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First Nations women are at higher risk of stillbirth: Here’s why — and what we can do about it

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Australia National Data show First Nations women are at almost twice the risk of stillbirth or “sorry business kids”in comparison with non-First Nations women.

To address this inequality, Australia National Action Plan on Stillbirths focuses on providing culturally secure stillbirth prevention and care to First Nations women.

But first we need to know the underlying causes of the persistent disparities in stillbirths and other pregnancy related results.

We argue that much of this inequality can be traced to the continuing impact of colonization on First Nations women and childbearing. Here’s why.

Ongoing intergenerational trauma

First Nations people have lived in Australia for at least 65,000 years. Before Invasion and European settlement in 1788Over 2,000 generations of Native Americans have lived connected to family, community, country and their ancestors.

Colonization has led to First Nations women being stripped of their traditional practices related to pregnancy and childbirthincluding the use of medicinal plants, lively labor and pain relief techniques, and songs about childbirth.

From the mid-1800s to the Nineteen Seventies, First Nations infants and children were forcibly removed from their communities and placed with non-First Nations families.

Land loss, violence and abuse, medical experimentation, cultural suppression, and other systemic injustices have led to widespread intergenerational trauma that contributes to poorer health outcomes today.

Intergenerational Trauma Explained in Four Minutes (The Healing Foundation)

Maternity services are not intended for First Nations women

Historical violence and exclusion have led to intergenerational distrust of colonial systems, services, and spaces amongst First Nations people. There has been an expectation that First Nations people will adapt to Western health services, relatively than those services adapting to First Nations people. ways of knowing, being and acting.

It can be First Nations medical expert shortageThis further limits indigenous people’s access to culturally sensitive care.

Recognition of importance Birth within the Countryside has led to the creation of services comparable to Flap AND Birth in our community.

But there are not enough of these services for all First Nations women. And barriers to establishing services to last.

Resources are not intended for First Nations women

Pregnancy information resources have historically been designed for a colonial audience. These resources are not directed at First Nations women and have rarely been developed by and with First Nations people.

More contemporary initiatives are increasingly involving First Nations people in resource development or placing them in leadership positions.

This Center of Excellence in Stillbirth ResearchThe Indigenous Peoples Advisory Group recently led the event of Stronger Bubba Born pregnancy information and resources website for First Nations women. The information is similar as that provided to non-First Nations women as part of Safer Child Packagebut it has been culturally adapted to the goal group.

Stronger Bubba Born Introductory Video (Stillbirth Research Center of Excellence)

Racism and Discrimination in Maternity Services

While some First Nations women face overt racism in maternity services, many more experience discrimination through hidden prejudicesThis is where caregivers’ unconscious beliefs about Native Americans influence their judgments and interactions with pregnant Native Americans.

Active stereotypes commonly used about pregnant First Nations women include: assuming drug and alcohol use AND perceived inability to motherThis is resulting from the historical marginalization of First Nations peoples.

But implicit bias shouldn’t be the one source. Institutional racism also contributes to poorer health outcomes amongst First Nations women. This is because of built-in structures or policies that perpetuate racial disparities and often goes unnoticed by non-First Nations midwivesInstitutional racism manifests itself in a spread of ways, including: numerical limitations family/supporters who can visit.

All of this results in an imbalance of power and the exclusion of First Nations women. less prone to participate prenatal visits.

Many First Nations women face discrimination in health services.
zulofoto/Shutterstock

Suppliers do not understand First Nations health issues

This Australian First Nations Views on Health differs from the Western view. Connection to family, country and community defines the health of First Nations people, not disease, illness and notions of “risk.”

Physical, spiritual, cultural, social, emotional and mental health are interconnected, and the land is a source of strength, identity and healing.

These concepts form the premise Birth within the Countryside and emphasize the importance self-determination in providing culturally sensitive perinatal care.

However, perinatal care providers have limited knowledge cultural needs of First Nations women and the low level of education and training on this area.

What’s next?

To eliminate racial disparities in stillbirth rates in Australia, our health system and society as a complete must acknowledge the results of colonisation and the structural forces that proceed to affect the health of Indigenous people on this country.

This requires acknowledging Australia’s history and understanding its discomfort.

The Guide to Healthy Spinning is workshop based on two-way learning and experience sharing for non-First Nations perinatal care providers and maternity service administrators.

The workshop goals to enable people to debate stillbirth prevention with First Nations women in a sensitive manner. Participants will learn about the history of Australia and the results of colonisation on First Nations women and childbirth, in addition to what culturally sensitive care looks like for First Nations families.

We have an extended option to go to supply high-quality, culturally sensitive perinatal care to First Nations women and families. However, formal education inside perinatal services is a critical place to begin.


This article was originally published on : theconversation.com
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Health and Wellness

The Way We Think About “Obesity” and Body Weight Is Changing, Here’s Why

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From doctor’s offices to family gatherings, larger people report being bombarded unsolicited advice about their eating and exercise habits. The underlying message? “They just need to lose weight” to solve almost any health problem.

Society’s give attention to weight has shaped the best way most Australians view health and body weight, which frequently pushes them towards unhealthy thoughts and behaviors in pursuit of the “perfect” figure.

However, the best way society views obesity and body weight is changing, and these changes are being confirmed by science.


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Policymakers and health researchers are increasingly recognizing the harmful effects stigmatizing language and attitude towards individuals with a bigger physique.

Let’s have a look at how attitudes towards obesity have modified through the years and what this implies for public health and healthcare in Australia.

From Personal Responsibility to Complex Chronic Illness

Until recently, weight control was it will likely be considered a private responsibilityObesity was believed to be the results of poor eating regimen and lack of physical activity, coupled with personal and moral failure.

This narrative was reflected in public health policy, which used phrases similar to “he was obese“and the “epidemic of o*c*lness”. It has been shown that such language reinforce negative stereotypes people with larger builds as “lazy” and lacking willpower.

These stereotypes result in stigmatization and weight discrimination, which is still common today. Health professionals similar to dietitians report that Weight stigma (from other people and internally) is a standard and ongoing challenge that ladies need to cope with throughout their careers.

The narrative around personal responsibility has modified lately because it begins to think about broader determinants of health. Research has identified a spread of psychological, social, biological and systemic aspects contribute to rising rates of obesity, similar to socioeconomic status, genetics, medications and environment.

As a result, public health experts consider that is not any longer appropriate use language that refers to obesity as a “lifestyle” issue.

Until recently, weight management was seen as a private responsibility.
World Obesity Federation

Professionals throughout medicine, psychology and dietetics additionally they responded by updating their language standards to prioritize person-first language (for instance, “person living with o*b*lihood”), recognizing a shift away from viewing o*b*lihood as a private failure.

In 2014, the American Medical Association of the United States classified obesity as a chronic diseasecontrary to the recommendations of the Science and Public Health Committee. The decision has sparked widespread dissatisfaction and debate, with claims that it causes unnecessary discrimination and pathologizes normal changes within the human body over time.

The debate continues here in Australiabut no classification has yet been made.

Weight-focused and weight-sensitive narratives

Recent policy documents in Australia similar to National Anti-Obesity Strategy 2022–2032acknowledge the broader perspective of o*b*st. But the policy and practice in Australia remain mainly focused on weight. They encourage weight reduction as a health goal and recommend deliberately avoiding weight gain.

Weight-Focused Approaches to Health They were criticized for the dearth of long-term (longer than five years) evidence of their effectiveness and for causing unintended effects.

Rather than promoting health, weight-focused approaches could cause harm, similar to increased weight stigma and weight cycling (repeated weight reduction and regain). Both weight mark AND weight cycles are related to negative long-term effects on physical and mental health.

Weight-sensitive approaches to health are gaining popularity instead approach that supports people to eat healthily and exercise repeatedly, no matter their desire to shed weight. This approach goals to enhance access to health care and has been shown to enhance overall physical and mental health.

Approaches similar to Health at every size and intuitive eating are key examples of promoting health and wellness without specializing in weight.

Weight-sensitive approaches have he was met with criticismHowever, there are concerns that these approaches will not be supported by empirical evidence and might not be suitable for people needing support with weight management.

What does this mean for us?

While our views on obesity are always changing, it is crucial to hearken to plus-size people and ensure they’ve equal, protected and satisfactory access to healthcare.

Advocates like Size Inclusive Health Australia recommending actions to cut back weight-related stigma and discrimination in order that health is inclusive of all body shapes and sizes.

There are guidelines and recommendations on counter weight stigma and adopt a weight-sensitive approach to health, similar to: Size-sensitive health promotion guidelines and Eating Disorder Safety Guidelines.

Policy, research and practice should proceed to synthesise and understand the evidence surrounding weight-sensitive approaches, in keeping with changing narratives around weight and health. This will support the design, implementation and evaluation of weight-sensitive initiatives in Australia.

This article was originally published on : theconversation.com
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Health and Wellness

This NFL Star Turned Financial Educator Shares His Guide to Financial Freedom – Essence

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From the brilliant lights of the NFL to the hallways of the Ivy League, Brandon Copeland at all times defied expectations.

A former linebacker who spent greater than a decade playing within the NFL, Copeland now takes on a special sort of challenge: teaching financial literacy. In his recent book, Copeland wants to share her knowledge of monetary independence with on a regular basis people, especially Black communities where financial education is commonly inaccessible.

Born in Baltimore, Md., Copeland began his journey from the football field to the classroom early. The grandson of an NFL player who also juggled multiple jobs, Copeland grew up seeing firsthand the importance of monetary stability outside of skilled sports. He says, “With all those different perspectives, it made me come into the league and think, ‘I have to use this as much as it uses me.’”

He continues, “I learned a lot about money in the league and realized there are a lot of people who will never be able to walk into a Baltimore Ravens or Detroit Lions locker room and have access to those types of people and conversations, so what can I do to make sure that the younger version of me doesn’t have to be elite athletically to get the information that I deserve.”

This NFL Star Turned Financial Educator Shares His Guide to Financial Freedom

But what sets Copeland apart isn’t just his NFL profession or his time as a professor on the University of Pennsylvania — it’s his commitment to democratizing access to financial information, a mission that earned him a spot on the Forbes and NFLPA lists.

Now, with the discharge of , Copeland brings his holistic approach to financial freedom to the masses, giving readers practical advice on how to manage their money, invest correctly, and plan for the longer term. His work comes at a critical time, especially for black Americans, who, according to a 2021 McKinsey reportthey own just one.5% of the country’s wealth, despite the fact that they constitute 13% of the population.

Copeland’s transition from skilled athlete to financial educator wasn’t a coincidence. Early in his profession, he realized that many athletes, especially black athletes, often walk away from the sport financially unprepared for what would come next. His key to staying financially disciplined? “It was pretending I didn’t have any,” he shares. “I literally don’t count a dollar until it hits my bank account.”

During his NFL profession, Copeland saved and invested most of his earnings. His disciplined approach wasn’t nearly accumulating wealth—it was about making a sustainable future. “So many of us, especially in the black community, don’t know what questions to ask when it comes to our finances. I knew I had to do something to change that.”

Financial education is a subject Copeland loves and sees as a pressing need in black communities. As a professor at Penn, Copeland teaches “Life 101,” a course that covers every part from managing a 401(k) to budgeting and investing, helping students construct the financial foundation they’ll need throughout their lives. His book builds on that work, offering practical advice for anyone who wants to take control of their money and, ultimately, their future.

“If you have a dollar in your account, you’re an investor,” he says. “What I mean once I say that’s, if I actually have a dollar and I resolve to put it under my mattress, that’s a 0% return. If I resolve to put it in a daily checking account at a credit union, that could be a 0.01% return. If I put it in a high-yield savings account, 4-5% return. If I put it in a stock market index fund, the S&P 500 or something like that, I’m taking a look at a 9-10% return per yr. Real estate gives you something different. But briefly, if you may have a dollar, by investing it, you’re going to create some sort of return in your money.

According to 2022 Federal Reserve Reportthe median wealth of white households is greater than five times that of black households. This gap is fueled by systemic inequalities in income, property ownership, and education — but Copeland believes access to financial education can start to close it.

“The biggest problem is that financial education isn’t taught early enough in our communities,” she explains. “We know how to hustle, but we don’t learn how to make that money work for us over time.” She emphasizes that financial independence isn’t about limiting all the fun of life, but about correctly navigating opportunities to thrive.

His philosophy of “monetizing your passion” is clear in each his teaching and his personal life. From startups to real estate investing, Copeland has mastered the art of turning hobbies and side hustles into multiple streams of income. “I try to double-click on the things I already spend my time on and take a look at the things I like and see how I can put more effort into them,” he says. “Because if you can monetize the things you like, you can spend less time doing the things you don’t.”

This approach reflects a broader trend amongst black entrepreneurs, with the National Bureau of Economic Research reporting a rise within the variety of black business start-ups, which increased by 38% throughout the pandemic.

Despite these gains, African Americans still face significant challenges when it comes to constructing wealth. According to the U.S. Census Bureau, 35% of black households live in property povertymeaning they don’t have enough net value to survive on the poverty level for 3 months without income. Copeland is committed to addressing these disparities head on, equipping her readers with the tools and techniques they need to get ahead.

One key message is to understand that everyone seems to be an investor, no matter income level. “Whether you have a dollar or a million, you make decisions every day about what to do with your money,” Copeland says. He encourages readers to shift their mindset from fear to growth, investing in ways that can repay in the long term relatively than chasing quick wins.

For Copeland, that approach also includes estate planning—an often neglected but crucial element in black communities. He points out that top-profile cases just like the death of Chadwick Boseman, who died with no will, underscore the necessity for more conversations about constructing a legacy. Without proper planning, the wealth you create could be eroded by taxes and legal battles. “We need to be aware of the legacy that we leave behind,” he says, a message that resonates deeply in communities where wealth transfer has historically been a struggle.

While the book is filled with financial advice, its deepest message is about achieving balance. Copeland sees financial freedom as a part of a broader pursuit of mental and emotional well-being. “Money can be a source of stress or a tool for freedom,” he explains. His goal is to help people feel empowered by their financial decisions, not overwhelmed by them.

Research shows that financial stress primarily affects black Americans. Pew Research Center Survey found that 54% of black adults worry about paying bills, compared to just 39% of their white counterparts. This financial anxiety can take a toll on mental health, and Copeland’s holistic approach goals to alleviate that. “If you’re not investing, you’re always going to have to work to earn money. You have to find a point in time where you can do that.” His advice is practical, urging people to prioritize each earning and saving, but never lose sight of living fully in the current.

Brandon Copeland isn’t just one other former athlete trying to capitalize on his fame. He’s a person on a mission to uplift his community by breaking down barriers to financial literacy. This is greater than only a guide to wealth; it’s a manifesto for creating lasting change.

“I was in the spotlight, and there are so many people that you literally spend money on to impress… No, I’m not going to waste money trying to put bottles out at the club just to be seen,” Copeland says, emphasizing the importance of prioritizing long-term financial goals over short-term impressiveness.

Through his book, teaching, and advocacy, Copeland is laying the muse for a future during which financial literacy is the rule, not the exception, for Black Americans.

This article was originally published on : www.essence.com
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Health and Wellness

I think my child is having panic attacks. What should we do?

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In the movie From inside to outside 2Riley, 13, who recently began puberty, has panic attack during a hockey game timeout.

Anxiety (the emotion accountable for the panic attack) becomes completely crazy and Riley looks like she is losing control. After some time, Anxiety calms down and Riley’s panic attack subsides.

The film does an ideal job of capturing the experience of a panic attack. But panic attacks (and anxiety) don’t just occur to teenagers – younger children can have them too.

It’s essential to know what to look out for and how you can respond when feeling anxious or panicked, as this may assist you and your child cope higher with these worrying symptoms.

What does a panic attack in a child seem like?

You might get the impression that something terrible is happening.
Rivelino/Pexels

A panic attack is a sudden, intense feeling of fear or discomfort accompanied by a minimum of 4 of the next symptoms:

  • feel very popular or cold
  • heartbeat
  • dyspnoea
  • feeling of tightness within the throat or chest
  • exploitation
  • tingle
  • dizziness.

Panic attacks in children can last from a number of minutes to half-hour.

Some children describe a panic attack as feeling trapped or threatened, that something terrible is happening to them, that they’re losing control of their body, having a heart attack, and even dying.

Often the child doesn’t realize that their symptoms are related to anxiety. This experience will be very frightening for kids and others around them who have no idea what is happening.

How common are panic attacks and at what age do they occur?

There is a typical myth that panic attacks only occur in teenagers and adults, but tests shows that this is not the case.

Although panic attacks are less common amongst teenagers, they do occur in children. Research shows around 3–5% of youngsters experience panic attacks.

They can start at any age, although normally occurs for the primary time in children and adolescents aged 5 to 18 years.

What causes a panic attack?

In some children, panic attacks can occur unexpectedly and for no apparent reason. These are referred to as “unannounced” panic attacks.

Other children could have ‘signaled’ panic attacks, meaning they occur in specific anxiety-provoking situations, equivalent to being separated from a caregiver or giving a speech in school.

Panic attacks with signals are inclined to more common Children usually tend to have panic attacks than unexpected attacks.

Sometimes a panic attack can occur when a child’s physical symptoms (feeling anxious) change into the main focus of their attention. For example, if a child notices a physical symptom (equivalent to shortness of breath) and starts to fret about it, this may make them feel anxious, resulting in more anxiety or a panic attack.

If children understand that their physical symptoms are an indication of tension fairly than a serious health problem, they’ll learn to not pay an excessive amount of attention to them and stop the vicious cycle.

What can parents do without delay to support their child?

If your child is respiratory in a short time or hyperventilating, attempt to stay calm and encourage them to breathe normally.

Tell your child that these feelings are temporary and never dangerous. Focusing in your child’s rapid respiratory or other symptoms can sometimes make things worse.

Try helping your child give attention to something else through the use of the 3-3-3 rule: “Tell me three things you can hear, three things you can see, and three things you can touch.” Ask your child to say them out loud.

Mother calms her son down
When attacking, try the 3-3-3 rule.
Kindel Media/Pexels

If your child is complaining of somatic symptoms but is not experiencing a full-blown panic attack, try to know and acknowledge the symptoms they’re experiencing.

Once you’re certain their symptoms are usually not a physical health issue, tell them the whole lot can be OK, after which move on to something else. This will help redirect their attention and keep their anxiety and symptoms from escalating.

What next?

Once your child’s panic attack has passed, you possibly can teach them about panic attacks. Explain that panic attacks are common and never dangerous, although they could seem scary and uncomfortable, and are a brief feeling.

An effective strategy for panic attacks is a cognitive behavioral therapy technique called “exposure,” which inspires children to face their fears. In the case of panic attacks, this may occasionally involve facing certain situations or objects that trigger the attack, or exposing them to the actual physical symptoms.

Exposure therapy is typically done with the support of a therapist, but there are an increasing variety of programs that help parents conduct exposure therapy with their child.

Does my child having a panic attack mean she or he has an anxiety disorder?

If your child has a panic attack, it doesn’t suggest they’ve an anxiety disorder. Panic attacks can occur to all children, with or without an anxiety disorder or mental health problem.

However, panic attacks are common occur in children with anxiety disorders or other mental disorders equivalent to depression or post-traumatic stress disorder.

Panic disorder is a selected kind of anxiety disorder wherein panic attacks are a core feature. Panic disorder is not quite common in childrenand occurs in lower than 1% pre-pubertal children. It normally appears in adolescence or maturity.

If your child has panic attacks continuously and unexpectedly, is persistently afraid (for a minimum of a month) of having more panic attacks, or avoids situations that may trigger panic attacks, this may occasionally indicate an anxiety disorder.

If your child has panic attacks in response to certain situations or fears, equivalent to separation from a caregiver, and these fears interfere with their each day life, this may occasionally indicate an anxiety disorder.

Where can I seek help?

If you’re concerned that your child has an anxiety disorder, consult with your GP or psychologist about it.

You don’t need a referral from your loved ones doctor to see a psychologist, but your loved ones doctor can issue one. mental health treatment plan allowing you to use for Medicare reimbursement for as much as ten sessions.

A spread of options are also available online resources.

This article was originally published on : theconversation.com
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