Parents should talk to children about alcohol; study shows teens do listen

Two recent studies highlight how important it is for parent to talk with their teens about the risks of alcohol use, which leads to more than 4,500 deaths nationwide every year.

In the first study, Mothers Against Drunk Driving found that fewer than a third of alcohol-related deaths among 15- to 20-year-olds are caused by drinking and driving. About 32 percent of the drinking-related deaths involved traffic crashes, while 68 percent involved incidents such as murder (30 percent), suicide (14 percent), alcohol poisoning (9 percent) and other causes (15 percent), MADD says in a press release.

"These data show that taking away the keys truly does not take away all of the risks when it comes to underage drinking," MADD national president Jan Withers said. "MADD hopes this information will inspire parents to have ongoing conversations with their kids about the dangers of drinking alcohol before age 21, especially since we know that a majority of kids say their parents are the biggest influence on their decisions about alcohol."

Another study says parents can help reduce children's excessive drinking in college by talking with them about the potential dangers of excessive drinking before they set foot on campus, and it turns out that children really do listen to their parents about drinking, says the study by Rob Turrisi of Penn State. Discussing drinking in any way before teens go to campus, including why some teens drink while others don't, as well as the potential dangers of excessive drinking, can help.

Having this type of conversation with teens about the reality of underage drinking and its risks, such as alcoholism and alcohol poisoning, and can reduce the odds that light drinkers will escalate into excessive drinkers, says the study. It can also increase the likelihood that already heavy-drinking teens cut down on their drinking or even stop completely.

The National Institute on Alcohol Abuse and Alcoholism also urges parents to talk with their children about alcohol. Click here for more information about doing this or to read about the risks of alcohol use and other prevention strategies.

Study: Teenagers may buy fewer cigarettes if the product is not prominently displayed

For Kentucky which has the dubious distinction of having the nation's highest rate of teen smokers, an study published this week in Pediatrics reports that teenagers may be less likely to buy cigarettes at convenience stores if they aren't sold in plain sight. Genevra Pittman of Reuters Health explains that requiring stores to hide tobacco product displays is one option some states are considering to curb teen smoking after the Family Smoking Prevention and Tobacco Control Act of 2009 was passed, according to Annice Kim, the study's lead author. No state has yet banned the displays. (Associated Press photo)

The study was conducted using a virtual reality game where teens, ages 13 to 17, "visited" simulated stores to purchase items. In some cases, the cigarettes were displayed behind the counter; in others, they were covered up. The researchers from RTI International found that 16 to 24 percent of teens tried to buy tobacco when the display was open, compared to 9 to 11 percent when it was closed. Thirty-two percent said they were aware cigarettes were available when the display case was closed , compared to 85 percent of those who had the open version.

Dr. Michael Siegel, of the Boston University School of Public Health, told Pittman that the study was interesting but he was skeptical of extrapolating it into real life. Real life kids, he said, will go to a store when they want to buy cigarettes. "I don't know how many situations there are when a kid is hanging out in a convenience store with nothing to do and says, 'Oh, I'll just try a cigarette as long as they're here.' "(Read more)

Teen smoking in Kentucky declined more than it did in nation from 2002 to 2010, but state remained in top 10

Like most states, Kentucky showed a drop in reported cigarette smoking among 12- to 17-year-olds from 2002 to 2010, according to a report by the Substance Abuse and Mental Health Services Administration.

Nationwide, teenagers' reported "current use" of cigarettes dropped from 12.6 percent to 8.7 percent. In Kentucky, that decline was even more significant, plummeting from 17.6 percent in 2002 to 11 percent in 2010. The 2002 rate was third in the nation; the latest one is sixth. The surveys defined "current use" as smoking in the past month. (Click on map for larger version)

Strangely, the data showed that during the same period, teens' perception of risk from cigarette smoking remained unchanged in Kentucky and most other states. Tobacco use is the leading cause of premature and preventable death in the United States. (Read more) To read the full report, go here.

Kentucky teens attempt suicide more often than those in all U.S.

In a 2011 update of a study done four years ago, the U.S. Department of Health and Human Services Office of Adolescent Health (OAH) surveyed America's teenagers about their physical health and potentially risky behaviors. Broken down state-by-state, the study presents a picture of what ails us, if we are willing to pay attention.

In Kentucky, the numbers read as not terribly surprising. Our kids are a little more fat than the national average. They smoke and chew more tobacco. They have a little more sex while in high school. But one statistic is startling: Kentucky's teenagers are trying to kill themselves more frequently than other teenagers nationwide.

According to data collected by the Centers for Disease Control and Prevention last month, 11 percent of Kentucky youth have attempted suicide, compared to 8 percent nationally. Moreover, 5 percent of Kentucky's teenagers have had a suicide attempt result in an injury, poisoning or overdose that had to be treated by a doctor or nurse during the 12-month period before the survey was conducted. That compares to only 2 percent nationwide for kids responding who required the same treatment during the same duration.

If there is good news for Kentucky in the survey, it's this: The state's teenagers are in reasonably good health, but are not getting the physical exercise that the rest of the nation's teens are getting (39 percent vs. 49 percent) and they are playing fewer team sports (46 percent vs. 58 percent). They are heavier (16 percent vs. 13 percent) than the average American teen and more likely (36 percent to 28 percent) to drink a can, bottle or glass of soda or pop one or more times a day.

They are less likely to have never tried smoking (41 percent  to 55 percent) than other American teens, to have smoked on a least one day of the last 30 (24 percent to 18 percent), bought their own cigarettes (21 percent to 14 percent) and used chewing tobacco (17 percent to 8 percent). Eight percent of Kentucky teenagers report using pain relievers for non-medical reasons in the last 12 months. That's a bit higher than the national average of 6 percent of U.S. teens who report doing the same.

Kentucky's teenagers are also a bit more likely to have had sexual intercourse while in high school (52 to 47 percent) than the national average, more likely to carried a weapon on a least one day (23 percent o 17 percent), carried a gun (9 percent to 5 percent), though less likely to have been in a physical fight (29 to 33 percent).

To find each of these topics, go here. Look for the heading (physical health, mental health, substance abuse, healthy relationships), then go to the Kentucky site page. A more complete data picture will emerge.

Studies show that preteen girls who get the HPV vaccination are not more inclined toward promiscuity than those who don't

An electron micrograph of the
human papilloma virus.
(National Cancer Institute photo)

 

The most recent study of preteen girls who received the vaccine for the human papilloma virus (HPV) found that they were no more likely than unvaccinated girls to get pregnant, develop sexually transmitted infections or seek birth-control counseling. The findings in Monday's issue of Pediatrics are in line with recent studies on British teens, which also dismissed concerns that getting the vaccination might encourage promiscuity.  USA Today reporter Michael Healy writes that while the latest results were based on parental or self-reporting, the reports were corroborated by medical tests, clinical markers of sexual activity and other behavior markers.

Robert Bednarczyk, a clinical investigator with the Kaiser Permanente Center for Health Research-Southeast and an epidemiologist at Emory University in Atlanta., queried 1,398 girls, aged 11 and 12, and analyzed their medical records. He and colleagues divided the girls into two groups and followed them for three years. "One group of 493 girls received at least one dose of the HPV vaccine Gardasil, along with other recommended vaccines for tetanus and meningitis. A comparison group of 905 girls received the tetanus and meningitis vaccines, but not HPV," Healy writes. "There was a very similar rate of testing, diagnosis and counseling between both groups," with no increase in pregnancies, STIs or birth-control counseling, Bednarczyk reported. Fewer than 1 percent of all girls tested positively for a sexually transmitted infection, and fewer than 1 percent had a positive pregnancy test.  (Read more)

Infant mortality, pre-term birth, teenage pregnancy, children living in smokers' homes all drop even as as child poverty goes up

Nationwide, the rates of infants who die, babies who are born prematurely, teens who are having babies, and the percentage of young children who live in a home where someone smokes have all decreased in the last five years. But the percentage of kids who live in poverty has gone up.

These findings are some highlights of the report "America's Children in Brief: Key National Indicators of Well-Being, 2012," compiled by the Federal Interagency Forum on Child and Family Statistics. The report, which does not break down data by state, looks at children's demographic backgrounds, family and social environments, economic circumstances, health care, physical environment and safety, behavior, education and health.

"This year's report contains good news about newborns," said Dr. Alan E. Guttmacher, director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development. "Fewer infants were born pre-term and fewer died in the first year of life."

Among other findings: In the last five years there has been a five-fold increase in the percentage of teens who have received the vaccine that prevents the most dangerous form of meningitis. Other key findings show:
• A drop in the percentage of children who live in homes that are classified as food insecure.
• A drop in the percentage of teens ages 16 to 19 who don't work and are not enrolled in high school or college.
• A rise in the percentage of children from birth to age 17 who live in counties in which one or more air pollutants were above allowable levels.
• An increase of one statistical point in the average math scores for 4th and 8th graders from 2009 to 2011. For a quick glance at the findings, click here. (Read more)

As U.S. teen birthrate reaches 70-year low, Ky. still 7th highest

The teenage birth rate nationwide is the lowest in nearly 70 years, but Kentucky's rate is much higher than the national average — 46.2 births per 1,000 compared to 34.3 across the U.S.

That ranks it seventh highest in the nation, but the figure is down from 53.1 per 1,000 in 2007. Nationwide, the number is down from 61.8 per 1,000 in 1991. "Young people are being more careful," Sarah Brown, CEO of the National Campaign to Prevent Teen and Unplanned Pregnancy, told Sharon Jayson of USA Today.

In 2010, a total of 367,752 infants were born to mothers ages 15 to 19. Mississippi had the highest rate, with 55 teen births per 1,000 and New Hampshire had the lowest with 15.7, according to the National Center for Health Statistics.

Girls who are having sex for the first time are much more likely to use contraception than their predecessors, notes Laura Lindberg, a senior research associate with the non-profit Guttmacher Institute in New York. She credited the lower teen-birth rate to "the elimination of pelvic exams before receiving prescriptions for hormonal methods, as well as use of long-acting methods such as IUDs." (Read more)

Writer weighs in on morning-after pill decision in provocative way, looking at both sides but ultimately saying it protects girls

Freelancer Mariam Williams writes a provocative piece in The Courier-Journal about a federal official's recent rejection of a proposal to allow girls 16 and under to obtain the morning-after pill without a prescription.

Williams speaks to girls who fall in this age group and highlights the advantages and disadvantages of the decision, which was made last week by Health and Human Services Secretary Kathleen Sebelius, despite a recommendation to the contrary by the U.S. Food and Drug Administration.

"Her decision will come at a cost to me and every other adult woman of child-bearing age," Williams writes. "It will set a precedent for every time someone wants to ignore science and embrace an ideology that not everyone else believes. Her actions will tell them that's OK, and when a pharmacist denies a grown woman's request for the morning-after pill, or when people who believe a fertilized egg is a person can't give any scientific reason for the laws they want to pass, they'll point to Kathleen Sebelius.

"But I believe you and girls younger than you are worth the danger her decision put all of us in. She did this to protect you where the adults in your life have failed you, to push you to talk to an adult if you're having sex or if you've been sexually assaulted so that you can get the information you need to be as safe as possible. So I hope you take your behavior seriously. We women do." (Read more)

Morning-after pill should not be available to young girls over the counter, HHS secretary says, reversing FDA

Contrary to the recommendation of the U.S. Food and Drug Administration, girls younger than 17 won't be able to get the "morning-after pill" without a prescription. The FDA was overruled by Health and Human Services Secretary Kathleen Sebelius on Wednesday.

"Right now, girls age 17 and older can get the emergency contraceptive without a prescription, but a prescription is required for girls age 16 and younger," reports Darla Carter of The Courier-Journal.

Teva Women's Health requested that the drug, known officially as Plan B One-Step, be available to all girls of child-bearing age. FDA Commissioner Margaret Hamburg was in favor of the request, saying she felt there was "adequate, reasonable, well-supported, and science-based evidence that Plan B One-Step is safe and effective."

But Sebelius disagreed and directed the FDA to write a letter denying Teva's request. "She cited insufficient data to support the company's application, plus cognitive differences between older adolescents and younger girls, such as 11-year-olds," Carter reports. (Read more)

Teens don't need sports drinks unless they are playing sports, and shouldn't consume energy drinks, experts say

Though teens are increasingly consuming sports and energy drinks, the beverages don't offer them any benefits, a report contends. In fact, teens should only consume sports drinks like Gatorade if they're actually playing sports and avoid caffeinated energy drinks like Red Bull entirely, reports Alice Park of Time magazine's Healthland. "Water, not sports drinks, should be the major source of hydration for adolescents," said Dr. Marcie Schneider said.

The report was compiled by the American Academy of Pediatrics' Committee on Nutrition and its Council on Sports Medicine and Fitness. It found many teens consume sports drinks (Getty Images photo) in the school cafeteria, in part because sodas are increasingly being taken out of school vending machines. Sports drinks have extra carbohydrates and electrolytes, which can be beneficial after intense workout sessions. "But outside that setting — and honestly most of our teens and children are way outside that setting — they don't need sports drinks," Schneider said. The extra carbs are just extra calories. They also can erode enamel from teeth and cause dental problems.

Energy drinks are similar to sports drinks, but have the added ingredient of caffeine, which kids also don't need. "We know that caffeine raises heart rate, blood pressure, speech rates and motor activity, and affects how much acid your stomach secretes, your body temperature and how much you sleep or don't sleep" Schneider said. These drinks can make children who are already anxious have more anxiety and rev up kids with attention deficity hyperactivity disorder even more. "Do these kids really need caffeine as part of their lives? The answer is no." (Read more)

Pediatrics academy tells parents to monitor kids' online activities

A report from the American Academy of Pediatrics stresses children's physicians can play a vital role in educating parents about setting limits for kids when it comes to technology like texting and Facebook.

"Pediatricians are in a unique position to help families understand these sites and to encourage healthy use," the report says. The academy recommends that parents communicate often with their kids about time spent on computers, both to make sure it is not harmful to them and it doesn't conflict with family time. "I think even in the tween years, this has to be happening because ... more and more, pop culture is percolating down to tweens," Dr. Kathleen Clarke-Pearson, a North Carolina pediatrician and co-author of the report, told The Courier-Journal's Darla Carter.

Parents should look for signs of sleep deprivation and "Facebook depression," which can happen when children spend a lot of time on social media sites. Parents should also have a plan regarding when electronics should be allowed to be used at home, during dinner or at bedtime, for example. Parents should also talk to their children about how to be a "responsible digital citizen," Clarke-Pearson said, which involves talking about subjects like sexting, cyberbullying or posting inappropriate matter or comments.

Kids and teens can be influenced by social media and other websites to try risky behavior, such inhaling chemicals or trying the choking game, experts say. "The mantra basically is it's not going to happen to me, so they will do these things because everybody else is," Dr. Hatim Omar, a pediatrics professor at the University of Kentucky, told Carter.

Earlier this year, the academy reported about one in five teens log onto their favorite social media site more than 10 times a day, and more than half log on more than once a day. "It also notes that 75 percent of teens own cell phones and 25 percent use them for social media while 54 percent use them for texting and 24 perfect use them for instant messaging," Carter notes. (Read more)

Parents should talk to children about drugs and alcohol often, and firmly, but spend more time listening

Talking about drugs and alcohol often, and when children are at a young age, are two of the best things parents can do to prevent substance abuse by teenagers.

"As much as parents want to be the 'anti-drug,' as media campaigns encourage, the tricky part is doing it effectively, without alienating their kids or essentially lighting a joint for them," reports Alexia Elejalde-Ruiz of the Chicago Tribune.

One of the keys is to have conversations often and early on. "What you don't want is to be having this conversation after your child has already started drinking or smoking marijuana," said J. David Hawkins, founding director of the Social Development Research Group at the University of Washington.

Nationwide, 71 percent of high school graduates have consumed alcohol, half have gotten drunk at least once, almost half have tried illegal drugs, and one-fourth have tried illegal drugs other than marijuana, the 2010 Monitoring the Future survey found. The annual poll, conducted by the University of Michigan, talked to 50,000 American teens.

Kentucky teens under 18 are among the least likely to drink alcohol of teens in the nation, the 2007-08 National Survey on Drug Use and Health showed. Kentucky teens ranked 10th lowest, but were nearly on par with the national average when it came to binge drinking. (Read more)

The workshop "Guiding Good Choices" gives lessons to parents in how to deal with the issue. It advises parents to talk to their kids about drugs before adolescence, preferably when they're in the fifth or sixth grade. Parents should talk to their kids about people in their family that may have drinking or drug problems and how that affects them. They should set a family policy on drugs or alcohol and establish consequences. And they should plan to have the conversation every year.

Teens generally obey rules until they reach the eighth grade, when it becomes unclear to them whether or not drugs and alcohol are actually bad. Alison Birnbaum, a psychotherapist and social worker based in New Canaan, Conn., said talking about drugs is only 20 percent talking, and 80 percent listening, but parents should be firm. Parents should make clear they will be disappointed if the rules are broken.

Safety First, a teen drug-prevention project, advocates "Just Say Know," rather than "Just Say No." It provides kids with science-based information and asks parents to be honest, if selective, about their own history with alcohol and drugs. "Parents often worry that they're condoning drugs if they're not condemning them, but ... acknowledging the possibility that your kids might experiment sets you up to discuss what they should do if they get in trouble," Elejalde-Ruiz writes. (Read more)

Kentucky teens under 18 among least likely to drink alcohol, but binge drinking among them is nearly the national average

About 6 percent (709,000 of 12 million) of U.S. children aged 12 to 14 drank alcohol in 2009, and nearly half got their drinks from their own home, according to a study by the Substance Abuse and Mental Health Services Administration.

Because the data are new, they have not been broken down by state, SAMHSA spokesman Bradford Stone said. But the 2007-08 National Survey on Drug Use and Health, which was released in June 2010, showed Kentucky teens are among the least likely in the country to drink alcohol. Numbers showed about 13.8 percent Kentucky youth ages 12 to 17 had tried alcohol in the month they were surveyed. Census estimates indicate Kentucky has about 235,000 10- to 14-year-olds.

Kentucky ranks 10th lowest in percentage of youths who drink alcohol, the 2007-08 numbers showed. Most of the states with the lowest percentages were in the South, including Alabama, Georgia, Mississippi, South Carolina and Tennessee. The lowest percentage, 7.57, was in Utah; Rhode Island, at 20.7 percent, had the highest. Nationwide, the percentage was 15.3 percent.

Nearly 9 percent of 12- to 17-year-olds in Kentucky said they had binged on alcohol in the month they were surveyed, compared to 9.25 percent nationwide.

Research shows underage drinking can lead to future problems. "People who begin drinking alcohol before the age of 15 are six times more likely than those who start at age 21 and older to develop alcohol problems," said SAMHSA Administrator Pamela Hyde.

The National Survey on Drug Use and Health is an annual, countrywide survey involving in-person, at-home interviews with about 70,000 people 12 years of age and older. Each interviewee is randomly selected. Data pertaining to the use of alcohol, tobacco, illicit drugs and mental health is collected. The survey is funded by SAMHSA. Figures are subject to error margins depending on the size of a state and its sample in the survey.