollman (far right), PhD candidate in Sociology at Indiana University, is pictured with other Kinsey Confidential bloggers at a Kinsey Institute art exhibit

Why wouldn’t I?  I saw a new campaign that seemed timely (overdue, really) and aimed at addressing an important cause (just as I added my own video to the It Gets Better project).  Now that the dissertation beast is out of my hands (for the moment), I have had time to really comprehend just how significant the Make Sex Normal project is.

This is yet another initiative created by Dr. Debby Herbenick, a research scientist at Indiana University, author, and sex advice columnist/expert.  In addition to her research on sex, she regularly blogs for Kinsey Confidential and MySexProfessor. She has also given TWO TED talks.

Indeed, a chief aim of Dr. Herbenick’s work appears to be to increase sexual literacy in America — to dispel myths and educate youth and adults about sex, sexuality, and relationships.  Another appears to be giving people the space to speak — either to share their secrets (e.g., her IUSecrets project) or to highlight what they do to increase sexual literacy (e.g., Make Sex Normal project).

It may come as little surprise that I admire the work that Dr. Herbenick is doing.  Yes, it is because she ties together her research, teaching, and advocacy.  Her work as a scholar, broadly defined, aims to make sex normal, among other ways to make the world a better place.  And, she’s even got quite a bit of media attention for this amazing project!  (here, here, here, and here, among others).

Go ahead — you can submit your own contribution to the Make Sex Normal project.  Here’s how.





Oppression As Terrorism

7 03 2013

What image comes to mind when you hear the term “terrorist“?  I can imagine most Americans think of something like the images that a quick Google search yields:Screen Shot 2013-03-07 at 7.14.25 AM

Right now, these are the kinds of images that predominate US discourse on terrorism, particularly after the terrorists attacks in NYC, DC, and PA on September 11, 2001.  Before that, this was the image of terrorism, at least in my mind:

That of domestic terrorist, Timothy McVeigha white supremacists.  As a nation, we are more fixated on the threat posed by those pictured in the first image — those people in that country.  Our fear of terrorism is used as justification for our xenophobic prejudice toward nations outside of the West.  Arguably, it also undergirds the vehement anti-immigration sentiment, now that “immigrant” has become synonymous with “Hispanic,” “Latino,” “Mexican,” and “illegal.”

For the oppressed members of the US — people of color, women, lesbian, gay, bisexual, and trans* (LGBT) people, religious minorities, and immigrants in particular — terrorism exists daily within our borders.  Defining terrorism simply as a systematic effort to evoke fear and terror in another group, oppressed groups experience both violence and the threat of violence (i.e., terrorism).  In addition to the daily microaggressions and discrimination, these marginalized groups are kept in “their place” through violence and terrorism.

Power And Defining Violence

Continuing to gobble up every idea in sociologist Patricia Hill Collins‘s book, On Intellectual Activism, I got the encouragement I needed to write this post, which I have been contemplating for some time.  She has a chapter, “The Ethos of Violence,” in which she argues that violence is not a given phenomenon.  Rather, it is socially constructed, wherein its meaning is taken from its historical and social context.  But, as I usually do when drawing upon a social constructionist perspective, I echo her argument that the power to define socially is not shared equally.  Rather, dominant social groups hold the power to define violence.  Whites, the middle- and upper-classes, men, heterosexuals, US-born citizens, and so on define violence.

Take the unfortunate example of the shooting in an elementary school in Connecticut.  It would be unimaginable to think anyone would dispute that this was a tragedy — yes, even one that warrants the overdue changes to gun control laws in the US.  But, as some pointed out, that kind of rare tragedy in middle-class white America garners great national attention, while everyday violence in urban, poor, and Black and Latin/o neighborhoods rarely get attention.  As Collins’s points out, these events, though more common, are not treated as noteworthy violence because they do not directly affect the privileged members of America.  In fact, such violence is treated as something to be routinely expected of the inferior classes of people who are stereotyped as natural savages.

Look at the intense political battles against protections from discrimination and violence for women, trans* people, people of color, and lesbian, gay, and bisexual people.  It is difficult to fathom how one could oppose protection from violence.  But, men, cisgender people, heterosexuals, the wealthy, and whites are shielded from violence.  As a part of their privilege, they neither witness nor experience violence enacted toward them because of their status.

Oppression As Terrorism

Collins also notes that, in addition to the violence enacted against oppressed people, they are also terrorized by the threat of such violence.

The routine nature of violence is highly significant in maintaining the social control needed for social inequalities to be seen as natural, normal, and inevitable.  The significance of violence goes much deeper than the small number of visible violent acts that actually occur in relation to the size of the American population as well as the interpretive climate needed to define it.   Rather, the threat of violence constitutes a powerful tool of social control.  For example, women who monitor what they wear, where they walk and with whom, and the time of day they appear in public places adjust their behavior in response to the fear of violence against them.  Women do not have total access to the streets because these spaces remain coded as male spaces, at least most of the time.  A particular woman need not be raped to know that some streets are always dangerous or that all streets are sometimes dangerous.  The fear of physical and sexual assault is sufficient to keep her in her place.

In the above quote, Collins points out that, while at least one-quarter of women experience actual sexual violence, they and the remaining 75 percent of women are plagued by the threat of sexual (and other forms of) violence.  That sexual violence affects women such that they live in fear and adjust their behaviors to minimize their vulnerability and this fear constitutes a form of terrorism.  And, that seemingly isolated acts serve to threaten and disempower an entire marginalized group (women), rape and sexual assault constitutes a type of hate crime.

In a forthcoming article in Journal of Homosexuality, considering the intersections among race and ethnicity, gender, and sexual orientation, Doug Meyer and I found that white men and heterosexual men (the sample was too small to consider all three identities simultaneously) were the only groups wherein fewer than half (~30 percent) reported being afraid to walk alone at night within 1 mile of their own homes.  All women, regardless of race, ethnicity, and sexual orientation, Black and Latino men, and sexual minority men had comparable percentages of those who said they felt such fear (between 70-80 percent).  These patterns held even as we accounted for their prior experiences of robbery or other crimes.

Marginalized groups have real reason to live in fear.  The rates of documented acts of violence are high — just imagine what the rates would look like if most acts of violence were actually reported.  And, think about the costs of the fear that most members of marginalized groups experience.  This fear and the efforts one may take to protect oneself from violence can mean watching every aspect of your behavior, remaining vigilant and in a heightened state of arousal when walking alone, being wary of strangers of privileged groups, staying away from certain parts of town, or forgoing certain activities all together.  For myself, as my partner and I visit Richmond next week to search for a place to live, I have such concerns weighing on my mind; where will we feel safe as an interracial queer couple?

Given their privilege, whites, men, cisgender people, heterosexuals, those born in the US, and the wealthy do not have to experience nor think about violence and the fear of violence.  Beyond that, they do not have to acknowledge or validate the fear experienced by members of oppressed groups.  Further, they have the power to subvert our claims of violence, either as isolated acts that are not motivated by hate (rather than systemic violence and terrorism) or even as something victims brought on themselvesMaybe it was the short skirt she was wearing.  Maybe it was the hoodie he was wearing.  Maybe he flirted with the guy.  Maybe she “lied” about her sex-assigned-at-birth.

Terrorism And The State

What complicates this further is that the state, which proclaims to protect all Americans, is implicated in violence against the oppressed.  Laws on the books are either selectively or weakly enforced.  Proposed laws to protect marginalized groups from violence are somehow characterized as a threat to privileged groups.  And, too often, the state itself enacts violence (e.g., police brutality, injustice in the criminal justice system, forced sterilization, interment, enslavement, raids).  Who protects us when even our protectors enact violence against us or fails to intervene when others attack us?

How quickly we developed national efforts to guard against terrorism (and protect our national borders from “illegals“) — of course, that is when dominant groups come under threat.  There has never been a Homeland Security to protect against racism, sexism, heterosexism, cissexism.  The oppressed are on their own for that.  Ironically, it seems that when the state moves to protect all Americans, the oppressed become suspects.  Anyone with brown skin can be searched and demanded for their “papers.”  Transgender and gender non-conforming people are subjected to additional screening through TSA security checks at airports.  But, c’mon — this is in the name of security for all!

Another Irony Of Oppression

Something akin to the “double bind” or “dual-edged sword” that oppressed people face — the sense that you are “damned if you do and damned if you don’t” — is a sense of irony about systems of oppression.  A good example of the “double bind” for women is the reality that they are penalized for being feminine in a masculinist society, but then punished if they are “too masculine” — something that, in overly simplistic pragmatic terms — would make sense to get ahead in life.  But, what I find more ironic is a twist on certain aspects of oppression.

In particular, I find it ironic that members of oppressed groups face everyday threats of violence, discrimination, and subtler expressions of hatred, yet are characterized as a threat to dominant society.  People of color are subject to violence by, yet are portrayed as violent to, white America.  Gay men, in particular, are frequent targets of homophobic violence and discrimination by, yet are characterized as threatening to, heterosexual men.  Women, if given the power to control anything (even their own bodies!), are seen as a threat to the livelihood of the nation.

There is an exchange in the 2007 movie version of the play, Hairspray, that sticks out in my memory:

Screen Shot 2013-03-07 at 10.31.36 AM

Seaweed: “And this young lady right here is Penny Pingleton.”
Penny: “I’m very pleased and scared to be here.”
Motormouth Maybelle: “Now, honey, we got more reason to be scared on your street.”

Concluding Thoughts

I suppose the take-away points of this post could be: 1) calling for better attention to collective understandings of violence and terrorism, which erase the ways in which oppressed people are attacked and terrorized daily; and 2) calling for real, sustained efforts to account for, outlaw, and remedy the vast amount of violence that routinely occurs against marginalized groups.

This should entail, as Collins points out, better understanding violence at the intersection of systems of oppression, including the heightened risk of violence among those who belong to multiple oppressed groups (especially women and LGBT people of color and poor LGBT people and women).  For, even within our own communities, we face violence.  Yet, for some reason, many members of privileged groups continue to dismiss our efforts protect ourselves from discrimination and violence — basic, fundamental rights — as “special rights.”





How To Derail The Push For Equal Rights: Talk About Sex!

4 11 2012

Man entering women’s restroom.

“We just plain don’t like ‘em!” would be a difficult argument to sell as grounds to oppose equal rights and protection under the law for a marginalized group — and, this especially true in this era of supposed “political correctness,” “color-blindness,” and “post-racial”ness.  As such, opponents of equality must find more palpable reasons to either prevent the enshrining of equality into law or to strip away existing civil rights laws.

A few anti-equality strategies have existed for what seems forever:

  • Spread prejudice like a contagious virus!  Essentially — in the example of race — convince the white majority that people of color are inferior, whether it be due to biology, education, or culture, thus deeming them worthy of unequal treatment.
  • Selectively cite passages from the Bible!  Whether you want to justify the continuance of enslaving an entire race of people, or oppose interracial marriage or same-gender marriage, or maintain arbitrary restrictions on when and who can have sex, simply flip through the Bible (note: other religious texts do not seem to carry the same weight) until you find a passage that can be interpreted to support the status quo.  Or, if you are really gutsy, you can just make something up, like blaming lesbian, gay, bisexual, and transgender (LGBT) people for natural disasters that affect everyone, including heterosexuals and cisgender people!
  • Pit marginalized groups against one another!  Want to really distract the majority from the problematic position of opposing equal rights?  One sure way to mix things up is to pretend to care about the well-being of a minority group, and suggest that granting more, “special” (i.e., undeserved) rights to one marginalized group threatens those of another.  A great example is the on-going effort to demonize Black Americans as a bigoted, uneducated mass that blindly follows religion in opposing the legalization of same-gender marriage.  Clearly, they are so behind the times, in this overwhelmingly LGBT-friendly nation!  This strategy is great because you can restrict the rights of one group while demonizing the other, or even convince the majority that the latter group has achieved full equality.

Scare Them With Sex

Hope is a great way to motivate and inspire a mass.  It worked for gay activist Harvey Milk, and it sure seemed to work to elect President Barack Obama.  Arguably, on the other side of the coin of hope is fear.  What better way is there to get people stirred up about something than to make them feel threatened.  And, if you really want to stall social progress, toss in some element of sex: promiscuity, teen pregnancies, sexual violence, pedophilia, pre- or extra-marital sex, sex work, etc.

Scholars who study how some matter related to sex is used as a fear tactic have called this “sex panic.”  That is, some sexual issue is argued to threaten the smooth functioning of society.  In many ways, the issue — say, comprehensive sexuality education in public schools — is intentionally shrouded by myths, stereotypes, biased or falsified research, and is often used to oppose or at least stall movement on a particular social or political issue.  Sometimes, the sexual issue is not even centrally related to the key issue being debated.  Here is a recent example:

Beware: Male Rapists Pretending To Be Transwomen!

Do you oppose the legal protection of transgender individuals from discrimination?  Hmm, well — one potential distraction is to draw on the cisgender majority’s fears of (cis)women helplessly being raped, and occasionally toss in some panic about pedophilia and threats to children’s sexual virtue.  Ongoing at Evergreen College:

“The decision to allow a transgender 45-year-old college student who identifies as a woman but has male genitalia to use the women’s locker room has raised a fracas among  parents and faith-based organizations, who say children as young as 6 years old use the locker room.”

This also has an element of pitting groups against one another.  Do we want to protect transpeople from discrimination, or do we want to protect (cis)women and children from sexual violence?

There are so many problems with this logic… where do I begin?  First, I will note that it is interesting that we go from protecting transpeople from discrimination in employment, public accommodations, and so forth, to concerns about the bathroom, nudity, and sex.  This stems from the real concerns that transpeople are frequently subject to discrimination, harassment, and violence — even in the bathroom!  Yet, ironically, the debates have flipped concern for the well-being of a marginalized group to concern for the protection of the privileged majority from the minority group.  The threatened has become a threat; the victim has become the victimizer.  This makes me think of one of my favorite lines from the 2007 remake of Hairspray:

Penny Pingleton, a young white girl (Amanda Bynes): I’m very pleased and scared to be here.

Motormouth Maybell, a middle-aged Black woman (Queen Latifah): Now, honey, we got more reason to be scared on your street.

Second, there is some effort to confuse the boundaries of who falls into the minority group, and who to the majority group.  Despite the challenges around accepting one’s (trans)gender identity, and to publicly acknowledging one’s identity, gender identity is talked about as an elective, easily moveable boundary.  So simple, a man could dress in feminine attire and freely use women’s facilities.  Somehow, transmen are erased from the conversation, and we reinforce the notion of males as natural rapist and females as natural victims.  And, transwomen continue to remain outside of the category of women; when we speak of concerns about women being raped in the bathroom, we only mean “real,” cisgender women.

Third, the rhetoric of rapists posing as women perpetuates the myth of the stranger lurking behind the bush, waiting to leap out and assault a helpless, unsuspecting victim.  Though most survivors of sexual violence know the perpetrator as romantic partners, relatives, friends, coworkers, etc., many carry an image of a mysterious, masked perpetrator, in this case, going to the lengths of dressing in feminine attire to prey on girls and women.

Fourth, bodies are conflated with sex, and sex is perpetually conflated with risk and danger.  In this case of the locker room at Evergreen College, complaints were made that girls saw a transwoman’s penis.  Okay?  And, I am sure they also see other women’s genitals, as well.  They have also seen women’s — cis and trans included — feet, hair, backs, arms, faces, and so on.  Clearly, genitals stand out as especially sexualized and provocative.  And, because we are talking about sex, we are worried about the harm it may cause — even outside of sexual violence.

Of course, sex panics are not limited to efforts to oppose equal rights and protections for transgender and genderqueer people.  The supposed concerns of gay men raping heterosexual men were often raised, or at least alluded to, from those who opposed repealing the US military’s ban on open LGBT servicepeople.  There is a long history of painting Black men as sexual predators who threaten the well-being and sexual virtue of white women — a viscous myth used to justify segregation, banning interracial marriage, and grounds to execute Black men through lynching based on lies or questionable evidence of a crime.  And, we continue to see myths shroud effective discussions about reproductive rights (especially abortion) and sexuality education in schools, namely by drawing forward concerns of sexual “irresponsibility” (i.e., promiscuity, unintended pregnancies, teen mothers).

Moving Forward: Education And Accountability

I will not attempt to provide a solution for ceasing the effective use of sex panics to derail equality.  But, there are some things that would be extremely helpful to move in that direction.  First, it is important that we take responsibility for educating ourselves.  This means taking the time to learn about the issue at hand in full.  In less than 24 hours, many voters around the country will be deciding whether to legalize same-gender marriage, bar public funding for abortion services, and eliminate Affirmative Action policies.

Rather than only hearing some of the overly-dramatic, often bigoted perspectives that call to deny marriage equality or rollback government initiatives to support women’s reproductive health and the equal opportunities for people of color, I would encourage taking a moment to find out what is really at stake.  Whether or not same-gender couples can get legally married has no bearing on the lives and relationships of heterosexual people — so, what will opposing it do?  Defunding Planned Parenthood would severely constrict its abortion services, but it also will constrain its resources and services for other aspects of sexual and reproductive health; further, only a small portion of PP’s budget goes to abortion services.  And, the sad reality is that doing away with abortion all together will not eliminate abortion — just access to safe, legal abortion services.  Affirmative Action — a policy that aims to redress the history of racist and sexist oppression in the US and promote equal opportunities — in its current, scaled down form, primarily serves to make hiring and admissions practices transparent and highlight the importance of taking into consideration a candidate’s background.  Doing away with the policy eliminates what little inequality-conscious practices exist in jobs and education.

I would also suggest that we must do a better job holding politicians, religious leaders, celebrities, and so forth accountable for the tactics they use to advocate certain causes.  It almost appears that little recourse exists, besides talk, for advancing lies, myths, stereotypes, and bigotry.  Though, for example, the Republican party may be slightly hurt in terms of votes and donations by their ongoing War on Women, many like Todd Akin continue on in their position.  It seems it is only when they are the subject of sex panics (i.e., sex scandals) that they are either forced out of their position or voluntarily step down from it.  Or, as many say, “no one died when Clinton lied,” referencing former President Bill Clinton’s extramarital affairs, leading to a Republican-led effort to impeach him from office.  Yet, his successor, George W. Bush, attempted to enshrine homophobic discrimination into the US Constitution, and failed to provide urgent aid following Hurricanes Katrina and Rita because of the large disadvantaged Black population in affected areas.  So long as we vote for and financially support leaders who lie and recycle tired stereotypes and myths, they stay in power.

Other than self-education and holding leaders accountable — Vote!  And, please keep these things in mind when you do.





Let’s Make Men’s Bodies Political Battlegrounds, Too

31 01 2012

Virginia aims to become yet another state that will require women seeking abortion services to view an ultrasound before undergoing an abortion.  Lawmakers in the state will decide this week whether it, like states like Texas, wishes to further make women’s bodies sites for political battles.  One senator, Janet Howell (D-Fairfax), has caught some media attention in her proposal to make men’s bodies political battlegrounds, as well:

To protest a bill that would require women to undergo an ultrasound before having an abortion, Virginia State Sen. Janet Howell (D-Fairfax) on Monday attached an amendment that would require men to have a rectal exam and a cardiac stress test before obtaining a prescription for erectile dysfunction medication.

“We need some gender equity here,” she told HuffPost. “The Virginia senate is about to pass a bill that will require a woman to have totally unnecessary medical procedure at their cost and inconvenience. If we’re going to do that to women, why not do that to men?”

Though proponents of this bill claim that it gives women the ability to make “informed” consent in seeking abortion services, its opponents note:

[T]he bill compels physicians to perform an unnecessary and costly medical procedure and is a thinly-veiled attempt to shame and intimidate women from having an abortion.

Unfortunately, the mandatory ultrasound bill passed in a voice vote yesterday, and the senate will formally vote at some point today.  Sen. Howell’s bill was not passed, however.





The Continued Attack On Women’s Reproductive Rights

20 01 2012

The battle over women’s reproductive rights, namely access to legal, safe abortion services, continues to rage on in the US.  Though this is not a new fight, and attacks against the Roe v. Wade decision have carried on since it was first handed down, it seems the war by pro-lifers (politicians, religious groups included) has blazed a lot stronger in the past few years.  A new fact sheet from NARAL, “The War on Women,” shows just how many attacks have recently been waged against women’s reproductive rights, peaking in 2011.

In addition, a recent case against Jennie McCormack, who bought RU-486 (the “abortion pill”) over the internet to terminate an unintended pregnancy, has highlighted that protecting a woman’s right to choose is still a difficult task given the complexities of such situations.  Her case highlights the depressing state of reproductive health care in the US:

The number of Planned Parenthood affiliates has been cut in half since 1987, to fewer than 100. Almost 90 percent of counties in the U.S. and 98 percent of rural counties have no abortion services.

Like many women, McCormack lived very far from the nearest clinic that provides abortion services.  The nearest clinic in Salt Lake City, over a two-hour drive away for her, is imposed by the Utah state law that enforces a waiting period for women seeking abortion services.  Thus, she would have had to make two trips to the clinic, the second to actually have the services performed.  So, she had her sister by RU-486 over the internet to send to her through the mail.  Though her use of the pills is not considered illegal, she was arrested for taking her health into her own hands:

Although RU-486 is legal and the fetus was not yet “viable” (that is, old enough to live outside the uterus), Idaho has a 1972 law—never before enforced—making it a crime punishable by five years in prison for a woman to induce her own abortion. The day after police arrested McCormack, her mug shot appeared above the fold in the local newspaper. “It’s hard to imagine the humiliation and fear,” says her lawyer, Richard Hearn, who is also a physician.

Unfortunately, what is missing from the anti-abortion attack on women’s reproductive rights is viable alternatives.  While women like McCormack are successfully denied convenient access to abortion services (among other services provided by places like Planned Parenthood), they are not offered safe alternatives.  Simply put, removing access to abortion services does not eliminate our need for them.  In fact, there is some evidence that abortion rates are higher in places that criminalize abortion, resulting in a higher number of “illegal” and unsafe abortions that sometimes leads to injury or death of the women undergoing these procedures.





Oh, The Assumptions Medical Professionals Make…

12 10 2011

Nurses, doctors, and other medical professionals are humans.  I think we sometimes forget that, holding them to some omniscient standard.  But, they are, indeed human.  As such, they sometimes make mistakes.  And, sometimes, they simply don’t know.  At times those lines are blurry, which can add to pain that may already exist in instances of death or compromised health.  In my own family over the past few weeks, we have been mourning the loss of my 19-year-old cousin to a major seizure in his sleep; apparently, a special pillow exists to prevent suffocation in such instances, but he was never told about that…

Medical Professionals As Humans…With Biases

As humans, medical professionals also hold a number of beliefs and biases, just like every other human.  They come to their medical career holding some pre-existing beliefs and carry them into each interaction with patients and fellow medical professionals.  By no means are medical professionals immune to the beliefs and norms outside of the medical institution, nor can we expect them to completely leave their personal beliefs at the door when they clock in at work.  I learned the hard way that sociologists are human, too upon starting graduate school  — but that’s another matter.

I am well aware of others’ experiences with medical professionals that make certain assumptions, typically that are grounded in stereotypes and the invisibility of marginalized groups.  For example, I have heard from a number of lesbian/bisexual/queer women than they have faced awkward, and sometimes hostile, conversations with gynecologists who fail to understand why a woman who is sexually active would not use condoms and/or birth control.  The obvious, unspoken assumption is that to be sexually active is to be heterosexually active; further, anything outside of penile-vaginal sex likely does not count as sex anyhow, at least in a reproductive sense.  Such assumptions, beyond the potential for awkward exchanges or even homophobic/biphobic prejudice, can translate into medical treatment that does not fit with one’s background.  (Telling a sexual minority woman that she need not worry about using condoms, yet failing to encourage her to still use other safe sex measures like condoms for shared sex toys or dental dams for oral sex, still leaves her at risk for sexually transmitted infections.)

The first time I was tested for sexually transmitted infections (STIs) at the age of 18, I lied about the sex of my sex partners when asked.  It was true that I had engaged in sexual relations with a woman, but I neglected to mention that I had had sex with a man, as well.  So, the questions that followed — that presumed heterosexually — were, what I thought, the result of my own actions.  I now know from later STI test experiences that little would change even if I had outed myself, as a number of STI tests focus on men’s penises stemming from a presumption of heterosexuality (i.e., penile-vaginal sex).

Then, during one visit to the doctor earlier this year, I hit the gold mine of assumptions.  Four years had passed since my last annual physical check-up, so I decided to get one with my new doctor.  At the time, graduate school was gaining ground in the war against my mental health, so I mentioned feeling a bit more stressed than usual.  The doctor — a person I presume to be male, middle-aged, white, heterosexual, and middle-class — told me that I had little to worry about and suggested I have sex to unwind a bit.  Though I would find a friend’s suggestion to “get laid” to ease distress humorous, I was in disbelief that it was being prescribed by a person who had successfully completed medical school and has been a practicing physician for at least 10 years.  Later in the check-up, which took longer than expected because he made jokes about my profession as a sociologist (though he conflated it with anthropology and social work), I asked whether I could get tested for STIs.  Again, he assured me I had nothing to worry about: “oh, you shouldn’t have to worry about that if you’re only having sex with middle-class white girls.

I was stunned.  The various assumptions wrapped into one amazed me.  I didn’t know you could stereotype working-class people, people of color, and lesbian, gay, and bisexual people all at once with such ease.  I suppose if these white girls were poor, I’d need to get tested.  And, I should know well that girls of color come with a good chance of STI transmission.  And, how could I not know that to be gay is to have AIDS?  But, beyond the assumptions he’s made about class, race, and gender, and the intersections among them, he made clear assumptions about me.  Somehow, he assumed that I am a middle-class, heterosexual, white man.  Wow.

Medical Bias Backed By Science

Those of us outside of the medical institution are unaware of the content of medical school education.  We do not know whether future doctors, nurses, and other medical professionals are being taught to focus on situations and circumstances that are more likely.  While it seems like a cost-effective strategy, for example, not assuming that a cough is a symptom of a rare disease, it also leaves open the door for differential treatment (quite literally, in this case) or even discrimination.  In my own experience, the doctor (who is no longer my doctor) suggested I need not be tested for STIs despite my own raised concern and being sexually active because he assumed I was having sex with a race-gender-class-sexual identity subgroup that is relatively less likely to have STIs.  I suppose if I were to have sexual relationships with members of subgroups that face disproportionate rates of STIs, the doctor would have been more inclined to offer STI tests.

But, outside of knowing about health disparities by race, gender, sexual identity, social class, nativity, ability, and so forth, the medical institution has historically been blinded to the diversity among humans or, in some instances, has exploited it.  Sociologist Steven Epstein‘s book, Impure Science, is an important depiction of the fight of activists to get better attention and treatment for AIDS in the 1980s — a disease that politicians and medical professionals were slow to address because of homophobic prejudice.  For a long time, women and people of color were excluded from drug trials for AZT and other AIDS-related treatments, so little was known about the efficacy and risks of such drugs for non-whites and women.  For years during the mid-twentieth century, poor Black men were exposed to syphilis without treatment in the Tuskegee experiments.  New evidence was recently released that similar exploitative experiments were conducted in Guatemala.  And, beyond ignoring the medical needs of minority groups or exploiting them for medical purposes, the medical institution has its own history of advancing oppressive agenda, including some medical professionals’ invovlement with the eugenics movement (e.g., the forced sterilization of women of color).

But, beyond the exclusive, exploitative, and malicious actions of the medical institution, medical professionals are trained within and backed by an institution that is still blind to the complex diversity among humans.  Today, there is still a great deal that is unknown about the health status, health behaviors, and health risks faced by lesbian, gay, bisexual, and transgender people, intersexed people, racial and ethnic minorities, multiracial people, and working-class people.  I recall, for example, when my institution (Indiana University) announced the release of a new study on race-gender differences on “immune system response to dental plaque” that the researchers miss a great deal by only examining race, gender, and race-gender subgroup differences, namely social class (a known mechanism through which racial disparities in health are maintained).  And, with the release of a Black-specific heart medicine, some have questioned how this drug works only for African Americans, and a few have asked what definition of “Black” applies here (i.e., is it effective or harmful for multiracial people of some African ancestry).

My point here is that medical professionals’ assumptions are embedded within the medical institution which relies on (and sometimes perpetuates) assumptions itself.  That same institution, if flipped to assume that there is no universal experience or background, could be used for good to mandate that medical professionals ask whether patients are multiracial, sexual minorities, transgender, intersexed, and so forth.  In the mean time, we continue to rely on care that is backed by science that fails to fully capture the complexity of human diversity, and navigate the assumptions and bias of medical professionals.





[kinsey] Inequality And Health: Disparities In Sexual Health And Well-Being

14 12 2010

This was originally posted at Kinsey Confidential.

Many health and medical researchers recognize the connection between inequality and health.  That is, poverty, prejudice, and discrimination contribute to disparities in quality of life, illness, and access to health care.  Sexual health is no exception.

Inequality Produces Health Disparities

As we have noted in a number of earlier posts at Kinsey Confidential, disparities in health and well-being exist, largely as a product of various forms of inequality.  For example, mental health researchers have documented the negative impact of homophobic and transphobic prejudice and discrimination on the mental health and well-being of lesbian, gay, bisexual, and transgender people.

In terms of sexual health, researchers have found higher rates of sexually transmitted infections, including HIV/AIDS, among marginalized groups — women, sexual minorities, and people of color in particular.  The greater exposure of marginalized groups to STIs is partly the product of prejudice in terms of attractiveness.  For example, researchers have found Black bisexual and gay men and plus-size adolescent girls to be at greater risk for STIs because they have less power – or perceive themselves as having less power – in sexual relationships to assert safe sex practices.  Inequality has also been linked to disparities in sexual satisfaction.

Disparities In Health Care

The link between health and inequality is also present in disparities in access to and quality of health care.  For example, many researchers and advocates have argued that the response to address HIV/AIDS was slow in general and in particular communities because of racist and homophobic prejudice.

Two recent studies have found racial and class disparities in sexuality-related health care.  The first, a study of health care providers’ recommendations for intrauterine contraception for women, found lower rates of such recommendations for low socioeconomic status (SES) white women compared to high SES white women, as well as lower rates for low SES white women compared to low SES Black and Latina women.  The second study, an examination of hospital emergency room visits, found that nearly all Black teens were asked about their sexual histories – a practice to address potential risk for STIs – yet, only 62% of white teens were asked.

Indeed, in order to effectively address disparities in health and well-being, it is critical to recognize how health is linked to inequality.





I Have Now Seen The “Culture War” Over Reproductive Rights

7 10 2010
Me - Escort

My first time volunteering at Planned Parenthood.

A Bit Of Background

Months ago, a friend sent an email to me and a few others to encourage us to consider volunteering as escorts at Planned Parenthood.  Sadly, as is the case for many critical volunteer opportunities, PP is severely understaffed on this front.  Though I have been volunteering with Middle Way House, the local domestic violence shelter and rape crisis center, for some time now, I felt that volunteering with PP would be my chance to be more involved in the fight to protect women’s (and all people’s) reproductive rights – abortion in particular.  So, of course, I said yes.

Although I was legitimately out of town for part of the summer and then studying fiercely for my qualifying exam, I found myself beginning to make excuses for signing up for my first PP shift.  “Oh, there’s no way I could get a parking spot on campus after 9am.”  While that’s mostly true, in the end, I realized that the convenience of parking is a horrible, selfish reason to forgo volunteering.  Following a recent renewed energy for activism, I finally signed up.  Last night while chatting with a friend, I began to realize that part of my slow response was due to a fear of what volunteering would be like.  Will there be protesters?  What will the clients be like?  Will I be entering a dangerous situation?  Will I be safe?  My friend assured me I would be fine and emphasized that my efforts are notable.

My First Day As An Planned Parenthood Escort

The first shift begins at 7:20am — sheesh, waking up at 6am to stand in the cold and, frankly, who knows what else.  As I approached the Planned Parenthood center, I saw police cars that seemed to be blocking traffic.  Inching closer, I could see a long line of people walking across the street, some holding signs.  This line of people, being led by children in Catholic robes, blocked the entrance to the parking lot for PP.  I also was not sure whether I could park at the center, so I decided to stop at the nearby grocery store to use the bathroom (get rid of that “nervous pee”) and purchase orange juice.  I rode around the block to see if I would have any luck parking this time.  Waiting at a stop light, a nervous cry came over me — “what am I getting myself into?!”  I commanded myself to pull it together — “think just how nerve wracking it is for clients seeking services!”  I opted to park at the grocery store and walk the two blocks to the center.

After waiting some time, I finally got in touch with a staff member who instructed me where to stand, gave a general overview of what to do, and provided me with the brightly colored “ESCORT” vest.  Another, more seasoned volunteer showed up soon after — thank goodness!  She explained that the 60 Catholics who were slowly marching around the center, chanting prayers was a rare event – maybe once per year – and that “the Catholics” generally exercise their right to free speech peacefully and unobtrusively.  But, she said,”wait til ‘IRMA’ shows up.”  She noted that IRMA – a woman who regularly protests because, as the woman notes, “I Regret My Abortion” – and other Evangelicals are louder, more aggressive, and often get into shouting matches with clients and their friends/partners/relatives.  Indeed, IRMA showed up, holding a sign that read “I Regret Our Abortion” (I suppose “our” includes her two children who were with her), followed by “the gaucho lady,” and two others who simply paced around and stared at us and clients.  “The gaucho lady” was likely the most offensive — shouting that Planned Parenthood is a racist organization when a Black woman entered, that Indiana University was involved in the “abortion agenda” when colleged-aged clients arrived, and that even the most radical feminists of the 1960s were anti-abortion, among other things.

Committed, Now More Than Ever Before

Indeed, I view my identity and ideology as a feminist as evolving rather than static.  (That, itself, will likely become its own blog post soon.)  With this experience, I have learned just how real the “war” over reproductive rights is.  Voting is one thing, protesting is another.  But, in this case, opponents are literally at “ground zero” to spread their message and prevent others from exercising their rights.  Challenges to reproductive rights are at the level of cultural sentiment regarding morality and reproduction, in the classrooms, in the voting booth, and literally only a few feet away from Planned Parenthood.  Despite a near or clear majority of Americans who are pro-choice (depending on the survey), it is pro-life groups who are most visible outside of PP — at least from what I observed today.  I saw two young women holding a hard-to-read sign – “Women’s Rights” – but, they stayed for a very short time and were very clearly outnumbered by the 60+ pro-life protesters.  My vote is one thing, my work as a scholar is another… but, I see the obvious, immediate need to be there on the front lines.  Now to sign up for my next volunteer shift!





[kinsey] More Women In The US Are Choosing Not To Have Children

8 07 2010

This was originally posted at Kinsey Confidential.

A new study from the Pew Research Center has highlighted that nearly one-in-five older women in the United States do not have children – twice as many as the percentage of women without children in the 1970s.  This growing trend has been found across most racial and ethnic groups in the US.

The Findings

The report includes an estimate of the number of women between the ages of 40-44, considered the end of a woman’s “childbearing years,” that have never had children.  They find increases across race and ethnicity, level of education, and marital status, reaching a level of 18% of all women between 40-44 who were without children in 2008.  The most highly educated women, those with advanced degrees (master’s, doctorate, etc.), are among the most likely to never have had a child.  White women are more likely that Black, Asian, and Latina women to not have children, though rates of childlessness have increased rapidly among women of color, thus narrowing the racial/ethnic gap.  And, women who have never been married are more likely than those who have been married/are currently married to be childless.

This increase in the number of women who have never had children has been accompanied by an increase in acceptance of childlessness in US public opinion; for example, almost 60% of the respondents of the 2002 General Social Survey, a nationally-representative survey of US public attitudes, disagreed with the statement that people without children lead empty lives, compared to 39% in 1988.

The Possible Explanations

The Pew Research Center has offered some possible explanations for the changing terrain of parenthood in the US, at least with respect to the increasing number of women who never have children.  One possibility is that there has been a decline in the social pressure to have children, thus allowing women more personal choice regarding family formation.  Another influence on women’s reproductive choices is the improved access to paid employment and contraceptive methods to prevent unintended pregnancies.  There are unfortunate possibilities as well, including waiting too late to have kids because of the length of time required to pursue advanced degrees and establish a successful career, and that at least one-in-ten women between 15-44 is unable to get pregnant after trying for six months to a year.  And, of course, they note that we consider the increasing number of women who are parents by adoption or step-parenthood.

…And The “Motherhood Penalty”

The same traditional gender roles that expect women to marry and have children also entail expectations that their only source of labor will be tending to home and family.  Given these traditions, and the changes in attitudes regarding women in the labor force and motherhood, it may or may not be surprising that there is evidence of a “motherhood penalty,” or the discrimination mothers face in terms of being hired and in wages.  In a study of the impact of parenthood on hireability and pay, a group of sociologists, including Shelley Correll, Indiana University professor Stephen Benard, and In Paik, found that women who have children are less likely to be seen as hireable and are offered less pay than women without children because they are assumed to be less committed to work and less competent than non-mothers.  The opposite effect has been found for fathers; men who have children see an advantage over men without children.  It could be the case, then, that in women’s efforts to establish and maintain a successful career, they are well aware of the disadvantages employed mothers face in the labor market, and, as such, some forgo parenthood all together.





[kinsey] The Majority Of Women Who Seek Abortion Services Are Already Moms

2 06 2010

This was originally posted at Kinsey Confidential.

According to a new study by the Guttmacher Institute, 61% of women who seek abortion services are already mothers.

About The Study

The Guttmacher Institute is a US-based not-for-profit organization that advances information about reproductive and sexual health worldwide.  The Institute conducted a nationally-representative survey of women in the United States assess the number who seek abortion services.  One of the goals of this survey was to provide a look at the profile of women who seek abortions in the US.

Who Seeks Abortion Services In The US?

What is clear from this study’s findings is that abortion services are used by women of all walks of life.  But, one startling change found over the last decade is that poor and low-income women now represent almost 60% of the women who seek abortions in the United States – up from 27% in 2000 and 42% in 2008.  The Institute notes that this dramatic shift is likely due two factors: the economy (i.e., the economic recession, and more women now living in poverty) and the growing disparity in unintended pregnancies between poor and low-income women and middle- and upper-class women.

The findings otherwise present a consistent profile of women seeking abortion services:

A broad cross section of U.S. women have abortions: Fifty-eight percent of abortion patients in 2008 were in their 20s; 45% were never-married and not living with a partner; 61% were already mothers; 42% were living below the federal poverty line; 36% were white; 59% had at least some college education; and 73% were religiously affiliated. But certain groups of women—those who were in their 20s, cohabiting, black or poor—were overrepresented among abortion patients.