Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Sex Ed Isn’t Actually About Sex

As a teen in rural Appalachia, I didn’t know what I was missing when it came to my abstinence-only sex education. It wasn’t until I endured an emotionally abusive relationship as a young medical student that I began to question how I, as a strong, independent woman, could end up in something so psychologically toxic. After gaining the silent courage to leave that relationship, I did a deep dive into unhealthy relationships and how we, as a society, can prevent this type of violence. ...

COVID: He Didn’t Have to Die

He’s young. Just 49 years old. A long life ahead of him. He was hospitalized a week ago and doing okay initially on the medical floor. After his saturations were consistently in the 80s on the highest level of supplemental oxygen, he needed to be intubated. We asked him if he wanted to call his family before intubation, just like we do with all our COVID patients… because we know it might be the last time. He declined, said he’s not in touch with his family and has no friends to call. He was adamant that he didn’t want his estranged parents or brother contacted for updates while ...

Comprehensive Sex Education as Violence Prevention

It’s #SexEdForAll month, yet most people still believe sex education is just about sex. But it’s so much more than that. As a young woman from rural Appalachia, I’m well aware that until people learn what sex education truly is, it won’t be widely accepted in our society. That’s why I created the Sexuality ...

The Forgotten Specialty: Primary Care

As the COVID pandemic devastates the United States, comorbidity has been identified as one of the key factors that increases risk for serious complications. Chronic disease burden in the US, including hypertension, heart disease, diabetes, chronic lung disease, and arthritis, is 28%, compared to the Organization for Economic Cooperation and Development (OECD) average of 17.5%. Furthermore,

Health Equity Through the Lenses of Intersectionality and Allostatic Load

Although the term health equity is widely used, a common understanding of this term is lacking. Viewing health equity through the lenses of allostatic load and intersectionality could help. This blog post considers three case scenarios, all of which are composites of actual cases that have occurred within the United States, to explore ideas of health equity related to intersectionality and the concept of allostatic load. Case 1 A young, black woman was admitted to Labor & Delivery and progressing well in her own labor. Shortly after ...