Interpersonal violence

Content warning: abuse and violence

On one side of the relationship spectrum are healthy relationships and on the other are abusive relationships or intimate partner violence (IPV). This type of violence happens in various relationships – family, friend or romantic and is quite common – https://www.cdc.gov/violenceprevention/intimatepartnerviolence/fastfact.html.

Image with statistics about IPV. About 1 in 5 women and 1 in 7 men report severe physical violence. About 1 in 5 women and 1 in 12 men experience sexual violence. About 10% of women and 2% of men report having been stalked.
From CDC.gov

IPV can take many forms like physical, verbal or emotional, and sexual violence, and stalking. Other recognized forms include financial control, isolation from family and friends, and monitoring people’s movements and activities. Read about signs of IPV here – https://www.womenshealth.gov/relationships-and-safety/domestic-violence/signs-domestic-violence. It is possible to experience IPV in same-sex relationships. Mainly people experience similar signs of IPV, with a few other possibilities like threats to “out you” to your family or telling you that police won’t help people who are LGBTQIA+.

Another common form of interpersonal violence is sexual assault and rape. People of all sexes can experience sexual assault and help is available to all. People often experience feelings of guilt and shame and thus don’t seek help.

Both of these types of violence can have a profound effect on people’s health and it is important to prevent them whenever possible through laws, policies, and cultural norms.

Healthy relationships

Humans are social animals – we need some level of social support and social networks in order to be fully healthy. We form relationships from birth and require things like love and nurturing in order to stay socially healthy.

Our first relationship is usually with family – they raise us, they teach us, and they model love. We learn our communication patterns and coping skills from family, whether it is a mother and father, a single parent, a grandparent or aunt/uncle, an adoptive family, or a foster family.

There are several different conceptions of love. One is Dr. Robert Sternberg’s triangular theory of love, which identifies three main components: intimacy, passion and commitment. Different types of relationships may exhibit different types of love.

Dr. Helen Fisher has studying what happens in the brain during love – see the video below.

There is a spectrum of positive and negative traits in relationships. Healthy relationships are based on equality, independence, and respect. https://www.loveisrespect.org/wp-content/uploads/2017/07/Relationship-Spectrum-final.pdf It’s also important to set expectations for your relationships and keep healthy boundaries – https://www.loveisrespect.org/pdf/Healthy_Relationships.pdf

Communication is important for healthy relationships. Here are some things important for good communication – https://www.loveisrespect.org/healthy-relationships/communicate-better/. Additionally, partners must understand each others’ ways of communicating so that they have more realistic expectations – https://www.psychologytoday.com/us/blog/contemplating-divorce/201502/how-do-you-define-love.

Healthy sexual activity

Being sexually healthy begins before sexual activity takes place and may include learning about your sexual and reproductive organs, going through the changes of puberty, learning to deal with the menstrual cycle, and so on. Young children learn about their sexual organs through exploration and may begin stimulating them because it brings them pleasure. This type of exploration is quite normal.

After puberty and sexual maturation begins, there may be some changes like ejaculation for people with penises and testes. People will need to learn how to start taking good care of their sexual and reproductive organs (see the Female and Male reproductive system posts). And people will want to develop a healthy sex life . This can include a variety of sexual activity, with other people or not.

Scientists started to study sexual response in the 1950s and 1960s and developed several ways to understand how human bodies react during desire, arousal and orgasm. Read more here – https://www.ourbodiesourselves.org/book-excerpts/health-article/models-sexual-response/. Often, sexual response starts with desire, which is something that happens in our brains when we think about something arousing, or we feel close to our partner, or we experience sensations (which includes images or sounds) that we find exciting.

Image showing typical male and female sexual response cycles with excitement, plateau, and orgasm phases.
Human sexual response as described by Masters & Johnson

When we decide to have sex with other people, it is important to communicate about sex and set expectations with each other. People may want to discuss what they like and don’t like, consent, and safer sex. Read more here – https://www.plannedparenthood.org/learn/sex-and-relationships/sex/how-do-i-talk-my-partner-about-sex.

Male reproductive anatomy and function

The male reproductive and sexual anatomy includes the penis and scrotum (the external parts), and internal reproductive organs. Read more about the names and function of these organs here – https://www.plannedparenthood.org/learn/health-and-wellness/sexual-and-reproductive-anatomy/what-are-parts-male-sexual-anatomy

Image showing the organs of the male sexual and reproductive system.
From Bioscope, HUG (Hôpitaux universitaires de Genève), DIP (Département de l’Instruction Publique), Odile Fillod

Some penises are circumcised and some are not. If parents choose to do this for their infants, they will usually do it very close to birth. There are cultural and religious reasons for circumcision, and there may be health benefits, but routine circumcision is no longer recommended in the United States.

People with testes should do a testicular self-exam monthly. Other care for reproductive health includes HPV vaccination, regular STI exams if they are sexually active with another person, and contraception if they engage in sexual activity with people who may get pregnant.

The main hormone produced by testes is testosterone (though all people produce both estrogen and testosterone). This hormone is responsible for many things like sex drive, sexual development and maturity, and so on.

While people with typical male anatomy do not have an equivalent to menopause and thus may remain fertile until the end of life, some may experience a drop in their testosterone levels as they get older. Read more here – https://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/male-menopause/art-20048056?p=1.

Female reproductive anatomy and function

The female reproductive and sexual anatomy includes the vulva (the external parts) and various internal organs like the uterus and ovaries. Read more about the various organs and parts that make up the typical female anatomy here – https://www.plannedparenthood.org/learn/health-and-wellness/sexual-and-reproductive-anatomy/what-are-parts-female-sexual-anatomy

Image showing organs of the female reproductive system including external and internal anatomy.
From https://commons.wikimedia.org/wiki/File:Anatomical_charts_of_the_genital_system-UNIGE_SSI-3Den.pdf

Breasts are also part of the reproductive and sexual anatomy – read more about the form and function of breasts here https://www.scarleteen.com/article/advice/abreast_the_basics_of_boobies.

During puberty, people with a uterus and ovaries typically begin the menstrual cycle. There are three phases of the cycle and it repeats on average every month (but there is a lot of individual variety). It includes ovulation (the release of an ovum or egg) and correspond to a period of fertility (the ability to become pregnant). Some people will have irregular periods, while others have very regular cycles (it can range in the number of days). Read more here https://www.scarleteen.com/article/bodies/on_the_rag_a_guide_to_menstruation. The main hormones that ovaries produce are estrogen and progesterone.

Reproductive and sexual care for this type of anatomy includes regular check-ups with a gynecologist (between every 1 and 3 years) for a procedure called the Pap smear which tests for cervical cancer as well as other tests and screening, HPV vaccination, regular STI tests if the person is sexually active with another person, and understanding contraception choices. Some fairly common health issues include: PCOS, endometriosis, uterine fibroids, and dysmenorrhea.

At the end of fertility for people who menstruate, they will typically go through a process called menopause, which is a change in the production of hormones and the end of ovulation.

What is sexuality?

We each have a unique understanding of our sexuality and it includes a number of different aspects of our lives, including relationships and intimacy, sexual health and reproduction, sexual identity and others. Sexuality is something we have and develop throughout our lifetime.

One holistic model of sexuality was created by Dr. Dennis Dailey and it’s called the 5 circles of sexuality.

Five overlapping circles: sensuality, intimacy, sexual identity, sexual health and reproduction, and sexualization. Sensuality - acceptance of one's own body, enjoyment of one's own body and the bodies of others. Intimacy - ability and need to experience emotional closeness to another human being. Sexual identity - development of who you are, including sex, gender, sexual orientation. Sexual health - attitudes and behaviors related to producing children, care and maintenance of sex and reproductive organs, health consequences of sexual behavior. Sexualization - use of sexuality to influence, control and manipulate others.
From Dennis Dailey, PHD (1981) Sexual expression and aging.

Read more about each circle of sexuality here – http://2www.futureofsexed.org/for-professionals/lesson-plans-professionals/200?task=view.

Some definitions from the World Health Organization are here – https://www.who.int/reproductivehealth/topics/sexual_health/sh_definitions/en/.

Nicotine/Tobacco

Tobacco is a plant that has a long history of cultivation in North America. It was a very important crop for the Native Americans, and eventually became a cornerstone of economic development in the United States.

The drug in tobacco that makes it addictive is nicotine. It is a mild stimulant and has several effects on the body. People use tobacco in several ways – most often people smoke cigarettes, but they can use it in other ways as well, like chewing it or inhaling vapor from e-cigarettes. Read more here https://www.drugabuse.gov/publications/drugfacts/cigarettes-other-tobacco-products.

Cigarette smoking is one of the most harmful health behavior because it is the number one cause of preventable death in the United States – https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm. Some of these risks are from nicotine, and some are from other substances that are contained in the smoke from tobacco products. Additionally, the smoke from cigarettes and other smoked products can affect the health of others. This is called secondhand or passive smoking and is linked to illness and death – https://www.cancer.gov/about-cancer/causes-prevention/risk/tobacco/cessation-fact-sheet#what-are-the-risks-of-tobacco-smoke-to-nonsmokers.

Pie chart showing annual deaths from smoking in the US. Main causes are heart disease (33%), lung cancer (29%), chronic obstructive pulmonary disease (21%), and others.
From CDC.gov
Image shows graphic of a human body that highlight the dangers of smoking. This includes cancers of the mouth, throat, lungs, stomach, liver, pancreas, kidneys, cervix, bladder and colorectal. This also includes increased risk of stroke, blindness, heart disease, respiratory diseases like pneumonia and chronic obstructive pulmonary disease, diabetes, reproductive and sexual health effects for both men and women, and reduced immune function.
From CDC.gov

People use tobacco in a variety of products – smoked and smokeless. Learn more about different tobacco products here – https://www.fda.gov/consumers/consumer-updates/recognize-tobacco-its-many-forms.

There has been a rise in the use of e-vaporizers or e-cigarettes in recent years. These products are not regulated in the same way as other tobacco products. They still deliver nicotine to the user (and are thus addictive), as well as a host of other chemicals which may be carcinogens. Recently, several cases of severe respiratory illness and one death was linked to the use of e-cigarettes – https://www.pbs.org/newshour/nation/illinois-patients-death-may-be-first-in-u-s-linked-to-vaping.

While rates of tobacco smoking have been steadily declining in recent years (the latest numbers show that 14% of people in the US smoke), there is no safe level of smoking or using tobacco.

Image that says cigarette smoking is down but about 34 million american adults still smoke. Certain groups smoke more - men, adults 25-64 years old, people with lower education and living below the poverty level, uninsured or on medicaid, american Indians and Alaskan natives, and LGBTQ people.
From CDC.gov

Many people want to quit smoking or using tobacco, but they may not know how to start. There are many free and local resources available for quitting. Benefits of quitting are many and include a lower risk of illness and death, as well as less coughing, better breath and a brighter smile.

Alcohol

A legal recreational drug that some people enjoy is alcohol (or ethyl alcohol, ethanol). Most people over the age of 18 have tried alcohol at one time point in their lives, and a little over half say they’ve drank in the past month. Read more here – https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics. The legal age to buy alcohol beverages in the US is 21.

Ethyl alcohol is produced by either fermentation or distillation. Fermentation is a natural process of conversion of sugar to alcohol in plants – typically wine and beer is produced by this method. Distillation involves heating alcohol and then condensing the vapor, producing a higher percentage of alcohol by volume. Any liquor over about 12% of alcohol by volume is produced by distillation. In the US, you may also see that alcohol has a “proof” listed on the bottle – this is twice the percent of alcohol by volume. So a liquor that is 80 proof is 40% alcohol by volume.

Long term drinking increases risks for certain health conditions – https://www.niaaa.nih.gov/alcohols-effects-body Excessive drinking can also lead to injuries and even death, as well as alcohol use disorder – https://www.rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/Whats-the-harm/What-Are-The-Risks.aspx.

How alcohol affects you when you consume it depends on BAC or blood alcohol concentration – defined as the percent of alcohol in your blood stream by volume. Even small changes in your BAC can lead to impaired motor function, attention, coordination, speech, and memory. If you binge drink (or bring your BAC to 0.08 or higher), you may be at risk for serious consequences, including overdose. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-dangers-of-alcohol-overdose

As BAC increases, so does impairment. This graphic shows different BAC levels and what kind of impairment you may feel. At .0-.05%, there is only mild impairment (mild speech, memory, attention impairment, relaxation, sleepiness). At .06-.15% people may feel intoxicated, aggressive, and speech, memory, attention is more impaired, as well as driving skills. At .16-.30% there is significant and dangerous impairment, judgment and decision-making is impaired, blackouts may occur, as well as vomiting and loss of consciousness. Anything above this is considered life-threatening.
From NIAAA

Some people may be more at risk when they consume alcohol, including college students – https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/college-drinking.

Signs of alcohol use disorder include feeling sick when not drinking, feeling out of control when it comes to drinking, and continuing to drink even though it’s cause you problems. There may be a genetic risk as well – people whose close family members suffer form this disorder may be at higher risk themselves. However, treatment is available through counseling, medications, and peer support. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help

Medicines and drugs

A drug is a substance that causes changes in the chemical and biological processes in the body. This is a very general term, and thus, drugs can fit into several categories, both beneficial and harmful to human health.

Medicine is defined as a drug that is meant to prevent, diagnose, or treat a disease. Each country defines for itself how medicines are regulated. In the United States, the Food and Drug Administration (FDA) is responsible for regulating medications.

Some medications require prescriptions from a doctor or other healthcare professional. Others are sold to anyone from a pharmacy – https://www.fda.gov/drugs/questions-answers/prescription-drugs-and-over-counter-otc-drugs-questions-and-answers. In either case, it is important to become educated about using medications safely – know about the right indication for use, the right dosage (how much active ingredient), which active ingredients are present, the risks and benefits, and possible side effects. https://www.fda.gov/drugs/resources-you/be-active-member-your-health-care-team-brochure.

The active ingredient of the medication is the one that interacts with your body so as to treat a symptom or cause of a disease, or prevent or diagnose the disease. The main effect of the drug is this specific therapeutic effect. But most drugs come with side effects – effects that are beyond that main effect. These can be mild or severe. Be sure to read the drug package or pharmacy print-out to know what to expect.

Medications can also be brand-name or generic. Generic medications are those have been developed once the active ingredient is no longer protected by a patent. This generally means that generic medications are cheaper than the brand name alternatives. https://www.fda.gov/drugs/questions-answers/generic-drugs-questions-answers

Drugs can have interactions with other drugs, with dietary supplements, and even with food. These can amplify the main effects or side effects, cancel each other out, or cause unwanted effects. They can also change how the drug is absorbed, metabolized (or broken down) and excreted out of the body. Read more here – https://www.fda.gov/consumers/consumer-updates/avoiding-drug-interactions. It is important to tell the doctor or pharmacist what medications (whether over the counter, or even herbal) you use regularly, to avoid interactions.

Drug are administered into the body in several ways, including orally, through injection, by inhalation and other means. https://www.merckmanuals.com/home/drugs/administration-and-kinetics-of-drugs/drug-administration

It is possible to abuse over-the-counter and prescription medications. People may also misuse these types of medications, which means using them for a purpose other than the main effect.

Water shortages and quality

While the Earth is covered in water, most of that water is not useful for human consumption. Globally, we are already suffering from fresh water shortages and water contamination issues.

Our oceans are vital for regulating global temperature, providing a food source for humans, and providing oxygen in the atmosphere. However, human activity has put the ocean’s food web at risk and increased other effects that can be harmful to our health, like harmful algae blooms. We are also responsible for pollution in the ocean, including plastics, and oil spills. Read more here – https://www.niehs.nih.gov/health/materials/oceans_of_discovery_508.pdf

Some things we can do is try to reduce our plastic consumption and recycle everything that we can. The Zero Waste movement has been growing in recent years – https://www1.nyc.gov/assets/dsny/site/our-work/zero-waste

While in the US we have not had to worry much about drinking water safety, globally thousands of people die every year from water-borne diseases – https://www.who.int/water_sanitation_health/diseases-risks/en/

However, there are issues of water contamination in certain regions in the US, like in Flint, MI. https://www.nrdc.org/stories/flint-water-crisis-everything-you-need-know. Other problems include agricultural runoff and fracking.