Sunday, October 16, 2011

Pink Fatigue? JCPenney's Sexist Merchandise. Smoking and its Box Office Impact. What Am I Reading This Week?

Here are the top 5 stories I'm following this week:

1. Amid breast cancer month- Is there pink fatigue? A very important public health story. "Awareness" does not equal behavior change (e.g., increased screenings or access to medical care). A related story appeared last week in Upstream: A forum on interdisciplinary health communication.

2. JCPenney CEO responds to petition to stop selling sexist clothing marketed to young girls like "I'm too pretty to do homework". The company is using this incident as a "teachable moment".

3. The use of social media in street protests can be effective for both protesters and police. A story in ScienceDaily.

4. Smoking is a drag at the box office. An analysis of top-grossing movies from the past decade shows that films with smoking make less money.

5. Video game can reduce fatigue in African American women with lupus. A pilot study to explore using Wii Fit to reduce fatigue.

What are you reading this week?

Tuesday, October 11, 2011

Dr. Pepper Ten: A "Manly" Campaign That Promotes Gender Stereotypes Instead of Health for Men

Yesterday while on the elliptical machine at the gym and watching ESPN (surprise! women watch ESPN), I had the displeasure of seeing the new commercial for Dr. Pepper Ten no less than five times.

Dr. Pepper Ten is a new 10-calorie drink being rolled out by the Dr. Pepper Snapple Group Inc after their client research revealed that men are hesitant to drink diet drinks because they aren't "manly" enough.

The TV commercials that I watched showed men with huge muscles driving through the jungle, shooting guns, and battling snakes. The men say things like, "Hey ladies. Enjoying the film? Of course not. Because this is our movie and this is our soda, you can keep the romantic comedies and lady drinks. We're good."

According to several online reports (e.g., the MSNBC link above), the campaign also developed a Facebook page which contains an application that allows it to exclude women from viewing content. In addition, the page includes games and videos aimed at being "manly." Several twitter users also report that the campaign encourages viewers to "rat on their friends for not being manly". If true, I have no idea how "unmanly" behavior is being reported.

My analysis:

It is great that advertisers are using focus group and other data to develop products and ad campaigns. They taught many of us in public health the importance of these strategies and we are forever grateful. However...

This campaign promotes strict gender stereotypes: Men act like this and women act like this- no exceptions! This dangerous norm contributes to serious public health problems. For example, the traditional ideology of masculinity has been explored for its relationship to negative outcomes like bullying and high risk sexual behaviors.

This campaign attempts to encourage men to drink a "healthier" soda (less calories, real sweeteners) without making them feel like they are dieting...because after all- dieting is only for women. Too bad the obesity rate is hovering between 32-35% for both men and women.

I have seen weight loss/health for men done much more effectively by other companies without insulting viewers. For example, after they saw their services being utilized by more men, Weight Watchers and NutriSystem rolled out men's programs. Weight Watchers presents strategies for making healthy choices in settings where men may find themselves socially (e.g., at a BBQ or at the bar). To reduce the social stigma around participation, they recruited strong male role models like former NFL quarterback Dan Marino. An ABC story on the companies' programs says "Calorie Counting Can Be Macho".

The strategy used by NutriSystem and Weight Watchers to reduce the stigma around healthy behaviors will be much more effective long-term than simply tricking people into being healthy.

For those readers who think I'm only offended by the campaign because I'm a woman, please see a few tweets from Tuesday night...authored by men. The first by my husband, who wrote multiple posts on Dr. Pepper Ten before I ever voiced my disgust with this campaign:

@jeff_underscore: "Dr. Pepper 10 - I think your ad campaign is insane, insensitive and sexist and unfortunately everywhere".

@sorryeveryone: ".@drpepper i really liked your soda but you know what I like more? treating women like they're human beings and letting men be themselves".

Readers: What do you think of this campaign? Do you think it will be effective in getting men to drink these "healthier" sodas?

Monday, October 10, 2011

Certain mental disorders may have evolved as costs of attractive mental traits

I find costly traits fascinating, even though they pose a serious challenge to the notion that living as we evolved to live is a good thing. It is not that they always deny this notion; sometimes they do not, but add interesting and somewhat odd twists to it.

Costly traits have evolved in many species (e.g., the male peacock’s train) because they maximize reproductive success, even though they are survival handicaps. Many of these traits have evolved through nature’s great venture capitalist – sexual selection.

(Source: Vangoghart.org)

Certain harmful mental disorders in humans, such as schizophrenia and manic–depression, are often seen as puzzles from an evolutionary perspective. The heritability of those mental disorders and their frequency in the population at various levels of severity suggests that they may have been evolved through selection, yet they often significantly decrease the survival prospects of those afflicted by them (Keller & Miller, 2006; Nesse & Williams, 1994).

The question often asked is why have they evolved at all? Should not they have been eliminated, instead of maintained, by selective forces? It seems that the most straightforward explanation for the existence of certain mental disorders is that they have co-evolved as costs of attractive mental traits. Not all mental disorders, however, can be explained in this way.

The telltale signs of a mental disorder that is likely to be a cost associated with a trait used in mate choice are: (a) many of the individuals afflicted are also found to have an attractive mental trait; and (b) the mental trait in question is comparatively more attractive than other mental traits that have no apparent survival costs associated with them.

The broad category of mental disorders generally referred to as schizophrenia is a good candidate in this respect because:
    - Its incidence in human males is significantly correlated with creative intelligence, the type of intelligence generally displayed by successful artists, which is an attractive mental trait (Miller & Tal, 2007; Nettle, 2006b).
    - Creative intelligence is considered to be one of the most attractive mental traits in human males, to the point of females at the peak of their fertility cycles finding creative but poor males significantly more attractive than uncreative but wealthy ones (Haselton & Miller, 2006).

The same generally applies to manic–depression, and a few other related mental disorders.

By the way, creative intelligence is also strongly associated with openness, one of the "big five" personality traits. And, both creative intelligence and mental disorders are seen in men and women. This is so even though it is most likely that selection pressure for creative intelligence was primarily exerted by ancestral women on men, not ancestral men on women.

Crespi (2006), in a response to a thorough and provocative argument by Keller & Miller (2006) regarding the evolutionary bases of mental disorders, makes a point that is similar to the one made above (see, also, Nettle, 2006), and also notes that schizophrenia has a less debilitating effect on human females than males.

Ancestral human females, due to their preference for males showing high levels of creative intelligence, might have also selected a co-evolved cost that affects not only males but also the females themselves though gene correlation between the sexes (Gillespie, 2004; Maynard Smith, 1998).

There is another reason why ancestral women might have possessed certain traits that they selected for in ancestral men. Like anything that involves intelligence in humans, the sex applying selection pressure (i.e., female) must be just as intelligent as (if not more than) the sex to which selection pressure is applied (i.e., males). Peahens do not have to have big and brightly colored trains to select male peacocks that have them. That is not so with anything that involves intelligence (in any of its many forms, like creative and interpersonal intelligence), because intelligence must be recognized through communication and behavior, which itself requires intelligence.

Other traits that differentiate females from males may account for differences in the actual survival cost of schizophrenia in females and males. For example, males show a greater propensity toward risk-taking than females (Buss, 1999; Miller, 2000), and schizophrenia may positively moderate the negative relationship between risk-taking propensity and survival success.

Why were some of our ancestors in the Stone Age artists, creating elaborate cave paintings, sculptures, and other art forms? Maybe because a combination of genetic mutations and environmental factors made it a sexy thing to do from around 50,000 years ago or so, even though the underlying reason why the ancestral artists produced art may also have increased the chances that some of them suffered from mental disorders.

A heritable trait possessed by males and perceived as very sexy by females has a very good chance of evolving in any population. That is so even if the trait causes the males who possess it to die much earlier than other males. In the human species, a male can father literally hundreds of children in just a few years. Unlike men, women tend to be very selective of their sexual partners, which does not mean that they cannot all select the same partner (Buss, 1999).

So, if this is true, what is the practical value of knowing it?

It seems reasonable to believe that knowing the likely source of a strange and unpleasant view of the world is, in and of itself, therapeutic. A real danger, it seems, is in seeing the world in a strange and unpleasant way (e.g., as a schizophrenic may see it), and not knowing that the distorted view is caused by an underlying reason. The stress coming from this lack of knowledge may compound the problem; the symptoms of mental disorders are often enhanced by stress.

As one seeks professional help, it may also be comforting to know that something that is actually very good, like creative intelligence, may come together with the bad stuff.

Finally, is it possible that our modern diets and lifestyles significantly exacerbate the problem? The answer is "yes", and this is a theme that has been explored many times before by Emily Deans. (See also this post, by Emily, on the connection between mental disorders and creativity.)

Reference
(All cited references are listed in the article below. If you like mathematics, this article is for you.)

Kock, N. (2011). A mathematical analysis of the evolution of human mate choice traits: Implications for evolutionary psychologists. Journal of Evolutionary Psychology, 9(3), 219-247.

Sunday, October 9, 2011

#NoHomos on Twitter, "50/50" looks at Cancer, Johnny Depp's Rape Comments, Chris Christie's Weight, and Steve Jobs: What Am I Reading This Week?


Whew- it has been a busy week for Pop Health! Here are the top 5 stories I've been reading:

1. Twitter is no place for #NoHomo: Should Twitter take a more proactive stance regarding hate speech that can result in trending topics?

2. "50/50"- A Hollywood movie takes on cancer: Cancer has been a theme in many movies (e.g., "Funny People") and TV shows (e.g., "The big C" on showtime)- how does this movie compare?

3. Johnny Depp offers apology for rape remarks: Depp offers an apology for comparing being chased by paparazzi to being raped. Forgivable?

4. Chris Christie's Weight- Big problem or none of our business?: Although Gov Christie has recently announced that he will not run for President in 2012, the conversation continues about his weight and its influence on his ability to be a successful Governor or President. What do you think?

5. Steve Jobs and Pancreatic Cancer: There have been many stories about the death of Steve Jobs and the contribution of pancreatic cancer to his passing. I thought Celebrity Diagnosis did a nice job of guiding readers through his diagnosis.

Please use the comment box to tell me what you think about these stories and about others that you are reading this week!

Wednesday, October 5, 2011

(Dis)Connected: MTV Explores the Impact of Digital Drama on the Health and Safety of Young People



On Sunday October 10, 2011, MTV will premiere "(Dis)Connected". The movie will explore the experiences of four young people. They have never met in-person, but their lives collide online and are forever changed by their digital interactions.

The film supports the network's "A Thin Line" campaign which empowers youth to stand up against digital abuse of all kinds (e.g., bullying, discrimination, etc).

The movie is inspired (in part) by the tragic death of Abraham Biggs in 2008. Biggs, a 19-year old college student, live streamed his suicide on the internet, with some users egging him on and some trying to talk him out of it.

(Dis)Connected supports an ongoing discussion in public health regarding the question: "Does technology help us or hurt us when it comes to issues such as bullying or suicide?" The answer is not clear. There are examples on each side. One year ago today, I wrote the post "Bullying: Is Technology Helping Us or Hurting Us?" The post was inspired by the dialogue of how technology may have contributed to the suicide of Tyler Clementi but also how it was being used in a positive way to prevent bullying in the aftermath (e.g., the "It Gets Better" project).

On her blog "Promoting Hope, Preventing Suicide", Elana Premack Sandler writes about research and advice for preventing teen and adult suicide. Just in the past year, she has extensively explored the issue of technology/social media and its impact on suicide prevention. Some example posts include: Facebook Support Networks (September 21); YouTube Prevents Suicide? (May 4); and Promoting Hope Through Social Media (April 13).

Let's all check out (Dis)Connected on October 10 and let the dialogue continue.

If you or someone you know is in crisis, please call the National Suicide Prevention Lifeline at 1-800-273-TALK or visit their website here.

Monday, October 3, 2011

Great evolution thinkers you should know about

If you follow a paleo diet, you follow a diet that aims to be consistent with evolution. This is a theory that has undergone major changes and additions since Alfred Russel Wallace and Charles Darwin proposed it in the 1800s. Wallace proposed it first, by the way, even though Darwin’s proposal was much more elaborate and supported by evidence. Darwin acknowledged Wallace's precedence, but received most of the credit for the theory anyway.

(Alfred Russel Wallace; source: Wikipedia)

What many people who describe themselves as paleo do not seem to know is how the theory found its footing. The original Wallace-Darwin theory (a.k.a. Darwin’s theory) had some major problems, notably the idea of blending inheritance (e.g., blue eye + brown eye = somewhere in between), which led it to be largely dismissed until the early 1900s. Ironically, it was the work of a Catholic priest that provided the foundation on which the theory of evolution would find its footing, and evolve into the grand theory that it is today. We are talking about Gregor Johann Mendel.

Much of the subsequent work that led to our current understanding of evolution sought to unify the theory of genetics, pioneered by Mendel, with the basic principles proposed as part of the Wallace-Darwin theory of evolution. That is where major progress was made. The evolution thinkers below are some of the major contributors to that progress.

Ronald A. Fisher. English statistician who proposed key elements of a genetic theory of natural selection in the 1910s, 1920s and 1930s. Fisher showed that the inheritance of discrete traits (e.g., flower color) described by Gregor Mendel has the same basis as the inheritance of continuous traits (e.g., human height) described by Francis Galton. He is credited, together with John B.S. Haldane and Sewall G. Wright, with setting the foundations for the development of the field of population genetics. In population genetics the concepts and principles of the theories of evolution (e.g., inheritance and natural selection of traits) and genetics (e.g., genes and alleles) have been integrated and mathematically formalized.

John B.S. Haldane. English geneticist who, together with Ronald A. Fisher and Sewall G. Wright, is credited with setting the foundations for the development of the field of population genetics. Much of his research was conducted in the 1920s and 1930s. Particularly noteworthy is the work by Haldane through which he mathematically modeled and explained the interactions between natural selection, mutation, and migration. He is also known for what is often referred to as Haldane’s principle, which explains the direction of the evolution of many species’ traits based on the body size of the organisms of the species. Haldane’s mathematical formulations also explained the rapid spread of traits observed in some actual populations of organisms, such as the increase in frequency of dark-colored moths from 2% to 95% in a little less than 50 years as a response to the spread of industrial soot in England in the late 1800s.

Sewall G. Wright. American geneticist and statistician who, together with Ronald A. Fisher and John B.S. Haldane, is credited with setting the foundations for the development of the field of population genetics. As with Fisher and Haldane, much of his original and most influential research was conducted in the 1920s and 1930s. He is believed to have discovered the inbreeding coefficient, related to the occurrence of identical genes in different individuals, and to have pioneered methods for the calculation of gene frequencies among populations of organisms. The development of the notion of genetic drift, where some of a population’s traits result from random genetic changes instead of selection, is often associated with him. Wright is also considered to be one of pioneers of the development of the statistical method known as path analysis.

Theodosius G. Dobzhansky. Ukrainian-American geneticist and evolutionary biologist who migrated to the United States in the late 1920s, and is believed to have been one of the main architects of the modern evolutionary synthesis. Much of his original research was conducted in the 1930s and 1940s. In the 1930s he published one of the pillars of the modern synthesis, a book titled Genetics and the Origin of Species. The modern evolutionary synthesis is closely linked with the emergence of the field of population genetics, and is associated with the integration of various ideas and predictions from the fields of evolution and genetics. In spite of Dobzhansky’s devotion to religious principles, he strongly defended Darwinian evolution against modern creationism. The title of a famous essay written by him is often cited in modern debates between evolutionists and creationists regarding the teaching of evolution in high schools: Nothing in Biology Makes Sense Except in the Light of Evolution.

Ernst W. Mayr. German taxonomist and ornithologist who spent most of his life in the United States, and is believed, like Theodosius G. Dobzhansky, to have been one of the main architects of the modern evolutionary synthesis. Mayr is credited with the development in the 1940s of the most widely accepted definition of species today, that of a group of organisms that are capable of interbreeding and producing fertile offspring. At that time organisms that looked alike were generally categorized as being part of the same species. Mayr served as a faculty member at Harvard University for many years, where he also served as the director of the Museum of Comparative Zoology. He lived to the age of 100 years, and was one of the most prolific scholars ever in the field of evolutionary biology. Unlike many evolution theorists, he was very critical of the use of mathematical approaches to the understanding of evolutionary phenomena.

William D. Hamilton. English evolutionary biologist (born in Egypt) widely considered one of the greatest evolution theorists of the 20th Century. Hamilton conducted pioneering research based on the gene-centric view of evolution, also know as the “selfish gene” perspective, which is based on the notion that the unit of natural selection is the gene and not the organism that carries the gene. His research conducted in the 1960s set the foundations for using this notion to understand social behavior among animals. The notion that the unit of natural selection is the gene forms the basis of the theory of kin selection, which explains why organisms often will instinctively behave in ways that will maximize the reproductive success of relatives, sometimes to the detriment of their own reproductive success (e.g., worker ants in an ant colony).

George C. Williams. American evolutionary biologist believed to have been a co-developer in the 1960s, together with William D. Hamilton, of the gene-centric view of evolution. This view is based on the notion that the unit of natural selection is the gene, and not the organism that carries the gene or a group of organisms that happens to share the gene. Williams is also known for his pioneering work on the evolution of sex as a driver of genetic variation, without which a species would adapt more slowly in response to environmental pressures, in many cases becoming extinct. He is also known for suggesting possible uses of human evolution knowledge in the field of medicine.

Motoo Kimura. Japanese evolutionary biologist known for proposing the neutral theory of molecular evolution in the 1960s. In this theory Kimura argued that one of the main forces in evolution is genetic drift, a stochastic process that alters the frequency of genotypes in a population in a non-deterministic way. Kimura is widely known for his innovative use of a class of partial differential equations, namely diffusion equations, to calculate the effect of natural selection and genetic drift on the fixation of genotypes. He has developed widely used equations to calculate the probability of fixation of genotypes that code for certain phenotypic traits due to genetic drift and natural selection.

George R. Price. American geneticist known for refining in the 1970s the mathematical formalizations developed by Ronald A. Fisher and William D. Hamilton, and thus making significant contributions to the development of the field of population genetics. He developed the famous Price Equation, which has found widespread use in evolutionary theorizing. Price is also known for introducing, together with John Maynard Smith, the concept of evolutionary stable strategy (ESS). The EES notion itself builds on the Nash Equilibrium, named after its developer John Forbes Nash (portrayed in the popular Hollywood film A Beautiful Mind). The concept of EES explains why certain evolved traits spread and become fixed in a population.

John Maynard Smith. English evolutionary biologist and geneticist credited with several innovative applications of game theory (which is not actually a theory, but an applied branch of mathematics) in the 1970s to the understanding of biological evolution. Maynard Smith is also known for introducing, together with George R. Price, the concept of evolutionary stable strategy (EES). As noted above, the EES notion builds on the Nash Equilibrium, and explains why certain evolved traits spread and become fixed in a population. The pioneering work by John Maynard Smith has led to the emergence of a new field of research within evolutionary biology known as evolutionary game theory.

Edward O. Wilson. American evolutionary biologist and naturalist who coined the term “sociobiology” in the 1970s to refer to the systematic study of the biological foundations of social behavior of animals, including humans. Wilson was one of the first evolutionary biologists to convincingly argue that human mental mechanisms are shaped as much by our genes as they are by the environment that surrounds us, setting the stage for the emergence of the field of evolutionary psychology. Many of Wilson’s theoretical contributions in the area of sociobiology are very general, and apply not only to humans but also to other species. Wilson has been acknowledged as one of the foremost experts in the study of ants’ and other insects’ social organizations. He is also known for his efforts to preserve earth’s environment.

Amotz Zahavi. Israeli evolutionary biologist best known for his widely cited handicap principle, proposed in the 1970s, which explains the evolution of fitness signaling traits that appear to be detrimental to the reproductive fitness of an organism. Zahavi argued that traits evolved to signal the fitness status of an organism must be costly in order to the reliable. An example is the large and brightly colored trains evolved by the males of the peacock species, which signal good health to the females of the species. The male peacock’s train makes it more vulnerable to predators, and as such is a costly indicator of survival success. Traits used for this type of signaling are often referred to as Zahavian traits.

Robert L. Trivers. American evolutionary biologist and anthropologist who proposed several influential theories in the 1970s, including the theories of reciprocal altruism, parental investment, and parent-offspring conflict. Trivers is considered to be one of the most influential living evolutionary theorists, and is a very active researcher and speaker. His most recent focus is on the study of body symmetry and its relationship with various traits that are hypothesized to have been evolved in our ancestral past. Trivers’s theories often explain phenomena that are observed in nature but are not easily understood based on traditional evolutionary thinking, and in some cases appear contradictory with that thinking. Reciprocal altruism, for example, is a phenomenon that is widely observed in nature and involves one organism benefiting another not genetically related organism, without any immediate gain to the organism (e.g., vampire bats regurgitating blood to feed non-kin).

There are many other more recent contributors that could arguably be included in the list above. Much recent progress has been made in interdisciplinary fields that could be seen as new fields of research inspired in evolutionary ideas. One such field is that of evolutionary psychology, which has emerged in the 1980s. New theoretical contributions tend to take some time to be recognized though, as will be the case with ideas coming off these new fields, because new theoretical contributions are invariably somewhat flawed and/or incomplete when they are originally proposed.