The importance of specific health communication

Often people speak in general terms about the negative effects of smoking. Here's a highly specific risk: smoking at the time of breast surgery can cause nipples to fall off. When the doctor warned his patient in general terms, she didn't really listen. When he told her specifically that her nipples might fall off if she kept smoking, she said she had the motivation to stop right away. That's a very important lesson for health communication in general, but also hard to implement because when public health campaigns do show very specific things that can go wrong, there can be accusations of scare tactics, whether it's showing very specific problems from STIs or very specific problems from smoking.

What's the line between a scare tactic and effective communication?

Safe sex ads: where everyone is above average

New safe sex ad from Candies Foundation with Bristol Palin and Mike Sorrentino from Jersey Shore. First, Bristol looks a bit nervous, fidgeting as she's talking about sex and safe sex, which is odd since I would think they could try refilming until she didn't look nervous. Second, Mr. Sorentino whips out condoms, and brags that they're large-sized, and then offers one to Ms. Palin, just in case. A condom that's too large is only marginally better than no condom at all. What good does it do for a safe sex ad to raise the size issue when, by definition, only a small proportion of their viewers need large-sized condoms? While googling around for information about what proportion of males "need" large condoms, I found an article which said that the market share for a single large-sized brand went up from 5% to 20%, but that the condoms are not actually larger than other condoms.

New sex ed game

This sex ed game Privates is supposed to be fun. I don't use a PC, so I will never know, but it definitely looks better than the web game that they gave as an example of a terrible sex ed game: parts were funny and parts just strange, like their character names: Captain Condom, Power Pap, Willy the Kid (phallic-shaped but short), and Wonder Vag. Really, Wonder Vag. I played for 30 seconds before I had 4th grade flashbacks. Looking forward to hearing how Privates works out.

Fantastic WW2 sex ed film for soldiers

This film shown to World War II soldiers is already better than any official abstinence-only (a-h criteria compliant) education curriculum. The message is do not have sex, but if you do, use a condom, and it shows a condom and then tells how to put it on, and do not drink so much that you are careless. And then it closes with the typewritten message on the screen, "Do not be so weak as to let some ignorant individual persuade you that you must seek sex relations to be a good sport. If you follow his advice, you are only being a fool."

Short and to the point, and an easy substitute for weeks-long curricula. And this was before there was even effective treatment for either syphilis or gonorrhea. (And before we were aware of chlamydia, herpes, and HPV.) Interestingly, the film was made in 1941, or either in the 24 days after the US declared WW2 or prior to entering WW2. Either way, it's clear that the army clearly anticipated that STIs can be a major problem, and it knew that it had to prevent STIs as much as possible, rather than waiting for them to come up. Unfortunately, there is no such common unifying impetus to prevent STIs today.

Policy proposal: given that some idealize the times before the sexual revolution, states that are reluctant about giving modern comprehensive sex education should limit themselves to material produced by state and federal government bodies prior to the sexual revolution. The vintage government films that I've seen are more practical and factual than the abstinence-only curricula that I've seen.

Non-useful graphical display of data: in the comics

Today's xkcd has a fantastic illustration of exactly what non-useful data display is.



Some displays of data are no more informative than the pie chart.