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Study: Rape Prevention Training Works, Cuts Sex Assault Risk

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In this Wednesday, Oct. 1, 2014 file photo, Texas Tech freshman Regan Elder helps drape a bed sheet with the message "No Means No" over the university's seal at the Lubbock, Texas campus to protest what students say is a "rape culture" on campus. A picture of a banner at a Sept. 20 Phi Delta Theta fraternity gathering, briefly posted online, read, "No Means Yes," followed by a graphic sexual remark. A study by the Canadian Institutes of Health Research and the University of Windsor published on Wednesday, June 10, 2015 found that a program that taught college women ways to prevent sexual assault cut in half the chances they would be raped over the next year. It was the first large, scientific test of resistance training, and the strong results should spur more universities to offer it, experts say. (AP Photo/Betsy Blaney)

In this Wednesday, Oct. 1, 2014 file photo, Texas Tech freshman Regan Elder helps drape a bed sheet with the message “No Means No” over the university’s seal at the Lubbock, Texas campus to protest what students say is a “rape culture” on campus. (AP Photo/Betsy Blaney)

MARILYNN MARCHIONE, AP Chief Medical Writer

A program that taught college women ways to prevent sexual assault cut in half the chances they would be raped over the next year, a Canadian study found. It was the first large, scientific test of resistance training, and the strong results should spur more universities to offer it, experts say.

Five percent of freshman women who went through the four-session program said they had been raped during the following year, compared to 10 percent of others who were just given brochures on assault prevention. Attempted rapes also were lower — about 3 percent in the training group versus more than 9 percent of the others.

The results are “startling,” said a prominent researcher on sex assault with no role in the study, University of Arizona psychologist Mary Koss.

“Universities should move right away to figure out how they can implement a program like this,” she said. “We don’t have to look at women as being so helpless and vulnerable. There are tools to empower women that can dramatically cut their risk of rape.”

The study involved about 900 students, ages 17 to 24, at the universities of Windsor, Guelph and Calgary. It was funded by the Canadian Institutes of Health Research and the University of Windsor. Results are in Thursday’s New England Journal of Medicine.

THE PROBLEM

Researchers say as many as 20 percent of women are sexually assaulted during their college years with the risk greatest the first year. Women who have been assaulted in the past are more likely to be again, and about a third of the women in this study had such a history, partly accounting for the high rate of rape at one year.

Some universities try various rape prevention or self-defense programs, but many have not been tested and some that were tested didn’t help.

THE TRAINING

The study’s leader, psychologist Charlene Senn at the University of Windsor, developed the program — four, three-hour sessions on recognizing danger, resisting pressure to have sex, and physical self-defense.

As opposed to strangers, “known men are responsible for 90 percent of the rapes on campus,” from dates to casual acquaintances, she said.

Women were randomly assigned to get either training or the kind of advice and brochures many colleges provide.

MEASURING SUCCESS

One year after training ended, participants took an online survey largely developed by Koss, the Arizona researcher, and widely used by other researchers.

“It’s the best measure because it doesn’t label, it doesn’t say, ‘have you been raped,’ but asks about experiences such as penetration against the person’s will,” Senn said.

Responses were grouped as completed rape, attempted rape, sexual coercion, attempted coercion or nonconsensual sexual contact.

RESULTS

All types except coercion were lower in the group given training. Only 22 women would need to take the program to prevent one additional rape within a year, the researchers calculated.

WHAT WOMEN IN THE STUDY SAY

Bonita Loki Teixeira, 24, now a senior at the University of Windsor, said “knowing the cues, how to avoid being in situations where there can be the possibility of harm,” and tips like keeping a close eye on any drinks she has at a party, were helpful. The program also stressed “it’s OK to say ‘no,'” and that sex isn’t owed if a date buys dinner.

Jenna Harris, 21, a senior at the same school, said parents and others warn about assault, “but it’s not really something you think about. This program was in your face, like, ‘this is real. This stuff does happen,'” she said.

NOT THE WHOLE ANSWER

Recent data show that among women who were raped, 40 percent were raped before age 18, Kathleen Basile of the U.S. Centers for Disease Control and Prevention writes in a commentary in the journal.

“We must start younger,” and target prevention efforts at men, too, she wrote.

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Online:

Study: http://tinyurl.com/of9rmr2

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Commentary

Doctors Seeing More Cases of Preventable Childhood Illnesses

OAKLAND POST — Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

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By Stacy M. Brown

Doctors across the United States say they are treating children for illnesses that routine vaccinations once made increasingly uncommon, raising concerns that years of declining immunization rates are beginning to reverse decades of public health progress.

Pediatricians have described seeing more cases of whooping cough, rotavirus infections, bacterial pneumonia and other potentially life-threatening illnesses that vaccines have long helped suppress. Some physicians reported treating conditions they had rarely encountered during their careers, while others said that growing vaccine hesitancy is changing how emergency rooms and hospitals care for children.

The reports come as measles outbreaks continue to spread across multiple states and vaccination coverage remains below federal public health targets.

Johns Hopkins University’s International Vaccine Access Center reported 2,077 confirmed measles cases nationwide as of May 29. Researchers warned that outbreaks reported across the country have raised concerns about continued transmission, additional hospitalizations and deaths, and the possible loss of the nation’s measles elimination status.

Public health experts have long viewed measles as a warning sign because of its ability to spread rapidly through communities with lower vaccination coverage. The New York Times reported that physicians increasingly fear the resurgence of measles may be followed by the return of other vaccine-preventable diseases.

Doctors say that is already happening.

Dr. Meghan Hofto, a pediatric hospitalist at the University of Alabama at Birmingham, said she has already treated roughly as many children with rotavirus this year as she saw during the previous decade. Rotavirus once caused tens of thousands of hospitalizations annually before vaccines sharply reduced its spread. None of the children she treated this year had been vaccinated.

Hofto also described caring for infants with pertussis, commonly known as whooping cough.

“It’s hard to know when they’re safe to go home,” Hofto told The Times.

The rise in whooping cough cases has been particularly striking. More than 28,000 cases were reported nationwide last year, compared with approximately 7,000 in 2023, according to figures cited by The Times. Many of the affected infants were too young to receive vaccinations themselves and relied on broader community protection to reduce their exposure.

Other doctors described similarly troubling cases.

Dr. Jessica Kirk, a pediatric hospitalist in Alabama, recently treated an unvaccinated toddler hospitalized with pneumonia caused by simultaneous infections of Haemophilus influenzae and Streptococcus pneumoniae. Vaccines exist to protect against both illnesses. The child required oxygen and antibiotics to recover.

Researchers at Johns Hopkins have been tracking vaccination trends nationwide and found continuing signs of vulnerability.

At the same time, vaccine policy has become increasingly contentious in state legislatures.

Johns Hopkins researchers reported that lawmakers across the country continue to introduce bills affecting childhood vaccination requirements, vaccine access and non-medical exemptions. Researchers also noted that state policies governing exemptions remain a significant factor in vaccination coverage and disease transmission risks.

Physicians have said vaccine skepticism has expanded beyond childhood immunizations. Doctors also reported growing resistance to other preventive treatments.

For doctors confronting the return of illnesses that vaccines once pushed to the margins of American medicine, the challenge is becoming increasingly personal.

“It just feels like you’re a tiny little boat with a giant tidal wave coming at you,” Dr. Erin Charles, a regional pediatric hospitalist at Seattle Children’s Hospital, told reporters. “And you might convince one family here and there.”

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Community

Asm. Isaac Bryan’s Environmental Reparations Bill Passes on Assembly Floor

“All this bill does is allocate resources from that repair fund and direct cash assistance to families that have had negative health impacts as a result of living next to that oil field,” said Bryan during remarks on the Assembly floor.

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Asm. Isaac Bryan (D-Ladera Heights). File photo.

By Bo Tefu, California Black Media

On May 26, the California State Assembly passed legislation to provide direct financial assistance to families harmed by pollution from a major urban oil field in South Los Angeles.

Assembly Bill (AB) 1661, introduced by Assemblymember Isaac Bryan (D-Ladera Heights), cleared the Assembly floor with a 44-10 vote after lawmakers concluded debate on the measure.

The bill would direct money from a community repair fund toward families who suffered negative health effects from living near what Bryan described as the state’s largest toxic urban oil field. The repair fund was created under legislation approved two years ago that shut down the oil field and required polluters to contribute financially to community recovery efforts.

“All this bill does is allocate resources from that repair fund and direct cash assistance to families that have had negative health impacts as a result of living next to that oil field,” said Bryan during remarks on the Assembly floor.

Bryan called the proposal “the largest environmental reparations opportunity for South LA” and told lawmakers the bill had not received opposition during the legislative process.

The legislation is part of California’s broader push to address environmental justice concerns in communities historically exposed to industrial pollution. South Los Angeles residents and environmental advocates have long raised concerns about health risks associated with oil drilling operations near homes, schools and parks.

Supporters say the measure represents a new approach to environmental accountability by ensuring that communities affected by pollution directly benefit from funds collected from responsible companies.

After debate concluded, Assembly leadership opened the roll call vote, and the measure passed with majority support from lawmakers.

AB 1661 now moves to the Senate for further review.

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Activism

Rep. Kamlager-Dove Introduces Bill to Protect Women in Custody After Reports Detailing Miscarriages and Neglect

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

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By Bo Tefu, California Black Media

Congresswoman Sydney Kamlager-Dove (D-CA-37) on May 7, reintroduced updated legislation aimed at strengthening protections and healthcare standards for pregnant and postpartum women held in federal custody, including in immigration detention facilities.

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

The legislation builds on a bipartisan version previously passed by the House during the 117th Congress. The updated bill includes new standards for healthcare access, mental health and substance use treatment, high-risk pregnancy care, family unity protections and increased federal oversight.

“Proper pregnancy care is a human right, regardless of your immigration or incarceration status,” Kamlager-Dove said in a statement. “It’s unacceptable that there are virtually no legal safeguards for pregnant women in federal custody.”

The bill would also limit the use of restraints and restrictive housing for pregnant women, improve data collection on maternal health in custody and require additional staff training and enforcement measures.

Supporters of the measure said the legislation is intended to address long-standing concerns about maternal healthcare and safety in detention settings, particularly for Black women and low-income women who are disproportionately impacted by incarceration and health disparities.

“Pregnant women in custody should never be subjected to dangerous and inhumane treatment that threatens their health, dignity, or the well-being of their babies,” said Patrice Willoughby, chief of policy and legislative affairs for the NAACP and a longtime public policy and government affairs strategist, in a statement.

A 2021 report estimated there are about 58,000 admissions of pregnant women into U.S. jails and prisons each year. Kamlager’s statement also cited a recent investigation by NBC News and Bloomberg Law that identified allegations of severe mistreatment or medical neglect involving at least 54 pregnant women or families in county jails between 2017 and 2024.

Federal policy under the Department of Homeland Security restricts the detention of pregnant, postpartum and nursing immigrants except in extreme cases. However, the agency reported that ICE deported 363 pregnant, postpartum or nursing women between January 2025 and February 2026, including 16 recorded miscarriages during that period.

The bill is cosponsored by several House Democrats and backed by organizations including the NAACP and the Vera Institute of Justice.

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