Important Children’s Health Issues

Issues concerning children’s health are ever changing with time. Currently our children face many new challenges and problems with their health and welfare.

Obesity
Obesity is perhaps the United States’ number one children’s health issue. 16% of children ages 6-19 are considered overweight or obese (above the 95th percentile for weight in relation to height), with numbers that keep climbing. Various factors play a part in this children’s health issue: if parent(s) are overweight, socioeconomic status, inactivity, and (obviously) nutrition. Hispanic youths are more likely to be overweight. Obesity specifically in girls, depends on their socioeconomic status; if they are of low income, the likelihood of being overweight is significantly higher than if they are of middle or upper class. The challenge we are facing now is how to prevent childhood obesity and help already obese children lose weight. Unfortunately, shaming children to losing weight, as some parents do, can lead to eating disorders and emotional problems. Children and teens lose weight the same way adults do: they need to find a method that works for them, whether it is going to a nutritionist or a weight-loss camp. Most importantly, becoming active and having a support network are key factors.

ADHD
Attention deficit hyperactivity disorder (ADHD) is a common mental disorder among children and adolescents and is one of the most concerning of children’s health issues. ADHD is characterized by impulsiveness, hyperactivity and inattention. If ADHD is not treated, it can travel with the child into adulthood, which it does for over half of children with this diagnosis, and pose further mental disorders. According to the CDC, 7.5% of children ages 3-17 are diagnosed with ADHD, and 1/3 do not have the hyperactivity component. Learning how to treat this disorder is very important in relation to helping your children cope with this possible life long mental disorder. A wide variety of medications, such as Ritalin, are often used. Behavioral therapy for children and parents is another popular approach. Treating ADHD involves a lot of trial and error to find out which method of treatment will be the best for your child or adolescent.

Teen Pregnancy
After a 14-year decline in teen pregnancies in the United States, they are on the rise again. According to the CDC, 2008 saw an overall national increase in teenage pregnancies by 3%. The rise in specific states, mainly Southern states, showed higher rises in percentages of teenage pregnancies. Teen mothers account for 11% of births in the U.S.. Experts are unsure of why after 14 years the rate of teen mothers went up. The question is now, how do we make it go back down? It has been suggested that the ever-present “abstinence only” policy of school sex education programs should be re-vamped and include instructions on how to have safe sex. Our daughters need strong role models to help them through all of society’s unrealistic expectations.

Autism
The Mayo Clinic describes autism as a serious developmental problem that usually occurs in children under 3 years of age with varying symptoms, all of which affect the child’s ability to communicate and interact with others. Up to 6 out of 1000 children is affected with this disorder. The cases of autism are rising, which could be accounted for by more accurate diagnoses, but professionals are unsure. In recent news, it has been suggested that autism could be related to immunizations that are given to children, as children receive more shots now than ever. The lack of vitamin D has also been suggested as a case of autism. In the medical world, there are many speculations of what causes autism, however, there has not been a proven trigger for the disease. Autism is much like ADHD in respect to that there is not one standard treatment; it depends very much on the individual. Depending on the severity of the diagnosis, occupational therapy and/or behavior therapy are the first places to begin. Parents are also encouraged to take part in treatment programs to learn the best ways to cope with this diagnosis.

Marty Craigs is a proud father who advocates for child safety. He is concerned that there are many kids living in distressed situations. To make a difference, he supports non-profit organizations such as KIDS — http://kidsdonations.org/pd_wtd_cc.htm — where you can donate new children’s clothes or make a financial gift.

Men’s Issues

*Perceptions of the Male Role*   Watts, R.H., Jr.,  Borders, L.D. (2005). Boys perceptions of the male role: Understanding gender role conflict in adolescent males. The Journal of Men Studies, 13 (2), 267-280.   Randolph Watts Jr. and L. Di Anne Borders of the University of North Carolina at Greensboro reported on small interview groups of adolescent males enrolled in North Carolina public schools. The adolescents were also members of a local youth organization. The eleven participants ranged in age from 1418 (M = 16.2 years; SD = 1.18). Nine participants were Caucasian, one was African-American, and one was an international student (Eastern European). The participants took part in individual and group interviews, with the focus of the interview being constructs represented within gender role conflict theory(p. 270).

Their first research question dealt with restricted affect between men, and they reported support for the gender role conflict theory of restricted affectionate behavior between men(p. 271). The participants shared stories and concerns related to being labeled gay if they shared or demonstrated affection toward another male. Other participants reported not having feelings of affection for friends who were male.  Another research question delved into the broader question of possible restricted emotionality among adolescent boys. Again, many boys said it was inappropriate to express emotions that they felt because that came across as not masculine or ‘unmanly(p. 271). Several boys indicated that anger or rage were the only acceptable emotions for expression. As the researchers put it, the more sensitive the emotion, the more difficult to express(p. 272).  The remaining questions dealt with perceived conflicts between work or school and family, need for success or achievement, and gender role conflict. The researchers concluded that the participants in this small study seemed to support the validity of gender role conflict in adolescent boys.  For the Christian counselor, this study raises interesting questions about what is biblical masculinity and how is it to be shaped and expressed in terms of gender role? It would be interesting to conduct a similar study within a distinctively Christian context and perhaps compare experiences, attitudes, and perceptions.    *Internet Pornography*  Yoder, V.C., Virden, III, T.B.,  Amin, K. (2005). Internet pornography and loneliness: An association? Sexual Addiction  Compulsivity, 12, 19-44.   Vincent Yoder and his colleagues from Argosy University studied the relationship between Internet pornography use and loneliness. They reported on 400 Internet users; 114 females and 286 males ranging in age from 2161 (53.5% Caucasian and 23% married). The researchers predicted that increased time viewing Internet pornography would correlate with higher rates of loneliness.  The researchers found support for a relationship between Internet pornography use and loneliness. In fact, the main predictor of loneliness was time spent viewing Internet pornography (number of days per week).

 

Interestingly, the second highest predictor of loneliness was non-pornographic use of the Internet. The researchers wondered if this association was due to less human contact found in particular employment settings.  Not surprising, males scored significantly higher than females on the loneliness scale. An additional interesting finding was related to clergy. Only six of the 400 participants were clergy. However, this group was the loneliest (by employment clusters). Again, the researchers considered whether this was due the stressors of employment and the unique position of authority and spiritual piety(p. 34) as it pertains to being clergy.  This study certainly confirms the intuitive sense many people have that there is a relationship between Internet pornography use and loneliness. Given the significant increase in Internet pornography, that is available via the Internet, it can be helpful to investigate the relationship between pornography use and loneliness and to begin to identity ways to prevent the misuse of the Internet.

*Myths About African-American Fathers*  Smith, C.A., Krohn, M.D., Chu, R.,  Best, O. (2005). African-American Fathers: Myths and realities about their involvement with their firstborn children. Journal of Family Issues, 27 (7), 975-1001.  This study is based upon data from the Rochester Youth Development Study, a longitudinal study of urban youth. Carolyn Smith and her colleagues from the University of Albany reported on young men who were fathers by age 22 (N = 193, 67% of whom identified as African-American, 21% Hispanic, and 12% White).  Smith and her colleagues make the case that The extant literature on father involvement tends to perpetuate an image of African-American fathers as absent or invisible.In this study, they examined father involvement in terms of contact and financial support. They found that African-American young fathers did not differ significantly from other young fathers in terms of support of, and contact with, their first biological child. For example, African-American fathers were not significantly less likely to reside with their eldest child than [were] other fathers(p. 988). Similarly, among fathers who [were] nonresidential, there [was] no significant difference in either the level of contact or the amount of financial support between African-American fathers and other fathers (p. 988).

The researchers also looked at what factors predicted involvement among African-American fathers. Interestingly, relationship conflict and public assistance were two particularly important variables. The degree of conflict that fathers have with the mothers of their children is inversely related to living with the child and receiving public assistance is positively related to co-residence(p. 995). In another analysis this time of nonresident African-American fathers  were less likely to have contact with their first biological child if the mother had a partner in her home. The biological father having another partner, however, or having other children in his home, did not lower the amount of contact or support for their biological child.  The researchers made the observation that level of involvement may still not be what it could be, that is, this is an area that can still be addressed and improved. But it would perpetuate a certain negative image to think of African-American fathers as absent or invisible,while the other fathers in this study were just as likely to be involved with (or absent from) their first biological child.

*Traditional Masculinity*  Burn, S.M.,  Ward, A.Z. (2005). Men conformity to traditional masculinity and relationship satisfaction. Psychology of Men  Masculinity, 6 (4), 254-263.  Shawn Burn and A. Zachary Ward of California Polytechnic State University report on a new measure of masculinity, the Conformity to Masculine Norms Inventory (CMNI). The participants in the study were 170 male and 137 female undergraduate psychology students (M = 20.2 years, SD = 1.15), the majority of whom were Euro American (79.3%) (while 9.5% identified as Asian American, 5.9% as Latin American-Hispanic, 1.6% as African-American, and 1.6% as Pacific Islanders).

Among the hypotheses, the researchers expected that there would be a relationship between conformity to masculine norms and reduced relationship satisfaction for both men and women. The results suggest that conformity to traditional masculinity is negatively associated with relationship satisfaction for both men and women.  A second hypothesis dealt with how various sub scales (e.g., Emotional Control, Power Over Women, Pursuit of Status) would be negatively associated with relationship satisfaction for men and women. This hypothesis was supported for women but only received partial support for men. The final hypothesis predicted that these negative associations would be stronger for women (rating male partners) than for the men (rating themselves). This hypothesis was also supported: Men conformity to traditional masculine norms more greatly influences the relationship satisfaction of women(p. 260). The researchers recognize that the influence could be in either direction: Does conformity to traditional masculine norms decrease women relationship satisfaction or does decreased relationship satisfaction lead women to negatively stereotype their male partners as conforming to traditional masculinity norms?(p. 261).

The researchers suggest that a therapeutic application might be to discuss with clients ways in which conformity to cultural masculine norms is helpful and ways in which it may be less desirable, such as in intimate relationships. Such an approach avoids negative mes- sages about traditional masculinity and may facilitate meaningful reflection and discussion.   *Anger and Social Appraisal*   Ever, C., Fischer, A.H., Rodriquez Mosque , P.M.,  Man stead, A.S.R. (2005). Anger and social appraisal: A spicy sex difference? Emotion, 5 (3), 258-266.   Catherine Ever and her colleagues published an interesting study on anger expression and social appraisal. One hundred nineteen participants (50 men and 69 women who were under- graduate students at the University of Amsterdam) were in a fairly elaborate study comparing men and women social appraisal and expression of anger. Participants were randomly assigned to social and nonsocial conditions, meaning they were told they would meet the person who angered them (social) or would not meet that person (nonsocial). The expression of anger was operationalized as the amount of hot sauce participants gave to the person who made them angry.  The researchers reported that men and women did not show differences in the amount of anger they experienced. Gender differences lay in their expression of anger: men gave more hot sauce to the person with whom they were angry. The effect was moderated by the social condition: when participants did not think they would meet the person who angered them, men and women showed the same amount of expressed anger; however, when participants thought they would meet the person with whom they were angry, women expressed less anger than did men. Women were influenced more by possible negative consequences of expressing anger, and women also dis- played more empathic concern than did men.  Ever and her colleagues wonder whether these differences are related to how men and women are socialized to express anger. In any case, it is an interesting area of research and future studies may contribute to our understanding of gender differences in anger expression.   Mark A. Yarhouse, Psy.D., is associate professor of psychology at Regent University, Virginia Beach, Virginia. He is co-author (with Lori A. Burkett) of the book, Sexual Identity: A Guide to Living in the Time Between the Times (University Press of America).Take help from telephone psychologist.

 

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Common Adolescent Oral Health Issues

Adolescents face many oral health problems which may require them to visit a dentist or any other healthcare professional. Irregular teeth growth is a common problem and adolescents with braces are a common sight. Another problem is wisdom teeth extraction or the removal of the third molar. Dental cavities are yet another common problem in adolescents.

Orthodontics is a specialty in dentistry which deals with correction, development and prevention of irregular teeth, jaw and bite. Orthodontics also helps to correct jaw disorders and facial abnormalities. If a general dentist feels abnormalities in the adolescent, he/she will refer the patient to an orthodontist. The American Dental Association suggests that every adolescent above the age of seven should get an orthodontic evaluation done. Problems which require orthodontic treatment are crowded or crooked teeth, extra teeth, missing teeth, under-bite, overbite, jaw joint disorder, and incorrect or misaligned jaw position.

To get braces or any other orthodontic treatments, the appropriate age is ten to fourteen years. But regardless of the age, the same physical and biological process is used in correcting and moving the teeth alignments. Braces are also known as fixed orthodontic appliances. There are three types of braces used to move and reposition the teeth. The first consists of brackets which are made out of plastic or metal. They are either of tooth color or clear and are bonded onto the teeth. The second type is the lingual type of brackets which are attached to the back teeth and cannot be seen while talking. The third type is a band. It is a metal band which covers the teeth and wraps around the last ones.  

When adolescents wear braces they have to take certain precautions in order to avoid any more oral health complications. The most important precautionary measure is to brush the teeth regularly after every meal. Since the food can be easily lodged in braces, it is a good idea to brush carefully with soft bristles toothbrush and fluoride toothpaste. In the morning, the adolescent must floss between the braces and teeth. Food stuffs which are sticky or hard must be avoided as they are very difficult to remove. Foods like caramel, chew candy, popcorn, and nuts must be avoided. Cleaning must be done by the orthodontist or general dentist, every five to six months.

The wisdom teeth or third molars can grow in people of the age fifteen to twenty five. These teeth cause problem, because most of the mouths are too small to adjust new teeth and hence they need to be removed. If the wisdom tooth has place to grow, without affecting other teeth, they can be left to themselves. But if the adolescent experiences pain, facial swelling, mouth infection and gum-line swelling, then they should be extracted immediately. They can also destroy the second molars and impact other tooth. Various gum and jaw diseases can be caused. There can be a tumor development; cysts development and plaque build up. Hence, a surgery is performed to remove the tooth or teeth. The gum tissue covering the wisdom tooth is removed and the connective tissue connecting the tooth to the bone is detached. The tooth is then removed and the opening is sutured. A general dentist can perform wisdom tooth surgery in the local office using anesthesia.

Five times common than asthma is tooth cavities. The tooth above the gum line is made up of enamel, the hardest tissue within the human body. The tooth below the gum-line comprise of nerves, roots and dentin. Dentin is another type of tissue and isn’t as hard as the enamel. The acid which leads to tooth decay is produced by bacteria. These acids, along with dietary sugar, attach the enamel and eat away the minerals within the enamel, until a cavity is formed. This is known as tooth cavity. The biggest prevention against dental cavities is brushing teeth twice a day and even better, after every meal with fluoride toothpaste and soft bristle toothbrush. Carbonated drinks must be avoided strictly and must be replaced with fruit juices and sugary food must be avoided. Intake of fluoridated water also helps a lot or fluoride supplements can be used as replacement.  

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Not Just for Kids — the Surprising Health Issues of Midlife Women

One of the advantages of reaching midlife is that we are finally finished with all those issues that make childhood and adolescence such a pain in the neck, such as needing set bedtimes as well as  regular dental and eye checkups; having to worry about using protection during sex and about cigarette smoking; getting all those shots to prevent diseases and wearing helmets to prevent sports injuries; needing to eat all our vegetables and avoid sugar as well as not missing gym class. What a relief to let these issues fade right along with our memories of tetherball on the school playground!

Not so fast. Would it surprise you to know that you still have to be aware of each and every one of the above so-called “child/adolescent” health issues?  

For instance, what about set bedtimes? The obvious reason that we needed enforced, regular  bedtimes each night was so that we would get enough sleep. Being tired and sleepy the next day in school caused everything from lousy concentration to crabby moods. Now that we’re in midlife, many of us believe that sleep is no longer an issue. This is not the case at all. It’s still essential to our health and wellbeing. Recent studies have shown that not only do sleep disturbances often indicate a serious health problem, but that lack of sleep can actually cause health problems, such as weight gain. Polls have shown that nearly two thirds of adults over the age of sixty-five have sleep complaints, but that less than 15 per cent of them have been formally diagnosed with a sleep problem. Why? Because we don’t mention sleep problems to our health care providers. Our mothers were right — we still need to be concerned about our bedtimes.

Once we’ve gotten the glasses we need and all our baby teeth are gone, we no longer need to get regular eye and dental checkups as we did in our younger years, right? Again — no. Although our vision does remain stable from young adulthood until we need bifocals, there are common eye diseases that begin to occur in midlife, and that can lead to blindness if not diagnosed.  And even though we no longer have our baby teeth,  other dental issues take the forefront upon reaching midlife, such as gum inflammation which has been shown to be associated with diabetes and heart disease. So, continued regular dental and eye checks are as important as in our younger years. 

And what about sex at midlife and beyond?  We’ve moved from groping and being groped in the backseat of the car to more sophisticated maneuvers in a comfortable bed, and finally, finally no longer have to worry about pregnancy. So we don’t need protection; or so many of us think. Although it’s true that once menopause arrives one can’t get pregnant (warning: make sure you have completed menopause before assuming this as diagnosing menopause can be tricky),  protection is still needed during sex because of sexually transmitted infections (STIs). Yes, we can still get those, and in some cases are even more prone to becoming infected after menopause, even after a hysterectomy. And even though we’re past the childbearing years and our reproductive organs seem to have no further use, we still need regular pelvic exams and Pap smears. It is also important at that exam to discuss with our healthcare providers the need for testing for STIs; if there is a new partner or the worry that the current partner is not monogamous, this testing is a must.

STIs are not the only threat held over from our adolescent years; so is cigarette smoking. Many women in midlife think that there is no reason to stop smoking cigarettes at this age, since they wrongly assume that the damage is already done from all the prior years of smoking. This is not the case. No matter how many years one has smoked, stopping can prevent further damage to the heart, blood vessels, and lungs, and in some cases can reverse some of that damage.  

Also relevant to the lungs is the fact that asthma can begin in midlife, where once it was thought to only begin in childhood.  The two major causes seem to be occupational exposure to substances that damage the lungs, and the recreational exposure to air pollution by adults who run predominantly outside. So, a new onset of shortness of breath at this age — even if it occurs only with exercise — does not necessarily mean heart disease; remember that we can develop asthma now.

Did you think you were finished with all those horrible shots you had to have in childhood and adolescence? Sorry, you’re not. There is a recommended immunization schedule for adults in midlife and beyond, just as there are for children. At certain ages over 50 and at certain intervals, you’ll need shots against the flu, certain types of pneumonia, tetanus, and in some instances, shingles and hepatitis.  Ask your primary care provider about these.

And did you pack away your helmet when you gave away your bike with training wheels? Probably ok to have done this since now you will need a bigger size helmet. But you do need a helmet. A recent report by the U.S. Consumer Product Safety Commission stated that sports-related injuries in the Baby Boomer population was on the rise, with over 1 million injuries in this age group in 1998 alone, most of the injuries being due to bicycling and basketball.  The same report said that the many head injuries associated with bicycling were probably due to the fact that Baby Boomers use helmets less than younger people do.

The fact that exercise and proper nutrition are as important in midlife and beyond as in childhood may not come as a surprise. Regular exercise at this age has been shown to increase longevity and wellbeing, postpone and possibly prevent dementia, strokes, heart disease, and diabetes, and aid in the treatment of depression. Important to know as well is that several different types of regular exercise are recommended at this age, including aerobic (cardio) exercise, weight-bearing exercise or strength training, and exercises to improve balance and flexibility.

What we eat as we get older is every bit as important as it was in our younger years. One particular healthy way of eating, the Mediterranean diet, has been shown to stave off dementia, prevent heart disease and diabetes, maintain a healthy cholesterol level, and improve longevity. One study showed that this diet even improved sexual function in certain women! This diet is exactly as expected given its name: lots of natural whole foods, like vegetables, fruits, and nuts, lots of fish and olive oil, moderate amounts of wine, and limited amounts of foods containing refined sugar. Controlling the portions of the foods we eat is even more important at this age. Our metabolic rate decreases with age, making it easier to gain weight while eating the same amounts of food as in our younger years.  

So, as you are rummaging through your mother’s attic looking at your old dolls, baseball bat and Ouija Board, and breathing a sigh of relief that you no longer have to worry about being picked for a baseball team or that your best friend copied your paper doll’s dress, don’t get lulled into complacency about your health. Although you once may have thought that taking care of yourself  health-wise would get easier as you get older, you know now that that’s not true. Make your appointments for regular checkups, get more than 5 hours of sleep a night, use protection when having sex, particularly with a new partner, stop smoking no matter how old you are, get the recommended immunizations, be careful and wear your helmet and seatbelts, and exercise regularly and eat well. Your mother’s recommendations from your childhood continue to apply!

©2008 Janet Horn, M.D.

Author Bio
Dr. Janet Horn is Board Certified in Internal Medicine and Infectious Diseases, with training in Obstetrics and Gynecology. She spent many years on the fulltime faculty of the Johns Hopkins University School of Medicine, where she published articles in medical journals on her research interests, including sexually transmitted diseases, AIDS, and women’s health. She was also the primary author of several chapters in medical textbooks.  She started her solo private practice in 1990 while continuing to teach as an Associate Professor of Medicine on the part time faculty at Hopkins. She has been selected by Baltimore Magazine as one of the “Top Doctors in Baltimore” and by the Maryland Daily Record as one of the “Top 100 Women in Maryland.”   She is included in the books Consumer’s Guide to Top Doctors (in the US) and Best Doctors in America, Southeast Region.  She is the co-author of The Smart Woman’s Guide to Midlife and Beyond, which will be available this September from New Harbinger Publications.

Please visit www.SmartWomansHealth.com for more information.

Overweight Teens- Causes them different Health Issues

Since the late 1990′s, there has been a dramatic increase in obesity with teenagers around the world, regardless of age, according to the information collected, In America alone, nearly 9 million children ages between 6 and 19 are overweight, and that number continues to grow according to information gathered between 1998 and 2001 (triple the number in 1980). The information also revealed that another 18% of children aged between 6 and 19 are at risk of becoming overweight as well. Obesity is defined as having an excessive accumulation of body fat, which will result in the person’s body at about 20% heavier than their ideal body weight. Therefore, people whose weight is above what is considered their ideal range are defined as overweight. Obesity is a common eating disorder that is related to adolescents.

Although adolescents may have fewer weight related health issues than adults, adolescents who are overweight are much more likely to become overweight as an adult. Adolescents who are overweight (in fact, people of all ages who are overweight) are at risk of a number of different health issues, and these include: Heart disease, diabetes, hypertension, stroke and some forms of cancer.

Those adolescents who are obese may find that they are not only physically incapable, but their well-being is generally very low as well. Many obese people also tend to have a lower life expectancy than those who are the right weight for your body size. In addition, it can also lead to disability and social unhappiness, which in turn can cause them stress and, in some cases, can make them as mentally ill well. A study was conducted and what information suggested that the excess children are more likely to be involved in bullying than children who are normal weight. But they can not just be victims of bullying.

The development of their own identity and body image is an important goal for any teenager. There are a number of causes for obesity, which around a center of energy imbalance that adolescents placed in their bodies (calories they get from the food we eat) and release the energy from their bodies (how good your metabolism is, and how much physical activity they take part in).

An often teen when a teen is overweight is because there is a problem with food value of your diet, or it may be psychological, familial or physiological, in that all of us discuss a little more. Often children and teens are further at risk of flattering overweight if they have two overweight parents. Although in some cases, this may be due to a strong genetic factor, or it may be because they are models themselves after they see their parents eating. Also physical activity, if any, involved, may indirectly affect adolescent.

On average, many children will spend several hours a day watching television or a computer. Compare when that time would have been spent doing some form of physical activity time. There are a lot of teenagers and children who are now overweight, as they are expending little energy, and often eat high calorie snacks while watching TV or playing on computer. Today in the world, about 1 / 2 of primary school children carry some form of physical education and less than 1 / 4 to participate in physical activity programs after school.

Recently, information has shown that heredity may influence fat in a child and teenager. Been found that children born to mothers with overweight were found to be less active and often earn more weight for age less than 3 months, compared with those children born to mothers who have a normal weight, suggesting a possible inborn drive to conserve energy.

Read more on Herbal Remedies for Weight Loss and Anti Cellulite Cream