Tuesday, August 1, 2017

It’s All About Serving Looks

“Style is a way to say who you are without having to speak” – Rachel  Zoe. I feel as if this quote represents me throughout multiple stages of my life. I can clearly remember my mother telling me the issues she had getting me dressed in the morning as a 3-year-old girl, because, “No, Mommy, I don’t want to wear that, I want to wear this.” After arguing for a few minutes, she reluctantly gave in and let me wear my blue skirt even though she had picked out blue pants. Since before I could truly comprehend style, it’s been something I’ve used to express who Jalynn truly is and how she feels inside. Today, I will wear a pop of color like red or a flashy necklace to represent my daring personality. I feel that this parallels with Italians and how they choose to carry themselves outside of the household. During a debriefing with Umberto (our professor for Cultural Introduction to Italy) during our first week, he explained to us that Italians always care about their appearance and are known to put on a complete outfit to simply walk down the street. Italians are very conscious about their outside appearance and deem it a direct reflection of themselves. In the United States, we would simply wear sweatpants and a t-shirt to the grocery store, but in Italy the norm is “Italian Street Style”. This could include a blouse, some jeans, a pair of heels, a scarf, and always sunglasses.
Italy is a place of expression and fashion freedom as there is really no such thing as over-dressed. It is common to see a woman walking down the uneven streets in a dress and a pair of heels. Street style is about fluidity of an outfit from head to toe and is not opposed to turning a few heads for a second look at your outfit. The phrase “la bella figura,”meaning a beautiful figure, ties into the importance of fashion. Fashion, and specifically Italian fashion, is about the way you present yourself to the world, the uniqueness you bring, and the beautiful figure that you portray. Basically, presentation is everything. The way you present yourself shows that you care about the occasion and the perception people have of you.
As stated in a GQ article on Italian Street Style for men, “fashionable people-watching is a major source of inspiration” (Corsillo, 2016). This idea further emphasizes the importance of being aware of appearance. Fashion is an art and it’s important to inspire others with what you wear as well as having the ability to be inspired by other people’s choices of clothing which are styles you could incorporate into your daily looks.
It should be noted that Gucci, Armani, Prada, Dolce & Gabbana and Versace are all Italian brands that are well-known around the world. The impact that these labels have is reflected in the following quote: “Italy’s importance in the history of fashion truly cannot be understated. You would have to have lived under a rock your entire life not to be even vaguely familiar with the broad lineage of Italian brands, designers, fashion houses and high-end labels that have each contributed to the shape of style today” (Foley 2017).

Here are some guidelines on Italian street style:

Do:
·       All types of sunglasses for all types of occasions
·       Clothes of quality fabric
·       Leather goods
·       Tight jeans
·       Slim cut clothing
·       High heeled shoes

Don’t:
·       Flip-flops are a huge no, regardless of where you are; some tourists have noted being shunned for sporting a pair (The Local.it)
·       Too much skin showing  (despite the heat, even in 105 degrees like today!)
·       Chipped nail polish
·       Don’t forget the kids, they need to look nice too
·       Baggy jeans
·       Tennis shoes

Also, here are some sites to get ideas on what to wear during Italy travels:

This post was written by Jalynn Evans, a junior in the Honors College majoring in Public Health. She is interested in pursuing a career in healthcare administration.

Corsillo, L. (2016, January 14). Your 4 Step Italian Street Style Guide. Retrieved August 1, 2017 from http://www.gq.com/story/italian-street-style-how-to-guide
Foley, G. (2017, January 17). 23 Italian Brands Every Highsnobiety Reader Should Know. Retrieved August 1, 2017 from http://www.highsnobiety.com/2017/01/17/best-italian-brands/
Brenna. Study Abroad in Florence, Italy. Retrieved August 1, 2017 from http://chicstreetstyle.me/study-abroad-chic-outfit-log/

Rakhit, B. (2016). Italian Street Style – Florence. Retrieved August 1, 2017 from http://thestyletraveller.com/florence-street-style/

Monday, July 31, 2017

Emergency Contraception: In Law, In Practice

EllaOne: An available form of UPA in Italy
            Timely and convenient access to healthcare and pharmaceuticals is always important, and is especially vital to emergency contraception (EC) usage rates and efficacy. Intrauterine EC is available in the form of the copper-T IUD inserted up to 5 days after estimated date of ovulation, but despite this method’s higher efficacy, it is less convenient because it requires placement by a skilled healthcare provider (Cameron, 2017). This leaves oral EC (either levonorgestrel [LNG] or ulipristal acetate [UPA]) the obvious choice for quick and convenient access, a must in an emergency situation following unprotected sex. The European Medicines Authority believed so as well, and in 2015 recommended both forms of oral EC be made available without a prescription throughout Europe (ECEC, 2015). Italy obliged, and currently one brand of LNG and all brands of UPA are available over the counter for women over the age of 18, costing approximately 15 to 30 euro (ECEC, 2015), in some cases cheaper than the 30 to 65 dollar price tag in the United States (Kaiser Family Foundation, 2015). On paper, the drug appears accessible.

Logo of Obiezione Respinta
(Rejected Objection).
Text below: Map the objectors!

Unfortunately, translating emergency contraception policy to practice tells a different story. Widespread misunderstanding of the mechanism by which these pills prevent pregnancy has led women, their family and friends, and even some doctors to believe that EC has an abortive rather than preventative effect, which does not play well with the strong Catholic influence on Italy’s culture and policies (Bo, Casagranda, Charrier, & Gianino, 2012; Bo, Casagranda, Galzerano, Charrier, & Gianino, 2011; Nappi, Lobo Abascal, Mansour, Rabe, & Shojai, 2014). In one study, 19% of Italian women reported not using emergency contraception because they considered it to be like an abortion (Nappi et al., 2014). Pharmacists and doctors may not see prescribing emergency contraception as being within the scope of their job or would prefer not to on moral grounds, and thus sometimes choose not to dispense EC to women who ask for it (Bo et al., 2012, 2011). In fact, this has become such a common experience for women that networks have emerged to help women find which locations will actually dispense EC. An example is Obiezione Respinta (https://obiezionerespinta.info/), which offers an interactive map where women can report both successful and unsuccessful attempts to obtain EC throughout Italy.

Unfortunately, the barriers do not stop here. In a 2017 news report on research conducted by the SWG-Health Communication of over 500 Italian women, 79% were not aware of the 2015 law change removing the requirement of a prescription for EC (“Pillola 5 giorni dopo senza ricetta, ma solo 1 su 5 lo sa,” 2017). This simple but massive marketing error has likely led many women on wild goose chases for unnecessary prescriptions, which is especially concerning considering many sexual encounters occur around the weekend when fewer healthcare providers may be available to prescribe the drug (and that is, of course, if you can even find one who approves of its use).


Yes, it is legal to purchase EC over the counter in Italy without a prescription if you are over 18 years old, but the truth is more complicated than that. Women may feel it is morally wrong, or that they may be judged by friends and family for taking it. Lack of accurate and accessible information regarding safe usage may lead to women not knowing when or how to safely use EC. Finally, even once the decision has been made to obtain EC, barriers remain despite the deregulation of prescriptions. Some women do not know they do not need a prescription, and even those who do know may be denied access at pharmacies or hospitals, increasing the inconvenience and time taken to locate the pill, and running the risk of missing the vital 5-day window for pregnancy prevention. Opportunities abound for improved public health messaging to provide accurate, accessible information to women and their healthcare providers to ensure that emergency contraception is safely and effectively utilized.

This post was written by Sydney Rivera, a Master of Public Health 4+1 student from Indianapolis, Indiana. Her research interests include contraception, pregnancy, and patient-provider relationships, as she intends to go to medical school to become an OB-GYN.

Bo, M., Casagranda, I., Charrier, L., & Gianino, M. M. (2012). Availability of emergency contraception: A survey of hospital emergency department gynaecologists and emergency physicians in Piedmont, Italy. The European Journal of Contraception & Reproductive Health Care, 17(5), 373–382. https://doi.org/10.3109/13625187.2012.692410
Bo, M., Casagranda, I., Galzerano, M., Charrier, L., & Gianino, M. M. (2011). Emergency Contraception: a survey of Hospital Emergency Departments Staffs. Emergency Care Journal, 7(1), 10–15.
Cameron, S. (2017). Emergency Contraception. In Frontiers in Gynecological Endocrinology (pp. 189–198). Springer, Cham. https://doi.org/10.1007/978-3-319-41433-1_13
ECEC. (2015, November). Italy. Retrieved July 30, 2017, from http://www.ec-ec.org/emergency-contraception-in-europe/country-by-country-information-2/italy/
Kaiser Family Foundation. (2015, August 5). Emergency Contraception. Retrieved July 30, 2017, from http://www.kff.org/womens-health-policy/fact-sheet/emergency-contraception/
Nappi, R. E., Lobo Abascal, P., Mansour, D., Rabe, T., & Shojai, R. (2014). Use of and attitudes towards emergency contraception: A survey of women in five European countries. The European Journal of Contraception & Reproductive Health Care, 19(2), 93–101. https://doi.org/10.3109/13625187.2013.865164
Pillola 5 giorni dopo senza ricetta, ma solo 1 su 5 lo sa. (2017, May 24). AdnKronos. Retrieved from http://www.adnkronos.com/salute/farmaceutica/2017/05/24/pillola-giorni-dopo-senza-ricetta-solo_cEuQcONmolBIqWzFUhe3RL.html