Tender Topics: Stories of Real Conversations on Vaccinations, Racism, and Identity

Alexia Málaga
2026 Minnesota Public Health Association (MPHA) Annual Conference


Description

The key topic of this presentation is communications, with the main message being: tough conversations are inevitable, and how we navigate them can either deepen connection or create distance in relationships. Change begins with an idea, often acted on in coordination with others, and learning whether and how to engage in difficult dialogue—especially with people we appear to disagree with—is a skill. My hope is for attendees to be inspired by these success stories to speak their truth with honesty, compassion, and curiosity. This presentation aligns with the conference theme, Reimagining the Future of Public Health, by showing how skillfully engaging in tough conversations about tender public health topics can build healthier relationships and open new opportunities for collaboration, bold ideas, and real solutions.

Learning Objectives

  1. Determine whether or not to engage in a difficult dialogue—especially with someone you appear to disagree with—after assessing personal safety needs and boundaries.

  2. Evaluate potential consequences of sharing your truth versus remaining silent, including possible impacts on the relationship (deepening or creating distance).

  3. Apply this demonstrated approach for communicating with honesty, compassion and curiosity around tender public health topics.

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