Saturday, April 13, 2013

نتائج البحوث الجديدة / New Research Findings Hot Off the Presses!!



Baby's Health is Tied to Mother's Value for Family



The value that an expectant mother places on family -- regardless of the reality of her own family situation -- predicts the birthweight of her baby and whether the child will develop asthma symptoms three years later, according to new research from USC.


Continue reading Science Daily article here...


Also, check out the original journal article by Dr. Abdou and her colleagues published in Social Science & Medicine here.


Abstract
There are marked ethnic and socioeconomic differences in birthweight and childhood asthma, conditions which may be linked causally or via a third variable. Cultural resources are often credited with diminished health disparities in infancy and childhood among subsets of poor and minority populations; yet direct empirical tests of this hypothesis are needed. In this study, ethnicity, lifespan family socioeconomic position (FSEP), and the cultural resource of familism were compared as predictors of birthweight and expression of asthma symptoms (AE) by age three. Familism and lifespan FSEP were assessed in 4633 socioeconomically disadvantaged African Americans, White Americans, and Latinas upon giving birth, as was offspring birthweight. AE was assessed in offspring through age three. Asthma diagnosis by age three was likelier in very low (≤1500 g) and low (≤2500 g) birthweight infants compared to infants born at average (2501–3999 g) or larger (≥4000 g) birthweights. Asthma risk associated with lower birthweight was higher for Latinos (17–35%) and African Americans (19–23%) than for White Americans (13–14%). As predicted, maternal familism was higher among White Americans than among African Americans and Latinas, an effect that was largely driven by ethnic disparities in lifespan FSEP. Familism predicted continuous birthweight (p = .003) and AE (p = .001) by age three independently of ethnicity and lifespan FSEP accounting for appropriate control variables, including maternal biomedical risk, maternal acculturation, parental marital status, and infant sex. There was a 71-g gain in birthweight for every one-unit increase in familism. The protective effect of familism on AE by age three was strongest for participants of lower lifespan FSEP. Maternal familism is one cultural resource that may reduce reproductive and intergenerational health disparities in both U.S.- and foreign-born Americans. Consistent with our previous work, familism and other nonmaterial resources covary with material resources. Nevertheless, culture is distinguishable from lifespan FSEP and ethnicity, and has health implications beyond associations to ethnicity, lifespan FSEP, and related biomedical and sociodemographic factors.

Highlights
► Forward-thinking in integrating diverse literature on culture, health disparities, and the links between birthweight and childhood asthma. ► Measuring a specific aspect of culture, familism, pushes the operational definition of culture beyond ethnicity and socioeconomic status. ► Considers the unique and combined impact of culture, ethnicity, and family socioeconomic position on birthweight and childhood asthma symptoms. ► Familism predicts birthweight and the development of asthma symptoms by age three independently of ethnicity and family socioeconomic position. ► Offers novel insights into the severe health disparities faced by African American, Latino, and poor families.


**Check out the new HEALTHY PEOPLE STUDY in Arabic, English, or Spanish** Get a $10 Amazon gift card delivered right to your inbox for 30 minutes of your time!! We ALWAYS protect your privacy. Your answers to our research questions are confidential, anonymous, and help us to better understand how to be a healthier America and a healthier world. *The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.

Saturday, March 16, 2013

Independence: It Hurts; But It Hurts Fine

I love warm weather because it makes me feel free. So, of course, I celebrate the coming of Spring.

I love Spring because I love the heat, and I love Spring because I love my freedom even more than I love the heat. And, this year, Spring is even more special because it brings me the gift of motherhood, el humdu'lillah (thank you, God).

In fact, the only thing in this world that I cherish more than my freedom is my family. No way in hell could you convince me to trade my freedom for all the riches, giftedness, or beauty in the world. (It is true, nevertheless, that these things help to secure freedom in just about every society. But that is for another day.)

I am an identical twin. It is a sweet and mind-blowing thing to share your birthday with someone who looks so similar to you that even you don't always know who's who in the baby pictures. One of the greatest gifts of my life came through my twin sister, Nefertiti, 16.5 years ago: her son, Takaya. Growing up with Takaya gave me wisdom so far beyond my years, including the awareness of how awesome the human capacity for love is.

Takaya also, long ago, gave me the insight for reconciling the beauty and the hardship of independence: "It hurts; But it hurts fine."

Physical, emotional, mental, and spiritual freedom are fundamental human needs. Still, there are ways in which independence implies separation, being wahidah ('one'; 'alone'; and perhaps sometimes even 'lonely'). I figured out early in life that I would gladly take the hardship of independence in exchange for its beauty.

By the time Takaya reached his first birthday, we were on a first-name basis with the Emergency Room staff at Miami Children's Hospital. Not because he was sickly, el humdu'lillah, but because we were young and head over heels in love. We wanted so badly to take good care of this child, and our way of ensuring that we did that was to run to the emergency room every time something so much as looked like it was beginning to go wrong.

And that's not all. It pains me to admit it, but we visited Takaya's pediatrician's office so frequently that the pediatrician would scream, "The kid is fine; Get the hell out of here!", as soon as he saw us walking into his office. Literally. He was a great pediatrician, but not the most conventional one. He was a middle-aged, chain-smoking Cubano with a hilarious, fun-to-pronounce last name straight out of a Dr. Seuss book. Even baby Takaya, who broke out into a toothy grin so big that it made his eyes squint every time he said it, seemed to be aware of the humor in his pediatrician's name. When Takaya reached his standard three-year-old well baby check-up, his pediatrician put his hand out and said, "Give me five for surviving. Mommy and tia ('aunt' in Spanish) need a sedative, but you're doing just fine, kid."

Okay, Dr. Kucalootoo was right. We were already starting to see that pretty clearly by that point. As Takaya's 17th year approaches, doctors have long become a last resort. What changed, you wonder? Nothing. And everything. Takaya got bigger. We got older. More importantly, we got wiser. We learned to trust ourselves. We stopped needing to go to the emergency room for reassurance that the fever would pass. We knew it would. We knew to just keep Takaya as comfortable as possible until it did.






Most of the emergency room visits were ear infection-related. At 18 months old, Takaya woke up at 2am crying, rubbing his ear, and diagnosing himself with an "ear fafection". His mom and I stood there distressed over seeing him in pain, discussing whether we should make yet another visit to the emergency room or wait the six hours until morning to visit Dr. Kucalootoo. We were dreading another expensive, uncomfortable night in the chilly emergency room. Not only did those nights spent in the emergency room put us behind in money, but they also put us behind in school work and even farther behind than we already were in sleep.

On this particular night, Takaya showed us how much he already trusted himself. He watched his mom and I discussing what to do, and he cut into our deliberation with one of the most profound statements I have ever heard. With so much certainty in his voice, 18-month-old Takaya nodded his head reassuringly and said: "It hurts; But it hurts fine. I can wait."

Five years later, while living in Egypt, I remembered baby Takaya's words as I struggled to make peace with independence, both with the independence that I had become accustomed to in America (so big that I felt lost at times), and the lack of independence that I faced while in Egypt (so small that I felt suffocated nearly all the time). Remembering that even when independence hurts, "it hurts fine" put everything into perspective for me. And it made me laughwhich, of course, always makes everything a million times better.

Freedom hurts at times, but it hurts fine. Just like love. Just like life.


*The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.

Saturday, February 23, 2013

In the News / في الأخبار

 

Dr. Cleopatra Abdou and a Healthy Egypt were featured in the University of Southern California news!!


Revolutionary Blogger
By Marissa DeCoteau

The sight of a woman completely shrouded in a niqab, waiting patiently at the airport, enthralled USC Davis School of Gerontology assistant professor Cleopatra Abdou during her recent trip to Egypt.
“Does anyone ever smile at her, I thought, trying to put myself into her shoes,” she would later write. “[I imagined] what it would be like to live in a world where no one ever acknowledges or affirms your existence. I decided that I would smile at her.”

Drawing on her unique perspective as an Egyptian-American, her professional expertise and her lifelong passion for writing, Abdou decided to create Healthy Egypt, a blog that examines how a changing Egypt affects the health and well-being of its people, especially the factors that caused its younger population to become change agents, a phenomenon that opened up a new area of research for her.

“How these young adults were able to emerge as change agents at this particular time in history is something that intrigues me – something that I hope to be able to explore with this new work,” she said. “Egypt has changed a lot in the last decade and will continue to do so – it will be interesting to see what the role of younger generations will be versus the role of older generations and how the relationships between them will change over time.”

The changing role of women in the Middle East also continues to fascinate Abdou, especially in terms of healthy aging and the interconnectedness of generations past, present and future.
“There are so many rich questions to ask about these connections, especially as we move in the direction of interdisciplinary research and integrative, holistic approaches to understanding health, well-being and aging,” she said. “When you’re examining these kinds of questions, it seems natural to think about individuals within the context of families, within the context of societies and within the context of the world.”

Using her blog as an incubator for new ideas, explorations and analyses of multiple global health issues, Abdou also has found a renewed energy and creativity to her own research.
“I am continuing my work on the health implications of stereotype threat and the ability of cultural and other nonmaterial resources to reduce health disparities among minorities and African- and Latino-origin immigrants living in America. I’m also very focused on expanding my work to new populations and contexts within the U.S. and globally,” she said, “particularly among Egyptians and other Arabs living in America and the Middle East. I want to evaluate how changing environments – social, political, economic, religious and otherwise – interact with other forms of social stress, social status and ethnic, racial and family identities to affect health and well-being at the individual and population levels.”

Drawing on the mobilizing power of the Internet, her strength as an interdisciplinary scientist and thinker and, most of all, the power of ideas, of words and of intelligent voices speaking out to understand and improve the human situation for people around the world, Abdou’s most sincere hope is that her work will both inform and empower.

“It is one thing if the woman from the airport is invisible to the outside world by choice, but it is another thing entirely if she has no choice. A healthy Egypt, and a healthy world, are dependent upon equal chances, dignity and choice for all people,” she wrote on her blog. “This means that no one – no group – can be invisible. Even those who, by choice, cover their hair, faces, bodies, hands, feet or any other part of themselves cannot be invisible when it comes to their inherent value as human beings.”


**Check out the new HEALTHY PEOPLE STUDY in Arabic, English, or Spanish** Get a $10 Amazon gift card delivered right to your inbox for 30 minutes of your time!! We ALWAYS protect your privacy. Your answers to our research questions are confidential, anonymous, and help us to better understand how to be a healthier America and a healthier world. *The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.

Saturday, January 26, 2013

Locating the Best in Ourselves, Our Worlds / العثور على أفضل في أنفسنا، لدينا العالمين

The real voyage of discovery consists not in seeking new lands but seeing with new eyes. --Marcel Proust

It is very rare to be alone in Egypt. Particularly if you are female, but even if you are male. This is true within the home and also outside of the home. Even having a bed to yourself is rare. It is not uncommon for unmarried people to share a bed with two or three same-sex relatives, usually siblings and cousins. Young children sleep with older siblings or with their parents. Co-sleeping is a wonderful byproduct of this scarcity of personal space. Although it is frowned upon by many affluent societies, co-sleeping has been linked to greater emotional well-being over time in addition to promoting better, safer sleep and helping to stabilize physiology (breathing, heart rate, and body temperature) in the short-term.

In Egypt, an entire floor of an apartment building in the city or an entire village in the country might be related. Children run from one apartment or home to another without permission or notice, being fed, cleaned, and disciplined by just about everyone they encounter. Their parents do not worry about where they are even though they can't see them, because, wherever they are, they are surrounded by relatives. You almost never see a homeless person in Egypt. You may see a family living together on the ground of an abandoned building, but rarely will you see an individual living on his own even in the street.


Just because we are never alone doesn't guarantee that we won't ever feel lonely. Still, the research is unequivocal: Social isolation is like poison. Social integration, on the other hand, is a powerful protector of mental and physical health. Although there is a great deal to be depressed and anxious about if you live in Egyptfor example, poverty, lack of employment opportunities even when you are educated, having to cross the streetit is hard to focus on yourself enough to actually feel anxious or depressed. As I prepared to return to The States from a long stay in Egypt during my early 20s, my relatives and friends worried incessantly about my returning home to an apartment of my own. The very thought of it made them sigh loudly and sadly. I would giggle and dismiss their concern, assuring them that I had lived alone for years. But they were right, and I was wrong. I guess Egypt had gotten under my skin. As it turned out, I could barely hold onto myself in all that space those first days back home. I was wahidah ('alone'; but, more accurately, lonely).

At the same time, I found that I had developed a profound appreciation for the simplest things upon my return to America. I couldn't stop kissing my nephew (that, actually, was no different from before). I always had a remarkably deep love for my two sisters and two brothers, but there was something about being worlds away from them with so little contact for so long. It was still the case that we could not (not I in Egypt, nor they in America) easily afford the international calls at the time, and despite that I would be starting my Ph.D. upon my return to The States, I had barely used email by that point in my life (which, for better or worse, seems shocking now). After that separation which was excruciating while willful, I was so happy to be relatively nearer to my siblings again that I could easily let things gonot because I became passive in Egypt, but because I had actively learned, and decided, that I would much rather love them than be 'right'. This became my general approach to life. I fought only what seemed to me the most important of battles. I didn't have a sense of entitlement about many things at that point in my life, but I did feel certain that I am entitled to being me and that others are entitled to being whomever they are. Interestingly enough, giving people the space to be themselves often means overlooking the things they do that don't please you. So I worked at becoming the woman I wanted to be, a woman who is not easily bothered by the relatively insignificant unpleasant things that people do. This way, they could be them; and, in letting the small things go, I could still be me.


I also came to understand the extent to which my happiness and my smile are my birthrights. Even if it is true that only people born in America, or other wealthy nations, say such things. I was aware that my happiness, which I somehow wear very visibly, led me to be perceived as not serious enough and/or not smart enough in the very serious academic world that I was just joining at that time in my life. Butafter months of trying to tone down the happiness radiating off of me so that people wouldn't call me magnuna (crazy), and holding back my smile so that it wouldn't be interpreted as an invitation for inappropriate behaviorthat just didn't seem all that important to me. Certainly, not more important than feeling happy and smiling. Certainly, not more important than being me.


I was immeasurably grateful for my freedom and savored it like never before. I was bubbling over with gratitude and renewed understanding of what a privilege it was for me to choose to save marriage and childbearing for later and, with all due respect to my Baba (Dad), also to not have to still be living in my father's home. (And I know that Baba will not take offense to this, because heeven more than his childrensavors his freedom. This, I am certain, is what sustained him through migration, nearly complete separation from his family of origin, and the overwhelming burdens of single fatherhood and financial strain that he would carry in America.)

I was grateful to walk outside with my arms exposed; to soak up the sunshine. After months spent in a conservative Saiidy ('southern'; often used in a derogatory or humorous manner to imply backwards) town, where I had trained myself to look down or away, particularly when older men were around, I slowly relearned my steady, brave gaze. Sadly, I stopped thinking in Arabic; but gratefully my Spanishwhich, oddly, seemed to get buried as my Arabic grewreturned in its place.

And, of course, I had a renewed appreciation for the space that I take up in the world. Although I had to adjust to spending most of my time alone studying after my time in Egypt, where I was never once alone outside of the house and almost never alone inside of the house, I profoundly appreciated the space in the world that was uniquely mine. My 300-square-foot apartment adjacent to the 405, one of the world's busiest freeways, off of Santa Monica Boulevard seemed blissfully serene after returning from Egypt. To be sure, all things in life are relative. Los Angeles seemed more like a countryside to me (just a diverse, interesting, and magical one in which all things are possible) compared to city life in Cairo, which can only be described as a constant state of emergency physiologically-speaking.

2013 is here. Many people enter a new year with resolutions: finally stop smoking, exercise regularly, focus on the present, be more patient. I have never been big on resolutions (or maybe I should say, I am big on them year-round), but I do have a resolution for 2013. My resolution is more like a hope or a prayer. My hope is that weEgyptians living in Egypt, Egyptians living in America, Egyptians and all people living everywherewill find a way to bridge the very best that our worlds have to offer. The very best of Egypt's interdependence and communalism, and the very best of America's independence and individuality. To have the companionship and shelter of loved ones to hold onto at every turn, while also having the mental and physical space to grow and the freedom to be as we are: to radiate as much happiness as our bodies want, to smile easily and often, to look wherever our eyes take us, and to soak up the sunshine. I don't want to do those beautiful things without being surrounded by the people I love, but I also don't want being surrounded by the people I love to mean that I no longer have the ability to do those beautiful things. I want to live in a world where I can have incredible closeness with the people I love and the freedom to know what it is that I love. I want that for my children, and I want that for your children, too.

*The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.

**Check out the new HEALTHY PEOPLE STUDY in Arabic, English, or Spanish**
Get a $10 Amazon gift card delivered right to your inbox for 30 minutes of your time!!
We ALWAYS protect your privacy. Your answers to our research questions are confidential, anonymous, and help us to better understand how to be a healthier America and a healthier world. *The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.

Monday, November 12, 2012

TweetTreat of the Week #10 \ تويت من الأسبوع ٠١

Healthy Egypt TweetTreat of the Week!


These nuggets from published and incubating pieces want to be tweeted. And shared on Facebook, listservs, and wherever else you like to connect.


Revolutionary idea #10: Science favors parsimony because a theory that predicts everything predicts nothing. It is no different in politics. A man who won't take a clear stance on anything stands for nothing.



*The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.
**Check out the new HEALTHY PEOPLE STUDY in Arabic, English, or Spanish** Get a $10 Amazon gift card delivered right to your inbox for 30 minutes of your time!! We ALWAYS protect your privacy. Your answers to our research questions are confidential, anonymous, and help us to better understand how to be a healthier America and a healthier world.
 *The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.

Tuesday, November 6, 2012

American Election Day / يوم الانتخابات في أمريكا

Happy Election Day!!

Get out there and use your voice today!

Yallah, yallah (come on, let's do this thing)!!

**Check out the new HEALTHY PEOPLE STUDY in Arabic, English, or Spanish** Get a $10 Amazon gift card delivered right to your inbox for 30 minutes of your time!! We ALWAYS protect your privacy. Your answers to our research questions are confidential, anonymous, and help us to better understand how to be a healthier America and a healthier world. *The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.

Monday, November 5, 2012

ماما مصر وحزني /Mama Egypt & My Sorrow

This post is featured again in honor of our beautiful Mama Miriam, whom we celebrate this month.


My twin sister, Nefertiti, calls Egyptour mother country'Mama Egypt'. It is hard to be without your mother. At any age, I imagine. It's true of every age I've known so far. It has been breath-taking (not in a good way) to be without the mother who gave us life all of our lives. It's even harder to be without Mama Miriam and without Mama Egypt.

I have always wished that my mother grew up with sisters, in addition to all of her brothers, because then our aunts would have been there with us; but also, and far more importantly, because they would know her. They would know her in the way that sisters know each other. The way that my two sisters and I know each otherinside out, skin to bone, and every single hope, fear, victory, shame, and delight in between. And, that way, we would know her, too. I have little knowledge of what my mother was like because Baba (Dad) and our mother's brothers arewell, how should I say this?Egyptian men. They aren't big on feelings. Or even words, really. Needless to say, it is hard for them to talk about Mama Miriam.

I have learned about my mother mostly in passing and mostly from the wives of our paternal uncles. Over the years, I have pieced together that my mother was extremely spiritual, extremely passionate, extremely determined, extremely short, artistic, and industrious. She had so little of what she needed and wanted, living amid filth and chaos, and she made it all work. She just did. And she kept laughing and dancing the whole time. As it turned out, I would do the very same thing for at least the first two decades of my life, right down to the laughing and dancing. (I am grateful to say that, as of the start of decade three, the laughing and dancing have not gone with the filth and chaos; I just might have opted for keeping all four.) So without ever having seen her, I know thataside from standing 5'8 and not having that gorgeous dimple in my chinI am my mother's daughter through and through.


I hear what people are saying about Mama Egypt, and my heart hurts. I mean it: It literally hurts. A woman I like and respect commented that the Arab Spring is becoming a very long, dark winter. Some of my Persian friends say, jokingly but sadly: "Oh boy, this is looking a lot like Iran Part II." The headlines say things like, Egypt is on a downward spiral; Egypt is self-destructing. There are no words for how badly I want them to be wrong. All of them.

The very thought of Mama Egypt regressinggoing backwards, getting stuck in a time that is not of this time, rather than moving forwardbreaks my heart. Nefertiti's, too. And, I am sure, the hearts of so many other Egyptians, too. And of so many other people, for we are all, at the end of the day, made of the same stuff: flesh, blood, water, love, our hopes and our dreams.

If those people were right, I would suffer. I would suffer watching hopes dashed and the great, great potential of my quick-witted, spirited, warm and loving people, who have music running through their veins, lost. Especially the potential of our women. There would be no end to my sorrow if our women get stuck. Mama Egypt, please don't let this happen to my sweet, beautiful young cousins, who have done nothing wrong.

I cannot stop hoping for my family, for my female cousins especially; for all women, for all people. Call me naive for being optimistic, but I am actually very realistic: I see no better alternatives. What's very real is that, at this moment, there are no better alternatives than continuing to hope. Giving up certainly is not the better alternative. I, personally, cannot stop hoping for Mama Egypt. If I stop hoping now, then would I, for the first time in my life, no longer wish that my mother had been raised with sisters? Sisters who could suffer in the future even more than they undoubtedly already would have suffered?

If they are right, I will suffer. But, if they are right, my suffering from having to watch it will look like laughing and dancing compared to Mama Egypt's suffering from having to live it.


*The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.


**Check out the new HEALTHY PEOPLE STUDY in Arabic, English, or Spanish** Get a $10 Amazon gift card delivered right to your inbox for 30 minutes of your time!! We ALWAYS protect your privacy. Your answers to our research questions are confidential, anonymous, and help us to better understand how to be a healthier America and a healthier world. *The ideas and opinions expressed here do not represent the University of Southern California, the Leonard Davis School of Gerontology, or any research funding agency.