Staying Connected Through Summer as a Trusted Adult

Every year when spring suddenly turns into summer, I find myself thinking about how much changes for young people once the structure of the school year disappears. Routines shift, sleep schedules get weird, activities change, and mealtimes somehow become even more chaotic (at some point, sandwiches by the pool with potato chips stuffed inside officially become a food group). Friend groups evolve, independence increases, and for many young people, there are suddenly far fewer consistent touchpoints with supportive adults.

At EyesOpenIowa, we know that many of our monthly newsletter readers are trusted adults to at least one young person. Maybe you’re a parent, teacher, educator, school counselor, coach, healthcare provider, mentor, aunt, uncle, youth worker, or simply an adult who shows up consistently in a young person’s life. No matter the title, those relationships matter deeply.

Research consistently shows that trusted adult relationships act as a protective factor for young people. According to the Centers for Disease Control and Prevention (CDC), connectedness to supportive adults and communities is linked to better mental health outcomes and reduced risk behaviors among adolescents. Even one supportive adult relationship can make a measurable difference.

I think sometimes adults put a lot of pressure on themselves to have the “perfect” conversations with young people, especially around big topics like mental health, relationships, sex, identity, peer pressure, or online experiences. The perfect content, the perfect timing, the perfect tone, etc. Thankfully, most young people are not expecting perfection. More often than not, they are looking for adults who are approachable, consistent, and emotionally safe enough to talk to.

Summer can actually be an important opportunity for connection because the interactions tend to become a little more natural and less rushed. Without homework deadlines, classroom schedules, and packed evenings, there can be more room for relationship-building in everyday moments. That said, staying connected during the summer often requires a little more intentionality. Young people may not see the trusted adults in their lives as frequently, and some youth experience increased isolation during summer months even while spending more time online. Research published through the National Institutes of Health has also highlighted the importance of social connectedness as a protective factor for adolescent well-being and resilience. (pmc.ncbi.nlm.nih.gov)

So what does staying connected actually look like in practice?

Here are five simple, actionable ways trusted adults can maintain and strengthen relationships with young people this summer:

1. Reach out first

Young people are not always going to initiate conversations, even when they want connection. A quick text, DM, or check-in can go a long way. Something as simple as, “Hey, thought about you today when I saw the pool closed for rain. I hope that doesn’t cut into too many of your lifeguarding shifts at the city pool!” or “What are you most looking forward to this summer?” helps communicate that they matter to you. Of course, it is important that these interactions remain appropriate, professional, and transparent. Whenever possible, communication with young people should happen through platforms or methods their parent(s)/guardian(s) are aware of and have access to. Transparency is a key part of building safe, trusted adult relationships.

2. Prioritize low-pressure conversations

Some of the best conversations happen when there is not intense eye contact or pressure involved. Car rides, walks, grabbing ice cream, helping with errands, waiting in line for an amusement park ride, or sitting between games at the ball diamond often create natural opportunities for young people to open up.

Summer is full of little pockets of downtime that can become meaningful connection points if we let them. Sometimes young people will start talking while you are just sitting side-by-side watching a game, waiting for food, floating in a pool, or driving home after a long day. It is also important to give young people space to communicate in their own way. Some young people are naturally quieter and may only offer a few words at a time. Others may suddenly launch into a twenty-minute story with seventeen side plots and no obvious ending. Both are opportunities for connection. Being willing to slow down, listen, and stay engaged helps communicate that what they have to say matters.

3. Stay curious instead of jumping straight into fixing

When a young person shares something difficult, many trusted adults naturally jump into “fix-it mode” because we care and want to help. Honestly, many of you reading this probably already do a great job of creating space for young people to talk and feel heard. Still, it can be helpful to stay mindful of the balance between listening and problem-solving.

Sometimes the most supportive thing we can do is slow down and hear them out before immediately offering solutions or consequences. Questions like, “What’s that been like for you?” or even “Do you want advice right now, or do you mostly just want me to listen?” can help young people feel respected, emotionally safe, and more willing to keep coming to trusted adults in the future.

4. Keep showing up consistently

Consistency builds trust, and trust is something that takes time to build. Young people notice the adults who continue checking in, showing interest, attending events, or remembering important details about their lives. Small, repeated moments of care are often what create long-term connection rooted in trustworthiness and reliability. One of the most powerful messages we can send a young person is simply: “You can count on me.”

That can show up in really everyday ways. If you say you are going to pick them up at 3:15, be there at 3:15, or even a few minutes early. If you say you are going to come watch their game, show up. If you promise to call, send the text, or follow up later, do your best to follow through.

Of course, we are all human. Life happens. Traffic happens. Emergencies happen. Sometimes plans change. But just like adults, young people quickly recognize patterns. Over time, consistent follow-through helps their nervous system relax because they begin to trust that your words and actions match. Then, when life inevitably does happen and you are running late or need to reschedule, they are much more likely to see it as a one-time blip rather than wondering if they can rely on you at all.

5. Make room for conversations about hard topics

Summer often means more independence, new social situations, dating, parties, online interactions, and increased decision-making for young people. That makes it a great time to create open, judgment-free space for conversations about relationships, boundaries, mental health, consent, online safety, and values. You do not need to have every answer to be a trusted adult.

In fact, part of being a healthy trusted adult is recognizing your own scope and limitations. Supporting a young person does not mean you suddenly have to become their therapist, caseworker, financial planner, or crisis expert. If you are an aunt, sometimes your role is simply to be a safe, supportive aunt. If you are a coach, teacher, neighbor, or mentor, your role is not to single-handedly solve every challenge a young person faces.

What is incredibly powerful is helping connect young people to appropriate resources and additional support when needed. Sometimes the best thing we can say is, “I care about you, and I want to help you find someone who can support you with this.” Helping a young person access counseling, healthcare, school supports, crisis resources, or another trusted professional can be one of the most caring and responsible things an adult does.

At the end of the day, most young people will not remember every lecture or perfectly worded piece of advice we gave them. But they will remember which adults made them feel seen, welcomed, supported, and safe enough to come back to when they needed help.

And sometimes, those small moments of connection end up mattering more than we ever realize.

— Val Cumming, Training Coordinator, EyesOpenIowa

Five Things to Do Instead of Getting into an Argument with Your Teens about Tech

If you’re parenting a teen right now, chances are you are regularly engaging in a battle about screen time – either out loud with your teen or in your head or both. The scene usually goes something like this:

It’s the end of a long day for both you and your teen. You’re tired from work and your teen is tired from school and everything else that comes with growing up. It’s the end of the day, and you look over to your child, who is on the couch, mindlessly scrolling for what feels like the 100th hour of the day.

You start to get upset and think, “Why can’t this child regulate their screen time? Why can’t they do something else, like we used to do when we were kids? Why is this always such a battle?”

You know enough at this point, however, to understand that saying these things out loud to them isn’t going to help. So you go over to where they are sitting and say “Hey, it’s time to put our phones away.” Which is met by a reply of, “In a minute” or “I worked so hard at school today, why can’t I have more time?” or “Why are you always so strict?” etc. etc. etc.

This only serves to make you more frustrated and intensify your own feelings of wanting to get into bed, get on your own phone, and scroll the night away yourself.

What is one to do in these moments?

First, let’s recognize that this is a common challenge, and it’s a hard challenge. While there is longer-term work and ongoing conversations that usually need to happen for all of us around teens and tech, here are a few strategies to try in the moment, when you’re tired and sick of the same old, same old patterns:

1.      Regulate yourself first. As parents, and especially as mothers, we feel the urgency of everything. If something is “off”, we feel we must fix it then and there. But often, facing a lack of energy at the end of each day, what we need instead is to fill our own bucket before we engage in power struggles in the moment. Going to lay down for 10 minutes, breathing, going for a walk, taking a shower, calling a friend. These are all things we can do to regulate ourselves and honor that the work we are doing is hard. The parenting challenge will be there when we’re done with our break.

2.      Sit down in front of your teen, and ask them, “What is your plan for the rest of the evening?” While this is not a magic fix, often we forget that our teens can and do regulate their own lives for much of the day. We can learn to put the responsibility for ending screen time in their hands instead of coming at them out of anger and frustration. Often, when I do this, my son looks at me and says, “I’ll be off in 15 minutes” And usually (although not always), he is.

3.      Talk to them about our own struggles with tech as well. This one is huge. Almost always, in conversations about teens and tech, a key component is missing, which is that most adults are also addicted to their phones! Imagine being a teen, watching your parent check their phone whenever there is a free moment, and then hearing them yell at you, “You are on your phone too much!” This causes our teens to tune us out and often to become angry. What if, instead, we could face the tech struggle together? For instance, we could say to them, “How about, if we are both able to end our phone time by 8 pm every day this week, we can do that thing you’ve been asking to do (concert, day trip, etc.) over the weekend?’ In acknowledging what they already know, which is that we too struggle with screen time, we might gain more of our teens’ respect and attention around the matter.

4.      Similarly, we might sit in front of them and ask, “What would it feel like to end your screen time right now?” The world is chaotic and unfortunately, many of us live in fight or flight a good deal of the time. Scrolling is a way of trying to control our nervous system, although many of us don’t realize that it is only a temporary fix which leads to longer-term freeze. How many times have we, ourselves, been scrolling at midnight, knowing we should go to bed, but unable to stop? Having a conversation with our teens about what is happening in their bodies when they are stuck in freeze mode, scrolling endlessly, is a gentle and practical way to teach them – and us – about how technology can both help and harm our nervous system responses and our mental health. This conversation might lead to “step down” strategies to ease the transition at the end of the day.

5.      Finally, we can remember that the goal isn’t to control our teens’ tech use, because one day, when they are gone and living their own lives, they will need to navigate tech without us. Tech is a part of life that isn’t going away. And therefore, as teens age, the goal shouldn’t be to have them regulate tech use because we tell them to do so, but rather to learn to regulate it themselves. One of the most important things we can do as parents is wrestle with our own tech use and ask ourselves some of the same questions. As with anything else, modeling healthy behaviors for our teens is so much more effective than demanding such behavior from them ever will be.

And, on those days when none of these things works and all else fails, which is bound to happen on certain evenings when we have nothing left, we can call it a day and grab a snack. After we have snack in hand, we can pass our teen, give them a hug, and remind them that they are loved. Then we can head off to the comfort of our own beds, enjoy our snack, and remember that we are too – and that tomorrow is another day.

Gail Cowan, MSW, is EOI’s Director of Development. A former therapist, she also runs her own coaching business. Find her at gail@gailcowan.com or gail@eyesopeniowa.org.

Stretchy Pants & Meltdowns: Parenting Teens While Menopausing

As someone currently experiencing the joys of perimenopause, I deeply appreciate EOI’s having held its “Hot Takes and Hot Flashes” forum, in which over 75 women found a rare communal space to talk openly about our experiences with perimenopause and menopause.

The event made me think more about how many of us are on the middle age hormonal rollercoaster at the same time we are raising girls who are just beginning their own journey with hormones and reproductive/sexual health.

A few months ago, shortly after my 13-year-old daughter and I simultaneously experienced a meltdown of epic proportions, I got to thinking: What is the best way to survive these moments? How does one navigate this new and very abrupt version of life, where a lot of one’s tried-and-true parenting tools suddenly become difficult to access in the onslaught of hormonal changes and brain fog?

I found myself reaching back to another parenting time that I thought I had permanently shipped off to the archives: babyhood and the toddler tantrums.

The truth is that much of what is happening for me at the moment mirrors elements of new parenthood: the bodily sensations that come with newborn sleep deprivation (similar to brain fog in middle age), my child’s sudden, out-of-nowhere shifts in emotion, and the need for patience. So, so much patience. For both myself, in this new era, and my child, in hers.

I started to wonder if I could re-employ some of the tactics I learned in early parenthood: waiting it out, being curious, laughing about it (but not in front of the child – never in front of the child, lest we trigger another epic meltdown!), and perhaps, most importantly, finding community with others, in much the same way I used to turn to the parent next to me on the park bench to commiserate about how hard/funny the early years are. 

In no particular order, here are some tools I’m working on to navigate this season of life:

• Finding places to share the struggles around parenting teens. As parents of teenagers, we are no longer regularly forced into communion at play spaces and parks, and as a result, we often forget to share stories and laughter with others who can relate. This is especially true when the isolation of perimenopause takes over. When my daughter was two and threw herself on the ground at Walgreen’s because I didn’t have chicken nuggets in my purse, I could easily find lightheartedness by telling the story to other parents. This becomes harder to do as they age, but laughter and connection are just as important in raising teens as they are in the early years. Even if just one friend, we need people who understand and share our stage of life.

• Learning not to take our children’s meltdowns personally. This often isn’t as much of a challenge in early parenting, because most of us understand that small children are not capable of managing emotions as well as adults. But we often forget that in the teen years, just as in perimenopause, the brain can take on a life of its own. Little kids? Cute. Tweens and teens? Sometimes cute, often rude. 

• On a related note, remembering that as with early childhood, the teen years involve massive changes taking place in one’s brain. It also helps me to remember that they are taking place in mine, too. In the same way that I asked my daughter the other day to go “get in the oven” when I meant instead to tell her to “get in the shower” (true story), I am working on remembering that when she shifts from laughter to annoyance in the blink of an eye, hormones have temporarily hijacked her brain, too.

• Regulating myself first, just as I did when my three-year-old decided to take scissors to the sofa so many years ago, in order to “see what it was like to cut furniture.” When my teen turns from sweet to cranky or becomes irrationally angry, I can leave the room and breathe. I can choose not to engage the part of me that also wants to yell because I am a mess of emotions, too. I can do this because engaging in anger only makes everything that much harder.

• Remembering that what I’m feeling in my body, my daughter is likely feeling too. When she yells, mid-meltdown, “It’s so hot in here!”, I can relate. And when she complains that she has nothing to wear, I can feel that I also often struggle to find supportive clothing for the bloat that has overwhelmed my body in mere hours. (Seriously, where did it come from?!?)

• Offering by myself and my daughter a safe space to land. Instead of getting upset at my daughter’s outburst of emotion for having nothing to wear three minutes before we are supposed to leave for an appointment, I harken back to the early days, when I committed to sitting with my children while they took five minutes to tie their own shoes instead of yelling at them that we were going to be late. I practice turning to my daughter and asking her if I can help her find something comfortable to wear, because that’s probably what her body is asking of her. And then I do the same when I have a similar meltdown the next day.

Let me be clear: practicing these things is not easy. Especially when I so often just want to be left alone to figure out just what the heck is going on with my own body and emotions. But developing some of these practices is worth it. By engaging them, I’m hopeful that I am also mirroring for my daughter how to be with oneself when life as we know it changes. How to extend compassion and patience to ourselves and others. How to take time to find the things that support us and make room for them in our lives, whether it be backup stretchy pants, movement, or a friendship that makes us feel safe and heard. It’s a practice I’ll never get perfect, but it’s helpful to understand that we can walk the path together and find a little more grace for ourselves as we do.

Teaching Consent and Bodily Autonomy to Our Children During the Holidays

Author: Kristin Fairholm

With the holidays approaching, it’s easy to get swept up in traditions, family gatherings, and the excitement of the season. But as parents and educators, it’s important to remember that the values we instill throughout the year—especially around consent and bodily autonomy—are especially relevant now. Teaching children about consent isn’t just about one talk; it’s an ongoing process that can start young and be reinforced in small ways every day. 

We often teach our children the basics of sharing and respect by encouraging them to ask before taking a toy or waiting their turn. This is, at its core, also teaching consent. When we encourage kids to ask rather than grab, we’re helping them understand the importance of permission—both giving it and seeking it. It’s a powerful lesson that’s foundational for their relationships with others and their understanding of boundaries.

As we teach children to respect others’ boundaries, we should also consider how adults interact with them. Children are often told to give a relative a hug or not to “be rude” by refusing one. While these instructions come from a well-meaning place, they can inadvertently send the message that children should comply with physical contact, even if they’re uncomfortable. When we allow children to decide for themselves, we’re reinforcing that their comfort and consent matter.

 To support their autonomy, practice consent in everyday moments. Ask before brushing their hair or offering to help them with a task related to their body. If they say “no,” respect it. They might need some guidance, but offering them choices (like brushing their hair themselves or with help) shows them that they have control over their own bodies. And when it comes to greetings, respect if they’d prefer to fist bump, wave, or smile instead of hugging a relative. Children feel empowered when they know their choices are respected, even in social settings. 

This awareness is especially important with strangers in costume—like Santa at the mall or an Easter Bunny. A well-meaning relative or friend might insist on a hug or a photo, but children should always have the option to say no. If we force them, they may internalize the message that they should always comply with adults, which can blur the boundaries we want to set around safety. 

Let’s work together to empower our children to politely assert their boundaries and to understand that saying “no” is always an option. Practicing consent helps them grow up confident, able to protect themselves, and resilient to peer pressure. A child who learns they have control over their body will carry this understanding into adolescence and adulthood, giving them a strong foundation for healthy relationships and self-protection. 

The holidays are a time to reinforce these lessons in simple ways. And as we prioritize consent, we help our children feel valued and secure, while keeping them polite and considerate. Teach them to ask for consent, to give it, and to respect when it’s not given. It’s a gift that will serve them for a lifetime.

A Call for Inclusion: Improving Sex Ed for Individuals with Disabilities

Authors Note:

Welcome to the second edition of Blog Blast! This month, I had the chance to interview my friend, Amber Wallingfordwho works at Disability Rights Iowa. Amber shared her experiences and insights on making sexual health education more inclusive and accessible for people with disabilities. Their perspective offers valuable takeaways for all of us working towards a more equitable approach to education. Grab your favorite fall beverage, sit back, and enjoy reading!

-Val Cumming, Training Coordinator, EyesOpenIowa

At EyesOpenIowa, we believe that sexual health education should be accessible to everyone, including people with disabilities. To learn more about how we can continue to improve the way we serve individuals with disabilities, we spoke with Amber Wallingford (she/they), Lead Intake and Information Specialist at Disability Rights Iowa (DRI) in Des Moines, IA. Amber identifies as a person with a disability. Amber has a physical disability and neurodivergence (which refers to cognitive differences like autism, ADHD, and dyslexia). Amber shared her personal experiences and some of her wealth of knowledge on how to make sex education more inclusive and accessible.

As the lead intake and information specialist at Disability Rights Iowa, Amber’s role is to support people with disabilities and make sure their rights are protected. DRI is Iowa’s Protection and Advocacy Center, a nonprofit organization that provides free legal help and advocates for people with disabilities in areas like civil rights and community inclusion. Amber explained, “I handle about 90% of the calls from people who need our services. I gather information for our legal team and raise awareness about the work we do by attending resource fairs and conferences. Our goal is to empower individuals with disabilities and make sure their rights are respected.” She emphasized that people with disabilities exist in every community—whether it’s Black, Latinx, or LGBTQ+—but they are often the last group to receive help. “Even if we can’t provide immediate resources, I make sure their concerns are heard and validated,” Amber said. “We’re often the only ones providing support to them during a crisis.”

Amber also shared her own experience with navigating health information as a person with a disability. “Often, the burden falls on the person with the disability to find the information they need,” she said. “I’ve been lucky to have health insurance and to be believed when I speak, but many people don’t have that.” She pointed out that students with disabilities, especially those in special education programs, may not even be given access to sexual health education. “When I was in high school, I wondered if students in special education even received sex ed, or if the subject seemed ‘too adult’ for them. Were they even given the chance to learn about it?” Amber asked.

One of the biggest misconceptions Amber has noticed is that people with disabilities are often viewed as asexual or incapable of having relationships. “Sex is part of the human experience,” they said. “But society often sees people with disabilities as incomplete or not capable of being in relationships.” Amber explained that this stigma makes it hard for people to talk about sex and relationships when it comes to individuals with disabilities. “We need to break down these barriers and recognize people with disabilities as full, complete humans. It’s uncomfortable for some to acknowledge that, but these are basic parts of life. No one wants to be someone’s ‘inspiration porn,’ where their struggles are romanticized. It’s about understanding that people with disabilities deserve respect and agency, just like anyone else.”

In her work at DRI, Amber has seen how a lack of awareness about disability rights can impact someone’s access to sexual health information. She shared the story of a young woman with a traumatic brain injury (TBI) living in a facility. “She was engaging in consensual sexual activity with other residents, but the staff treated her like she couldn’t give consent,” Amber explained. “This happens a lot—people assume individuals with disabilities can’t make decisions about their own bodies.” Amber also pointed out that people with disabilities might not even realize that things like parenthood are options for them, because healthcare providers often don’t have the right information or resources to help. “There’s a lot of discomfort and stigma around the idea of people with disabilities being sexual beings, which often leads to people with disabilities being denied the information and opportunities they need to make informed decisions,” they said. “That limits their opportunities and their rights.”

Amber stressed that accommodations should be built into all programs, including sex education. “Accessibility isn’t just about making things easier for people with disabilities—it can benefit everyone,” she said. “For example, making sure texts are readable for screen readers or ensuring spaces are physically accessible helps more than just those with disabilities—it improves access for everyone, such as parents with strollers or people with temporary injuries.” She encouraged educators to think about how people move through spaces and access materials. “It can create difficulties for people with disabilities to always have to ask for accommodations,” she said. “Even things like curb cuts, make it accessible for wheelchairs to go over the curb, but think about how much easier it is for everyone, including those walking or using strollers, to use the curb cut instead of stepping off a high curb. If we design spaces and programs to be accessible from the start, we make it accessible and useable for everyone.”

Amber advised sex educators to be proactive in making their curriculum and teaching space accessible without requiring participants to ask for accommodations. “Make sure your materials are easy to understand. It’s not about using fancy language to try to look smarter or more educated—it’s about making sure the information is clear and useful.” She emphasized that understanding the needs of people with disabilities is key. “There’s nothing worse than an accommodation that actually makes things harder,” she said. “If someone needs accommodations, make sure they feel included as part of the group, not isolated.”

At the core of Amber’s work is the belief that people with disabilities should be treated with dignity and respect. “Everyone deserves the right to make decisions about their own health and relationships,” she said. “Disability exists in every community, and people with disabilities deserve access to safe, comprehensive sexual health education, just like anyone else.”

Amber’s insights remind us at EyesOpenIowa that true inclusion means creating spaces where everyone, including people with disabilities, can fully participate. By proactively making trainings and programs accessible, by making the accommodation process user friendly, and by understanding the needs of people living with disabilities, we can create a more inclusive and supportive environment for everyone. At EyesOpenIowa, we are committed to ensuring that all individuals have access to the sexual health education they deserve.

Back to School: Why HPV Education Still Belongs in Iowa Classrooms

Author: Val Cumming

As we head into a new school year, there’s a lot for educators to prepare for—from keeping up with the latest classroom trends to ensuring students receive the most accurate, age-appropriate, and comprehensive sexual health education. One topic that’s especially important this school year is HPV education, and I want to take a moment to talk about why it still belongs in Iowa classrooms.

In 2023, HPV (Human Papillomavirus) education was removed from the list of required topics in Iowa’s Human Growth and Development mandate, the legal framework that ensures adolescent sexual health is taught in public schools. This change left many educators and parents confused. If it’s no longer required, does that mean HPV can’t be mentioned at all in public schools? Can educators still discuss HPV prevention methods, like the HPV vaccine? The answer is yes—while it’s no longer mandated, there’s nothing stopping educators from continuing to teach this vital topic.

As a Certified Sexual Health Educator who specializes in training youth-serving adults how to teach sex ed, I can say with confidence that just because it’s no longer required by the state doesn’t mean it’s not important. In fact, I believe it’s more crucial than ever to keep teaching our students about HPV. Read on for my thoughts and click on the bolded text to access links along the way for even more information.

Why Was HPV Education Removed from the Mandate?

We can’t be entirely sure why HPV education was removed from Iowa’s Human Growth and Development mandate. However, we want to assume the decision was not made with the intent to put people in harm’s way or withhold important health information from students. The removal likely reflects broader changes in state educational priorities, with a shift toward more local control over curriculum choices.

While some might see this as a way to allow schools flexibility in what they teach, it’s crucial to remember that HPV remains a significant public health issue. Removing HPV from the mandate doesn’t mean it can’t or shouldn’t be taught—it just means it’s up to schools and educators to ensure it remains part of their curriculum.

Why HPV Education Is Still So Important

HPV is one of the most common sexually transmitted infections, affecting nearly 80 million Americans. Despite this, many students don’t fully understand what HPV is, how it spreads, or the serious health risks it can pose, including certain types of cancer. According to the 2023 Cancer in Iowa report from the Iowa Cancer Registry, Iowa ranks second in the country for overall cancer incidence rates and is the only state where cancer rates continue to rise. This includes leading the nation in cases of oral cavity and pharyngeal cancers, both of which can be linked to HPV. The solution? Prevention education.

By teaching students early about HPV, its risks, and how it's transmitted, we can help them understand the real-world risks they face when engaging in different sexual behaviors. Educators can empower students to make safer choices, including getting vaccinated with the HPV vaccine, using barrier methods like condoms, and staying informed. This type of comprehensive education is key to mitigating those risks and promoting long-term health for our students.

For more insight into why HPV education is so important, I recommend checking out the guest column by our Executive Director, Kristin Fairholm, in the Des Moines Register. She does a great job of explaining why we need to keep this topic front and center, even with changing mandates.

Navigating the Mandate with Confidence

I understand that recent changes to the Iowa Human Growth and Development mandate, along with other law changes, can cause uncertainty for educators when deciding what should still be included in their sex ed lessons. As a result, important topics like HPV education can sometimes be overlooked, especially when educators feel unsure or are pressed for time. Unfortunately, this means students may miss out on vital information about HPV prevention and health.

While the Iowa Human Growth and Development mandate provides a basic framework for sex education and mentions some required topics, it's not a comprehensive list. It’s important to look beyond the mandate and dive deep into the content of the National Sex Education Standards and the Professional Learning Standards for Sex Education. These guidelines offer a thorough framework for covering essential topics at age-appropriate times, ensuring students receive accurate and complete sexual health education, including important information about HPV. When schools consider how to implement sex ed, they need to balance best practices, legal requirements, and the specific dynamics of their student population to ensure their programs are both effective and realistic. By doing so, schools can provide a curriculum that’s comprehensive, compliant, and tailored to the needs of their community.

How EyesOpenIowa Can Support Schools and Educators

At EyesOpenIowa, we’re here to help educators navigate these changes. Whether you need classroom resources, staff training, or advice on integrating HPV education into your lessons, we’re here to provide support. Our goal is to ensure that sex education programs are both effective and comprehensive, while staying legally compliant and practical for schools to implement.

Let’s Work Together This School Year

As we kick off this new school year, let’s make sure we’re providing our students with the information they need to stay healthy and informed. HPV education is a crucial part of that, and I’m here to make sure it remains a priority in Iowa classrooms.

Who do you know that teaches sexual health education in public schools who could use this info? Encourage them to sign up for our newsletter or share this blog with them. Together, we can make a real difference in our students’ lives this school year.

Childhood Immunizations that Affect Sexual Health

By: Hannah Forrestal 

A common, and valid, first concern when talking about childhood immunizations that affect sexual health questions why an infant or even an 11-year-old child should be concerned with such a subject. This can be answered, however, through acknowledging the fact that adolescents are sexually active. Importantly, statistics demonstrate that 70% of adolescents experience their first sexual encounter before the age of 18 (Cavazos-Rehg et al., 2009). These numbers indicate that adolescents should be well protected against sexual diseases that may have long-term negative health complications.  

Childhood immunizations that affect sexual health include the human papillomavirus (HPV), Hepatitis B, and Hepatitis A vaccines (ASHA, 2023). The HPV vaccination is recommended for all 11–12-year-old youth (ASHA, 2023). The vaccine creates the strongest immune response at this age, which explains why the recommendation begins in the preteen years. Furthermore, the vaccine is recommended for young adults up until the age of 26 at which point the recommendation is rendered null as most people have been exposed to the virus (ASHA, 2023). The Hepatitis A and B vaccines are given at the start of life and throughout childhood to prevent long-lasting disease (ASHA, 2023).  

All three of these diseases remain stubbornly present across populations today. HPV will infect at least 85% of people throughout their lifetime (CDC, 2023a). The disease is responsible for causing cervical, vaginal, and vulvar cancer in women and penis cancer in men (CDC, 2023a). Furthermore, HPV may cause genital warts along with rectal, nasal, and throat cancer in both men and women (CDC, 2023a). The creation of the HPV vaccine has substantially decreased these negative health complications. For example, the occurrence of genital warts and HPV cancers has decreased 88% in teen girls following the creation of the HPV vaccine (CDC, 2023a). Hepatitis A and B are serious liver diseases that present with both acute and chronic manifestations (CDC, 2023b). After receiving the Hepatitis A and B vaccines most people are immune for life (CDC, 2023b).  

A recurrent question surrounding vaccines is whether or not the immunization is safe. The adverse effects observed with the HPV vaccine include fatigue, muscle pain, and headache for a short period of time following injection (Jørgensen et al., 2020). A few cases of fainting and allergic reaction were noted from the vaccine, but these findings proved consistent with most other medical interventions (Jørgensen et al., 2020). These rare complications are accounted for by having the patient remain in office up to 15 minutes following injection (ASHA, 2023). Should an unlikely adverse reaction of this magnitude occur, the patient would be properly tended to by medical personnel in office. Both the Hepatitis A and B vaccines have demonstrated similar adverse effect profiles, with the most common side effect proving to be soreness at the injection site that dissipates within 1-2 days post immunization (ASHA, 2023).  

The vaccines that protect children from sexual diseases are safe, effective, and vital in the prevention of serious health complications. In the spirit of national immunization month this August, ask your healthcare provider about these vaccinations and discuss any questions you may have surrounding the subject. The healthcare of our populous depends on open, respectful communication while discussing these complex health topics. 

References 

American Sexual Health Association (ASHA). (2023). Vaccines. https://www.ashasexualhealth.org/vaccines/ 

Cavazos-Rehg, P. A., Krauss, M. J., Spitznagel, E. L., Schootman, M., Bucholz, K. K., Peipert, J. F., Sanders-Thompson, V., Cottler, L. B., & Bierut, L. J. (2009). Age of sexual debut among US adolescents. Contraception, 80(2), 158–162. https://doi.org/10.1016/j.contraception.2009.02.014 

Centers for Disease Control and Prevention (CDC). (2023a). Reasons to get HPV vaccine. https://www.cdc.gov/hpv/parents/vaccine/six-reasons.html#:~:text=All%20children%20ages%2011%E2%80%9312,some%20time%20in%20their%20life. 

Centers for Disease Control and Prevention (CDC). (2023a). Hepatitis B vaccine: what you need to know. https://www.cdc.gov/vaccines/hcp/vis/vis-statements/hep-b.html 

Jørgensen, L., Gøtzsche, P.C. & Jefferson, T. (2020). Benefits and harms of the human papillomavirus (HPV) vaccines: systematic review with meta-analyses of trial data from clinical study reports. Syst Rev, 9(43) https://doi.org/10.1186/s13643-019-0983-y 

☀️ Embracing Summer Vibes: Why Consent Education Matters to Youth 🌊

by Kay Switzer

Hey there, summer enthusiasts! 🌞

As we soak up the sun and enjoy the carefree days of summer, let's dive into a topic as essential as sunscreen: consent education. 🏖️ Just like summer is about clear skies and outdoor adventures, understanding consent is all about clarity, respect, and ensuring everyone feels safe and empowered in their interactions. 🌻

Imagine consent as comforting as the warmth of the sun on your skin—it should feel natural and welcomed. 🌞 Similar to seeking shade when it gets too hot, understanding consent means respecting boundaries and knowing when someone needs space. 💦 Like the refreshing splash of a pool, consent should be freely given and enthusiastic, ensuring everyone involved is on the same page and enjoying the moment. 🏊‍♂️

Why Youth Want Consent Education

Today's youth are advocating more than ever for comprehensive consent education. They recognize that understanding consent isn’t just nice—it’s essential for healthy relationships and personal empowerment. 📚 Just as we eagerly anticipate summer’s freedom and opportunities, youth are eager to learn about boundaries, communication, and respect in their interactions. 🌈

The Importance of Consent Education 

Consent education isn’t just about learning to say "yes" or "no." It’s about fostering a culture where everyone’s boundaries are respected and communication is clear and ongoing. 🌱 Just as we prepare for summer activities with sunscreen and safety measures, understanding consent prepares young people to navigate relationships with confidence and respect. 🌼

Empowering Youth

When youth have a solid understanding of consent, they’re better equipped to make informed decisions about their bodies and relationships. Like the joy of exploring new summer destinations, consent education opens doors to healthier interactions, builds trust, and ensures that everyone involved feels valued and respected. 🌟

Moving Forward Together

As we savor the delights of summer, let’s also celebrate the progress being made in advocating for consent education. By listening to youth and supporting initiatives that promote respectful relationships and understanding, we can create a future where consent is not just a concept, but a cornerstone of how we interact and connect with others. 🌍

In conclusion, just as summer brings us together to enjoy its warmth and beauty, let’s embrace consent education as a fundamental part of nurturing safe, respectful, and fulfilling relationships. Together, we can empower youth to navigate the complexities of relationships with confidence and compassion. 🌞💖

Here’s to a summer filled with sunshine, laughter, and a commitment to consent! 🌞🌻

Sexual Health Responsibility and Accountability: Men's Health Month

By Dakota Deal

As we gear up for Men's Health Month this June, it's crucial to highlight a significant aspect often overlooked: sexual health responsibility.

In today's world, societal pressures and stereotypes about masculinity can make it challenging to discuss our sexual health openly. However, it's essential to recognize that sexual health responsibility isn't limited to one gender or group but is a shared responsibility for all of us.

Sexual health refers to the overall well-being of individuals in relation to their sexuality. It includes physical aspects like reproductive health and preventing STIs, as well as emotional, mental, and social factors. It involves having positive attitudes towards sexuality, healthy relationships, and access to supportive services. Essentially, sexual health is about promoting a respectful and informed approach to sexuality and ensuring people have the resources they need to make healthy choices.

Why should we care? Well, challenging masculinity stereotypes surrounding sex empowers us to take control of our well-being. By creating a supportive environment where discussions about sexual health are welcomed, we're taking a significant step forward in looking after ourselves and each other.

Engaging in conversations about sexual health responsibility isn't just about self-preservation; it's about supporting each other. Whether it's understanding the importance of regular STI testing, practicing safer sex to prevent unintended pregnancies, communicating about sexual boundaries with a partner, or knowing when to seek medical help, it's a collective effort.

AND, let's not forget about our partners. Respecting their boundaries and supporting their needs is just as crucial as looking after our own sexual health. It's time to move away from relying solely on people who can get pregnant for birth control; it's a joint responsibility that we all share.

Healthy relationships thrive on trust, communication, and mutual respect. By prioritizing open and honest discussions about sexual health with our partners, we not only strengthen our connections but also create a safer and more fulfilling environment for everyone involved.

Understanding the value of communication in taking responsibility for reducing the risk of STIs and unintended pregnancies are just the beginning. By valuing open communication about our

sexual needs and boundaries, we can ensure that we feel connected and safe with each other in our relationships.

So, guys, as we celebrate Men's Health Month and beyond, let's break down those barriers and start talking about sexual health. Together, we can promote a culture of inclusivity and responsibility that benefits us all.

Remember, sexual health is a crucial part of overall well-being, and everyone deserves access to the information and resources needed to make informed decisions.

MasterChef’s Secret Ingredient: EyesOpenIowa’s Role in Grant Gillon’s Winning Recipe

By: Emily Gillon

A little over a year ago, my world turned upside down as I found myself on a plane back to Iowa with my husband, Grant, and our energetic four-year-old son, Grady. Just twelve hours earlier, Grant had clinched victory on the thrilling season 13 of MasterChef. The whirlwind had begun nearly two months prior, when Grant embarked on his journey to California in pursuit of his culinary dreams. From the application process filled with home videos in our kitchen through needing to take PTO for non-descript trips to California that were locked down by NDAs, EyesOpenIowa supported us every step of the way.

In the midst of the chaos and excitement, there's one unsung hero that deserves recognition: my employer, EyesOpenIowa. Now, before you dismiss this as mere flattery, let me share with you the extraordinary support and progressive ethos that defines EyesOpenIowa.

For nearly a decade, EOI has been more than just a workplace for me—it's been a sanctuary of support and understanding. I’ve worked in several capacities during my tenure: training coordinator, training consultant, and most recently director of training. I’ve had the joy of watching EOI grow and change while remaining a steadfast leader in the sexual health field.

Despite the whirlwind of emotions and responsibilities, EyesOpenIowa never wavered in their support. Whether it was adjusting my work hours to accommodate my graduate internship and class commitments, or welcoming my four-year-old into the office on days when life and daycare didn’t quite line up, they ensured that I never felt alone on my end of this weird journey. The experience with MasterChef not only showcased Grant's culinary talents but also illuminated the true essence of EyesOpenIowa: a beacon of support and empowerment.

Long before remote work became the norm, EyesOpenIowa championed flexibility, allowing us to juggle our professional and personal lives with grace. Remember when work from home flexibility was rare if unheard of? Not at EOI. They had work from home flexibility long before the pandemic required it. EyesOpenIowa is paving the way with a 32-hour work week, giving us more time to savor life outside the office. And their "babies at work" program? It's a testament to their commitment to nurturing not just careers, but families too.

But it was during the rollercoaster ride of Grant's MasterChef journey that EyesOpenIowa truly shone. In the early morning hours of January 4th, 2023, we were saying weepy goodbyes by the escalators at the Des Moines airport. We split a box of Casey’s donuts to curb some of the emotions. As we wiped tears and chocolate icing off our faces, my heart heavy with conflicting emotions, grappling with both the joy of Grant's opportunity and the pain of saying an indefinite goodbye, I found solace in the unwavering support of my colleagues. While the world seemed to spin out of control, EyesOpenIowa provided a steady anchor, allowing me to navigate the wild season with strength and resilience.

Now, as Grant prepares to give back to the organization that stood by us during an unpredictable season, we're filled with gratitude and excitement. His auction of a multi-course dinner for six, complete with an exclusive meet and greet, is our small way of saying thank you to EyesOpenIowa for being more than just an employer—they're family.

As we eagerly await the upcoming virtual silent auction fundraiser from May 15 to May 30, we are constantly reminded of the transformative power of support and solidarity. Just as EyesOpenIowa provided unwavering support to our family during our unique journey, we are deeply honored to pay it forward by championing their vital mission: empowering educators and equipping young people with the comprehensive sex education they deserve.

Now, more than ever, we recognize the urgent need for inclusive and empowering sex education. In a world where misinformation and stigma still loom large, EyesOpenIowa stands as a leader in the sex education field, ensuring that young people are equipped with the knowledge and resources they need to navigate relationships, sexuality, and their own bodies with confidence and autonomy.

By supporting EyesOpenIowa, you're not just investing in a cause—you're investing in the future. You're empowering parents and educators to foster meaningful education and conversation. You're equipping young people with the tools they need to make informed decisions and lead fulfilling, healthy lives. Because when we lift each other up and invest in education, we pave the way for a brighter, more equitable future for all.

Join us in supporting EyesOpenIowa's mission. Together, let's empower and educate the next generation, because when we come together, incredible things happen. Your contribution, no matter how big or small, can make a world of difference.

Navigating Health and Wellbeing from a Holistic Approach

By Madalyn Fairholm 

Nurturing Nature for Personal and Relational Well-being 

As April 22nd approaches, the world prepares to celebrate Earth Day – a global reminder to cherish our planet and its incredible biodiversity. While the event prompts us to reflect on environmental conservation, it also offers a profound opportunity to recognize the vital role nature plays in fostering personal and relational health. 

The Healing Power of Nature 

Stepping outside and immersing ourselves in nature offers more than just a scenic view – it provides a therapeutic escape from the stresses of daily life. Research has shown that spending time in green spaces can significantly reduce anxiety, alleviate stress, and enhance overall mental well-being. The tranquility of nature allows us to disconnect from technology, slow down, and appreciate the present moment, promoting mindfulness and inner peace. 

Health Benefits and Exploring New Places 

In addition to its mental health benefits, nature also contributes to our physical well-being. Outdoor activities such as hiking, biking, or simply walking amidst nature not only provide exercise but also improve cardiovascular health, boost immunity, and increase energy levels. Moreover, exposure to natural sunlight helps regulate sleep patterns, enhances vitamin D production, and uplifts mood, promoting a healthier lifestyle overall. 

As we transition into spring and relish longer and warmer days, embrace the pleasant weather and extended daylight, seizing the opportunity to make the most of your additional time each day. Take a friend, a family member, a pet, or a loved one and go explore a place in nature you have never been to before, or somewhere you have been! Spend an hour breathing in the fresh air and taking in the view of nature for your health and well-being. There are many great resources for finding places near you that you haven’t heard of before. I use the app called, All Trails, where it has a map where you can view locations near you that are open to the public. I have found 15 new parks and trails to try out within 30 minutes from my home that I have never even heard of before! Find somewhere near you and take full advantage of these local green spaces! 

Nature's Role in Nurturing Relationships 

Beyond individual well-being, nature plays a pivotal role in fostering healthy relationships. Spending quality time outdoors with loved ones strengthens bonds, cultivates shared experiences, and deepens connections. Whether it's embarking on outdoor adventures, enjoying picnics in the park, or simply stargazing under the night sky, nature provides a conducive environment for meaningful interactions and communications. If you are a parent, you can use this to create a space for your child to talk to you about their day, discuss topics around sexual health and decision making that you want to bring up to your child, or even spark creative games and opportunities to foster connection. Stepping away from technology and immersing yourselves in the great outdoors allows people to feel they can speak more freely and express what is on their mind openly. 

Embrace the Healing Power of Nature 

As we commemorate Earth Day on April 22nd, let's embrace the healing power of nature and prioritize our well-being and relationships. Whether it's taking a leisurely stroll in the park, practicing outdoor yoga, or enjoying a sunset hike with loved ones, let's make time to connect with the natural world. By fostering a deeper appreciation for nature, we not only enhance our personal health but also cultivate stronger, more meaningful relationships with ourselves and others. Join us in celebrating Earth Day and embark on a journey towards holistic well-being through the beauty and serenity of nature. 

Navigating Parenthood in a Complex World: Why Comprehensive Sex Education Matters

As parents, we all share the same fundamental desire: for our children to grow up happy, healthy, and prepared for the challenges they'll face in life. Part of that preparation involves teaching them about their bodies, pregnancy prevention, and sexually transmitted infection (STI) prevention. We want them to understand what healthy relationships look like and how to navigate consent.

But here's the truth: we live in a world where our children will inevitably encounter situations that we may not be able to shield them from. They'll need to understand how to navigate adult relationships, sometimes before they feel ready. Our children need to understand how to protect themselves from sexual assault, and the importance of consent and how to respect it.

In the midst of this swirling world, politicians are making decisions that directly impact our children's education and well-being. They're pushing laws under the guise of "parental rights," but are these laws truly in the best interest of our children? Are they ensuring that our children receive the education they need to navigate the complexities of the world?

Comprehensive sex education isn't about encouraging children to engage in sexual activity before they're ready. It's about equipping them with the knowledge and skills they need to make informed decisions about their health and relationships. It's about empowering them to protect themselves and respect others.

In addition to equipping our children with the knowledge and skills necessary for navigating heterosexual relationships, it's imperative that we affirm and support our LGBTQ children. They deserve access to comprehensive sex education that is inclusive of their identities and experiences, ensuring that they too can make informed decisions about their health and relationships. Let's create a world where all children feel seen, valued, and empowered to live authentically.

Teachers are on the front lines of this battle, working tirelessly to provide our children with the tools they need to succeed in life. They're navigating extreme circumstances and facing pressure from politicians who seek to undermine their efforts.

As parents, it's crucial that we support and stand by our teachers. We must advocate for comprehensive sex education in schools and resist attempts to water down or eliminate it. Our children deserve the best possible start in life, and that includes receiving education that prepares them for the world and all of its consequences.

In today's political climate, it's more important than ever to stay informed and involved in what's happening at our children's schools and at our state Capitol. Let's work together to ensure that our children receive the education they need to thrive in a complex world. Their future depends on it.

Once Youth, Leading Youth of Today

by: Kay Switzer

Change is an inherent and inevitable part of life, marking the various phases we navigate as individuals. Embracing change is not just a choice but a crucial mindset for personal growth and societal progress. Each stage in life presents unique challenges and opportunities, and it is through change that we learn, evolve, and shape our identities.

The youth of today, poised on the cusp of tomorrow, view change as a catalyst for positive transformation. By welcoming change, they open themselves up to new experiences, ideas, and perspectives that foster innovation and resilience. In a world marked by rapid advancements, adapting to change becomes an indispensable skill. Instead of resisting change, youth are leaning into it, using it as a force to build a better, more inclusive, and sustainable future.

I am privileged to witness firsthand the transformative power of youth activism and leadership. It is evident that today's youth, with the access and awareness generations in the past have lacked, are at the forefront of driving positive change.

In 2008, as a 13-year-old, I witnessed the historic legalization of gay marriage, one of many events that shaped the course of our country's leadership. Fueled by a deep commitment to health equity, I recognized how education is bridging gaps and dispelling biases. The classrooms of rural Iowa highlighted the urgent need for comprehensive sex education, a tool that empowers individuals to make informed choices about their health and challenge outdated norms. Also taking into account the need for specific sex education for members of the LGBTQIA+ community. As we learn more we are encouraging growth in equitable education and health care practice, yet it underscored the ongoing need for further progress.

The youth on EyesOpenIowa's advisory council are embodying the spirit of change through their fervent activism for reproductive justice. Fearlessly, they are propelling themselves into positions where their voices can be heard by individuals in power. By passionately articulating the issues facing marginalized youth, particularly those within the LGBTQIA+ community, they are not merely advocating for change but demanding it. These young advocates are sparking crucial conversations, urging those with influence to confront and address the unique challenges faced by marginalized identities. Their dedication to activism goes beyond rhetoric; it is a catalyst for tangible action and transformative change in the pursuit of a more inclusive and equitable future for all.

Leading our youth advisory council, I am impressed and astounded by the remarkable work our youth accomplish. The youth that serve on our advisory council echo this fervent passion. Their dedication resonates with progress, underscoring the strides we are making toward a future where informed youth stand at the forefront.

These young advocates embody a commitment to issues that were once overlooked in previous generations. Their passion serves as a reminder that the access and awareness we cultivate today were elusive for many, including myself, in times past.

While acknowledging that challenges persist, the progress we witness is a testament to the collective determination to empower future generations. The commitment of these youth activists is instrumental in steering us towards a future where informed, empowered, and engaged youth become the architects of positive change.

"You may not control all the events that happen to you,

but you can decide not to be reduced by them."

- Maya Angelou

Weaving Family Threads: A Journey into Empowering Teens in Sex Education

In the chaos of our fast-paced lives, where short-form videos often replace face-to-face conversations, the essence of family connections is more valuable than ever. For teenagers navigating the complexities of relationships and sexuality, a strong bond with trusted adults can be transformative. Many sexual health educators believe that the first and most impactful sexual health education comes from a parent or caregiver. 

Enter LiFT, a unique 6-hour workshop developed by Planned Parenthood and facilitated by sexual health educators from EyesOpenIowa, including myself. When I underwent training for this curriculum in Seattle at the end of 2023, it prompted me to reflect critically on my experience in adolescent sexual health and the crucial role that parent/caregiver connections play in my work as a sexual health educator. 

As a lifelong Iowa resident, a sexual health educator with about five years of experience, and someone who has worked within various family services programs, I've witnessed the importance of strong family connections and open communication firsthand. 

Throughout my journey working with pregnant and parent teens, middle and high school students, and families in need, a consistent thread of success has been strong family connections. I've seen the transformative impact when family bonds are robust, recognizing that no two families are alike. In my conversations with students, I often refer to parents and caregivers as "raisins.” Put simply, “raisins” are people who are raisin’ kids. Recognizing the diverse landscape of family structures, I might ask a student, "Who are your raisins?" to foster a deeper understanding of their primary adult support system. It could be mom and dad, mom and mom, dad and dad, a single parent, extended family, foster family, or a temporary guardian—each family is unique. 

Acknowledging potential barriers to family connection in adolescent sexual health, such as faith or culturally based beliefs, trauma within family units, discomfort with the subject matter, or a lack of accurate information, sexual health educators at EyesOpenIowa approach these challenges thoughtfully. At EyesOpenIowa, we have an exciting new tool to help eliminate these barriers to family connection. 

LiFT isn’t just another event; it's an opportunity to reinforce family bonds and craft enduring memories. Participants engage in an interactive experience, receive a swag bag with a $20 Amazon gift card, and enjoy delicious snacks and a catered lunch—all at no cost, thanks to EyesOpenIowa and the SHARE Grant. 

To be part of LiFT and seize this invaluable opportunity, visit eyesopeniowa.org and view our training calendar. Use the code FAMILY to access the workshop for free (a $250 value per person!). Act quickly—registration wraps up on January 13, 2023.  Can’t make this one?  Keep an eye on our calendar for future dates! 

In a world filled with distractions, nurturing family connections emerges as a potent force in shaping a teenager's experiences. LiFT, with its emphasis on empowerment through genuine connections, stands as a testament to the vital role of family in navigating the tricky terrain of sex education. Dive into this transformative journey with us, strengthen those bonds, and create memories that resonate. Together, let's lift each other up. 

So join us for Linking Families and Teens!  

January 20th in West Des Moines, Iowa 

LiFT is more than just a workshop, it's a journey of empowerment, connection, and growth. Join us with the young people in your life!  

The first 10 pairs to register will receive an $50 Amazon gift card! 

Register Now! 

Childhood Immunizations that Affect Sexual Health

By: Hannah Forrestal

            A common, and valid, first concern when talking about childhood immunizations that affect sexual health questions why an infant or even an 11-year-old child should be concerned with such a subject. This can be answered, however, through acknowledging the fact that adolescents are sexually active. Importantly, statistics demonstrate that 70% of adolescents experience their first sexual encounter before the age of 18 (Cavazos-Rehg et al., 2009). These numbers indicate that adolescents should be well protected against sexual diseases that may have long-term negative health complications.

            Childhood immunizations that affect sexual health include the human papillomavirus (HPV), Hepatitis B, and Hepatitis A vaccines (ASHA, 2023). The HPV vaccination is recommended for all 11–12-year-old youth (ASHA, 2023). The vaccine creates the strongest immune response at this age, which explains why the recommendation begins in the preteen years. Furthermore, the vaccine is recommended for young adults up until the age of 26 at which point the recommendation is rendered null as most people have been exposed to the virus (ASHA, 2023). The Hepatitis A and B vaccines are given at the start of life and throughout childhood to prevent long-lasting disease (ASHA, 2023).

            All three of these diseases remain stubbornly present across populations today. HPV will infect at least 85% of people throughout their lifetime (CDC, 2023a). The disease is responsible for causing cervical, vaginal, and vulvar cancer in women and penis cancer in men (CDC, 2023a). Furthermore, HPV may cause genital warts along with rectal, nasal, and throat cancer in both men and women (CDC, 2023a). The creation of the HPV vaccine has substantially decreased these negative health complications. For example, the occurrence of genital warts and HPV cancers has decreased 88% in teen girls following the creation of the HPV vaccine (CDC, 2023a). Hepatitis A and B are serious liver diseases that present with both acute and chronic manifestations (CDC, 2023b). After receiving the Hepatitis A and B vaccines most people are immune for life (CDC, 2023b).

            A recurrent question surrounding vaccines is whether or not the immunization is safe. The adverse effects observed with the HPV vaccine include fatigue, muscle pain, and headache for a short period of time following injection (Jørgensen et al., 2020). A few cases of fainting and allergic reaction were noted from the vaccine, but these findings proved consistent with most other medical interventions (Jørgensen et al., 2020). These rare complications are accounted for by having the patient remain in office up to 15 minutes following injection (ASHA, 2023). Should an unlikely adverse reaction of this magnitude occur, the patient would be properly tended to by medical personnel in office. Both the Hepatitis A and B vaccines have demonstrated similar adverse effect profiles, with the most common side effect proving to be soreness at the injection site that dissipates within 1-2 days post immunization (ASHA, 2023).

            The vaccines that protect children from sexual diseases are safe, effective, and vital in the prevention of serious health complications. In the spirit of national immunization month this August, ask your healthcare provider about these vaccinations and discuss any questions you may have surrounding the subject. The healthcare of our populous depends on open, respectful communication while discussing these complex health topics.

References

American Sexual Health Association (ASHA). (2023). Vaccines. https://www.ashasexualhealth.org/vaccines/

Cavazos-Rehg, P. A., Krauss, M. J., Spitznagel, E. L., Schootman, M., Bucholz, K. K., Peipert, J. F., Sanders-Thompson, V., Cottler, L. B., & Bierut, L. J. (2009). Age of sexual debut among US adolescents. Contraception, 80(2), 158–162. https://doi.org/10.1016/j.contraception.2009.02.014

Centers for Disease Control and Prevention (CDC). (2023a). Reasons to get HPV vaccine. https://www.cdc.gov/hpv/parents/vaccine/six-reasons.html#:~:text=All%20children%20ages%2011%E2%80%9312,some%20time%20in%20their%20life.

Centers for Disease Control and Prevention (CDC). (2023a). Hepatitis B vaccine: what you need to know. https://www.cdc.gov/vaccines/hcp/vis/vis-statements/hep-b.html

Jørgensen, L., Gøtzsche, P.C. & Jefferson, T. (2020). Benefits and harms of the human papillomavirus (HPV) vaccines: systematic review with meta-analyses of trial data from clinical study reports. Syst Rev, 9(43) https://doi.org/10.1186/s13643-019-0983-y

Creating a Feelings Jar: A Simple Exercise for Self-Compassion

The world is an incredibly challenging place for many of us right now. While it has never been easy to be human, social media and constant reports on all things good and bad has made living in modern times much more complicated.

This complexity has many of use asking: what is one to do in the face of a news cycle – or life – that brings a never-ending stream of hardships and heartbreak?

Many of us have developed self-care tools: taking breaks from social media, exercising, getting lost in a good TV show when we need to, etc.

But often, despite our best intentions, feelings persist.

One of my favorite tools to manage this phenomenon is a Feelings Jar.

The beauty of a Feelings Jar is that it can be used by anyone – adults or kids.

Here’s how it works:

1.     Think of a challenging situation that has happened in your life and fairly present for you every day – could be a tough dynamic at work, something happening in the larger world, a loss, etc.

2.     Now take a piece of paper and cut it into squares.

3.     On each square, write an emotion you have about the situation you’ve identified.

4.     When you’ve written down every emotion you can think of, go through each and write down (under each emotion or on the opposite side of the paper) 1-3 things that you can do to help yourself when you are feeling that particular emotion.

5.     When you are finished, place the squares of paper in a jar (or other container).

6.     Keep this jar handy. When you are lost in a swirl of emotions, pull the squares of paper out and ask yourself, “What feeling(s) is most present for me regarding this challenge today?”

7.     Figure out what you need on that day to honor that feeling(s).

For example, let’s say you have recently gone through a breakup. Most of us have experienced this and know that there are a whole host of feelings that can come with the end of a relationship. Some of these feelings can even be contradictory.

You might feel angry, sad, abandoned, anxious, relieved, confused, peaceful, lonely, distant, or any number of other emotions depending on the day/hour/minute.

Creating a Feelings Jar can help when these emotions become too much and you need to find a way to manage or understand what you are feeling.

Just the act of taking a moment to identify our whole range of feelings can be useful. It can give us a more complete picture of just how many things – and what – we might be feeling about a situation.

When you wake up feeling overwhelmed with emotion and unsure what you need, you can grab your Feelings Jar and take a moment to look through the squares of paper.

Using the same example, inside of a breakup, this might help you identify one day that what you are feeling most is abandoned and anxious.

Having identified these feelings, turn to the self-care steps you previously identified. Examples would include calling a friend/not being alone (when feeling abandoned) or going for a run or listening to music (when feeling anxious).

It’s important to note that the self-care will be different for everyone – one person might want to be alone to breathe when feeling anxious and another might need to call a friend and just talk. There is no right or wrong. There is only you.

Using a Feelings Jar can help remind us that it is normal to experience many emotions about a situation, and that it is okay to need different things on different days. It also allows us to extend deep compassion and understanding to ourselves in any given moment.

Parents and caregivers can use this exercise with kids to help teach them about emotions and self-regulation, as well as self-compassion.

The world’s challenges are unlikely to end anytime soon. While we may not be in control of this, we can learn to ask ourselves more often what we need inside of these challenges. And when we can hold ourselves and our feelings in a compassionate way, I believe that gets us all a little closer to peace.

Gail Cowan, MSW, is EOI’s Director of Development. A former therapist, she also runs her own coaching business. Find her at www.gailcowan.com or gail@eyesopeniowa.org.

Supporting Ourselves in a Post-Pandemic World

Supporting Ourselves in a Post-Pandemic World by: Gail Cowan

Gail Cowan, MSW, is EOI’s Director of Development. A former therapist, she also runs her own coaching business. Find her at www.gailcowan.com or gail@eyesopeniowa.org.

About a month ago, I took my son to an appointment at the local children’s hospital. Walking in, I noticed that the mandatory mask requirement was gone and thought, “Oh, okay, the pandemic must really be over.” And it seems that it is. The end came without a lot of fanfare – with mask mandates, local Covid rates, and just general talk about all of it fading quietly into the distance. Like a lot of phases during the intensity of the last three years, this ending came and went without any real collective acknowledgment. This may not be that big of a deal for most of us, except that a few weeks ago, I began noticing some changes in myself – increased anxiety, wanting to cry more often for no reason at all, heightened annoyance when one of my children asked me for something they could easily get themselves. After a couple of weeks of this, including a sinus infection that came out of nowhere, I began to ask: what *does* it look like when we come out of a global pandemic, during which we were all operating in a crisis mode of sorts for 2+ years? What I know from doing crisis work as a mental health practitioner is that in an emergency, the body operates largely on adrenaline – we do whatever is needed for as long as is necessary to survive. When the emergency is over, it is imperative that we make time for repair – to hold our nervous systems as they “come down” from the crisis state. Anyone who has done crisis work can tell you that this phase isn’t easy. When we are in crisis mode, there is no space to process the anxiety and grief that might result from what we are experiencing. It is only afterward, with the emergency in the rearview, that we are able to give space to our feelings. This isn’t usually an easy process. This is why the end of the pandemic going largely unnoted is so troubling. Many of us are walking around with increased anxiety, grief, irritation, and a lack of connection to joy – without knowing that it is because we are in the post-pandemic recovery phase. In this phase, we may feel worse before we feel better. One simple frame I use is the idea that when our bodies are in crisis mode, we must borrow energy from the future. So many of us were forced to expend energy we didn’t have during the pandemic – to care for kids and parents, to worry, to keep going. In order to expend energy we don’t have in any given moment, we must borrow it from the future. For many of us, now is the time that we must restore that deficit of energy. What this looks like in practical terms might be an increased feeling of fatigue for no obvious reason, a lack of interest or ability to find things that make us feel better or distract us, heightened grief and a host of other experiences. This is not a fun phase, and it’s made worse by the fact that we aren’t talking about it collectively. Here’s what can help:

● Have conversations with family, friends, and coworkers about how they are feeling. Many of us still feel overwhelmed but are too afraid to admit it.

● Acknowledging that we are in the recovery phase. This alone can be enough. When we feel agitated, tired, sad, and don’t know how to calm ourselves, saying to ourselves and others, “This is my body resetting and it’s okay” can be enormously helpful.

● Ask ourselves, “What do I need in recovery?” Less activity? Fewer expectations? Kinder self-talk? More sleep? Whatever it is, we each get to decide.

● Making space for our feelings. I like to think about movement – of any sort – as a helpful tool for releasing emotions. Movement can be exercise (walking, running, swimming), but it can also be crying, talking, laughing, shaking, or any other movement that lets us release emotions.

● Being kind to ourselves, and dialing things way, way back if need be. In recovery, we need to work less, not more. Many things can wait, but our health cannot.

This leads me to my last tip: during the pandemic, so many of us acted as caretakers. We had children at home, brought meals to parents, etc. I’m noticing in my own life and the lives of friends that we need to readjust these roles: ask, where can I return to encouraging the people in my life to rely on themselves instead of on me? These shifts take time, but they are important. The more we can talk about them and acknowledge that we all survived something incredibly hard, the better off we will be.