What men should know before signing up for testosterone ‘optimisation’

Source: The Conversation – UK – By Daniel Kelly, Senior Lecturer in Biochemistry, Sheffield Hallam University

Reshetnikov_art/Shutterstock

Pop-up clinics and glossy adverts are selling men a new message: it is time to “check your T” (shorthand for testosterone levels).

The idea is not about treating medical problems but about “optimising” energy, focus and masculinity. With online services offering home blood tests and fast-track access to treatment, testosterone therapy has shifted from specialist medical care to a supposed lifestyle upgrade.

Used appropriately, testosterone therapy can be life-changing. It is prescribed for men who have a medically confirmed deficiency known as hypogonadism, a condition where the body does not produce enough testosterone because the testes or the brain’s hormonal control system are not functioning properly.

This can be caused by injury, infection, genetic problems or chronic illnesses such as obesity and diabetes. When testosterone levels are genuinely low, restoring them can improve mood, sex drive, muscle strength and bone health.

There is also growing research into testosterone’s wider metabolic effects. In men with low testosterone who also have type 2 diabetes, obesity or heart disease, therapy may help improve insulin sensitivity (how effectively the body responds to insulin to regulate blood sugar) as well as fat distribution and blood vessel health.

The testing and diagnosis challenge

Many private “men’s health” and “wellness” clinics promote vague symptoms like tiredness, stress or lack of motivation as possible signs of low testosterone. They encourage men to get tested, at their own expense.

These tests are often done on finger-prick samples rather than on blood drawn from a vein. While finger-prick tests can be quicker and more comfortable, they can also be more prone to error if the sample has not been carefully collected. Venous samples taken by trained staff can be more reliable and provide higher-quality results.

Testosterone levels naturally fluctuate throughout the day, peaking in the early morning and falling later on. That is why doctors recommend testing on two separate mornings, ideally after fasting.

A single, non-fasting test can produce misleadingly high or low results, yet some online providers use just one test before offering expensive treatment packages.

There is no single definition of what counts as “low testosterone”. Reference ranges differ between laboratories, and “normal” varies by age, health and genetics. Some men with lower readings feel perfectly well, while others experience symptoms at the same level.

The body’s response also depends on how sensitive its androgen receptors are (the molecular switches that initiate testosterone’s action inside cells). This means that blood concentration alone does not tell the full story.




Read more:
Testosterone: why defining a ‘normal’ level is hard to do


Clinical guidelines stress that diagnosis should combine both symptoms and blood results. Many issues blamed on “low T” (fatigue, poor sleep, loss of motivation, weight gain) can often be linked to stress, depression, or lifestyle factors such as alcohol use and inactivity.




Read more:
Younger men are turning to testosterone therapy in hopes of boosting mood and muscles – but there are risks of harm


The myth of optimisation

An increasing number of men are starting testosterone therapy even though their hormone levels are normal, drawn in by promises of greater vitality, sharper focus and improved physical performance.

Raising testosterone levels above about 12 nanomoles per litre – the standard unit used in blood tests – is unlikely to produce further gains in the areas most linked to testosterone deficiency, such as sexual function, energy or mood. Men already in this range who add therapy may expose themselves to side effects with little or no advantage.

And once treatment begins, the body’s natural hormone production slows down, meaning therapy often becomes long-term. Stopping can lead to a temporary withdrawal-like phase, as the body takes time to restart testosterone production.

When prescribed correctly and monitored carefully, testosterone therapy is generally safe. Earlier fears that it increased prostate cancer risk have largely been disproven, and some studies even suggest it may offer protection.

But other research links testosterone therapy to a slightly higher risk of atrial fibrillation – an irregular heartbeat – and blood clots.

The more immediate concerns are about fertility. Testosterone treatment reduces the brain’s signal that tells the testes to produce both testosterone and sperm. Over time this can lead to infertility, sometimes permanently if therapy continues for more than 3-5 years.

In men who still wish to have children, doctors can add drugs called gonadotrophins, which mimic the brain’s natural fertility hormones to keep the testes producing sperm, but these require specialist management.

Testosterone has become cultural shorthand for strength and virility. When testosterone therapy is viewed as a shortcut to confidence or masculinity rather than a treatment for genuine deficiency, it can trap men in a cycle of self-doubt and dependence.

Exposing a gap

Testosterone is a prescription-only drug for a reason. It needs careful diagnosis, regular blood tests and close supervision by specialists trained in hormone medicine. When men rely on online adverts or convenience clinics instead of proper medical assessment, they risk unnecessary treatment.

Many later turn to health services for reassurance, follow-up or to manage side effects of a therapy they may never have needed – a growing trend that is already stretching endocrinology clinics.

Still, the rise of online clinics has exposed a long-standing gap in men’s health. Many men avoid seeing doctors, and true testosterone deficiency often goes undiagnosed. With proper oversight and stronger links to healthcare systems, these services could help raise awareness without promoting unnecessary treatment.

When used correctly, testosterone restores health. Used carelessly, it risks undermining it – for men and for the healthcare system that supports them.

The Conversation

Daniel Kelly does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. What men should know before signing up for testosterone ‘optimisation’ – https://theconversation.com/what-men-should-know-before-signing-up-for-testosterone-optimisation-269558

Rosalía’s LUX: why the ‘pop-versus-classical’ question misses the point

Source: The Conversation – UK – By Andrew J. Green, Lecturer in the Anthropology of Music, King’s College London

LUX, the new album from Spanish singer-songwriter Rosalía, has been critically lauded. But opinion is divided among some commentators on whether it should be considered pop or classical music.

Much of LUX “sounds closer to classical music than it does to anything in the charts”, according to Guardian reviewer Alexis Petridis. Elle magazine describes Lux as “inspired by classical orchestral music and opera – but imbued with influences of pop, electronic, hip-hop, and more”.

And writing in the New York Times, Joshua Barone asks, “How much of the album is really classical music?” before concluding: “At the end of the day, [Rosalía] has made a pop album with a big budget.”

Even given the assumption that we have a very good idea of what (western) classical music “is” or “isn’t” – and we don’t – it isn’t very helpful to think of LUX in these terms.

LUX does prominently feature the London Symphony Orchestra, with arrangements by composer Caroline Shaw. There are two tracks with a particularly strong western classical influence: Mio Christo Piange Diamanti and the album’s lead single Berghain.

But Lux is a long album, which mostly features solidly pop songwriting, with brief, catchy, syncopated melodies and trap-style triplet flows (in which three syllables are sung or rapped over one beat). As on avant-pop classics like Björk’s Vespertine (2001) or Arca’s self-titled album (2017), conventional, appealing melodic songwriting often comes alongside a disposition not to settle.

The tonality implied by the songwriting is sometimes undermined by the orchestration, the rhythm is subtle or submerged, and there’s a fairly complex song structure which means that the listener requires repeat listens to get comfortable.

On an intense and complexly assembled album, it’s best to pick out a relatively straightforward example. One of my favourite moments on LUX is the stripped-down breakdown section about two-and-a-half minutes into La Yugular.

La Yugular by Rosalía.

Here the orchestra drops out, and Rosalía sings in triple metre (that is, three beats in a bar) with only kettledrums accompanying her. From here, the music starts to build in pitch and intensity.

Due to the instrumentation, it’s perhaps easy to hear a “classical” sound in this section. But the songwriting fits into what we might expect of pop. The vocal line is divided into syncopated, catchy, brief lines, while the kettledrums often emphasise the off-beat.

Let’s imagine we could switch out the kettledrums, and have electronically generated bass such as 808 bass playing the same line. Let’s say we auto-tune the voice too. With such an arrangement, this section of La Yugular would fit squarely into her 2022 album Motomami (for example, on tracks CUUUUuuuuuute or Saoko).

On Lux, Rosalía frequently uses the kettledrum for lines that, on Motomami, were recorded on electronic bass. The point is that here as elsewhere, focusing too much on the orchestra can get in the way of us noticing continuities between the songwriting on Motomami and Lux.

This is, of course, what we might expect from an album by a mainstream pop songwriter in collaboration with the London Symphony Orchestra. But dig a little deeper and we also ought to start questioning the conceptual distinction between “popular” and “classical”.

Genre distinctions

LUX mostly combines western pop style with Iberian and Latin American influences. There are strains of flamenco throughout the album, most obviously in La Rumba del Perdón and Mundo Nuevo.

LUX constantly hints at a reggaeton influence too. De Madrugá is based on a hemiola rhythm, the rhythmic basis of dozens of popular music traditions across the Iberian and Latin American world.

Finally, Dios Es Un Stalker is particularly ingenious. This song’s rhythm is, in effect, a deconstructed salsa rhythm which opens with only the bass line (so-called “bajo tumbao”). The salsa rhythm is fully put together only in the last 30 seconds, after a climactic key change.

Berghain by Rosalía.

There’s a particularly interesting case in the waltz rhythm played on the guitar in La Perla and the first part of La Yugular. In his review, Petridis focuses on a moment of levity towards the end of the former track: “On the waltz-time La Perla, a particularly dramatic set of strings and brass is followed by the sound of the singer giggling, as if she’s keen to undercut any pretensions.”

Of course, the waltz has its origins in European classical music, which is the association that Petridis is clearly making. But waltzes are also characteristic of multiple genres of Latin American popular music. This is especially the case in northern Mexico, where waltzes are played by música norteña bands, by mariachi groups, by banda ensembles and more.

La Perla places this history into reverse: the track opens with regional Mexican act Yahritza Y Su Esencia playing a Mexican-style waltz rhythm and concludes with the London Symphony Orchestra playing a European-style ballroom waltz. LUX tells us something that Anglophone reviewers often miss: especially when Iberian and Latin American music is in the mix, it’s not quite so easy to separate “classical” and “popular”.

So, the claim that Lux might constitute “classical music” has to end with us questioning quite a few things: the distinction between classical and popular, the exclusion of non-Anglophone music from the stories most often told about popular music and – most importantly – whether anyone really cares anymore whether music “qualifies” as “classical”. LUX deserves to be heard on its own terms, as an ambitious, self-aware and wildly inventive piece of work.


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The Conversation

Andrew J. Green does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Rosalía’s LUX: why the ‘pop-versus-classical’ question misses the point – https://theconversation.com/rosalias-lux-why-the-pop-versus-classical-question-misses-the-point-269743

Artificial intelligence is front and centre at COP30

Source: The Conversation – Canada – By David Tindall, Professor of Sociology, University of British Columbia

We live in a time often characterized as a polycrisis. One of those crises is human-caused climate change, an issue currently being discussed by delegates at the COP30 climate talks in Belém, Brazil.

Another is disinformation, much of which has been focused on climate change. A third potential crisis comes from the implications of artificial intelligence for society and the planet.

When it comes to AI and climate change, there are a variety of opinions, from the optimistic to the pessimistic and the skeptical. Given the overarching concerns about environmental harms of AI, it is surprising to some that AI is front and centre at COP30, which I am currently attending.

Both COP30 President André Aranha Corrêa do Lago and Simon Stiell, executive director of the United Nations Framework Convention on Climate Change, have noted the importance of AI and other aspects of technology for addressing climate change.

While there has been some consideration of AI in addressing climate change at previous COPs, COP30 is the first conference where AI has been formally integrated as a central theme in the conference agenda.

AI at COP30

On the first day of COP30, “science, technology and artificial intelligence” was explicitly listed as one of the key themes. Initiatives included the Green Digital Action Hub, a global platform to drive a greener, more inclusive digital transformation.

Additionally, there was a session introducing the AI Climate Institute. A key goal of the AI Climate Institute is to enable Global South countries to design, adapt and implement their own AI-based climate solutions.

In these and other forums, there were discussions about digital decarbonization technologies and advances in data transparency for emissions. Proponents argued these initiatives were designed to help countries harness technology to meet their climate goals.

a man at a podium speaks to a seated audience. a large poster behind him reads: globl initiative for information integrity on climate change.
Announcement of the Declaration on Information Integrity on Climate Change at COP30, in Belém, Brazil, on Nov. 12, 2025.
(David Tindall)

When it comes to AI and climate change, there is a tendency for people to think about the increased environmental and climate change harms that AI will bring. In this regard, there has been a lot of recent media coverage on the potential of increased carbon emissions, water use and environmental damage as a result of mining for critical minerals.

A key issue is the emissions produced by data centres. As many commentators have said — including Stiell — data centres need to have electrical power sources if AI is to be aligned with climate action.

How is AI relevant to addressing climate change?

AI is already being applied in climate change mitigation. At COP30, former United States vice president Al Gore gave a presentation about the role of Climate TRACE in addressing climate change. Climate TRACE is a non-profit coalition of organizations that have been developing an inventory of exactly where greenhouse gas emissions are coming from to help governments, organizations and companies to reduce or eliminate these emissions.

Climate TRACE uses satellite imagery, remote sensing, artificial intelligence and machine learning to estimate emissions. In his presentation, Gore demonstrated visual examples in a slide show.

AI can play a role in reducing emissions in a number of ways. One, as noted above, is by tracking emissions. Another is by making energy systems more efficient and thus reducing emissions through energy savings.

Reducing energy use and emissions were not the only type of efficiencies discussed at COP30. Conservation of water use and increased efficiencies in agricultural production were also highlighted. An example is the AI for Climate Action Award that was given to a team from Laos this year for a project using AI for farming and irrigation.

A man in a dark suit standing in front of a large screen displaying the words Climate Trace
Al Gore speaking about Climate TRACE at COP30 in Belém, Brazil on Nov. 12, 2025.
(David Tindall)

Climate adaptation

AI has the potential to make a big impact in the area of climate adaptation. Key issues were discussed at COP30 at a session called Smarter than the Storm: The Future of AI in Forecasting and Proactive Responses to Build More Resilient Communities.

Scientific research has demonstrated that machine learning can assist local governments in their decisions about options for climate adaptation. AI can be an integral part of an early warning system.

It can be used to predict floods using sensor data, predict wildfires using satellite and weather data, monitor social media for disaster response and identify areas at risk of landslides.

AI tools involved in these various processes include machine learning, deep learning, natural-language processing and computer vision. Consistent with overarching concerns at COP30 about the importance of social and climate justice, proponents of community AI applications emphasized the need for transparency, affordability of data and AI systems and the sovereignty of community data.

Dangers of disinformation

Climate disinformation is a key type of disinformation in contemporary society. AI can either be a source or a counter to climate disinformation.

At COP30, disinformation and climate denial was mentioned in a number of contexts, including by Brazilian President Luiz Inácio Lula da Silva. One key event on this topic was the announcement of a Declaration on Information Integrity on Climate Change, which a number of countries endorsed.

AI can be considered a triple-edged sword. Unregulated expansion of AI has the potential to do enormous environmental harm and magnify misinformation and disinformation.

However, principled development of AI, powered by clean energy sources, also has the potential to significantly reduce carbon emissions, provide early warning to communities of climate threats, reduce the costs of adapting to a changing climate and enhance our understanding of climate change.

The Conversation

David Tindall receives funding from from the Social Sciences and Humanities Research Council of Canada, a body that funds academic research. He has an affiliation with Cllimate Reality Canada. In this voluntary role he occassionally gives unpaid talks on climate change.

ref. Artificial intelligence is front and centre at COP30 – https://theconversation.com/artificial-intelligence-is-front-and-centre-at-cop30-269872

UN backs Trump’s plan for Gaza but Palestinian statehood remains a distant prospect

Source: The Conversation – UK – By Leonie Fleischmann, Senior Lecturer in International Politics, City St George’s, University of London

The UN security council has voted to adopt a resolution endorsing US president Donald Trump’s plan to end the war in Gaza. However, while the resolution references a credible pathway to Palestinian self-determination and statehood, the road to such an outcome is far from determined.

The resolution, which received 13 votes in favour and none against, with abstentions from Russia and China, paves the way for a Trump-chaired transitional authority to supervise Gaza’s reconstruction and recovery. It also authorises the arrival of peacekeepers for an international stabilisation force to oversee border areas, provide security and demilitarise the Gaza Strip.

These proposals were first outlined in late September, when Trump unveiled a 20-point plan to end the conflict in Gaza. The White House reported at the time that the plan had “galvanised a chorus of international praise as the potential pivotal turning point” for ending the war between Israel and Hamas.

It was a result of this plan and diplomatic efforts led by Steve Witkoff, the US special envoy to the Middle East, that a ceasefire was put into effect on October 10. This ceasefire has seen a partial withdrawal of Israeli troops from parts of Gaza and the return of all the living – and most of the deceased – hostages to Israel.

However, the ceasefire remains fragile and Israel has reportedly violated it consistently with continued attacks. Torrential rain is also causing floods across the Gaza Strip, bringing more devastation to the war-torn area. It is thus vital that progress is made towards rebuilding the lives of Palestinians in Gaza.

But it remains uncertain whether Trump’s plan will provide a complete solution. As is often the problem with internationally imposed plans, the wording is vague and therefore open to interpretation and manipulation. Specifically, clause 19 of the plan is ambiguous.

It states that only once the Palestinian Authority (PA), the body that exercises administrative responsibility over Palestinians in the West Bank, has reformed itself and the rebuilding of Gaza is under way, “the conditions may finally be in place for a credible pathway to Palestinian self-determination and statehood”. This leaves plenty of room for the path to be knocked off course.

Barriers to statehood

There are four significant barriers to establishing a Palestinian state. First is that there are no concrete details within Trump’s plan about what a future Palestinian state will look like. None of the main sticking points around achieving a two-state solution have been ironed out.

These include questions around the status of Jerusalem, which Israelis and Palestinians both want as their capital city. There are also disagreements around where to draw the line between Israel and a future Palestine, as well as the “right of return” for the millions of Palestinian refugees currently living abroad.

A second barrier to Palestinian statehood is that it will not be quick or easy to meet the conditions required for a political process towards a two-state solution to begin. The PA is accused of facing a “crisis of legitimacy”. The president of the PA, Mahmoud Abbas, and Fatah, its dominant political party, are deeply unpopular among Palestinians.

In a September 2024 poll conducted by the Palestinian Centre for Policy and Survey Research, just 6% of Palestinians said they would vote for Abbas in an election. And the PA itself is widely criticised for systemic corruption, nepotism, clientelism and bureaucratic malfeasance. Reform and regaining the support of Palestinians will be difficult to achieve.

Rebuilding Gaza will also be no easy feat. The UN estimates that reconstruction alone will cost US$50 billion (£38 billion), with even the most optimistic projections suggesting it will take a decade to rebuild. At what point during these processes will it be deemed the appropriate time to return to the question of a Palestinian state?

The third barrier is Hamas which, having rejected the UN’s resolution, threatens to derail the peace plan entirely. Hamas wrote on Telegram after the resolution passed that the plan “imposes an international guardianship mechanism on the Gaza Strip, which our people and their factions reject”.

Some commentators have argued that the imposition of external control over Gaza, and the tying of Palestinian statehood to externally generated conditions, reflects “a continuation of colonialist logic rather than a genuine pathway to self-determination”. If the Palestinians are going to achieve self-determination, they need to do so on their own terms.

Hamas has now reiterated its refusal to disarm, arguing that its fight against Israel is legitimate resistance. Israel and its western allies have made the disarmament of Hamas a non-negotiable demand for ending the war.

The fourth, and probably most significant, barrier is that the Israeli government remains staunchly opposed to the formation of a Palestinian state. Israel’s prime minister, Benjamin Netanyahu, did applaud Trump for his efforts to secure peace in a social media post following the UN vote.

However, he then told his cabinet that Israel’s opposition to a Palestinian state remains “firm and unchanged”. Netanyahu later confirmed that Israel supported only the steps within the plan that insist upon “full demilitarisation, disarmament and the deradicalisation of Gaza”.

Far-right leaders in his governing coalition, alongside violent settlers, are at the same time changing facts on the ground in the West Bank. They are doing so by establishing Israeli government-sanctioned settlements on Palestinian land, which are considered illegal under international law. The construction of these settlements amounts to de facto annexation, thwarting the possibility of future Palestinian sovereignty.

We are a long way off from concrete discussions of Palestinian statehood. But despite the many problems in Trump’s plan, it does provide some hope that at least the Palestinians in Gaza will be able to begin to rebuild their lives. Efforts must be made to ensure neither Hamas or Israel make any moves to derail this potential.

The Conversation

Leonie Fleischmann does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. UN backs Trump’s plan for Gaza but Palestinian statehood remains a distant prospect – https://theconversation.com/un-backs-trumps-plan-for-gaza-but-palestinian-statehood-remains-a-distant-prospect-270116

The growing paranoia of British politics

Source: The Conversation – UK – By Matthew Flinders, Founding Director of the Sir Bernard Crick Centre for the Public Understanding of Politics, University of Sheffield

Conspiratorial narratives have always swirled around the corridors of Number 10. Studies of the British style of government have, for decades, explored the role of unofficial briefings and the leaking of information to embarrass colleagues or put an issue on the agenda.

Recent allegations of a plot by associates of Keir Starmer were designed to smoke out a perceived impending leadership challenge to the prime minister, and focused attention squarely on Wes Streeting who denied being involved in a plot.

It was a pre-emptive strike in the form of a briefing strategy in an attempt to forestall a phantom coup. This odd episode quickly fizzled out. But now the furore has calmed down, a question emerges: what does it tell us about the state of Starmer’s government and British politics more generally?

The answer is that it points to the emergence of a new and increasingly paranoid style in British politics – one which revolves around exaggeration, suspicion and conspiratorial fantasy.

The notion of a paranoid style was first developed by historian Richard Hofstadter in relation to American politics, especially in the context of fears of communist sympathies during the early cold war. Put simply, it describes a model of political reasoning in which everything is seen through a conspiratorial lens.

All prime ministers are paranoid. Such paranoia comes from having to sit and smile around a cabinet table when you know that most of your hyper-competitive colleagues hanker after your job.

John Grigg’s biographies of the first world war prime minister David Lloyd George suggest he was generally convinced his colleagues were always about to oust him. Anthony Eden entered into a paranoid atmosphere over what became the 1956 Suez canal crisis that saw Britain humiliated on the world stage.

Harold Wilson governed with a profound and persistent suspicion about the security services, and in the the late 1960s his levels of paranoia spiked whenever Roy Jenkins received positive reviews for his helmsmanship of the Treasury. Towards the end of her time in No. 10, Margaret Thatcher developed a fortress mentality based on a belief that ministers were “not on her side”.

Health secretary Wes Streeting
Health secretary Wes Streeting at the centre of the latest drama.
Fred Duval/Shutterstock

If this is the traditional or “old” style of paranoia, Starmer is now projecting something very different. His is not a paranoia primarily born of concern for external threats or stalking horses. It reflects a deeper awareness that a vacuum exists at the apex of British government, and at some point this weakness will lead to a challenge.

Being a vanilla politician was good for Starmer in opposition. Being bland, avoiding contentious topics and promoting pragmatism provided very little for opponents to attack. But there is a widespread feeling in Westminster that, in office, the lack of clear ideological conviction has left the government rudderless and notably unable to offer the British public a positive vision about where they want to take the country and why (and at what cost).

It is in this context that Starmer now faces more challenges from backbench Labour MPs, after unveiling an overhaul of the UK’s asylum policies. Not a good position for a prime minister with the worst popularity ratings since polling began.

Systemic conspiracism

For Hofstadter, a paranoid style was characterised by apocalyptic crisis language, conspiratorial explanations of political events and attribution of national decline to hidden forces. It involved moral dualism (“patriots v traitors”) and an existential sense of dispossession (“the country is being stolen”).

See the link to British politics? Think I’m paranoid?

This paranoid style is not linked to an individual politician’s supposed clinical or psychological condition. This is systemic conspiracism, not personal suspicion.

It emerges out of a wider social-psychological pathology and a collapse in trust in the institutions and processes of democratic politics, combined with the social amplification of siege narratives that constantly promote polarisation.

Since Brexit, this paranoid style has become normalised in Britain. A country once famed for its stability, governing competence and broadly balanced civic culture is now dominated by a paranoid culture. Unlike historical instances that were confined to individual leaders, this is is now diffuse, populist-inflected and embedded across the political spectrum.

This is the deeper story that exists behind bungled briefings – and it’s a worrying one. It risks generating permission structures for norm-breaking, accelerating radicalisation and polarisation, weakening policy capacity and fuelling a doom loop cycle of failure – which creates more paranoia.

The climate of British politics has and is therefore changing. It is in recognising this broader shift that we can have a deeper understanding of the slow death of Starmer’s government. The old rules no longer apply, and the “good chaps” don’t know how to govern.

Or maybe I am just paranoid.

The Conversation

Matthew Flinders does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. The growing paranoia of British politics – https://theconversation.com/the-growing-paranoia-of-british-politics-269867

ADHD: even one bout of physical activity might help kids better learn in school

Source: The Conversation – UK – By Karah Dring, Senior Lecturer in Exercise and Health, Nottingham Trent University

The cognitive benefits of exercise even lasted into the next day. Lopolo/ Shutterstock

Attention deficit hyperactivity disorder (ADHD) is the most common disability diagnosis in children globally. It’s estimated to affect around 8% of children aged 3-12 years, and around 6% of teenagers aged 12-18 years.

ADHD can make school difficult for children – affecting their behaviour in class, their attendance and their academic performance. But research my colleagues and I conducted has shown why physical activity may be one way of helping children with ADHD to thrive in school.

To conduct our research, we had 27 children aged 9-11 years (all with ADHD) complete two trials.

The first trial involved a 30-minute exercise circuit that also engaged their brains. The exercise circuit involved several stations. For instance, at one station the children played “Simon Says,” while at another, they did a coordination task where they had to bounce and pass a basketball with alternating hands with a classmate.

The second trial acted as a control, so the children didn’t do any activity but instead rested in their seats in their classroom.

To determine whether the one-off exercise game supported the children with ADHD, they also completed three cognitive tests on a laptop. These were done before the exercise, immediately after the exercise and the morning after the exercise. The tests were also repeated at the same time of day during the rested control period for comparison.

The first cognitive test was the Stroop test, which measures a person’s ability to suppress an impulse. The second test was the Sternberg Paradigm, which measured short-term memory. The third was a visual search test, which measured perception (the process of organising and interpreting information).

Interestingly, the children with ADHD performed better on each of the cognitive tests following the exercise activity when compared with doing no exercise.

But while the children answered the questions accurately, it did take them slightly longer to do so. This is an important finding, given that children with ADHD typically struggle with impulsivity (those hasty acts that occur without thought). Showing that exercise can help these children to slow down and achieve more correct answers feels promising for supporting them in the school environment.

Another important finding from our study was that the benefits of the cognitively engaging exercise (which was performed in the afternoon) extended into the following morning. This is one of the first studies to show that the benefits of exercise in children with ADHD persist into the next day.

This was a small study and more research is needed. But it again feels promising that these benefits continue into the day after the exercise has taken place supporting both children and their teachers for an extended period.

Our study has also shown that it doesn’t take a lot of intense exercise to help children with ADHD in the classroom. The activity was short, simple and could easily be delivered by teachers during the school day.

Exercise and learning

Importantly, our study does not stand alone in showing that one-off bouts of exercise are beneficial for supporting children with ADHD.

Other studies have shown that games-based activities in particular tend to be more beneficial in improving cognitive outcomes in children with ADHD.

Four children running on an outdoor track.
Other types of exercise, such as running, can also have benefits for learning.
Master1305/ Shutterstock

For instance, a review we conducted revealed that physical activity which has a cognitive component has greater cognitive benefits for children with ADHD compared with longer-duration exercises (such as running and cycling).

That said, there are also benefits observed from doing longer bouts of exercise. For instance, research has shown that a one off bout of running or cycling for between 20-45 minutes at a moderate intensity also benefits inhibitory control and cognitive flexibility (defined as switching between thinking patterns and managing multiple concepts simultaneously).

But current evidence suggests that just 20 minutes of endurance exercise is sufficient to boost cognitive benefits in children with ADHD.

A growing body of evidence also suggests that not only can a one-off bout of exercise be useful, but that the benefits of movement can extend across several different domains of cognitive function – all of which tend to be impaired with ADHD. These include attention, inhibitory control (related to impulsivity) and cognitive flexibility.

This may all sound promising, but the physical activity levels of children with ADHD are a major concern. It has recently been reported that children with ADHD are 21% less likely to meet the physical activity guidelines than their peers.

Some of the barriers to physical activity for children with ADHD include low motivation, low self-efficacy (a belief in their ability) and difficulties managing big emotions in an environment that can feel overwhelming.

Much more research is needed to support children with ADHD to engage with exercise. But what is promising is the variety of exercises that can improve cognitive function in children with the condition – from endurance sports to mixed martial arts and games-based activities.

The Conversation

Karah Dring receives funding from The Waterloo Foundation to conduct some of the studies included in this article.

This work was supported by The Waterloo Foundation.

ref. ADHD: even one bout of physical activity might help kids better learn in school – https://theconversation.com/adhd-even-one-bout-of-physical-activity-might-help-kids-better-learn-in-school-269315

How household contracts could be fueling UK inflation

Source: The Conversation – UK – By Lorenza Rossi, Professor in Economics, Lancaster University

Dean Clarke/Shutterstock

UK inflation has dropped to 3.6% but it remains well above the Bank of England’s 2% target. Beyond broader global uncertainties, there are also factors within our own homes that are quietly sustaining this stubborn issue. Namely, automatic annual price uplifts in everyday contracts for things like mobile phones and utilities.

UK inflation is expected to become the highest in the G7 this year and next. In turn, surging costs for fuel, raw materials and transport are putting pressure on businesses.

And these pressures can seriously threaten profits. This is particularly true for fixed-price contracts for anything from telecoms and insurance services to utilities and public procurement agreements.

To safeguard themselves, many suppliers now seek to include automatic price-adjustment provisions (known as indexation clauses) in their agreements. These link contract prices to an external index such as consumer prices or their own costs.

Inflation-linked pricing has already driven above-inflation increases in mobile and broadband bills. Communications regulator Ofcom banned mid-contract price rises linked to inflation from this year. This came after it found that around six in ten broadband and mobile customers faced annual rises linked to inflation plus a fixed 3.9%.

As a result of the move, many companies have switched to fixed annual price rises, stated in pounds and pence, at the time of signing. This change has improved transparency, but the underlying issue remains.

Annual price increases are often set above the actual inflation rate. When prices are automatically adjusted by more than inflation (through inflation-plus clauses, or what has been called “turbo price indexation”) they can create a multiplier effect. Higher prices feed into higher costs and expectations, which in turn push inflation up further.

This self-reinforcing cycle makes it harder for inflation to return to the Bank of England’s 2% target and amplifies cost-of-living pressures.

The problem extends far beyond telecoms. Public-sector and business-to-business contracts often include similar clauses, embedding annual price increases regardless of economic conditions. For instance, one UK catering contract we saw stated: “All prices quoted are subject to a 10% increase as of 1 October annually.”

Government procurement rules acknowledge the practice. The Ministry of Defence’s spending watchdog instructs defence contractors and the MoD to build in an “escalation factor” to reflect expected inflation when determining allowable costs. At least for government contracts, this escalation factor is meant to capture the estimated effects of inflation rather than being fixed at an earlier date or detached from a price index.

Although these clauses were originally meant to protect firms from rising costs, they now risk locking in inflation. This sustains price increases even when cost pressures ease.

It also weakens the effectiveness of monetary policy – in this case, interest rate changes – because when companies automatically increase prices, higher interest rates take longer to slow inflation. And of course, it erodes the purchasing power of households on fixed incomes.

Breaking the inflation loop

New regulation aimed at improving transparency (as with the Ofcom case) is an important precedent. It’s also a model for other regulators in sectors such as energy, insurance and public procurement, where competition remains weak. However, Ofcom’s approach could be refined in three ways.

First, where consumers lack bargaining power (especially in sectors such as utilities, insurance or business services) regulators should act more broadly to limit unfair contract terms and prevent automatic price increases that go beyond inflation. And they should continue to pursue more competition in their sectors as a long-term goal.

Second, regulators could restrict unconditional price increases that are not linked to inflation or clear cost measures. Inflation caps could be introduced instead. For example, price increases could track the Bank of England’s 2% target, with a small margin of adjustment based on the previous year’s average. This would still give suppliers some flexibility to cover real cost changes, while preventing excessive or uneven increases.

Third, transparency is essential. Beyond Ofcom’s ban on inflation-linked price rises in telecoms, regulators could force suppliers to separate the original base price from the uplifted portion that reflects inflation or indexation.

Showing both figures would make it easier for customers to see how the increase has been calculated. This would allow clearer comparisons within a company’s own deals – for example, between flexible and fixed-price contracts – and across producers.

Beyond this, the rules around public bodies’ contracts could be modernised. Automatic annual price increases written into “escalation clauses” should be replaced with adjustments explicitly linked to recent or forecast inflation. This would ensure that public contracts reflect actual economic conditions, rather than guaranteeing price increases by default.

Voluntary codes of practice could also have a place. Industry bodies, for example in telecoms or catering, could adopt clearer and more transparent pricing standards. Requiring firms to publish the formulas they use in consumer and business-to-business contracts would make it easier for customers to compare.

Most recently, the Competition and Markets Authority launched a major consumer-protection drive focused on online pricing practices – a sign that regulators are scrutinising how companies present and justify price increases.

woman signing a contract on her phone
Dot the Is, cross the Ts and check the indexation clause.
KT Stock photos/Shutterstock

For consumers, it’s worth checking contracts carefully before signing – especially small-print clauses referring to “annual adjustments”, “indexation” or “inflation-linked increases”. These can lock in automatic price hikes that may exceed inflation. Asking providers to explain how these clauses work, or negotiating fixed-price terms, can help avoid unexpected costs later on.

At the end of the day, the government, Bank of England and regulators should be working together to ensure that indexed contracts do not undermine efforts to bring inflation down. Recognising and reviewing inflation-linked pricing practices could help explain why UK inflation remains stubbornly above target – and why monetary policy and interest rate changes alone may not be sufficient to bring it down.

The Conversation

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

ref. How household contracts could be fueling UK inflation – https://theconversation.com/how-household-contracts-could-be-fueling-uk-inflation-269146

Five ways to make the ocean economy more sustainable and just

Source: The Conversation – UK – By Susan Gourvenec, Royal Academy of Engineering Chair in Emerging Technologies – Intelligent & Resilient Ocean Engineering, University of Southampton

Sustainable seaweed farming contributes to a blue ocean economy. Kanurism/Shutterstock

The ocean has long been treated as boundless – a frontier for extraction and a sink for waste. This perception has driven decades of exploitation and neglect, pushing marine systems toward irreversible decline. Yet with urgent, collective action, recovery remains within reach, offering renewed global benefits for people, nature and economies.

The world is at a fork in the road regarding the environmental and economic health of our ocean, and the welfare of those who depend on it. Decisions made now will determine whether we perpetuate an unsustainable “grey” ocean economy (one that is dominated by unsustainable and unjust practices) or take a path to a regenerative and just “blue” economy that supports equitable outcomes for communities, ecosystems and economic systems.

Our team’s recent study captures a snapshot of the current ocean economy, forecasts to the mid-century, and outlines different ways forward.

If the world carries on the “business as usual” path, the ocean economy will remain dominated by fossil fuel extraction, overfishing, unsustainable aquaculture and polluting shipping. Ocean health will be further burdened by the influx of land-based waste.

This raises the risk of environmental collapse and deepens global inequality by disproportionately affecting people who are least responsible for those damaging activities. This destabilises the ocean economy.

Even a probable path shaped by optimistic changes won’t meet mid-century decarbonisation and sustainability targets, and will exacerbate global inequalities. Fossil fuels are still expected to supply over 70% of offshore energy by 2050, while offshore wind growth remains too slow to meet climate targets.

Seafood production will rise through aquaculture as climate change, overfishing and illegal, unregulated and unreported fishing reduce potential for wild catch, with forecasted harvests still exceeding sustainable limits. And shipping emissions remain a major challenge, as International Maritime Organization’s targets face delays due to slow technological progress and adoption.

From grey to blue

But it doesn’t have to be this way. Growing pressure from civil society, non-governmental organisations and grassroot campaigners is prompting corporations, private sector coalitions, financiers and governments to make the bold shifts needed for a blue economy.

Future ocean strategies must address the inequities at the heart of unsustainable ocean-based sectors that create a persistent tension between environmental protection and rising global demands.




Read more:
The world has finally noticed that the ocean is a finite resource


The blue economy offers a path forward. Responsible ocean stewardship can drive prosperity, reduce inequality and safeguard ecosystems. Evidence shows that investing in offshore wind, sustainable seafood, cleaner shipping, and mangrove restoration could yield benefits over five times the cost by 2050. Transformative action can break from a legacy of extractivism and shift the grey ocean economy toward a blue economy that benefits all.

Moving towards a blue economy now will be easier, cheaper and fairer than dealing with the consequences later. This involves five key steps: reduce fossil fuels, increase renewables, improve the sustainability of fishing and shipping, plus cut polluting waste from land-based agriculture and coastal cities – which must be planned and implemented inclusively and equitably.

offshore wind turbines, blue sea
Offshore wind is an engineered solution that contributes to a blue economy.
fokke baarssen/Shutterstock

Five key steps

Glimmers of blue already exist in the ocean economy around the globe.

Countries such as Denmark, France, Ireland and Costa Rica have banned fossil fuel exploration and production. This proves that with strong political will, nationwide transformation is possible.

While New Zealand was one of the first to go down this path, the current government recently reversed the ban – demonstrating that without additional legally binding requirements or collective responsibility, governments can always backtrack.

Denmark, once the EU’s largest oil producer, is now the country with the largest proportion of electricity produced from wind power, with nearly half of that capacity offshore. A transformation that took less than two decades.

International policy to eliminate government subsidies that support environmentally destructive fishing practices can drive global action. Communities can also drive initiatives for sustainable food production. For example, hundreds of fishers in Mauritius, are diversifying and growing seaweed as a nutrient-rich food source and sustainably sourced fertiliser.

mangroves trees, calm sea
Mangroves play a key role in building ocean resilience and contribute to a blue economy.
Craig139/Shutterstock



Read more:
Mauritius needs stewardship, not leadership, to keep global respect


Shipping innovations include internationally coordinated green corridors. At a local level, harnessing a natural sandbar at Lekki, Nigeria protects port infrastructure and enhances coastal ecosystems without needing to manufacture a harbour wall made from concrete or steel.

Countries including Pakistan and Madagascar have restored mangroves to reduce flood risk and support sustainable fishing while benefiting biodiversity and storing carbon.

Some UN initiatives are tackling ocean pollution from land-based activities such as litter, including plastic pollution, run-off from fertilisers and sewage. For example, farmers in countries including Ecuador, India, Kenya and Vietnam are switching to less polluting fertilisers and reducing agricultural plastic waste. This has prevented over 51,000 tonnes of hazardous pesticides and 20,000 tonnes of plastic waste from being released into the ocean.

Intentional change in policies, laws, and institutions that manage human activities affecting marine environments can curb corporate control and promote equity in ocean governance – helping shape a blue economy. This can include recognising the ocean as a living entity with its own rights, planning ocean use with fairness in mind, and sharing knowledge and money to support nature-based solutions.

Charting a path to a blue economy is essential to prevent severe climate disruption and irreversible harm to marine ecosystems and society. The health of our ocean – and our planet – hinges on the strategies we adopt and the decisions we make now.


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The Conversation

Part of the research contributing to this article was funded by the UK Government Development, Concepts and Doctrine Centre to support the Global Strategic Trends Programme https://www.gov.uk/government/publications/global-strategic-trends-out-to-2055. Susan Gourvenec is supported by the Royal Academy of Engineering through the Chairs in Emerging Technologies scheme.

Wassim Dbouk is affiliated with the Green Party

ref. Five ways to make the ocean economy more sustainable and just – https://theconversation.com/five-ways-to-make-the-ocean-economy-more-sustainable-and-just-268803

Game of Wool: Fair Isle knitting row reveals why culture and tradition matter

Source: The Conversation – UK – By Lynn Abrams, Chair of Modern History, School of Humanities, University of Glasgow

Knitters and crafters had been anticipating Channel 4’s new craft show Game of Wool for some time. Knitting, so long the poor relation of the textile crafts, was finally to take centre stage on primetime television.

Hosted by former Olympic diver and knitting convert Tom Daley, the show draws on the creative and technical skills of Di Gilpin and Shelia Greenwell – two of Scotland’s most high-profile hand-knitting specialists as judges. Game of Wool was set to join the BBC’s Great British Sewing Bee as a window onto the skills of amateur makers.

Yet, shortly after the first episode aired, the show found itself at the centre of a right old stooshie (a good Scottish word for a row). Advocates of Fair Isle knitting – the two-coloured stranded knitting technique and style with its origins in the eponymous island in Shetland – made their feelings known about the competitors’ first task: to knit a Fair Isle tank top in just 12 hours.

Online discussion groups were scathing about the task itself and the workarounds required – chunky wool, large gauge needles – to knit such a garment in such a short space of time.

The distinctive Fair Isle technique and style, with rows of two-coloured stranded design containing large motifs such as the “OXO” pattern alternating with “peerie” (small) patterned rows, had been misleadingly represented, it was claimed.

So why did a competitive task on a game show engender such a spirited debate?

Fair Isle motifs have been deployed frequently outside Fair Isle and Shetland by top designers and knitwear manufacturers. The term Fair Isle is often used to denote almost any kind of multi-coloured knitwear. And yet while its origins are disputed, inhabitants of this small island and the larger archipelago of Shetland have been knitting Fair Isle garments for generations, developing individual colourways and motifs.

Traditionally Fair Isle garments were knitted using local wool from Shetland sheep, in natural harmonising colours such as black, moorit (brown) and fawn, or with yarn dyed indigo (blue), madder (red) and yellow.

It was in the 1920s that the “all-over” Fair Isle sweater (a garment knitted entirely in stranded colourwork) was popularised by the Prince of Wales, leading to high demand for the colourful styles far beyond their original location. By the 1930s Shetland knitters were experimenting with new patterns, colours and materials. And manufacturers in Shetland and elsewhere (including overseas), appropriated the hand-knitted designs for machine-knitted garments once machines capable of knitting Fair Isle patterns became available.

Culture, tradition and livelihoods

So what is at stake for the knitting community in Shetland when a game show seemingly misappropriates a traditional craft practice? The issues for Shetland’s contemporary knitting community concern the economic and cultural viability and authenticity of a craft with long and deep associations with this place.

Knitting here through the 19th and much of the 20th centuries, before the arrival of the oil industry, was an essential occupation for the majority of women. Whether knitting was conducted on needles or on a hand-operated knitting machine, it was poorly rewarded. Knitters still struggle to command fair prices for their garments in a marketplace dominated by mass-produced knitwear.

The modern knitting economy of the islands has a vibrant face, attracting thousands of textile tourists and knitting practitioners each year, not least during the annual Shetland Wool Week in October. But this craft needs protecting and maintaining if it is to survive.

Just one example of the vulnerability of this indigenous craft to the economic and cultural power of the fashion industry was the incorporation of independent knitwear designer-maker Mati Ventrillon’s designs into Chanel’s 2016 Métiers d’art collection without attribution.

For Ventrillon, her designs, referencing historic local motifs and colours, are inseparable from Fair Isle the place, and her own life there as a knitter, crofter (a smallholding farmer in the Highlands) and member of a community of just 60 people.

In the wake of the furore that followed the Chanel show, she told the Business of Fashion: “All of these extra things – the things that I have to do, that I can’t ignore – they’re all part of the reason why these are luxury items. You’re not only paying for the quality of the knitting, but for the hardship and the challenging lifestyle that is required to live and work off this island. And it has to be from this island because where else can Fair Isle knitwear come from, but Fair Isle?”

Ultimately Game of Wool has cast a valuable spotlight on a heritage craft under threat despite its global profile. SOK, the Shetland Organisation of Knitters, has been founded in the wake of this debate, to preserve, promote and protect Shetland’s heritage knitting skills and culture.

Place matters. The craft product and the skills required to make a knitted garment embody a relationship between maker and place expressed through distinctiveness of materials, style, colourways, motifs and techniques. And although the power and reach of mass production has, in many cases, diluted this relationship, the original context of Fair Isle production remains important to both those who make it and those who wear it.


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The Conversation

Lynn Abrams received funding from UKRI for the research project “Fleece to Fashion. Economies and Culture of Knitting in Scotland” https://fleecetofashion.gla.ac.uk/

ref. Game of Wool: Fair Isle knitting row reveals why culture and tradition matter – https://theconversation.com/game-of-wool-fair-isle-knitting-row-reveals-why-culture-and-tradition-matter-270108

Bébés abandonnés : deux tragédies récentes révèlent l’urgence de services pour parents en détresse

Source: The Conversation – in French – By Nicole Racine, Associate Professor, School of Psychology, Scientist, Children’s Hospital of Eastern Ontario Research Institute, L’Université d’Ottawa/University of Ottawa

En l’espace d’un mois, deux bébés ont été abandonnés à Longueuil. Ces tragédies ne sont pas des événements isolés : elles révèlent la détresse croissante des femmes enceintes et parents vulnérables, et soulignent l’urgence de services spécialisés pour protéger ces vies fragiles.

Le premier, un petit garçon prématuré de 34 semaines, a été laissé devant la porte d’une maison le 5 octobre. La famille qui habite cette maison a trouvé le bébé et a immédiatement appelé la police. Le 27 octobre, le deuxième bébé a été découvert dans un abribus. Le bébé a été transporté d’urgence à l’hôpital où son décès a été prononcé. Une femme de 33 ans, qui fréquentait un refuge voisin, a été arrêtée dans le hall d’entrée, puis relâchée afin de recevoir un soutien psychologique et médical.

Le nombre de femmes et de futures mères sans domicile fixe est en augmentation au Québec et dans tout le pays. Psychologues communautaires et psychologues pour enfants, nous travaillons avec des organismes qui soutiennent ces femmes et constatons chaque jour les difficultés du personnel à leur trouver un logement.

Nous avons publié plus tôt cette année une analyse dans le Journal de l’Association médicale canadienne sur la hausse du nombre de femmes enceintes et de parents sans abri, les effets néfastes de l’itinérance sur la santé des femmes et le développement des enfants, ainsi que sur les stratégies pour répondre à cette crise.




À lire aussi :
Logement : les partis municipaux prisonniers de la logique du marché


Le profil de l’itinérance se féminise

Il est difficile de déterminer le nombre de femmes enceintes sans domicile fixe au Canada, car les principales sources de données ne posent pas de questions sur la grossesse. Toutefois, selon des données fédérales récentes, le nombre de personnes sans domicile fixe au Canada a augmenté de 20 % entre 2018 et 2022. Parmi les personnes recensées, 10 % déclarent avoir une famille. Si la plupart des personnes sans domicile au Canada sont des hommes, une analyse menée par Statistique Canada en 2022 a révélé que le nombre de femmes en âge de procréer sans domicile a augmenté.

Il existe de nombreuses raisons qui peuvent expliquer cette hausse. L’itinérance se situe à l’intersection de plusieurs autres inégalités sociales : pauvreté, troubles mentaux, traumatismes, statut de réfugié et consommation de substances psychoactives. Les difficultés financières accrues, l’exposition à la violence familiale et les problèmes de santé sont les principaux facteurs associés à l’itinérance en général. Plus précisément, l’exposition à la violence – y compris la violence sexuelle, la traite des êtres humains et la pauvreté – est un facteur majeur à l’origine de l’itinérance chez les femmes et les filles.

Une étude réalisée en 2013 comparant les femmes sans domicile avec et sans enfants a révélé que celles qui ont des enfants sont plus susceptibles de souffrir de problèmes physiques, de santé mentale et de toxicomanie. C’est la dernière étude comparant directement ces deux groupes.




À lire aussi :
Nous avons offert 7 500 dollars à des personnes sans domicile fixe. Voici ce qu’elles ont fait avec cet argent


Cependant, au cours de la dernière décennie, les chercheurs se sont concentrés sur les femmes sans enfants et les femmes avec enfants de manière isolée, et continuent de montrer que les femmes sans domicile, qu’elles aient ou non des enfants, continuent d’être confrontées à des taux disproportionnés de maladies, de traumatismes et de dépendances.

Ces tragédies ne peuvent être réduites à la seule détresse individuelle. Elles découlent d’interactions complexes entre les conditions sociales, parcours marqués par les traumatismes et lacunes profondes dans les services, des défaillances qui laissent tomber les femmes précisément lorsqu’elles sont le plus vulnérables.

Les femmes enceintes et les mères décrivent le système comme déroutant, peu réactifs à leurs besoins et pas sécuritaire. Elles peinent à trouver un logement temporaire ou permanent adapté, avec un soutien avant et après l’accouchement. Cela augmente les risques de fragmentation des soins, de stress et de conséquences négatives sur la santé tant pour les mères que pour les nourrissons.

Les obstacles et la stigmatisation dans les services de santé contribuent en outre à l’insuffisance des soins prénataux et augmentent le risque de complications telles que les hémorragies, les accouchements prématurés et l’insuffisance pondérale à la naissance.

Des aides pour répondre à des besoins complexes

Les femmes et les personnes enceintes sans domicile fixe ont besoin d’un soutien spécialisé répondant à leurs besoins multiples et interdépendants. Bien que l’accès au logement soit une exigence fondamentale, il est urgent que ces logements offrent des services qui s’attaquent aux causes profondes de l’itinérance maternelle.


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Les aides au logement doivent être accompagnées de services de santé physique et mentale qui ciblent ces causes : troubles mentaux, dépendance, traumatismes, exposition à la violence et besoins parentaux. Les femmes doivent pouvoir accéder à des services répondant à leurs besoins périnatals, ainsi qu’à des aides pour la santé et le développement de leur enfant. Elles doivent également avoir accès à des soins leur permettant de faire des choix libres concernant leur santé et leur désir d’être parent ou non.

Idéalement, ces services sont fournis en partenariat avec d’autres services sociaux, notamment la protection de l’enfance, afin d’assurer aux familles un soutien complet. Un soutien intégré peut transformer profondément l’expérience des femmes enceintes en situation de vulnérabilité. Comme le raconte une ancienne cliente d’un centre pour femmes à Toronto, interviewée dans le cadre de nos travaux :

« Ils avaient tout ici. Pas seulement de l’aide pour ma toxicomanie, mais aussi pour devenir mère… Je n’avais jamais été autour de bébés ou de jeunes enfants, je n’avais aucune idée de ce qui m’attendait. »

Ces témoignages montrent à quel point un service sans jugement est essentiel à la réussite à long terme. Une autre femme décrit ainsi son parcours :

« J’étais au plus bas, je n’avais rien, je n’avais personne, je suis venue demander de l’aide, et aujourd’hui, je peux dire que je suis très reconnaissante. Sans eux, je ne serais pas ici… Ils ne vous jugent pas. »

Un exemple de services intégrés au Canada

Les services de santé, de santé mentale et de développement de l’enfant doivent être regroupés et fournis en tandem avec des aides au logement. Il existe au Canada certains modèles qui ont adopté cette approche intégrée.

Par exemple, le centre de santé communautaire Maxxine Wright à Surrey, en Colombie-Britannique, offre des services de santé maternelle et infantile, un soutien en santé mentale, un accompagnement parental et une aide pour les besoins fondamentaux, tout en proposant un hébergement. Grâce à ce modèle, les femmes confrontées à des problèmes de toxicomanie ou de violence peuvent obtenir un logement pendant deux ans après la naissance de leur enfant. Ce type de soutien et de stabilité est essentiel pour aider les familles confrontées aux plus grandes difficultés.

Pour faire face à ces réalités, il ne suffit pas de sensibiliser l’opinion publique : il faut une coordination communautaire, avec une action concertée des services de santé, de santé mentale, de traitement des dépendances, de logement, d’emploi et des organismes communautaires, appuyée par les gouvernements municipaux et provinciaux. Ces réponses doivent être fondées sur la compassion, la bienveillance et un engagement commun à garantir qu’aucune femme et aucun enfant ne soient privés de sécurité, de soutien ou de dignité.

La Conversation Canada

Nicole Racine a reçu des financements de l’Instituts de recherche en santé du Canada et le Conseil de recherches en sciences humaines.

Stéphanie Manoni-Millar a reçu des financements du Conseil de recherches en sciences humaines.

ref. Bébés abandonnés : deux tragédies récentes révèlent l’urgence de services pour parents en détresse – https://theconversation.com/bebes-abandonnes-deux-tragedies-recentes-revelent-lurgence-de-services-pour-parents-en-detresse-268718