RADAR ALERT:
Flawed DHHS Report Offers Little Holiday Cheer to Men
The U.S. Department of Health and
Human Services is planning to release a one-sided and biased report
called the “Surgeon General’s Call to Action on Women’s
Mental Health.” The report is being developed by the Surgeon
General’s Women’s Mental Health Project:
http://www.4women.gov/owh/ichp/surgeongeneral.cfm.
But if we take action
now, we can turn this around.
This is our
recommendation to Dr. John Agwunobi, the DHHS Assistant Secretary for
Health:
Because
the flaws in the draft report are so systematic, we request that a
new report be commissioned that reflects a balanced and truthful
perspective on the mental health problems faced by women and men.
The detailed critique is
included in the letter below. Please put your name and address at the
bottom of the letter and e-mail it to:
John O. Agwunobi, MD
Assistant Secretary for Health
Department of Health and Human Services
Email: john.agwunobi@hhs.gov
And send a CC of your letter to:
Janet East, Director
Office of the Executive Secretariat
Department of Health and Human Services
Email: JEAST@osophs.dhhs.gov
Think of the anguish and
sorrow of fathers who will be spending the Holiday Season this year
without their children due to false allegations of domestic violence.
If allowed to come out, this report will cause lasting damage to
families, children, and men.
Send your letter today!!
Dear Dr. Agwunobi:
I am writing in regard
to the draft “Surgeon General’s Call to Action on Women’s
Mental Health.”
As this letter
documents, the report includes false statistics about domestic
violence, contains other inaccurate statements, and selectively
reports the facts of mental illness. Its assumptions, conclusions,
and recommendations are fundamentally biased.
Because the report is
so deeply flawed, we request you commission a new report that
reflects a balanced and truthful perspective on the mental health
problems faced by women and men.
False Statistics about Domestic Violence
The
draft report states on page 7 that women are “three times more
likely to suffer from intimate partner violence.” That flawed
statistic comes from the National Violence Against Women Survey,
which has been strongly criticized for under-reporting the true
prevalence of partner violence and biasing the responses in favor of
women.
A
lmost
200 studies on partner violence have reached the consistent
conclusion that women are equally likely as men to engage in domestic
violence:
-
Irene
Hanson Frieze concluded in the September 2005 issue of
Psychology
of Women Quarterly
that “research indicates that
women can be just as violent as their partners.”
-
A
2000 meta-analysis by Dr. John Archer in
Psychological Bulletin
concluded, “Women were slightly more likely than men to use
one or more act of physical aggression.”
-
Dr. Martin Fiebert of
California
State University recently summarized his research, “women are
as physically aggressive, or more aggressive, than men in their
relationships with their spouses or male partners.”
(http://www.csulb.edu/~mfiebert/assault.htm)
Other Inaccurate Statements
The report makes other
statements that are vague, misleading, unsupported, and/or false:
Abuse:
The report
repeatedly makes the claim that women are at higher risk of being
“abused,” without defining what this vague term means. On
page 8, that claim is supported by citation number 58, a WHO report
titled “Gender and Women’s Health: Gender and Disaster.”
However, a search reveals that report is no longer located on the
Internet. Since it cannot be found or verified, it should not be
cited in a US government document.
If the report wishes to highlight the
problem of child abuse, then it should cite the
Administration
of Children’s and Families report, Child Maltreatment 2004,
which shows that boys and girls are subjected to abuse at almost
identical rates:
http://www.acf.hhs.gov/programs/cb/pubs/cm04/index.htm
Trauma and Violence:
The
report often refers to women who suffer from trauma and violence. But
by any public health indicator, it’s men who are at far greater
risk of dying from trauma and violence. According to
Health,
United States
2006
(http://www.cdc.gov/nchs/data/hus/hus06.pdf),
unintentional injuries claimed the lives of 70,532 men in 2003,
compared to 38,745 women. Likewise, men’s death rate from
homicide is 9.4 per 100,000, compared to 2.6 for women, more than a
three-fold difference.
Depression:
The report
states, “women are nearly twice as likely as men to suffer from
major depression” (page 5). That statement is misleading
because it does not consider the fact that the diagnostic criteria
for depression often fail to detect depression in men. That is one
reason why the NIH National Institute of Mental Health established
its “Real Men, Real Depression” program.
Socioeconomic Status:
The report claims that women “face a lower average
socioeconomic status compared to men” (page 8). That statement
is supported by two citations. The first citation (number 59) is a
report about natural disasters that does not cite even a single study
to support any claim about women’s economic disadvantage
(http://www.who.int/gender/gwhgendernd2.pdf). The second citation
(number 60) is a 2005 workshop presentation that cannot be located,
nor can its claims be verified. Neither citation is appropriate to
include in a US government report that aims to be authoritative.
The truth is, there is
no evidence to support the broad claim that women “face a lower
average socioeconomic status compared to men.” In fact, that
claim has been repeatedly disproved by economist Victor Fuchs,
sociologist Martha Gimenez, and many others.
Selective Reporting of Facts
The entire draft report
rests on the assumption that women are at greater risk of mental
health problems. By failing to report key public health statistics,
that assumption is never tested.
The following mortality statistics
are strongly influenced by persons’ mental health status
(Health, United States, 2006, Table 29):
Chronic liver disease/Cirrhosis (Deaths per 100,000)
Men: 13.0
Women: 6.0
Suicide (Deaths per 100,000)
Men: 18.0
Women: 4.2
For both causes of
death, men have substantially higher risk of dying than women. Of
particular concern is the effect of divorce on fathers’ suicide
risk. Sociologist Augustine Kposowa found that
divorced men were
more than twice as likely to commit suicide as married men, and
almost 10 times more likely to kill themselves as divorced women.
But these facts are
never mentioned, much less discussed in the Surgeon General’s
report.
Finally, the major
disparities affecting African-American men should be highlighted, a
concern that has been highlighted by the Congressional Black Caucus.
In 2003, the life expectancy at birth was:
Black men: 69.0 years
White men: 75.3 years
Black women: 76.1 years
White women: 80.5 years
These troubling lifespan disparities are caused, in part, by mental health problems.
Summary and Recommendation
In summary, the “Surgeon
General’s Call to Action on Women’s Mental Health”
includes claims and statistics that are one-sided, vague,
unsupported, misleading, and/or demonstrably false. It does not
adequately represent the extent of mental health problems faced by
women. It misrepresents, downplays, or ignores altogether the mental
health problems faced by men, particularly minority men. It does not
provide a credible basis for setting public health priorities or
establishing a plan of action for the Department of Health and Human
Services.
Although women indeed
face unique mental health problems, this report does not do justice
to that public health concern. Rather, the draft “Surgeon
General’s Call to Action on Women’s Mental Health”
may actually end up discrediting this important issue.
Because the flaws in the
draft report are so systemic, I am requesting that a new report be
commissioned that reflects a balanced and truthful perspective on the
mental health problems faced by women and men.
I look forward to
receiving your response.
Sincerely,
Date of RADAR Release: December 11, 2006
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R.A.D.A.R. – Respecting Accuracy in Domestic Abuse Reporting – is a non-profit, non-partisan organization of men and women working to improve the effectiveness of our nation's approach to solving domestic violence. http://mediaradar.org
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