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One finds that parents who set limits in a warm and supportive environment reduced the risk that their adolescent children would binge drink. The other study reports on the potential of a home-based program that educates parents and children about alcohol prevention.\u003c/p>\n\u003cp>The stakes are high. About 1 in 6 teens drank alcohol before turning 13, and about the same proportion of high school kids has binged on alcohol, according to the latest biannual \u003ca href=\"https://www.cdc.gov/healthyyouth/data/yrbs/pdf/trends/2015_us_alcohol_trend_yrbs.pdf\" target=\"_blank\">Youth Risk Behavior Survey\u003c/a> by the Centers for Disease Control and Prevention. Overall, a third of teenagers drink — down from about half of teens 25 years ago, but still a problem.\u003c/p>\n\u003cp>\"Although it is common for adolescents and young adults to try psychoactive substances, it is important that this experimentation not be condoned, facilitated, or trivialized by adults,\" notes the introduction to an updated screening \u003ca href=\"http://pediatrics.aappublications.org/content/early/2016/06/16/peds.2016-1211#ref-32\" target=\"_blank\">protocol\u003c/a> by the American Academy of Pediatrics. The group encourages doctors to ask adolescents about drug and alcohol use during routine visits.\u003c/p>\n\u003cp>At home, how Mom and Dad manage their roles — and the signals they send about alcohol use — affects their children's future drinking behavior. Parenting style, drinking frequency, and expectations influence whether adolescents will binge drink, according to results of a \u003ca href=\"http://link.springer.com/article/10.1007/s11121-016-0656-1\" target=\"_blank\">study\u003c/a> published in the July issue of \u003cem>Prevention Science\u003c/em>. In the same issue, another \u003ca href=\"http://link.springer.com/article/10.1007/s11121-016-0659-y\" target=\"_blank\">study\u003c/a> finds that a home-based prevention program given by parents to their elementary school-aged children made the kids less inclined to drink four years after the start of the program.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When adolescents drink, they tend to do so excessively, making the most of their limited access to alcohol. Binge drinking — consuming four, for females, or five, for males, drinks at a time — puts the imbiber at risk of fatal accidents, injuries, violence, and legal problems. Social psychologist \u003ca href=\"http://cgu.edu/pages/972.asp\" target=\"_blank\">William D. Crano\u003c/a> at Claremont Graduate University in Claremont, Calif., and his colleagues wondered whether certain conditions in adolescence \"had any predictive power for what's going to happen\" in terms of alcohol use and incarceration.\u003c/p>\n\u003cp>The researchers looked at data from the National Longitudinal Study of Adolescent to Adult Health (\u003ca href=\"http://www.cpc.unc.edu/projects/addhealth\" target=\"_blank\">Add Health\u003c/a>), which has interviewed a nationally representative group four times, beginning in the 1994-1995 school year, when the participants were in seventh through 12th grades. The most recent survey occurred in 2008, when the respondents had reached ages ranging from 24 to 32. Parent interviews occurred in the first year of the project.\u003c/p>\n\u003cp>Crano and his group focused on four factors from the first wave of interviews:\u003c/p>\n\u003cul>\n\u003cli>whether parents monitored their teens,\u003c/li>\n\u003cli>the warmth parents expressed to their teens,\u003c/li>\n\u003cli>how frequently parents drank,\u003c/li>\n\u003cli>if parents thought their kids were drinking.\u003c/li>\n\u003c/ul>\n\u003cp>The study involved more than 9,400 adolescents and their parents. Teens answered questions about parental monitoring and warmth; parents responded to queries about their drinking and expectations. In later surveys, the Add Health project collected data on teen and young adult binge drinking and incarceration rates.\u003c/p>\n\u003cp>Adolescents whose parents neither kept an eye on them nor provided a supportive home environment were more likely to binge drink. These parental behaviors, along with underage drinking, predicted binge drinking as young adults. Furthermore, those who binged as teens and young adults were more likely to be arrested.\u003c/p>\n\u003cp>The study suggests that parents do make a difference. \"Parental monitoring and warmth are a protective device against kids' binge drinking,\" says Crano. But the two need to go hand in hand. \"If you have surveillance without warmth, you've got a problem,\" he adds. \"You want the relationship between a parent and a child to be close enough and warm enough that the child discloses behaviors and what they are thinking, and the parent can offer advice\" that reinforces rules but doesn't disparage the child.\u003c/p>\n\u003cp>The study also found that how often parents drank was predictive of teen and young adult binge drinking. While the survey didn't ask about the amount of alcohol consumed, the research supports the idea that parents' drinking behavior can send a powerful message to kids in terms of what is acceptable.\u003c/p>\n\u003cp>Finally, it was more likely that adolescents were drinking if their parents expected they were drinking. This self-fulfilling prophecy may stem from parents not intervening and educating their kids when they suspect alcohol use, says Crano, even though that is exactly what is needed.\u003c/p>\n\u003cp>Crano and his group argue that national prevention campaigns would do well to target parents, not just teens. \"Parents are an easier audience,\" he says. \"They are quite open to learning how to do better for their children.\"\u003c/p>\n\u003cp>Armed with the right information, parents can direct a prevention campaign in their own living rooms. Social ecologist \u003ca href=\"https://www.rti.org/expert/christine-jackson\" target=\"_blank\">Christine Jackson\u003c/a> at RTI International in Durham, North Carolina, and colleagues there and at The University of North Carolina at Chapel Hill report on a home-based parenting program meant to counter parents' misconceptions about kids and alcohol, support communication in the family, and encourage parents to set rules regarding alcohol use.\u003c/p>\n\u003cp>Jackson notes that a child's first taste of alcohol often comes from a drink offered by a parent. Contrary to the belief that sipping will satisfy kids' curiosity about alcohol and deter future drinking, previous work by Jackson and colleagues found that fifth-grade children permitted by parents to try an alcoholic beverage were twice as likely to drink in seventh grade as peers not granted sips.\u003c/p>\n\u003cp>\"In the short term, allowing children to try alcohol simply teaches them that parents don't mind if they have alcohol,\" Jackson says. \"In the long term, allowing children to have alcohol increases their odds of underage drinking during adolescence.\"\u003c/p>\n\u003cp>If kids have positive ideas about alcohol — for example, that drinking makes one popular — they are more likely to drink, notes Jackson. The program set out to provide alternative, protective ideas. It helped parents discuss how alcohol is harmful to children's health and commit to keeping kids alcohol-free. It also sought to empower kids to reject social pressures to drink.\u003c/p>\n\u003cp>To test the approach, the researchers recruited third-grade children and their mothers from school districts in three southern states, primarily North Carolina. Just over 1,000 children were randomly divided into two groups, one whose families received the five-month-long alcohol prevention program, and one provided with an obesity-prevention program for comparison. The materials included magazines, games and role-playing activities.\u003c/p>\n\u003cp>Jackson and her colleagues interviewed the kids about their beliefs and attitudes regarding alcohol before the program started. At the same time, they queried mothers about how often both parents drank and about the mother's racial and ethnic identity and education. In the second and third years of the study, families received a one-month booster program. Four years from the start of the program, the researchers asked the kids again about their alcohol-related beliefs and attitudes.\u003c/p>\n\u003cp>The third-graders who had received the alcohol prevention program were significantly less inclined to drink at the four-year follow-up, when they were in seventh grade, than those in the obesity program. This was true regardless of their parents' drinking habits or mother's education, race or ethnicity. \"This means that the program has a sustained effect on children's attitudes and intentions about alcohol use,\" says Jackson.\u003c/p>\n\u003cp>Kids develop ideas about alcohol with or without their parents' direct input. \"Encourage conversation with kids about issues that are important to them,\" says Crano. \"You want to be the person to help them.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Aimee Cunningham is a freelance science journalist based in the Washington, D.C., area.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+Parents+Can+Help+Their+Underage+Kids+Resist+Alcohol&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Armed with the right information, parents can direct a prevention campaign in their own living rooms.","status":"publish","parent":0,"modified":1467833921,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":1310},"headData":{"title":"How Parents Can Help Their Teenage Kids Resist Alcohol | KQED","description":"Armed with the right information, parents can direct a prevention campaign in their own living rooms.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Parents Can Help Their Teenage Kids Resist Alcohol","datePublished":"2016-07-06T19:16:15.000Z","dateModified":"2016-07-06T19:38:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"209356 http://ww2.kqed.org/stateofhealth/?p=209356","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/07/06/how-parents-can-help-their-teenage-kids-resist-alcohol/","disqusTitle":"How Parents Can Help Their Teenage Kids Resist Alcohol","nprByline":"Aimee Cunningham\u003cbr />\u003ca href=\"http://www.npr.org/sections/health-shots/\">NPR Shots\u003c/a>","nprImageAgency":"Imagezoo/Getty Images","nprStoryId":"484839264","nprApiLink":"http://api.npr.org/query?id=484839264&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/07/06/484839264/how-parents-can-help-their-underage-kids-resist-alcohol?ft=nprml&f=484839264","nprRetrievedStory":"1","nprPubDate":"Wed, 06 Jul 2016 11:52:00 -0400","nprStoryDate":"Wed, 06 Jul 2016 11:52:00 -0400","nprLastModifiedDate":"Wed, 06 Jul 2016 11:54:47 -0400","path":"/stateofhealth/209356/how-parents-can-help-their-teenage-kids-resist-alcohol","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>While a sense of inevitability often surrounds the topic of teen drinking, adults can play an important role in preventing underage alcohol use.\u003c/p>\n\u003cp>Two recent studies provide guidance for parents. One finds that parents who set limits in a warm and supportive environment reduced the risk that their adolescent children would binge drink. The other study reports on the potential of a home-based program that educates parents and children about alcohol prevention.\u003c/p>\n\u003cp>The stakes are high. About 1 in 6 teens drank alcohol before turning 13, and about the same proportion of high school kids has binged on alcohol, according to the latest biannual \u003ca href=\"https://www.cdc.gov/healthyyouth/data/yrbs/pdf/trends/2015_us_alcohol_trend_yrbs.pdf\" target=\"_blank\">Youth Risk Behavior Survey\u003c/a> by the Centers for Disease Control and Prevention. Overall, a third of teenagers drink — down from about half of teens 25 years ago, but still a problem.\u003c/p>\n\u003cp>\"Although it is common for adolescents and young adults to try psychoactive substances, it is important that this experimentation not be condoned, facilitated, or trivialized by adults,\" notes the introduction to an updated screening \u003ca href=\"http://pediatrics.aappublications.org/content/early/2016/06/16/peds.2016-1211#ref-32\" target=\"_blank\">protocol\u003c/a> by the American Academy of Pediatrics. The group encourages doctors to ask adolescents about drug and alcohol use during routine visits.\u003c/p>\n\u003cp>At home, how Mom and Dad manage their roles — and the signals they send about alcohol use — affects their children's future drinking behavior. Parenting style, drinking frequency, and expectations influence whether adolescents will binge drink, according to results of a \u003ca href=\"http://link.springer.com/article/10.1007/s11121-016-0656-1\" target=\"_blank\">study\u003c/a> published in the July issue of \u003cem>Prevention Science\u003c/em>. In the same issue, another \u003ca href=\"http://link.springer.com/article/10.1007/s11121-016-0659-y\" target=\"_blank\">study\u003c/a> finds that a home-based prevention program given by parents to their elementary school-aged children made the kids less inclined to drink four years after the start of the program.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When adolescents drink, they tend to do so excessively, making the most of their limited access to alcohol. Binge drinking — consuming four, for females, or five, for males, drinks at a time — puts the imbiber at risk of fatal accidents, injuries, violence, and legal problems. Social psychologist \u003ca href=\"http://cgu.edu/pages/972.asp\" target=\"_blank\">William D. Crano\u003c/a> at Claremont Graduate University in Claremont, Calif., and his colleagues wondered whether certain conditions in adolescence \"had any predictive power for what's going to happen\" in terms of alcohol use and incarceration.\u003c/p>\n\u003cp>The researchers looked at data from the National Longitudinal Study of Adolescent to Adult Health (\u003ca href=\"http://www.cpc.unc.edu/projects/addhealth\" target=\"_blank\">Add Health\u003c/a>), which has interviewed a nationally representative group four times, beginning in the 1994-1995 school year, when the participants were in seventh through 12th grades. The most recent survey occurred in 2008, when the respondents had reached ages ranging from 24 to 32. Parent interviews occurred in the first year of the project.\u003c/p>\n\u003cp>Crano and his group focused on four factors from the first wave of interviews:\u003c/p>\n\u003cul>\n\u003cli>whether parents monitored their teens,\u003c/li>\n\u003cli>the warmth parents expressed to their teens,\u003c/li>\n\u003cli>how frequently parents drank,\u003c/li>\n\u003cli>if parents thought their kids were drinking.\u003c/li>\n\u003c/ul>\n\u003cp>The study involved more than 9,400 adolescents and their parents. Teens answered questions about parental monitoring and warmth; parents responded to queries about their drinking and expectations. In later surveys, the Add Health project collected data on teen and young adult binge drinking and incarceration rates.\u003c/p>\n\u003cp>Adolescents whose parents neither kept an eye on them nor provided a supportive home environment were more likely to binge drink. These parental behaviors, along with underage drinking, predicted binge drinking as young adults. Furthermore, those who binged as teens and young adults were more likely to be arrested.\u003c/p>\n\u003cp>The study suggests that parents do make a difference. \"Parental monitoring and warmth are a protective device against kids' binge drinking,\" says Crano. But the two need to go hand in hand. \"If you have surveillance without warmth, you've got a problem,\" he adds. \"You want the relationship between a parent and a child to be close enough and warm enough that the child discloses behaviors and what they are thinking, and the parent can offer advice\" that reinforces rules but doesn't disparage the child.\u003c/p>\n\u003cp>The study also found that how often parents drank was predictive of teen and young adult binge drinking. While the survey didn't ask about the amount of alcohol consumed, the research supports the idea that parents' drinking behavior can send a powerful message to kids in terms of what is acceptable.\u003c/p>\n\u003cp>Finally, it was more likely that adolescents were drinking if their parents expected they were drinking. This self-fulfilling prophecy may stem from parents not intervening and educating their kids when they suspect alcohol use, says Crano, even though that is exactly what is needed.\u003c/p>\n\u003cp>Crano and his group argue that national prevention campaigns would do well to target parents, not just teens. \"Parents are an easier audience,\" he says. \"They are quite open to learning how to do better for their children.\"\u003c/p>\n\u003cp>Armed with the right information, parents can direct a prevention campaign in their own living rooms. Social ecologist \u003ca href=\"https://www.rti.org/expert/christine-jackson\" target=\"_blank\">Christine Jackson\u003c/a> at RTI International in Durham, North Carolina, and colleagues there and at The University of North Carolina at Chapel Hill report on a home-based parenting program meant to counter parents' misconceptions about kids and alcohol, support communication in the family, and encourage parents to set rules regarding alcohol use.\u003c/p>\n\u003cp>Jackson notes that a child's first taste of alcohol often comes from a drink offered by a parent. Contrary to the belief that sipping will satisfy kids' curiosity about alcohol and deter future drinking, previous work by Jackson and colleagues found that fifth-grade children permitted by parents to try an alcoholic beverage were twice as likely to drink in seventh grade as peers not granted sips.\u003c/p>\n\u003cp>\"In the short term, allowing children to try alcohol simply teaches them that parents don't mind if they have alcohol,\" Jackson says. \"In the long term, allowing children to have alcohol increases their odds of underage drinking during adolescence.\"\u003c/p>\n\u003cp>If kids have positive ideas about alcohol — for example, that drinking makes one popular — they are more likely to drink, notes Jackson. The program set out to provide alternative, protective ideas. It helped parents discuss how alcohol is harmful to children's health and commit to keeping kids alcohol-free. It also sought to empower kids to reject social pressures to drink.\u003c/p>\n\u003cp>To test the approach, the researchers recruited third-grade children and their mothers from school districts in three southern states, primarily North Carolina. Just over 1,000 children were randomly divided into two groups, one whose families received the five-month-long alcohol prevention program, and one provided with an obesity-prevention program for comparison. The materials included magazines, games and role-playing activities.\u003c/p>\n\u003cp>Jackson and her colleagues interviewed the kids about their beliefs and attitudes regarding alcohol before the program started. At the same time, they queried mothers about how often both parents drank and about the mother's racial and ethnic identity and education. In the second and third years of the study, families received a one-month booster program. Four years from the start of the program, the researchers asked the kids again about their alcohol-related beliefs and attitudes.\u003c/p>\n\u003cp>The third-graders who had received the alcohol prevention program were significantly less inclined to drink at the four-year follow-up, when they were in seventh grade, than those in the obesity program. This was true regardless of their parents' drinking habits or mother's education, race or ethnicity. \"This means that the program has a sustained effect on children's attitudes and intentions about alcohol use,\" says Jackson.\u003c/p>\n\u003cp>Kids develop ideas about alcohol with or without their parents' direct input. \"Encourage conversation with kids about issues that are important to them,\" says Crano. \"You want to be the person to help them.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Aimee Cunningham is a freelance science journalist based in the Washington, D.C., area.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+Parents+Can+Help+Their+Underage+Kids+Resist+Alcohol&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/209356/how-parents-can-help-their-teenage-kids-resist-alcohol","authors":["byline_stateofhealth_209356"],"categories":["stateofhealth_12"],"tags":["stateofhealth_562","stateofhealth_96","stateofhealth_93"],"featImg":"stateofhealth_209357","label":"stateofhealth"},"stateofhealth_171833":{"type":"posts","id":"stateofhealth_171833","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"171833","score":null,"sort":[1460483288000]},"guestAuthors":[],"slug":"bill-requiring-disciplined-physicians-to-notify-patients-advances-in-sacramento","title":"Bill Requiring Disciplined Physicians to Notify Patients Advances in Sacramento","publishDate":1460483288,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Doctors who are on probation after being disciplined by state regulators would have to share that information with patients before providing care under a bill making its way through the state Senate.\u003c/p>\n\u003cp>The measure, which would apply to physicians, podiatrists, acupuncturists and chiropractors, was passed by the Senate Business, Professions and Economic Development Committee this week.\u003c/p>\n\u003cp>About 600 of the 137,000 licensed physicians in California are on probation for serious offenses, including sexual misconduct involving patients or treatment and prescription errors that harmed patients.\u003c/p>\n\u003cp>The Medical Board of California in November voted down \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/29/in-california-doctors-on-probation-not-required-to-tell-you-should-they/\" target=\"_blank\">a similar proposal\u003c/a> that would have required doctors on probation to tell their patients verbally and in writing, saying it was too onerous and unnecessary because the information is posted on the board’s website.\u003c/p>\n\u003cp>In California, physicians on probation are already required to report the disciplinary status to their malpractice insurers and hospitals where they work, yet there is no rule requiring proactive notifications of patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Doctors on probation are not necessarily admitting they violated ethics rules. Some do it to avoid lengthy and costly legal battles.\u003c/p>\n\u003cp>While on probation, they may be temporarily barred from performing specific procedures or prescribing certain medicines. They might have to take classes or be supervised. In some cases it means a physician disciplined for sexual misconduct must be chaperoned in the exam room.\u003c/p>\n\u003cp>Patient advocate Tina Minasian, of Roseville, Calif., said such a law would have prevented her much pain and misery.\u003c/p>\n\u003cp>“Nearly 14 years after my botched surgery, I still suffer from the lingering effects with excruciating pain, spitting sutures, gaping holes, disfigurement and a mutilated body,” she said in written testimony to the committee. “I will be forever reminded of the harm this doctor caused me and how the Medical Board of California allowed him to destroy my body, my self-confidence and my womanhood. I know many patients who were victims of this same physician while he was on probation, in fact, some have died.”\u003c/p>\n\u003cp>Minasian, who works as an advocate with Consumer’s Union California Safe Patient Project, told the committee that, unbeknownst to her, Brian West, operated on her while on probation for alcohol abuse. She said his license was revoked seven years after her surgery.\u003c/p>\n\u003cp>The California Medical Association, which opposes the bill, said requiring doctors to inform patients directly would take up valuable time in which care could be provided, in a letter filed with the committee.\u003c/p>\n\u003cp>But advocacy groups like Consumers Union and Consumer Watchdog say it’s important for doctors to tell patients about their disciplinary status so patients can make informed choices about their own care.\u003c/p>\n\u003cp>“This is the kind of information every patient deserves to know about their doctor before they receive medical care,” Consumer Watchdog wrote in a letter to the committee. “The patients of these doctors deserve to be notified proactively.”\u003c/p>\n\u003cp>The bill needs to be passed by the appropriations committee and then by the full state Senate by June 3 in order to proceed to the Assembly.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"Doctors on probation are currently required to tell malpractice insurers and hospitals but not patients.","status":"publish","parent":0,"modified":1460493935,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":528},"headData":{"title":"Bill Requiring Disciplined Physicians to Notify Patients Advances in Sacramento | KQED","description":"Doctors on probation are currently required to tell malpractice insurers and hospitals but not patients.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Bill Requiring Disciplined Physicians to Notify Patients Advances in Sacramento","datePublished":"2016-04-12T17:48:08.000Z","dateModified":"2016-04-12T20:45:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"171833 http://ww2.kqed.org/stateofhealth/?p=171833","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/04/12/bill-requiring-disciplined-physicians-to-notify-patients-advances-in-sacramento/","disqusTitle":"Bill Requiring Disciplined Physicians to Notify Patients Advances in Sacramento","path":"/stateofhealth/171833/bill-requiring-disciplined-physicians-to-notify-patients-advances-in-sacramento","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Doctors who are on probation after being disciplined by state regulators would have to share that information with patients before providing care under a bill making its way through the state Senate.\u003c/p>\n\u003cp>The measure, which would apply to physicians, podiatrists, acupuncturists and chiropractors, was passed by the Senate Business, Professions and Economic Development Committee this week.\u003c/p>\n\u003cp>About 600 of the 137,000 licensed physicians in California are on probation for serious offenses, including sexual misconduct involving patients or treatment and prescription errors that harmed patients.\u003c/p>\n\u003cp>The Medical Board of California in November voted down \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/29/in-california-doctors-on-probation-not-required-to-tell-you-should-they/\" target=\"_blank\">a similar proposal\u003c/a> that would have required doctors on probation to tell their patients verbally and in writing, saying it was too onerous and unnecessary because the information is posted on the board’s website.\u003c/p>\n\u003cp>In California, physicians on probation are already required to report the disciplinary status to their malpractice insurers and hospitals where they work, yet there is no rule requiring proactive notifications of patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Doctors on probation are not necessarily admitting they violated ethics rules. Some do it to avoid lengthy and costly legal battles.\u003c/p>\n\u003cp>While on probation, they may be temporarily barred from performing specific procedures or prescribing certain medicines. They might have to take classes or be supervised. In some cases it means a physician disciplined for sexual misconduct must be chaperoned in the exam room.\u003c/p>\n\u003cp>Patient advocate Tina Minasian, of Roseville, Calif., said such a law would have prevented her much pain and misery.\u003c/p>\n\u003cp>“Nearly 14 years after my botched surgery, I still suffer from the lingering effects with excruciating pain, spitting sutures, gaping holes, disfigurement and a mutilated body,” she said in written testimony to the committee. “I will be forever reminded of the harm this doctor caused me and how the Medical Board of California allowed him to destroy my body, my self-confidence and my womanhood. I know many patients who were victims of this same physician while he was on probation, in fact, some have died.”\u003c/p>\n\u003cp>Minasian, who works as an advocate with Consumer’s Union California Safe Patient Project, told the committee that, unbeknownst to her, Brian West, operated on her while on probation for alcohol abuse. She said his license was revoked seven years after her surgery.\u003c/p>\n\u003cp>The California Medical Association, which opposes the bill, said requiring doctors to inform patients directly would take up valuable time in which care could be provided, in a letter filed with the committee.\u003c/p>\n\u003cp>But advocacy groups like Consumers Union and Consumer Watchdog say it’s important for doctors to tell patients about their disciplinary status so patients can make informed choices about their own care.\u003c/p>\n\u003cp>“This is the kind of information every patient deserves to know about their doctor before they receive medical care,” Consumer Watchdog wrote in a letter to the committee. “The patients of these doctors deserve to be notified proactively.”\u003c/p>\n\u003cp>The bill needs to be passed by the appropriations committee and then by the full state Senate by June 3 in order to proceed to the Assembly.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/171833/bill-requiring-disciplined-physicians-to-notify-patients-advances-in-sacramento","authors":["11105"],"categories":["stateofhealth_14"],"tags":["stateofhealth_562","stateofhealth_2721","stateofhealth_2519","stateofhealth_2735"],"featImg":"stateofhealth_171834","label":"stateofhealth"},"stateofhealth_163215":{"type":"posts","id":"stateofhealth_163215","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"163215","score":null,"sort":[1458667746000]},"guestAuthors":[],"slug":"that-cabernet-a-day-might-not-be-good-for-you-after-all","title":"That Cabernet-A-Day Might Not Be Good For You After All","publishDate":1458667746,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>You've probably heard that a little booze a day is good for you. I've even said it at parties. \"Look at the French,\" I've said gleefully over my own cup. \"Wine all the time and they still live to be not a day younger than 82.\"\u003c/p>\n\u003cp>I'm sorry to say we're probably wrong. The evidence that alcohol has any benefit on longevity or heart health is thin, says \u003ca href=\"https://www.bumc.bu.edu/busm/profile/timothy-naimi/\" target=\"_blank\">Dr. Timothy Naimi\u003c/a>, a physician and epidemiologist at Boston Medical Center.\u003c/p>\n\u003cp>He and his colleagues published an analysis of the 87 best research studies on alcohol's effect on death from any cause in the \u003cem>\u003ca href=\"http://dx.doi.org/10.15288/jsad.2016.77.185\" target=\"_blank\">Journal of Studies on Alcohol and Drugs\u003c/a>\u003c/em> on Tuesday. \"[Our] findings here cast a great deal of skepticism on this long-cherished belief that moderate drinking has a survival advantage,\" he says.\u003c/p>\n\u003cp>In these studies, the participants get sorted into categories based on how much alcohol they think they drink. Researchers typically size up occasional, moderate and heavy drinkers against nondrinkers. When you do this, the moderates, one to three drinks a day, usually come out on top. They're less likely to die early from health problems like heart disease or cancer and injury.\u003c/p>\n\u003cp>But then it gets very tricky, \"because moderate drinkers tend to be very socially advantaged,\" Naimi says. Moderate drinkers tend to be healthier on average because they're well-educated and more affluent, not because they're drinking a bottle of wine a week on average. \"[Their] alcohol consumption ends up looking good from a health perspective because they're already healthy to begin with.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>To make things worse, Naimi says that some of the nondrinkers in these studies weren't always dry. \"People in poor health tend to quit drinking,\" he says. In the studies, those who abstained from alcohol altogether were lumped together with those who quit later in life, bringing down the overall health of the entire group.\u003c/p>\n\u003cp>Naimi and his colleagues sorted the lifetime nondrinkers from the quitters, controlled for socioeconomic class and reanalyzed the data from all 87 studies. \"When we accounted for these biases, moderate drinkers had no survival advantage,\" Naimi says. \"It became a wash either way.\" Those who imbibe one or three glasses a day appeared to do no better than those who never touch alcohol.\u003c/p>\n\u003cp>What's more, Naimi says, the group that did the best were the people who had on average one drink every 10 days. \"It's almost homeopathic amounts of alcohol. So it's extremely unlikely that it's the alcohol that's making them look good,\" he says. The heavy drinkers had the shortest lives on average, which should come as no surprise.\u003c/p>\n\u003cp>The meta-analysis severs one arm of reasoning as to why alcohol might be beneficial, says \u003ca href=\"http://www.otago.ac.nz/mediaexpertise/?option=display&staff=623\" target=\"_blank\">Dr. Jennie Connor\u003c/a>, a physician and researcher at the University of Otago in New Zealand who was not involved in the work. \"They've very successfully investigated one of the many series of problems in this reasoning,\" she says. \"People used studies to say, 'Hey, look there's a benefit [to alcohol], and when we talk about harms we have to balance that against the benefit.' That's always been a fallacious argument, and it's really been reduced to nothing now.\"\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/alcohol/faqs.htm/\" target=\"_blank\">Centers for Disease Control and Prevention\u003c/a> has also given the purported health benefit of alcohol a wary eye. The agency recommends people have no more than one drink a day for women and two a day for men. This refers to the amount imbibed on one day and isn't meant to be taken as an average over several days. The \u003cem>Dietary Guidelines for Americans \u003c/em>suggests people who don't drink alcohol should not start for health reasons.\u003c/p>\n\u003cp>Naimi says the biological hypothesis for why alcohol could be good for health has also been eroding. \"[Alcohol] raises your good cholesterol. That's the main biological argument,\" he says. \"But the whole idea that [good cholesterol] causes heart health is going away now.\" A recent study published in \u003ca href=\"http://science.sciencemag.org/content/351/6278/1166\" target=\"_blank\">\u003cem>Science\u003c/em>\u003c/a> showed that people with naturally higher levels of good cholesterol had more cardiovascular diseases than those without.\u003c/p>\n\u003cp>But still, the notion that alcohol extends our lifespans is a persistent one. According to Connor and \u003ca href=\"http://sph.umn.edu/faculty1/expertise/alcohol/name/traci-toomey/\" target=\"_blank\">Traci Toomey\u003c/a>, an alcohol policy researcher at the University of Minnesota, studies supporting the link between moderate drinking and long life have been used to argue against certain alcohol harm reduction policies. \"Usually there are proposals of having [health] labels,\" Toomey says. \"[The industry] controls a lot of the messaging around alcohol.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In Connor's eyes, that messaging has kept the notion alive in spite of recent work showing moderate drinking does not provide a cardiovascular benefit. \"Even if it were true,\" she says, \"the idea that people are going to drink only one or two drinks a day as medication for the rest of their lives is just ridiculous. We've been sold an idea that's incoherent.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=That+Cabernet+Might+Not+Be+Good+For+Your+Health+After+All&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n","blocks":[],"excerpt":"The idea that alcohol is good for you has little scientific rationale, an analysis of previous research finds. The more you drink, the worse off you'll be.","status":"publish","parent":0,"modified":1458781740,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":843},"headData":{"title":"That Cabernet-A-Day Might Not Be Good For You After All | KQED","description":"The idea that alcohol is good for you has little scientific rationale, an analysis of previous research finds. The more you drink, the worse off you'll be.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"That Cabernet-A-Day Might Not Be Good For You After All","datePublished":"2016-03-22T17:29:06.000Z","dateModified":"2016-03-24T01:09:00.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"163215 http://ww2.kqed.org/stateofhealth/?p=163215","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/03/22/that-cabernet-a-day-might-not-be-good-for-you-after-all/","disqusTitle":"That Cabernet-A-Day Might Not Be Good For You After All","nprImageCredit":"Photographer: Katsiaryna Pakhoma","nprByline":"Angus Chen\u003cbr />\u003ca href=\"http://www.npr.org/sections/health-shots/\">NPR\u003c/a>","nprImageAgency":"iStockphoto","nprStoryId":"471416356","nprApiLink":"http://api.npr.org/query?id=471416356&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/03/22/471416356/that-cabernet-might-not-be-good-for-your-health-after-all?ft=nprml&f=471416356","nprRetrievedStory":"1","nprPubDate":"Tue, 22 Mar 2016 10:36:00 -0400","nprStoryDate":"Tue, 22 Mar 2016 10:36:55 -0400","nprLastModifiedDate":"Tue, 22 Mar 2016 10:36:55 -0400","path":"/stateofhealth/163215/that-cabernet-a-day-might-not-be-good-for-you-after-all","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>You've probably heard that a little booze a day is good for you. I've even said it at parties. \"Look at the French,\" I've said gleefully over my own cup. \"Wine all the time and they still live to be not a day younger than 82.\"\u003c/p>\n\u003cp>I'm sorry to say we're probably wrong. The evidence that alcohol has any benefit on longevity or heart health is thin, says \u003ca href=\"https://www.bumc.bu.edu/busm/profile/timothy-naimi/\" target=\"_blank\">Dr. Timothy Naimi\u003c/a>, a physician and epidemiologist at Boston Medical Center.\u003c/p>\n\u003cp>He and his colleagues published an analysis of the 87 best research studies on alcohol's effect on death from any cause in the \u003cem>\u003ca href=\"http://dx.doi.org/10.15288/jsad.2016.77.185\" target=\"_blank\">Journal of Studies on Alcohol and Drugs\u003c/a>\u003c/em> on Tuesday. \"[Our] findings here cast a great deal of skepticism on this long-cherished belief that moderate drinking has a survival advantage,\" he says.\u003c/p>\n\u003cp>In these studies, the participants get sorted into categories based on how much alcohol they think they drink. Researchers typically size up occasional, moderate and heavy drinkers against nondrinkers. When you do this, the moderates, one to three drinks a day, usually come out on top. They're less likely to die early from health problems like heart disease or cancer and injury.\u003c/p>\n\u003cp>But then it gets very tricky, \"because moderate drinkers tend to be very socially advantaged,\" Naimi says. Moderate drinkers tend to be healthier on average because they're well-educated and more affluent, not because they're drinking a bottle of wine a week on average. \"[Their] alcohol consumption ends up looking good from a health perspective because they're already healthy to begin with.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>To make things worse, Naimi says that some of the nondrinkers in these studies weren't always dry. \"People in poor health tend to quit drinking,\" he says. In the studies, those who abstained from alcohol altogether were lumped together with those who quit later in life, bringing down the overall health of the entire group.\u003c/p>\n\u003cp>Naimi and his colleagues sorted the lifetime nondrinkers from the quitters, controlled for socioeconomic class and reanalyzed the data from all 87 studies. \"When we accounted for these biases, moderate drinkers had no survival advantage,\" Naimi says. \"It became a wash either way.\" Those who imbibe one or three glasses a day appeared to do no better than those who never touch alcohol.\u003c/p>\n\u003cp>What's more, Naimi says, the group that did the best were the people who had on average one drink every 10 days. \"It's almost homeopathic amounts of alcohol. So it's extremely unlikely that it's the alcohol that's making them look good,\" he says. The heavy drinkers had the shortest lives on average, which should come as no surprise.\u003c/p>\n\u003cp>The meta-analysis severs one arm of reasoning as to why alcohol might be beneficial, says \u003ca href=\"http://www.otago.ac.nz/mediaexpertise/?option=display&staff=623\" target=\"_blank\">Dr. Jennie Connor\u003c/a>, a physician and researcher at the University of Otago in New Zealand who was not involved in the work. \"They've very successfully investigated one of the many series of problems in this reasoning,\" she says. \"People used studies to say, 'Hey, look there's a benefit [to alcohol], and when we talk about harms we have to balance that against the benefit.' That's always been a fallacious argument, and it's really been reduced to nothing now.\"\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/alcohol/faqs.htm/\" target=\"_blank\">Centers for Disease Control and Prevention\u003c/a> has also given the purported health benefit of alcohol a wary eye. The agency recommends people have no more than one drink a day for women and two a day for men. This refers to the amount imbibed on one day and isn't meant to be taken as an average over several days. The \u003cem>Dietary Guidelines for Americans \u003c/em>suggests people who don't drink alcohol should not start for health reasons.\u003c/p>\n\u003cp>Naimi says the biological hypothesis for why alcohol could be good for health has also been eroding. \"[Alcohol] raises your good cholesterol. That's the main biological argument,\" he says. \"But the whole idea that [good cholesterol] causes heart health is going away now.\" A recent study published in \u003ca href=\"http://science.sciencemag.org/content/351/6278/1166\" target=\"_blank\">\u003cem>Science\u003c/em>\u003c/a> showed that people with naturally higher levels of good cholesterol had more cardiovascular diseases than those without.\u003c/p>\n\u003cp>But still, the notion that alcohol extends our lifespans is a persistent one. According to Connor and \u003ca href=\"http://sph.umn.edu/faculty1/expertise/alcohol/name/traci-toomey/\" target=\"_blank\">Traci Toomey\u003c/a>, an alcohol policy researcher at the University of Minnesota, studies supporting the link between moderate drinking and long life have been used to argue against certain alcohol harm reduction policies. \"Usually there are proposals of having [health] labels,\" Toomey says. \"[The industry] controls a lot of the messaging around alcohol.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In Connor's eyes, that messaging has kept the notion alive in spite of recent work showing moderate drinking does not provide a cardiovascular benefit. \"Even if it were true,\" she says, \"the idea that people are going to drink only one or two drinks a day as medication for the rest of their lives is just ridiculous. We've been sold an idea that's incoherent.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=That+Cabernet+Might+Not+Be+Good+For+Your+Health+After+All&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/163215/that-cabernet-a-day-might-not-be-good-for-you-after-all","authors":["byline_stateofhealth_163215"],"categories":["stateofhealth_12"],"tags":["stateofhealth_562"],"featImg":"stateofhealth_163216","label":"stateofhealth"},"stateofhealth_90092":{"type":"posts","id":"stateofhealth_90092","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"90092","score":null,"sort":[1444835133000]},"guestAuthors":[],"slug":"native-american-teenagers-promote-sports-to-tackle-substance-abuse","title":"Native American Teenagers Promote Sports to Tackle Substance Abuse","publishDate":1444835133,"format":"standard","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cp>Tj Keeya Talamoni-Marcks walks off the field with sweat dripping from his forehead, as more than 20 other Clear Lake High School students finish their grueling football practice in temperatures that reached over 90 degrees.\u003c/p>\n\u003cp>Clear Lake's Cardinals are getting ready to play against Colusa High in a few days, and Talamoni-Marcks, a tackle and guard, holds his helmet with one hand and makes a beeline for the water fountain while limping. He recently recovered from a toe injury, and complains about pain in his foot. Still, he shrugs it off, saying pain and visible bruises on his arms are “part of the game.”\u003c/p>\n\u003cp>Sports are a source of pride for Talamoni-Marks and his family, of Pomo Indian and Samoan descent. The 15-year-old wants to follow in his parents’ footsteps -- his mom was a basketball star and his dad \"running back of the year\" at Clear Lake High, the only high school in Lakeport, about 120 miles north of San Francisco.\u003c/p>\n\u003cp>\"Sports keep me away from drugs and alcohol. They keep me healthy,\" he says. \"I want to get other Natives healthier too, and I think sports could be the way.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/228392878\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>His teammate and childhood friend, Rodrigo Lupercio, agrees heartily.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For both teenagers, sports have become an inspiration to tackle a bigger challenge than any football match: substance abuse among Pomo Indian communities in Lake County.\u003c/p>\n\u003cp>Nationwide, Native Americans are more likely to die of alcohol-related causes such as \u003ca href=\"http://www.cdc.gov/nchs/data/dvs/LCWK1_2013.pdf\" target=\"_blank\">chronic liver disease\u003c/a> and fatal motor \u003ca href=\"http://www.cdc.gov/motorvehiclesafety/native/factsheet.html\" target=\"_blank\">crashes involving alcohol\u003c/a> than any other ethnic group in the U.S., according to the Centers for Disease Control. Native Americans also have very high rates of \u003ca href=\"http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html\" target=\"_blank\">cigarette smoking\u003c/a> compared to whites, blacks, Hispanics or Asians.\u003c/p>\n\u003cp>Lupercio, from the Big Valley Band of Pomo Indians, has witnessed the toll of alcohol and tobacco use on his grandfather. The two are very close. They used to play baseball and \"always have a good time\" together, he says. But now, Lupercio, just 14, fears the worst.\u003c/p>\n\u003cp>\"He shakes a lot and has a hard time walking. Because he drank so much throughout all of his life, it became part of his system. He needs it,\" said Lupercio. \"It makes me sad because I know I won't be seeing him in a couple of years.\"\u003c/p>\n\u003cfigure id=\"attachment_90209\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\">\u003cimg class=\"size-full wp-image-90209\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\" alt=\"Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse.\" width=\"1920\" height=\"1280\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Talamoni-Marcks tries to convince his mother to quit smoking after seeing another smoker, his former karate teacher, have to breathe through a hole in his throat. The lesson?\u003c/p>\n\u003cp>\"I don't think I would ever,\" he says of smoking. \"I hate it. (My mother) is addicted to it, and I hate to see her like that.\"\u003c/p>\n\u003cp>Last summer, the two teenagers took their views on addiction a step further. As part of their applications to a native youth health summit in Washington, D.C., they wrote essays on ways to improve the health of their communities.\u003c/p>\n\u003cp>The National Indian Health Board, a non-profit representing tribal governments organizing the summit, selected them along with 28 others to meet with staff members for the U.S. Senate Committee on Indian Affairs and discuss their ideas.\u003c/p>\n\u003cp>Lupercio spoke of seeking greater participation in sports at the Big Valley Rancheria, the reservation where he's spent most of his life.\u003c/p>\n\u003cp>\"Down in the reservation, I’d say all Indians should have their own sports teams. I think that would get them active, and they wouldn’t want to do drugs. They’d just want to just do sports,\" he said.\u003c/p>\n\u003cp>Talamoni-Marcks wants to keep sporting events with Native participants alcohol and smoke-free.\u003c/p>\n\u003cp>\"Give them water rather than beer, don't let them smoke there. And just have a fun game, while keeping healthy,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>The teenagers also want a rehab and wellness center for youth and adults within their tribal communities, and greater educational opportunities that will lead to better jobs. The unemployment rate for Native Americans was almost double the national rate in 2013, according to \u003ca href=\"http://www.bls.gov/cps/cpsrace2013.pdf\" target=\"_blank\">figures\u003c/a> from the Bureau of Labor Statistics.\u003c/p>\n\u003cp>Talamoni-Marcks and Lupercio hope their meeting in Washington with the Senate staffers will eventually bring much needed resources to change the health outcomes in their communities. They believe that advocacy can make a difference. But if that takes too long, they dream of another path that does not involve the federal budget.\u003c/p>\n\u003cp>\"I want to play professional sports to help my family, to help my community, to come back and donate money while doing stuff I love to do,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>For Lupercio, who wants to become a professional football player, the most important thing now is emotional support for his grandfather.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I just want to say, 'I love you grandpa, and you’ll always be in my heart,' \" he said.\u003c/p>\n\n","blocks":[],"excerpt":"The two Clear Lake High football players met with staff members for the U.S. Senate Committee on Indian Affairs.","status":"publish","parent":0,"modified":1444844922,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":897},"headData":{"title":"Native American Teenagers Promote Sports to Tackle Substance Abuse | KQED","description":"The two Clear Lake High football players met with staff members for the U.S. Senate Committee on Indian Affairs.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Native American Teenagers Promote Sports to Tackle Substance Abuse","datePublished":"2015-10-14T15:05:33.000Z","dateModified":"2015-10-14T17:48:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"90092 http://ww2.kqed.org/stateofhealth/?p=90092","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/10/14/native-american-teenagers-promote-sports-to-tackle-substance-abuse/","disqusTitle":"Native American Teenagers Promote Sports to Tackle Substance Abuse","path":"/stateofhealth/90092/native-american-teenagers-promote-sports-to-tackle-substance-abuse","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tj Keeya Talamoni-Marcks walks off the field with sweat dripping from his forehead, as more than 20 other Clear Lake High School students finish their grueling football practice in temperatures that reached over 90 degrees.\u003c/p>\n\u003cp>Clear Lake's Cardinals are getting ready to play against Colusa High in a few days, and Talamoni-Marcks, a tackle and guard, holds his helmet with one hand and makes a beeline for the water fountain while limping. He recently recovered from a toe injury, and complains about pain in his foot. Still, he shrugs it off, saying pain and visible bruises on his arms are “part of the game.”\u003c/p>\n\u003cp>Sports are a source of pride for Talamoni-Marks and his family, of Pomo Indian and Samoan descent. The 15-year-old wants to follow in his parents’ footsteps -- his mom was a basketball star and his dad \"running back of the year\" at Clear Lake High, the only high school in Lakeport, about 120 miles north of San Francisco.\u003c/p>\n\u003cp>\"Sports keep me away from drugs and alcohol. They keep me healthy,\" he says. \"I want to get other Natives healthier too, and I think sports could be the way.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/228392878&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/228392878'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>His teammate and childhood friend, Rodrigo Lupercio, agrees heartily.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For both teenagers, sports have become an inspiration to tackle a bigger challenge than any football match: substance abuse among Pomo Indian communities in Lake County.\u003c/p>\n\u003cp>Nationwide, Native Americans are more likely to die of alcohol-related causes such as \u003ca href=\"http://www.cdc.gov/nchs/data/dvs/LCWK1_2013.pdf\" target=\"_blank\">chronic liver disease\u003c/a> and fatal motor \u003ca href=\"http://www.cdc.gov/motorvehiclesafety/native/factsheet.html\" target=\"_blank\">crashes involving alcohol\u003c/a> than any other ethnic group in the U.S., according to the Centers for Disease Control. Native Americans also have very high rates of \u003ca href=\"http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html\" target=\"_blank\">cigarette smoking\u003c/a> compared to whites, blacks, Hispanics or Asians.\u003c/p>\n\u003cp>Lupercio, from the Big Valley Band of Pomo Indians, has witnessed the toll of alcohol and tobacco use on his grandfather. The two are very close. They used to play baseball and \"always have a good time\" together, he says. But now, Lupercio, just 14, fears the worst.\u003c/p>\n\u003cp>\"He shakes a lot and has a hard time walking. Because he drank so much throughout all of his life, it became part of his system. He needs it,\" said Lupercio. \"It makes me sad because I know I won't be seeing him in a couple of years.\"\u003c/p>\n\u003cfigure id=\"attachment_90209\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\">\u003cimg class=\"size-full wp-image-90209\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\" alt=\"Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse.\" width=\"1920\" height=\"1280\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Talamoni-Marcks tries to convince his mother to quit smoking after seeing another smoker, his former karate teacher, have to breathe through a hole in his throat. The lesson?\u003c/p>\n\u003cp>\"I don't think I would ever,\" he says of smoking. \"I hate it. (My mother) is addicted to it, and I hate to see her like that.\"\u003c/p>\n\u003cp>Last summer, the two teenagers took their views on addiction a step further. As part of their applications to a native youth health summit in Washington, D.C., they wrote essays on ways to improve the health of their communities.\u003c/p>\n\u003cp>The National Indian Health Board, a non-profit representing tribal governments organizing the summit, selected them along with 28 others to meet with staff members for the U.S. Senate Committee on Indian Affairs and discuss their ideas.\u003c/p>\n\u003cp>Lupercio spoke of seeking greater participation in sports at the Big Valley Rancheria, the reservation where he's spent most of his life.\u003c/p>\n\u003cp>\"Down in the reservation, I’d say all Indians should have their own sports teams. I think that would get them active, and they wouldn’t want to do drugs. They’d just want to just do sports,\" he said.\u003c/p>\n\u003cp>Talamoni-Marcks wants to keep sporting events with Native participants alcohol and smoke-free.\u003c/p>\n\u003cp>\"Give them water rather than beer, don't let them smoke there. And just have a fun game, while keeping healthy,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>The teenagers also want a rehab and wellness center for youth and adults within their tribal communities, and greater educational opportunities that will lead to better jobs. The unemployment rate for Native Americans was almost double the national rate in 2013, according to \u003ca href=\"http://www.bls.gov/cps/cpsrace2013.pdf\" target=\"_blank\">figures\u003c/a> from the Bureau of Labor Statistics.\u003c/p>\n\u003cp>Talamoni-Marcks and Lupercio hope their meeting in Washington with the Senate staffers will eventually bring much needed resources to change the health outcomes in their communities. They believe that advocacy can make a difference. But if that takes too long, they dream of another path that does not involve the federal budget.\u003c/p>\n\u003cp>\"I want to play professional sports to help my family, to help my community, to come back and donate money while doing stuff I love to do,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>For Lupercio, who wants to become a professional football player, the most important thing now is emotional support for his grandfather.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I just want to say, 'I love you grandpa, and you’ll always be in my heart,' \" he said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/90092/native-american-teenagers-promote-sports-to-tackle-substance-abuse","authors":["8659"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_562","stateofhealth_2533","stateofhealth_2519","stateofhealth_127"],"featImg":"stateofhealth_90208","label":"stateofhealth_2363"},"stateofhealth_70432":{"type":"posts","id":"stateofhealth_70432","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"70432","score":null,"sort":[1441035644000]},"guestAuthors":[],"slug":"pediatricians-can-play-key-role-in-stopping-teen-binge-drinking","title":"How Pediatricians Can Play Key Role in Stopping Teen Binge Drinking","publishDate":1441035644,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Several years ago, pediatrician Lorena Siqueira treated a young boy who’d passed out after getting drunk. After he finally awoke, she asked him how much he drank.\u003c/p>\n\u003cp>He couldn’t say.\u003c/p>\n\u003caside class=\"pullquote alignright\">Pediatricians should screen all patients for alcohol use -- starting at age 9, report says.\u003c/aside>\n\u003cp>All he remembered was how he got drunk. That’s when Siqueira realized just how dangerous alcohol use can be for teens.\u003c/p>\n\u003cp>Vodka is their favored drink, she discovered, because it doesn’t taste or smell funny. “They take the bottle from their parents’ cabinet, sit in a circle, pass it around and take a swig,” says Siqueira, professor of pediatrics and director of adolescent medicine at Florida International University.\u003c/p>\n\u003cp>Kids want to get a buzz, but aren’t sure how much to drink, and they might not stop until they’re nearly unconscious. Siqueira has heard the same story over and over since that day.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>While alcohol use among youth \u003ca href=\"http://www.drugabuse.gov/related-topics/trends-statistics/monitoring-future/monitoring-future-survey-overview-findings-2014\" target=\"_blank\">has been falling\u003c/a> in recent years, binge drinking –- downing five or more drinks in two hours -- is still common. Teen binge drinking rates are so high, and the consequences so serious, that the American Academy of Pediatrics has issued a new report to help physicians spot and care for young drinkers.\u003c/p>\n\u003cp>To increase the chances of identifying at-risk youth, says Siqueira, the report’s lead author, doctors should screen every child in their practice for alcohol use, starting at age nine.\u003c/p>\n\u003cp>\u003cb>A troubling trend\u003c/b>\u003c/p>\n\u003cp>Most young people in the United States do not drink alcohol, but those who do are more likely than adults to drink heavily.\u003c/p>\n\u003cp>Many of the defining traits of adolescence –- a strong desire to fit in with peers, seek novel experiences and test limits –- make this tumultuous passage a prime time for flirting with substance use. And for most teens, alcohol is the substance of choice.\u003c/p>\n\u003cp>People dealing with increased stress are at higher risk for using drugs or alcohol as a coping mechanism, says Bonnie Halpern-Felsher, director of research in the division of adolescent medicine at Stanford University. “Going back to school, especially for those taking difficult classes or thinking about college, can enhance stress.”\u003c/p>\n\u003cp>The AAP report was published Monday in the journal Pediatrics. It draws on several national studies of youth drinking behavior which show that binge drinking rates increase with age and rise sharply in high school:\u003c/p>\n\u003cul>\n\u003cli>21 percent of kids admit to having tried alcohol before 8th grade\u003c/li>\n\u003cli>79 percent of kids admit to having tried alcohol by 12th \u003cspan style=\"line-height: 1.5\">grade\u003c/span>\u003c/li>\n\u003cli>14.2 percent of 12- to 20-year-olds say they engaged in binge drinking in 2013\u003c/li>\n\u003cli>36 to 50 percent of high school students drink alcohol; 28 to 60 percent of them admit to binge drinking and nearly two-thirds have done so more than once in a month\u003c/li>\n\u003cli>10 percent of high school seniors say they’ve had more than 10 drinks in a row\u003c/li>\n\u003c/ul>\n\u003cp>Studies of adolescent binge drinking may underestimate its impacts, the report warns, because the cutoff of five or more drinks in two hours is based on adult males.\u003c/p>\n\u003cp>\u003cb>Uniquely vulnerable\u003c/b>\u003c/p>\n\u003cp>Binge drinking is particularly risky for teens because they are not little adults, says Siqueira. “Volume for volume, they’re far more likely to get intoxicated than you and I, so it can be very dangerous.”\u003c/p>\n\u003cp>Adolescents undergo many rapid physical and mental changes that make them more open to trying alcohol even as their still-developing bodies and brains are more vulnerable to its effects.\u003c/p>\n\u003cp>Even one binge-drinking episode can result in death, either from alcohol poisoning or injuries sustained while engaging in risky behavior. Alcohol is associated with suicide, homicide and car crashes -- the leading causes of death for teenagers. Nearly a third of fatal auto accidents among 15- to 20-year-olds involve alcohol.\u003c/p>\n\u003cp>Teen binge drinkers are also more likely to do poorly in school, have sex earlier, acquire sexually transmitted diseases from unprotected sex and fall prey to sexual violence during a drinking episode.\u003c/p>\n\u003cp>Heavy drinking poses long-term risks, too. Alcohol exposure during adolescence, when connections between different brain regions are still forming, can lead to chronic problems with learning and memory and may increase susceptibility to addiction: kids who start drinking before age 15 are four times as likely to become alcohol dependent than those who start after age 20. Young binge drinkers are also at risk for developing multiple chronic conditions later in life, including cancer and liver disease.\u003c/p>\n\u003cp>For children with chronic medical conditions, alcohol can make them prone to skipping their medications, according to a new study, also published Monday in Pediatrics. More than a third of high school students with diabetes, asthma or other chronic conditions use alcohol, the study found, and are less likely to take their medicine.\u003c/p>\n\u003cp>\u003cb>Report Recommends New Tool for Doctors\u003c/b>\u003c/p>\n\u003cp>Impulsive people who like to chase thrills are at high risk for substance abuse. But for kids, these traits may have more to do with an immature brain than a reckless nature. Younger kids and late bloomers may be more likely to try alcohol without considering the consequences.\u003c/p>\n\u003cp>Yet doctors often mistakenly assume kids aren’t using alcohol, says Siqueira. That’s why the report recommends making a \u003ca href=\"http://pubs.niaaa.nih.gov/publications/Practitioner/YouthGuide/YouthGuide.pdf\" target=\"_blank\">tool designed to spot alcohol\u003c/a> use in kids part of routine checkups.\u003c/p>\n\u003cp>Giving health care providers specific questions to ask kids about how much they’re drinking, who they’re drinking with and when they’re drinking is particularly helpful, says Halpern-Felsher. Doctors can use that information to provide referrals, treatment and especially positive feedback, she says. “You want to say, ‘I’m glad you’re not drinking. That’s a great decision.’ ”\u003c/p>\n\u003cp>Preventing alcohol use is far more effective than starting intervention once a problem is spotted, and parents play a critical role in prevention: 80 percent of teens say their parents are the biggest factor in deciding whether to drink.\u003c/p>\n\u003cp>Siqueira encourages parents to view pediatricians as partners by giving them the chance to talk privately with a child. Children may be more likely to open up when they aren’t afraid of being judged.\u003c/p>\n\u003cp>To counter the ubiquity of alcohol advertising -– especially brands that cater to teens with fruit-flavored concoctions and pretty little bottles –- experts say it’s important for parents to talk to their children as early as possible.\u003c/p>\n\u003cp>Too often, parents of kids hospitalized for intoxication feel relieved to learn that “it’s only alcohol” and not drugs, says Siqueira. But she thinks that’s a dangerous reaction.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Parents need to realize that kids don’t nurse a drink like an adult might at a party, she says. “They’re swigging from a bottle, drinking huge amounts in a short time.” She hopes that parents take every opportunity to warn their children about the dangers of alcohol, before it’s too late.\u003c/p>\n\n","blocks":[],"excerpt":"Pediatricians should screen all patients for alcohol use — starting at age 9, report says.","status":"publish","parent":0,"modified":1441324623,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1189},"headData":{"title":"How Pediatricians Can Play Key Role in Stopping Teen Binge Drinking | KQED","description":"Pediatricians should screen all patients for alcohol use — starting at age 9, report says.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Pediatricians Can Play Key Role in Stopping Teen Binge Drinking","datePublished":"2015-08-31T15:40:44.000Z","dateModified":"2015-09-03T23:57:03.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"70432 http://ww2.kqed.org/stateofhealth/?p=70432","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/08/31/pediatricians-can-play-key-role-in-stopping-teen-binge-drinking/","disqusTitle":"How Pediatricians Can Play Key Role in Stopping Teen Binge Drinking","nprByline":"Liza Gross","path":"/stateofhealth/70432/pediatricians-can-play-key-role-in-stopping-teen-binge-drinking","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Several years ago, pediatrician Lorena Siqueira treated a young boy who’d passed out after getting drunk. After he finally awoke, she asked him how much he drank.\u003c/p>\n\u003cp>He couldn’t say.\u003c/p>\n\u003caside class=\"pullquote alignright\">Pediatricians should screen all patients for alcohol use -- starting at age 9, report says.\u003c/aside>\n\u003cp>All he remembered was how he got drunk. That’s when Siqueira realized just how dangerous alcohol use can be for teens.\u003c/p>\n\u003cp>Vodka is their favored drink, she discovered, because it doesn’t taste or smell funny. “They take the bottle from their parents’ cabinet, sit in a circle, pass it around and take a swig,” says Siqueira, professor of pediatrics and director of adolescent medicine at Florida International University.\u003c/p>\n\u003cp>Kids want to get a buzz, but aren’t sure how much to drink, and they might not stop until they’re nearly unconscious. Siqueira has heard the same story over and over since that day.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While alcohol use among youth \u003ca href=\"http://www.drugabuse.gov/related-topics/trends-statistics/monitoring-future/monitoring-future-survey-overview-findings-2014\" target=\"_blank\">has been falling\u003c/a> in recent years, binge drinking –- downing five or more drinks in two hours -- is still common. Teen binge drinking rates are so high, and the consequences so serious, that the American Academy of Pediatrics has issued a new report to help physicians spot and care for young drinkers.\u003c/p>\n\u003cp>To increase the chances of identifying at-risk youth, says Siqueira, the report’s lead author, doctors should screen every child in their practice for alcohol use, starting at age nine.\u003c/p>\n\u003cp>\u003cb>A troubling trend\u003c/b>\u003c/p>\n\u003cp>Most young people in the United States do not drink alcohol, but those who do are more likely than adults to drink heavily.\u003c/p>\n\u003cp>Many of the defining traits of adolescence –- a strong desire to fit in with peers, seek novel experiences and test limits –- make this tumultuous passage a prime time for flirting with substance use. And for most teens, alcohol is the substance of choice.\u003c/p>\n\u003cp>People dealing with increased stress are at higher risk for using drugs or alcohol as a coping mechanism, says Bonnie Halpern-Felsher, director of research in the division of adolescent medicine at Stanford University. “Going back to school, especially for those taking difficult classes or thinking about college, can enhance stress.”\u003c/p>\n\u003cp>The AAP report was published Monday in the journal Pediatrics. It draws on several national studies of youth drinking behavior which show that binge drinking rates increase with age and rise sharply in high school:\u003c/p>\n\u003cul>\n\u003cli>21 percent of kids admit to having tried alcohol before 8th grade\u003c/li>\n\u003cli>79 percent of kids admit to having tried alcohol by 12th \u003cspan style=\"line-height: 1.5\">grade\u003c/span>\u003c/li>\n\u003cli>14.2 percent of 12- to 20-year-olds say they engaged in binge drinking in 2013\u003c/li>\n\u003cli>36 to 50 percent of high school students drink alcohol; 28 to 60 percent of them admit to binge drinking and nearly two-thirds have done so more than once in a month\u003c/li>\n\u003cli>10 percent of high school seniors say they’ve had more than 10 drinks in a row\u003c/li>\n\u003c/ul>\n\u003cp>Studies of adolescent binge drinking may underestimate its impacts, the report warns, because the cutoff of five or more drinks in two hours is based on adult males.\u003c/p>\n\u003cp>\u003cb>Uniquely vulnerable\u003c/b>\u003c/p>\n\u003cp>Binge drinking is particularly risky for teens because they are not little adults, says Siqueira. “Volume for volume, they’re far more likely to get intoxicated than you and I, so it can be very dangerous.”\u003c/p>\n\u003cp>Adolescents undergo many rapid physical and mental changes that make them more open to trying alcohol even as their still-developing bodies and brains are more vulnerable to its effects.\u003c/p>\n\u003cp>Even one binge-drinking episode can result in death, either from alcohol poisoning or injuries sustained while engaging in risky behavior. Alcohol is associated with suicide, homicide and car crashes -- the leading causes of death for teenagers. Nearly a third of fatal auto accidents among 15- to 20-year-olds involve alcohol.\u003c/p>\n\u003cp>Teen binge drinkers are also more likely to do poorly in school, have sex earlier, acquire sexually transmitted diseases from unprotected sex and fall prey to sexual violence during a drinking episode.\u003c/p>\n\u003cp>Heavy drinking poses long-term risks, too. Alcohol exposure during adolescence, when connections between different brain regions are still forming, can lead to chronic problems with learning and memory and may increase susceptibility to addiction: kids who start drinking before age 15 are four times as likely to become alcohol dependent than those who start after age 20. Young binge drinkers are also at risk for developing multiple chronic conditions later in life, including cancer and liver disease.\u003c/p>\n\u003cp>For children with chronic medical conditions, alcohol can make them prone to skipping their medications, according to a new study, also published Monday in Pediatrics. More than a third of high school students with diabetes, asthma or other chronic conditions use alcohol, the study found, and are less likely to take their medicine.\u003c/p>\n\u003cp>\u003cb>Report Recommends New Tool for Doctors\u003c/b>\u003c/p>\n\u003cp>Impulsive people who like to chase thrills are at high risk for substance abuse. But for kids, these traits may have more to do with an immature brain than a reckless nature. Younger kids and late bloomers may be more likely to try alcohol without considering the consequences.\u003c/p>\n\u003cp>Yet doctors often mistakenly assume kids aren’t using alcohol, says Siqueira. That’s why the report recommends making a \u003ca href=\"http://pubs.niaaa.nih.gov/publications/Practitioner/YouthGuide/YouthGuide.pdf\" target=\"_blank\">tool designed to spot alcohol\u003c/a> use in kids part of routine checkups.\u003c/p>\n\u003cp>Giving health care providers specific questions to ask kids about how much they’re drinking, who they’re drinking with and when they’re drinking is particularly helpful, says Halpern-Felsher. Doctors can use that information to provide referrals, treatment and especially positive feedback, she says. “You want to say, ‘I’m glad you’re not drinking. That’s a great decision.’ ”\u003c/p>\n\u003cp>Preventing alcohol use is far more effective than starting intervention once a problem is spotted, and parents play a critical role in prevention: 80 percent of teens say their parents are the biggest factor in deciding whether to drink.\u003c/p>\n\u003cp>Siqueira encourages parents to view pediatricians as partners by giving them the chance to talk privately with a child. Children may be more likely to open up when they aren’t afraid of being judged.\u003c/p>\n\u003cp>To counter the ubiquity of alcohol advertising -– especially brands that cater to teens with fruit-flavored concoctions and pretty little bottles –- experts say it’s important for parents to talk to their children as early as possible.\u003c/p>\n\u003cp>Too often, parents of kids hospitalized for intoxication feel relieved to learn that “it’s only alcohol” and not drugs, says Siqueira. But she thinks that’s a dangerous reaction.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Parents need to realize that kids don’t nurse a drink like an adult might at a party, she says. “They’re swigging from a bottle, drinking huge amounts in a short time.” She hopes that parents take every opportunity to warn their children about the dangers of alcohol, before it’s too late.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/70432/pediatricians-can-play-key-role-in-stopping-teen-binge-drinking","authors":["byline_stateofhealth_70432"],"categories":["stateofhealth_12"],"tags":["stateofhealth_562","stateofhealth_491"],"featImg":"stateofhealth_70455","label":"stateofhealth"},"stateofhealth_23271":{"type":"posts","id":"stateofhealth_23271","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"23271","score":null,"sort":[1419987924000]},"guestAuthors":[],"slug":"how-much-alcohol-causes-a-hangover-2","title":"How Much Drinking Causes A Hangover?","publishDate":1419987924,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-e1388187405732.jpg\">\u003cimg class=\"size-large wp-image-16935\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-640x426.jpg\" alt=\"(ckelly/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(ckelly/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: this story originally ran Dec. 30, 2013.\u003c/em>\u003c/p>\n\u003cp>Medically, the condition is called “veisalgia” — from the Norwegian \u003cem>kveis \u003c/em>or “uneasiness following debauchery,” and the Greek \u003cem>algia, \u003c/em>otherwise known as “pain.”\u003c/p>\n\u003cp>But you probably just call it a hangover.\u003c/p>\n\u003cp>The helpful PR coordinators at the American College of Physicians resent information about a review, published back in 2000, titled simply \u003ca title=\"The Alcohol Hangover\" href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3\" target=\"_blank\">The Alcohol Hangover\u003c/a>. “More than 4700 articles have been written about alcohol intoxication (from 1965 to 1999), but only 108 have addressed alcohol hangover,” the researchers, all at UC San Francisco at the time, wrote.\u003c/p>\n\u003cp>But you probably don’t care about how much research has been done, you just want to know how many drinks cause a hangover.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Let’s get to it:\u003cspan id=\"more-16926\">\u003c/span>\u003c/p>\n\u003cul>\n\u003cli>For men, a dose of “five to seven standard cocktails” consumed over a four-to-six-hour period, is “almost always followed by hangover symptoms.”\u003c/li>\n\u003cli>For women, the dose is three to five drinks. Women feel the effects of alcohol on a smaller dose not because they are smaller (in general) than men, but because they \u003ca title=\"Alcohol Metabolism--Alcohol Alert No. 35\" href=\"http://pubs.niaaa.nih.gov/publications/aa35.htm\" target=\"_blank\">metabolize alcohol\u003c/a> differently.\u003c/li>\n\u003c/ul>\n\u003cp>For the purposes of their review, the researchers defined a hangover as having at least two of the following not-so-surprising symptoms: headache, “poor sense of overall well-being” (in other words, feeling crappy), diarrhea, anorexia, tremulousness, fatigue, nausea.\u003c/p>\n\u003cp>What the researchers had trouble defining was how a hangover happens. There are theories, but no one is sure. The researchers dismissed the popular idea that a hangover is caused by “alcohol withdrawal.” The researchers say that the physical changes in a hangover are different from those that happen when a chronic alcohol abuser stops drinking alcohol.\u003c/p>\n\u003cp>Curiously, a hangover is not “solely dose-related,” the researchers wrote, although the more alcohol a person drinks, the more severe the symptoms might be. Some possible culprits as to a hangover’s pain include:\u003c/p>\n\u003cul>\n\u003cli>Congeners: this byproduct in many dark liquors — such as brandy, tequila, wine and whiskey — can increase the “frequency and severity of hangover,” the researchers reported. Conversely, clear liquors such as rum, vodka and gin generally cause hangover less frequently and could explain why people with more severe alcoholism favor these liquors.\u003c/li>\n\u003cli>Acetaldehyde: this is a byproduct of alcohol metabolism and can contribute to hangover symptoms\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Treating the Hangover: No Easy Solutions\u003c/strong>\u003c/p>\n\u003cp>Alcohol consumption promotes excessive urination, out of proportion to the liquid consumed. That sets you up for dehydration, but as the alcohol wears off, a hormone that limits urination increases. Drinking water can help, but “in our clinical experience, hydration attenuates but does not completely relieve hangover symptoms.”\u003c/p>\n\u003cp>So drinking water is not a big help (although being well-hydrated with water can help you avoid or reduce a hangover).\u003c/p>\n\u003cp>Some evidence showed that people who took tolfenamic acid when they were consuming the alcohol had fewer hangover symptoms. Tolfenamic acid is an “NSAID,” a non-steroidal anti-inflammatory drug. It’s not sold in the U.S. (apparently available in Britain; very helpful). “Other non steroidal agents are frequently used to treat hangover symptoms but have not been studied.”\u003c/p>\n\u003cp>Because no other NSAIDs have been studied, I can’t give you names of drugs that could treat hangover symptoms, but I can suggest what you should avoid. In general,\u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm239747.htm\" target=\"_blank\"> do not take acetaminophen\u003c/a> — brand name Tylenol — when you drink alcohol. The combination can cause severe liver damage.\u003c/p>\n\u003cp>Another study showed taking vitamin B6 before, during and after drinking alcohol reduced hangover symptoms.\u003c/p>\n\u003cp>My colleagues at KQED Science have \u003ca title=\"How Science Can Help Prevent a (Bad) Hangover\" href=\"http://blogs.kqed.org/science/audio/how-science-can-help-prevent-a-bad-hangover/\" target=\"_blank\">a helpful story with more tips on avoiding a hangover\u003c/a> (or at least a bad hangover).\u003c/p>\n\u003cp>\u003cstrong>Hangover Carries Its Own Health Risks\u003c/strong>\u003c/p>\n\u003cp>I was surprised to learn that the hangover is about more than just feeling yucky. The researchers quantified costs in impaired job performance, but the hangover patient is at increased risk of injury because of “diminished visual-spatial skills and dexterity \u003cem>even after alcohol can no longer be detected in the blood\u003c/em>” (emphasis mine). Visual-spatial skills are what you need when you’re driving or operating any heavy machinery. Use caution.\u003c/p>\n\u003cp>Note to anyone who is Tahoe-bound for the New Year’s holiday: Skiers may also be at higher risk of injury due to the hangover.\u003c/p>\n\u003cp>Also troubling is that hangover puts stress on the heart. People with a hangover have an increase in heart rate and blood pressure. There is some evidence that people suffering from a hangover are at increased risk of dying from a heart attack.\u003c/p>\n\u003cp>\u003cstrong>The Hangover Through the Ages\u003c/strong>\u003c/p>\n\u003cp>The researchers opened their review by citing the Bible: “Woe unto them that rise up early in the morning, that they may follow strong drink.” (Isaiah 5:11) and closed by citing Homer:\u003c/p>\n\u003cblockquote>\u003cp>Hangover’s historical past may predict its future. Homer provided one of the first descriptions of the disorder. A companion of Odysseus, Elpenor, awoke from a drunken sleep, sprang up, and jumped off a roof, falling to his death (\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">62\u003c/a>–\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">63\u003c/a>). Of interest, Elpenor “returned from the dead, begging Odysseus to bury his body,” a sentiment we have often heard echoed by patients with hangover. The most extreme form of hangover, a psychiatric dissociation characterized by irrational behavior, has since become known as the Elpenor syndrome.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Happy New Year! Drink wisely.\u003c/p>\n\n","blocks":[],"excerpt":"It's not just number of drinks. Some types of alcohol will give you a worse hangover than others.","status":"publish","parent":0,"modified":1420139757,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":937},"headData":{"title":"How Much Drinking Causes A Hangover? | KQED","description":"It's not just number of drinks. Some types of alcohol will give you a worse hangover than others.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Much Drinking Causes A Hangover?","datePublished":"2014-12-31T01:05:24.000Z","dateModified":"2015-01-01T19:15:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"23271 http://blogs.kqed.org/stateofhealth/?p=23271","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/12/30/how-much-alcohol-causes-a-hangover-2/","disqusTitle":"How Much Drinking Causes A Hangover?","path":"/stateofhealth/23271/how-much-alcohol-causes-a-hangover-2","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-e1388187405732.jpg\">\u003cimg class=\"size-large wp-image-16935\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-640x426.jpg\" alt=\"(ckelly/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(ckelly/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: this story originally ran Dec. 30, 2013.\u003c/em>\u003c/p>\n\u003cp>Medically, the condition is called “veisalgia” — from the Norwegian \u003cem>kveis \u003c/em>or “uneasiness following debauchery,” and the Greek \u003cem>algia, \u003c/em>otherwise known as “pain.”\u003c/p>\n\u003cp>But you probably just call it a hangover.\u003c/p>\n\u003cp>The helpful PR coordinators at the American College of Physicians resent information about a review, published back in 2000, titled simply \u003ca title=\"The Alcohol Hangover\" href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3\" target=\"_blank\">The Alcohol Hangover\u003c/a>. “More than 4700 articles have been written about alcohol intoxication (from 1965 to 1999), but only 108 have addressed alcohol hangover,” the researchers, all at UC San Francisco at the time, wrote.\u003c/p>\n\u003cp>But you probably don’t care about how much research has been done, you just want to know how many drinks cause a hangover.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Let’s get to it:\u003cspan id=\"more-16926\">\u003c/span>\u003c/p>\n\u003cul>\n\u003cli>For men, a dose of “five to seven standard cocktails” consumed over a four-to-six-hour period, is “almost always followed by hangover symptoms.”\u003c/li>\n\u003cli>For women, the dose is three to five drinks. Women feel the effects of alcohol on a smaller dose not because they are smaller (in general) than men, but because they \u003ca title=\"Alcohol Metabolism--Alcohol Alert No. 35\" href=\"http://pubs.niaaa.nih.gov/publications/aa35.htm\" target=\"_blank\">metabolize alcohol\u003c/a> differently.\u003c/li>\n\u003c/ul>\n\u003cp>For the purposes of their review, the researchers defined a hangover as having at least two of the following not-so-surprising symptoms: headache, “poor sense of overall well-being” (in other words, feeling crappy), diarrhea, anorexia, tremulousness, fatigue, nausea.\u003c/p>\n\u003cp>What the researchers had trouble defining was how a hangover happens. There are theories, but no one is sure. The researchers dismissed the popular idea that a hangover is caused by “alcohol withdrawal.” The researchers say that the physical changes in a hangover are different from those that happen when a chronic alcohol abuser stops drinking alcohol.\u003c/p>\n\u003cp>Curiously, a hangover is not “solely dose-related,” the researchers wrote, although the more alcohol a person drinks, the more severe the symptoms might be. Some possible culprits as to a hangover’s pain include:\u003c/p>\n\u003cul>\n\u003cli>Congeners: this byproduct in many dark liquors — such as brandy, tequila, wine and whiskey — can increase the “frequency and severity of hangover,” the researchers reported. Conversely, clear liquors such as rum, vodka and gin generally cause hangover less frequently and could explain why people with more severe alcoholism favor these liquors.\u003c/li>\n\u003cli>Acetaldehyde: this is a byproduct of alcohol metabolism and can contribute to hangover symptoms\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Treating the Hangover: No Easy Solutions\u003c/strong>\u003c/p>\n\u003cp>Alcohol consumption promotes excessive urination, out of proportion to the liquid consumed. That sets you up for dehydration, but as the alcohol wears off, a hormone that limits urination increases. Drinking water can help, but “in our clinical experience, hydration attenuates but does not completely relieve hangover symptoms.”\u003c/p>\n\u003cp>So drinking water is not a big help (although being well-hydrated with water can help you avoid or reduce a hangover).\u003c/p>\n\u003cp>Some evidence showed that people who took tolfenamic acid when they were consuming the alcohol had fewer hangover symptoms. Tolfenamic acid is an “NSAID,” a non-steroidal anti-inflammatory drug. It’s not sold in the U.S. (apparently available in Britain; very helpful). “Other non steroidal agents are frequently used to treat hangover symptoms but have not been studied.”\u003c/p>\n\u003cp>Because no other NSAIDs have been studied, I can’t give you names of drugs that could treat hangover symptoms, but I can suggest what you should avoid. In general,\u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm239747.htm\" target=\"_blank\"> do not take acetaminophen\u003c/a> — brand name Tylenol — when you drink alcohol. The combination can cause severe liver damage.\u003c/p>\n\u003cp>Another study showed taking vitamin B6 before, during and after drinking alcohol reduced hangover symptoms.\u003c/p>\n\u003cp>My colleagues at KQED Science have \u003ca title=\"How Science Can Help Prevent a (Bad) Hangover\" href=\"http://blogs.kqed.org/science/audio/how-science-can-help-prevent-a-bad-hangover/\" target=\"_blank\">a helpful story with more tips on avoiding a hangover\u003c/a> (or at least a bad hangover).\u003c/p>\n\u003cp>\u003cstrong>Hangover Carries Its Own Health Risks\u003c/strong>\u003c/p>\n\u003cp>I was surprised to learn that the hangover is about more than just feeling yucky. The researchers quantified costs in impaired job performance, but the hangover patient is at increased risk of injury because of “diminished visual-spatial skills and dexterity \u003cem>even after alcohol can no longer be detected in the blood\u003c/em>” (emphasis mine). Visual-spatial skills are what you need when you’re driving or operating any heavy machinery. Use caution.\u003c/p>\n\u003cp>Note to anyone who is Tahoe-bound for the New Year’s holiday: Skiers may also be at higher risk of injury due to the hangover.\u003c/p>\n\u003cp>Also troubling is that hangover puts stress on the heart. People with a hangover have an increase in heart rate and blood pressure. There is some evidence that people suffering from a hangover are at increased risk of dying from a heart attack.\u003c/p>\n\u003cp>\u003cstrong>The Hangover Through the Ages\u003c/strong>\u003c/p>\n\u003cp>The researchers opened their review by citing the Bible: “Woe unto them that rise up early in the morning, that they may follow strong drink.” (Isaiah 5:11) and closed by citing Homer:\u003c/p>\n\u003cblockquote>\u003cp>Hangover’s historical past may predict its future. Homer provided one of the first descriptions of the disorder. A companion of Odysseus, Elpenor, awoke from a drunken sleep, sprang up, and jumped off a roof, falling to his death (\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">62\u003c/a>–\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">63\u003c/a>). Of interest, Elpenor “returned from the dead, begging Odysseus to bury his body,” a sentiment we have often heard echoed by patients with hangover. The most extreme form of hangover, a psychiatric dissociation characterized by irrational behavior, has since become known as the Elpenor syndrome.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Happy New Year! Drink wisely.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/23271/how-much-alcohol-causes-a-hangover-2","authors":["240"],"categories":["stateofhealth_12"],"tags":["stateofhealth_562","stateofhealth_461"],"label":"stateofhealth"},"stateofhealth_16926":{"type":"posts","id":"stateofhealth_16926","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"16926","score":null,"sort":[1388433584000]},"guestAuthors":[],"slug":"how-much-alcohol-causes-a-hangover","title":"How Much Alcohol Causes a Hangover?","publishDate":1388433584,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/ckelly/2184139735/sizes/l/\">\u003cimg class=\"size-large wp-image-16935 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-640x426.jpg\" alt=\"(ckelly/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(ckelly/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Medically, the condition is called \"veisalgia\" -- from the Norwegian \u003cem>kveis \u003c/em>or \"uneasiness following debauchery,\" and the Greek \u003cem>algia, \u003c/em>otherwise known as \"pain.\"\u003c/p>\n\u003cp>But you probably just call it a hangover.\u003c/p>\n\u003cp>The helpful PR coordinators at the American College of Physicians resent information about a review, published back in 2000, titled simply \u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3\" target=\"_blank\">The Alcohol Hangover\u003c/a>. \"More than 4700 articles have been written about alcohol intoxication (from 1965 to 1999), but only 108 have addressed alcohol hangover,\" the researchers, all at UC San Francisco at the time, wrote.\u003c/p>\n\u003cp>But you don't care about how much research has been done, you want to know how many drinks cause a hangover.\u003c/p>\n\u003cp>Let's get to it:\u003c!--more-->\u003c/p>\n\u003cul>\n\u003cli>For men, a dose of \"five to seven standard cocktails\" consumed over a four-to-six-hour period, is \"almost always followed by hangover symptoms.\"\u003c/li>\n\u003cli>For women, the dose is three to five drinks. Women feel the effects of alcohol on a smaller dose not because they are smaller (in general) than men, but because they \u003ca target=\"_blank\">metabolize alcohol\u003c/a> differently.\u003c/li>\n\u003c/ul>\n\u003cp>For the purposes of their review, the researchers defined a hangover as having at least two of the following not-so-surprising symptoms: headache, \"poor sense of overall well-being\" (in other words, feeling crappy), diarrhea, anorexia, tremulousness, fatigue, nausea.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>What the researchers had trouble defining was how a hangover happens. There are theories, but no one is sure. The researchers dismissed the popular idea that a hangover is caused by \"alcohol withdrawal.\" The researchers say that the physical changes in a hangover are different from those that happen when a chronic alcohol abuser stops drinking alcohol.\u003c/p>\n\u003cp>Curiously, a hangover is not \"solely dose-related,\" the researchers wrote, although the more alcohol a person drinks, the more severe the symptoms might be. Some possible culprits as to a hangover's pain include:\u003c/p>\n\u003cul>\n\u003cli>Acetaldehyde: this is a byproduct of alcohol metabolism and can contribute to hangover symptoms\u003c/li>\n\u003cli>Congeners: this byproduct in many dark liquors — such as brandy, tequila, wine and whiskey — can increase the \"frequency and severity of hangover,\" the researchers reported. Conversely, clear liquors such as rum, vodka and gin generally cause hangover less frequently and could explain why people with more severe alcoholism favor these liquors.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Treating the Hangover: No Easy Solutions\u003c/strong>\u003c/p>\n\u003cp>Alcohol consumption promotes excessive urination, out of proportion to the liquid consumed. That sets you up for dehydration, but as the alcohol wears off, a hormone that limits urination increases. Drinking water can help, but \"in our clinical experience, hydration attenuates but does not completely relieve hangover symptoms.\"\u003c/p>\n\u003cp>So drinking water is not a big help.\u003c/p>\n\u003cp>Some evidence showed that people who took tolfenamic acid when they were consuming the alcohol had fewer hangover symptoms. Tolfenamic acid is an \"NSAID,\" a non-steroidal anti-inflammatory drug. It's not sold in the U.S. (apparently available in Britain; very helpful). \"Other non steroidal agents are frequently used to treat hangover symptoms but have not been studied.\"\u003c/p>\n\u003cp>Because no other NSAIDs have been studied, I can't give you names of drugs that could treat hangover symptoms, but I can suggest what you should avoid. In general,\u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm239747.htm\" target=\"_blank\"> do not take acetaminophen\u003c/a> — brand name Tylenol — when you drink alcohol. The combination can cause severe liver damage.\u003c/p>\n\u003cp>Another study showed taking vitamin B6 before, during and after drinking alcohol reduced hangover symptoms.\u003c/p>\n\u003cp>\u003cstrong>Hangover Carries Its Own Health Risks\u003c/strong>\u003c/p>\n\u003cp>I was surprised to learn that the hangover is about more than just feeling yucky. The researchers quantified costs in impaired job performance, but the hangover patient is at increased risk of injury because of \"diminished visual-spatial skills and dexterity \u003cem>even after alcohol can no longer be detected in the blood\u003c/em>\" (emphasis mine). Visual-spatial skills are what you need when you're driving or operating any heavy machinery. Use caution.\u003c/p>\n\u003cp>Note to anyone who is Tahoe-bound for the New Year's holiday: Skiers may also be at higher risk of injury due to the hangover.\u003c/p>\n\u003cp>Also troubling is that hangover puts stress on the heart. People with a hangover have an increase in heart rate and blood pressure. There is some evidence that people suffering from a hangover are at increased risk of dying from a heart attack.\u003c/p>\n\u003cp>\u003cstrong>The Hangover Through the Ages\u003c/strong>\u003c/p>\n\u003cp>The researchers opened their review by citing the Bible: \"Woe unto them that rise up early in the morning, that they may follow strong drink.\" (Isaiah 5:11) and closed by citing Homer:\u003c/p>\n\u003cblockquote>\u003cp>Hangover's historical past may predict its future. Homer provided one of the first descriptions of the disorder. A companion of Odysseus, Elpenor, awoke from a drunken sleep, sprang up, and jumped off a roof, falling to his death (\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">62\u003c/a>–\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">63\u003c/a>). Of interest, Elpenor “returned from the dead, begging Odysseus to bury his body,” a sentiment we have often heard echoed by patients with hangover. The most extreme form of hangover, a psychiatric dissociation characterized by irrational behavior, has since become known as the Elpenor syndrome.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Happy New Year! Drink wisely.\u003c/p>\n\n","blocks":[],"excerpt":"Medically, the condition is called \"veisalgia\" -- from the Norwegian kveis or \"uneasiness following debauchery,\" and the Greek algia, otherwise known as \"pain.\"\r\n\r\nBut you probably just call it a hangover.\r\n\r\nThe helpful PR coordinators at the American College of Physicians resent information about a review, published back in 2000, titled simply The Alcohol Hangover. ","status":"publish","parent":0,"modified":1419980569,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":845},"headData":{"title":"How Much Alcohol Causes a Hangover? | KQED","description":"Medically, the condition is called "veisalgia" -- from the Norwegian kveis or "uneasiness following debauchery," and the Greek algia, otherwise known as "pain."\r\n\r\nBut you probably just call it a hangover.\r\n\r\nThe helpful PR coordinators at the American College of Physicians resent information about a review, published back in 2000, titled simply The Alcohol Hangover. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Much Alcohol Causes a Hangover?","datePublished":"2013-12-30T19:59:44.000Z","dateModified":"2014-12-30T23:02:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"16926 http://blogs.kqed.org/stateofhealth/?p=16926","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/12/30/how-much-alcohol-causes-a-hangover/","disqusTitle":"How Much Alcohol Causes a Hangover?","path":"/stateofhealth/16926/how-much-alcohol-causes-a-hangover","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/ckelly/2184139735/sizes/l/\">\u003cimg class=\"size-large wp-image-16935 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-640x426.jpg\" alt=\"(ckelly/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(ckelly/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Medically, the condition is called \"veisalgia\" -- from the Norwegian \u003cem>kveis \u003c/em>or \"uneasiness following debauchery,\" and the Greek \u003cem>algia, \u003c/em>otherwise known as \"pain.\"\u003c/p>\n\u003cp>But you probably just call it a hangover.\u003c/p>\n\u003cp>The helpful PR coordinators at the American College of Physicians resent information about a review, published back in 2000, titled simply \u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3\" target=\"_blank\">The Alcohol Hangover\u003c/a>. \"More than 4700 articles have been written about alcohol intoxication (from 1965 to 1999), but only 108 have addressed alcohol hangover,\" the researchers, all at UC San Francisco at the time, wrote.\u003c/p>\n\u003cp>But you don't care about how much research has been done, you want to know how many drinks cause a hangover.\u003c/p>\n\u003cp>Let's get to it:\u003c!--more-->\u003c/p>\n\u003cul>\n\u003cli>For men, a dose of \"five to seven standard cocktails\" consumed over a four-to-six-hour period, is \"almost always followed by hangover symptoms.\"\u003c/li>\n\u003cli>For women, the dose is three to five drinks. Women feel the effects of alcohol on a smaller dose not because they are smaller (in general) than men, but because they \u003ca target=\"_blank\">metabolize alcohol\u003c/a> differently.\u003c/li>\n\u003c/ul>\n\u003cp>For the purposes of their review, the researchers defined a hangover as having at least two of the following not-so-surprising symptoms: headache, \"poor sense of overall well-being\" (in other words, feeling crappy), diarrhea, anorexia, tremulousness, fatigue, nausea.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>What the researchers had trouble defining was how a hangover happens. There are theories, but no one is sure. The researchers dismissed the popular idea that a hangover is caused by \"alcohol withdrawal.\" The researchers say that the physical changes in a hangover are different from those that happen when a chronic alcohol abuser stops drinking alcohol.\u003c/p>\n\u003cp>Curiously, a hangover is not \"solely dose-related,\" the researchers wrote, although the more alcohol a person drinks, the more severe the symptoms might be. Some possible culprits as to a hangover's pain include:\u003c/p>\n\u003cul>\n\u003cli>Acetaldehyde: this is a byproduct of alcohol metabolism and can contribute to hangover symptoms\u003c/li>\n\u003cli>Congeners: this byproduct in many dark liquors — such as brandy, tequila, wine and whiskey — can increase the \"frequency and severity of hangover,\" the researchers reported. Conversely, clear liquors such as rum, vodka and gin generally cause hangover less frequently and could explain why people with more severe alcoholism favor these liquors.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Treating the Hangover: No Easy Solutions\u003c/strong>\u003c/p>\n\u003cp>Alcohol consumption promotes excessive urination, out of proportion to the liquid consumed. That sets you up for dehydration, but as the alcohol wears off, a hormone that limits urination increases. Drinking water can help, but \"in our clinical experience, hydration attenuates but does not completely relieve hangover symptoms.\"\u003c/p>\n\u003cp>So drinking water is not a big help.\u003c/p>\n\u003cp>Some evidence showed that people who took tolfenamic acid when they were consuming the alcohol had fewer hangover symptoms. Tolfenamic acid is an \"NSAID,\" a non-steroidal anti-inflammatory drug. It's not sold in the U.S. (apparently available in Britain; very helpful). \"Other non steroidal agents are frequently used to treat hangover symptoms but have not been studied.\"\u003c/p>\n\u003cp>Because no other NSAIDs have been studied, I can't give you names of drugs that could treat hangover symptoms, but I can suggest what you should avoid. In general,\u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm239747.htm\" target=\"_blank\"> do not take acetaminophen\u003c/a> — brand name Tylenol — when you drink alcohol. The combination can cause severe liver damage.\u003c/p>\n\u003cp>Another study showed taking vitamin B6 before, during and after drinking alcohol reduced hangover symptoms.\u003c/p>\n\u003cp>\u003cstrong>Hangover Carries Its Own Health Risks\u003c/strong>\u003c/p>\n\u003cp>I was surprised to learn that the hangover is about more than just feeling yucky. The researchers quantified costs in impaired job performance, but the hangover patient is at increased risk of injury because of \"diminished visual-spatial skills and dexterity \u003cem>even after alcohol can no longer be detected in the blood\u003c/em>\" (emphasis mine). Visual-spatial skills are what you need when you're driving or operating any heavy machinery. Use caution.\u003c/p>\n\u003cp>Note to anyone who is Tahoe-bound for the New Year's holiday: Skiers may also be at higher risk of injury due to the hangover.\u003c/p>\n\u003cp>Also troubling is that hangover puts stress on the heart. People with a hangover have an increase in heart rate and blood pressure. There is some evidence that people suffering from a hangover are at increased risk of dying from a heart attack.\u003c/p>\n\u003cp>\u003cstrong>The Hangover Through the Ages\u003c/strong>\u003c/p>\n\u003cp>The researchers opened their review by citing the Bible: \"Woe unto them that rise up early in the morning, that they may follow strong drink.\" (Isaiah 5:11) and closed by citing Homer:\u003c/p>\n\u003cblockquote>\u003cp>Hangover's historical past may predict its future. Homer provided one of the first descriptions of the disorder. A companion of Odysseus, Elpenor, awoke from a drunken sleep, sprang up, and jumped off a roof, falling to his death (\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">62\u003c/a>–\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">63\u003c/a>). Of interest, Elpenor “returned from the dead, begging Odysseus to bury his body,” a sentiment we have often heard echoed by patients with hangover. The most extreme form of hangover, a psychiatric dissociation characterized by irrational behavior, has since become known as the Elpenor syndrome.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Happy New Year! Drink wisely.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16926/how-much-alcohol-causes-a-hangover","authors":["240"],"categories":["stateofhealth_12"],"tags":["stateofhealth_562"],"featImg":"stateofhealth_16935","label":"stateofhealth"},"stateofhealth_16007":{"type":"posts","id":"stateofhealth_16007","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"16007","score":null,"sort":[1383328815000]},"guestAuthors":[],"slug":"stanford-kissing-event-fun-for-the-evening-but-now-students-have-stomach-flu","title":"Stanford Kissing Event: Fun for the Evening, But Now Students Have Stomach Flu","publishDate":1383328815,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16022\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/11863277@N00/2576355770/in/photolist-4VEuP5-uAzAm-fwxynu-dZoSVP-hHqoq-9T3Q2R-4Hf7AU-4PBjqd-5TQJMf-4CkYnv-asLYeP-dLFQxc-sogFv-5C4fLo-sogrW-apMDU4-apQn7m-dZusmd-6rVL69-9hpkA8-4Pvxvo-8Tc6mx-4PriGF-7vMuE-7vMtd-7vMA2-7vMy8-7vMvC-7vMwq-7vMzn-7vMxg-7vMxA-7vMyX-7vMtG-7vMu9-4PrjFH-agqrmm-agnL5F-agqphq-2NGfo-exgZjv-4t4pV2-tpiq9-942jpj-7dbSwP-bMTugX-6stDX-5LsjfK-6G8FJB-bkYEMP-6MeLsD\">\u003cimg class=\"size-large wp-image-16022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/2576355770_4c78a887b8_b-640x480.jpg\" alt=\"Where the kissing event happens, just not during the day. (rolfkleef/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Where the kissing event happens, just not during the day. (rolfkleef/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>I've lived in the Bay Area for more than 20 years, but somehow missed this tradition at Stanford: \u003ca href=\"http://www.stanforddaily.com/2013/10/18/roxy-sass-full-moon-on-the-quad-cheat-sheet/\" target=\"_blank\">Full Moon on the Quad\u003c/a>.\u003c/p>\n\u003cp>As the New York Times \u003ca href=\"http://www.nytimes.com/2013/11/01/education/welcomed-with-kisses-stanford-freshmen-risk-the-kissing-disease.html?partner=rss&emc=rss&_r=1&\" target=\"_blank\">reported\u003c/a> Friday it's \"an event unique in American education: an orgy of interclass kissing reluctantly but officially sanctioned by the university.\"\u003c/p>\n\u003cp>How you respond to this might depend on your age.\u003c/p>\n\u003cp>My initial reaction was \"ewwww!\" But a (younger) colleague asked, \"Is it horrible to confess to you: I'd probably join in?!?!\"\u003c/p>\n\u003cp>The event was held last week, on Oct. 22. With thousands of students milling around waiting, the Times described what happened next:\u003c/p>\n\u003cblockquote>\u003cp>Finally, a male senior saunters over to a group of the youngest-looking women and asks: “Hey! You freshmen? Can I kiss you?”\u003c!--more-->\u003c/p>\n\u003cp>As the Stanford Band plays and a giant screen shows famous movie clutches, the bravest women step forward and receive the traditional welcome to one of the nation’s most prestigious universities: a big wet upperclassman smack.\u003c/p>\u003c/blockquote>\n\u003cp>I think you can guess why this is a health story.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Days later, another tradition arrives: flu and mononucleosis, the 'kissing disease,' sweep the dorms,\" says the Times.\u003c/p>\n\u003cp>It's now been 10 days since Full Moon on the Quad or FMOTQ.\u003c/p>\n\u003cp>Just a few minutes after I read the Times' piece, a release from Stanford popped up in my inbox -- 52 students had come down with norovirus. That's the virus commonly called \"stomach flu\" and generally causes vomiting and diarrhea.\u003c/p>\n\u003cp>Norovirus spreads like wildfire and risk factors for contracting the virus include having \"close personal contact\" with an infected person, says \u003ca href=\"http://www.cdc.gov/norovirus/downloads/keyfacts.pdf\" target=\"_blank\">the CDC\u003c/a>.\u003c/p>\n\u003cp>While any reasonable person might think that \"an orgy of interclass kissing\" would qualify as \"close personal contact,\" it's also true that association does not equal causation, as a reader notes in the comments below.\u003c/p>\n\u003cp>The Stanford Daily is following the health story, from a different angle. On Friday the paper \u003ca href=\"http://www.stanforddaily.com/2013/11/01/five-campus-study-spots-ranked-by-coughing-awkwardness/\" target=\"_blank\">reported\u003c/a> \"there's no shortage of illness going around campus\" now that FMOTQ is over. And what's the \"worst, and probably most ubiquitous, symptom\" of post-FMOTQ sickness? Coughing, the Daily believes. So the paper \u003ca href=\"http://www.stanforddaily.com/2013/11/01/five-campus-study-spots-ranked-by-coughing-awkwardness/\" target=\"_blank\">helpfully ranks\u003c/a> five campus study spots by \"coughing awkwardness.\"\u003c/p>\n\u003cp>Yet there's a more serious health story, too. Not surprisingly, an event that involves kissing a bunch of strangers can make people nervous. That kind of social anxiety can lead to excess alcohol consumption. The Daily \u003ca href=\"http://www.stanforddaily.com/2013/10/24/fmotq-medical-transports-drop-to-two/\" target=\"_blank\">reported last week\u003c/a> that medical transports related to FMOTQ were down this year possibly due to attempts to emphasize \"safe drinking vs. unsafe drinking.\"\u003c/p>\n\u003cp>And yes, Stanford officials have tried to ban the event, The Times notes, but since they've been unsuccessful, the university is focusing on trying to make the event safer.\u003c/p>\n\u003cblockquote>\u003cp>The evening is overseen by student sobriety monitors and decorated with hand-drawn signs — of the ilk that usually say \"Beat Cal” — but bearing slogans like “Consent is Sexy.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>This post has been updated with more information about norovirus.\u003c/strong>\u003c/p>\n\n","blocks":[],"excerpt":"I've lived in the Bay Area for more than 20 years, but somehow missed this tradition at Stanford: Full Moon on the Quad.\r\n\r\nAs the New York Times reported Friday it's \"an event unique in American education: an orgy of interclass kissing reluctantly but officially sanctioned by the university.\"\r\n\r\nHow you respond to this might depend on your age.","status":"publish","parent":0,"modified":1383487011,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":521},"headData":{"title":"Stanford Kissing Event: Fun for the Evening, But Now Students Have Stomach Flu | KQED","description":"I've lived in the Bay Area for more than 20 years, but somehow missed this tradition at Stanford: Full Moon on the Quad.\r\n\r\nAs the New York Times reported Friday it's "an event unique in American education: an orgy of interclass kissing reluctantly but officially sanctioned by the university."\r\n\r\nHow you respond to this might depend on your age.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Stanford Kissing Event: Fun for the Evening, But Now Students Have Stomach Flu","datePublished":"2013-11-01T18:00:15.000Z","dateModified":"2013-11-03T13:56:51.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"16007 http://blogs.kqed.org/stateofhealth/?p=16007","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/11/01/stanford-kissing-event-fun-for-the-evening-but-now-students-have-stomach-flu/","disqusTitle":"Stanford Kissing Event: Fun for the Evening, But Now Students Have Stomach Flu","path":"/stateofhealth/16007/stanford-kissing-event-fun-for-the-evening-but-now-students-have-stomach-flu","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16022\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/11863277@N00/2576355770/in/photolist-4VEuP5-uAzAm-fwxynu-dZoSVP-hHqoq-9T3Q2R-4Hf7AU-4PBjqd-5TQJMf-4CkYnv-asLYeP-dLFQxc-sogFv-5C4fLo-sogrW-apMDU4-apQn7m-dZusmd-6rVL69-9hpkA8-4Pvxvo-8Tc6mx-4PriGF-7vMuE-7vMtd-7vMA2-7vMy8-7vMvC-7vMwq-7vMzn-7vMxg-7vMxA-7vMyX-7vMtG-7vMu9-4PrjFH-agqrmm-agnL5F-agqphq-2NGfo-exgZjv-4t4pV2-tpiq9-942jpj-7dbSwP-bMTugX-6stDX-5LsjfK-6G8FJB-bkYEMP-6MeLsD\">\u003cimg class=\"size-large wp-image-16022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/2576355770_4c78a887b8_b-640x480.jpg\" alt=\"Where the kissing event happens, just not during the day. (rolfkleef/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Where the kissing event happens, just not during the day. (rolfkleef/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>I've lived in the Bay Area for more than 20 years, but somehow missed this tradition at Stanford: \u003ca href=\"http://www.stanforddaily.com/2013/10/18/roxy-sass-full-moon-on-the-quad-cheat-sheet/\" target=\"_blank\">Full Moon on the Quad\u003c/a>.\u003c/p>\n\u003cp>As the New York Times \u003ca href=\"http://www.nytimes.com/2013/11/01/education/welcomed-with-kisses-stanford-freshmen-risk-the-kissing-disease.html?partner=rss&emc=rss&_r=1&\" target=\"_blank\">reported\u003c/a> Friday it's \"an event unique in American education: an orgy of interclass kissing reluctantly but officially sanctioned by the university.\"\u003c/p>\n\u003cp>How you respond to this might depend on your age.\u003c/p>\n\u003cp>My initial reaction was \"ewwww!\" But a (younger) colleague asked, \"Is it horrible to confess to you: I'd probably join in?!?!\"\u003c/p>\n\u003cp>The event was held last week, on Oct. 22. With thousands of students milling around waiting, the Times described what happened next:\u003c/p>\n\u003cblockquote>\u003cp>Finally, a male senior saunters over to a group of the youngest-looking women and asks: “Hey! You freshmen? Can I kiss you?”\u003c!--more-->\u003c/p>\n\u003cp>As the Stanford Band plays and a giant screen shows famous movie clutches, the bravest women step forward and receive the traditional welcome to one of the nation’s most prestigious universities: a big wet upperclassman smack.\u003c/p>\u003c/blockquote>\n\u003cp>I think you can guess why this is a health story.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Days later, another tradition arrives: flu and mononucleosis, the 'kissing disease,' sweep the dorms,\" says the Times.\u003c/p>\n\u003cp>It's now been 10 days since Full Moon on the Quad or FMOTQ.\u003c/p>\n\u003cp>Just a few minutes after I read the Times' piece, a release from Stanford popped up in my inbox -- 52 students had come down with norovirus. That's the virus commonly called \"stomach flu\" and generally causes vomiting and diarrhea.\u003c/p>\n\u003cp>Norovirus spreads like wildfire and risk factors for contracting the virus include having \"close personal contact\" with an infected person, says \u003ca href=\"http://www.cdc.gov/norovirus/downloads/keyfacts.pdf\" target=\"_blank\">the CDC\u003c/a>.\u003c/p>\n\u003cp>While any reasonable person might think that \"an orgy of interclass kissing\" would qualify as \"close personal contact,\" it's also true that association does not equal causation, as a reader notes in the comments below.\u003c/p>\n\u003cp>The Stanford Daily is following the health story, from a different angle. On Friday the paper \u003ca href=\"http://www.stanforddaily.com/2013/11/01/five-campus-study-spots-ranked-by-coughing-awkwardness/\" target=\"_blank\">reported\u003c/a> \"there's no shortage of illness going around campus\" now that FMOTQ is over. And what's the \"worst, and probably most ubiquitous, symptom\" of post-FMOTQ sickness? Coughing, the Daily believes. So the paper \u003ca href=\"http://www.stanforddaily.com/2013/11/01/five-campus-study-spots-ranked-by-coughing-awkwardness/\" target=\"_blank\">helpfully ranks\u003c/a> five campus study spots by \"coughing awkwardness.\"\u003c/p>\n\u003cp>Yet there's a more serious health story, too. Not surprisingly, an event that involves kissing a bunch of strangers can make people nervous. That kind of social anxiety can lead to excess alcohol consumption. The Daily \u003ca href=\"http://www.stanforddaily.com/2013/10/24/fmotq-medical-transports-drop-to-two/\" target=\"_blank\">reported last week\u003c/a> that medical transports related to FMOTQ were down this year possibly due to attempts to emphasize \"safe drinking vs. unsafe drinking.\"\u003c/p>\n\u003cp>And yes, Stanford officials have tried to ban the event, The Times notes, but since they've been unsuccessful, the university is focusing on trying to make the event safer.\u003c/p>\n\u003cblockquote>\u003cp>The evening is overseen by student sobriety monitors and decorated with hand-drawn signs — of the ilk that usually say \"Beat Cal” — but bearing slogans like “Consent is Sexy.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>This post has been updated with more information about norovirus.\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16007/stanford-kissing-event-fun-for-the-evening-but-now-students-have-stomach-flu","authors":["240"],"categories":["stateofhealth_11"],"tags":["stateofhealth_562","stateofhealth_461"],"featImg":"stateofhealth_16022","label":"stateofhealth"},"stateofhealth_13861":{"type":"posts","id":"stateofhealth_13861","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"13861","score":null,"sort":[1374799089000]},"guestAuthors":[],"slug":"binge-drinking-on-rise-in-american-women","title":"Binge Drinking on Rise in American Women ","publishDate":1374799089,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_13871\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003cimg class=\"size-large wp-image-13871 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/07/167439444-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003cfigcaption class=\"wp-caption-text\">The Centers for Disease Control defines binge drinking in women as 4 or more drinks during one occasion. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Over on Facebook, the group \u003ca href=\"https://www.facebook.com/MomsWhoNeedWine?ref=br_tf\" target=\"_blank\">Moms Who Need Wine\u003c/a> has more than 660,000 likes. While most of the posts there seem pretty darn cheerful, they point to a darker reality. Alcohol abuse in women is on the rise. And a specific problem for them is binge drinking, as the\u003ca href=\"http://www.cdc.gov/vitalsigns/bingedrinkingfemale/\" target=\"_blank\"> Centers for Disease Control reported\u003c/a> earlier this year.\u003c/p>\n\u003cp>In the report, the CDC found that 1 in 8 women over age 18 -- that's 14 million women -- binge drink about three times a month. Binge drinking is defined as four or more alcoholic beverages in a two to three hour period. One in 5 high school girls binge drink.\u003c/p>\n\u003cp>Dr. Bob Brewer who leads the Alcohol Program at the CDC's National Center for Chronic Disease Prevention framed the public health costs of alcohol consumption for a \u003ca href=\"http://www.kqed.org/a/forum/R201307181000\" target=\"_blank\">KQED Forum\u003c/a> audience recently. It's the third leading cause of preventable death in the U.S., with an estimated 80,000 deaths and 2.3 million years of life lost every year linked to excess drinking, he said.\u003c/p>\n\u003cp>But within that excess drinking, it's the binge drinking that is really taking a toll. \"We know that binge drinking is by far the most common pattern of excessive drinking in the United States,\" he said, responsible for half of those 80,000 deaths.\u003c!--more-->\u003c/p>\n\u003cp>Biologically, women are more susceptible to alcohol, explained Gabrielle Glaser who wrote\u003ca href=\"http://www.amazon.com/dp/1439184380\" target=\"_blank\"> Her Best-Kept Secret: Why Women Drink and How They Can Regain Control\u003c/a>. \"Women have more fat in their bodies than do men and less water.\" Fat absorbs alcohol; water dilutes it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition, Glaser says, women make less of an enzyme called alcohol dehydrogenase which helps process alcohol. \"So women are more susceptible and more vulnerable to the toxic effects of alcohol.\"\u003c/p>\n\u003cp>Estrogen also seems to have some effect on how alcohol is processed.\u003c/p>\n\u003cp>\u003cstrong>Alcoholics Anonymous: Worthwhile program or ineffective?\u003c/strong>\u003c/p>\n\u003cp>Then, in the midst of this discussion of the dangers of alcohol, came a lively debate about the merits of AA -- Alcoholics Anonymous, the 12-step program founded in 1935. Glaser asserted that it doesn't work for the vast majority of people who try it, and says it's particularly bad for women, since it was developed \"by men, for men.\"\u003c/p>\n\u003cp>There are other, better options, she argues. \"What I'm trying to do is advocate for women is that there are many, many avenues that do work that have been scientifically shown in evidence-based practice to be more effective than 12-step treatment.\"\u003c/p>\n\u003cp>In particular, she pointed to naltrexone, an FDA-approved drug that can essentially blocks the pleasant effects of alcohol, making the consumption of alcohol a less pleasant experience.\u003c/p>\n\u003cp>Keith Humphries, a professor of psychiatry at Stanford, agreed that naltrexone is effective, but said he wouldn't be \"uncritical\" of it. He defended AA. He estimated there were \"hundreds of thousands of women\" who would say they \"owe their life\" to AA. And in the Bay Area, he said, studies of samples of problem drinkers found that women were a little more likely than men drinkers to go to AA, and \"if they go, they are likely to benefit.\"\u003c/p>\n\u003cp>\u003cstrong>College-educated women at greater risk\u003c/strong>\u003c/p>\n\u003cp>The CDC report found that white and hispanic women 18-34, as well as high school girls, and women with family incomes about $75,000 a year were most likely to binge drink. And long-term effects can set in more quickly in women than in men. Humphries referred to a \"telescoped\" course. \"In other words,\" he told Forum's audience, \"they won't have been having a problem for very long, may be just five years, but they already have as much wreckage in their lives as a man might accrue over 10 or 15 years.\"\u003c/p>\n\u003cp>Once women enter treatment, Humphries encouraged people to search\u003c/p>\n\u003cp>for the best approach that works for them. \"It's like shopping,\" he said. \"It's a lot about relationship.\" Choice is a good thing, he said. There are choices in medications and counseling styles. Forum host Michael Krasny pointed out there's no silver bullet. Humphries concurred. \"The pathway out of this that works is the one that works for you. If what you're doing is making you healthier, happier, more responsible in life, then just keep doing it.\"\u003c/p>\n\u003cp>Near the end of the hour, Sarah Mart with industry watchdog Alcohol Justice may have pointed to why there's an increase of alcohol use in women. She argued that the industry is working to \"transition women from non-alcohol to alcohol products.\"\u003c/p>\n\u003cp>\"They're sweet, they're bubbly,\" she said in reference to alcoholic beverages targeted to women. \"They're brightly colored, both the product themselves, the liquid as well as all of the packaging.\"\u003c/p>\n\u003cp>\u003cstrong>Listen to the program:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201307181000.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201307181000.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":"Over on Facebook, the group Moms Who Need Wine has more than 660,000 likes. While most of the posts seem pretty darn cheerful, it points to a darker reality. Alcohol abuse in women is on the rise. And a specific problem for them is binge drinking, as the Centers for Disease Control reported earlier this year.\r\n\r\nIn the report, the CDC found that 1 in 8 women over age 18 -- that's 14 million women -- binge drink about three times a month. Binge drinking is defined as four or more alcoholic beverages in a two to three hour period. One in 5 high school girls binge drink.","status":"publish","parent":0,"modified":1374936592,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":825},"headData":{"title":"Binge Drinking on Rise in American Women | KQED","description":"Over on Facebook, the group Moms Who Need Wine has more than 660,000 likes. While most of the posts seem pretty darn cheerful, it points to a darker reality. Alcohol abuse in women is on the rise. And a specific problem for them is binge drinking, as the Centers for Disease Control reported earlier this year.\r\n\r\nIn the report, the CDC found that 1 in 8 women over age 18 -- that's 14 million women -- binge drink about three times a month. Binge drinking is defined as four or more alcoholic beverages in a two to three hour period. One in 5 high school girls binge drink.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Binge Drinking on Rise in American Women ","datePublished":"2013-07-26T00:38:09.000Z","dateModified":"2013-07-27T14:49:52.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"13861 http://blogs.kqed.org/stateofhealth/?p=13861","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/07/25/binge-drinking-on-rise-in-american-women/","disqusTitle":"Binge Drinking on Rise in American Women ","path":"/stateofhealth/13861/binge-drinking-on-rise-in-american-women","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_13871\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003cimg class=\"size-large wp-image-13871 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/07/167439444-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003cfigcaption class=\"wp-caption-text\">The Centers for Disease Control defines binge drinking in women as 4 or more drinks during one occasion. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Over on Facebook, the group \u003ca href=\"https://www.facebook.com/MomsWhoNeedWine?ref=br_tf\" target=\"_blank\">Moms Who Need Wine\u003c/a> has more than 660,000 likes. While most of the posts there seem pretty darn cheerful, they point to a darker reality. Alcohol abuse in women is on the rise. And a specific problem for them is binge drinking, as the\u003ca href=\"http://www.cdc.gov/vitalsigns/bingedrinkingfemale/\" target=\"_blank\"> Centers for Disease Control reported\u003c/a> earlier this year.\u003c/p>\n\u003cp>In the report, the CDC found that 1 in 8 women over age 18 -- that's 14 million women -- binge drink about three times a month. Binge drinking is defined as four or more alcoholic beverages in a two to three hour period. One in 5 high school girls binge drink.\u003c/p>\n\u003cp>Dr. Bob Brewer who leads the Alcohol Program at the CDC's National Center for Chronic Disease Prevention framed the public health costs of alcohol consumption for a \u003ca href=\"http://www.kqed.org/a/forum/R201307181000\" target=\"_blank\">KQED Forum\u003c/a> audience recently. It's the third leading cause of preventable death in the U.S., with an estimated 80,000 deaths and 2.3 million years of life lost every year linked to excess drinking, he said.\u003c/p>\n\u003cp>But within that excess drinking, it's the binge drinking that is really taking a toll. \"We know that binge drinking is by far the most common pattern of excessive drinking in the United States,\" he said, responsible for half of those 80,000 deaths.\u003c!--more-->\u003c/p>\n\u003cp>Biologically, women are more susceptible to alcohol, explained Gabrielle Glaser who wrote\u003ca href=\"http://www.amazon.com/dp/1439184380\" target=\"_blank\"> Her Best-Kept Secret: Why Women Drink and How They Can Regain Control\u003c/a>. \"Women have more fat in their bodies than do men and less water.\" Fat absorbs alcohol; water dilutes it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition, Glaser says, women make less of an enzyme called alcohol dehydrogenase which helps process alcohol. \"So women are more susceptible and more vulnerable to the toxic effects of alcohol.\"\u003c/p>\n\u003cp>Estrogen also seems to have some effect on how alcohol is processed.\u003c/p>\n\u003cp>\u003cstrong>Alcoholics Anonymous: Worthwhile program or ineffective?\u003c/strong>\u003c/p>\n\u003cp>Then, in the midst of this discussion of the dangers of alcohol, came a lively debate about the merits of AA -- Alcoholics Anonymous, the 12-step program founded in 1935. Glaser asserted that it doesn't work for the vast majority of people who try it, and says it's particularly bad for women, since it was developed \"by men, for men.\"\u003c/p>\n\u003cp>There are other, better options, she argues. \"What I'm trying to do is advocate for women is that there are many, many avenues that do work that have been scientifically shown in evidence-based practice to be more effective than 12-step treatment.\"\u003c/p>\n\u003cp>In particular, she pointed to naltrexone, an FDA-approved drug that can essentially blocks the pleasant effects of alcohol, making the consumption of alcohol a less pleasant experience.\u003c/p>\n\u003cp>Keith Humphries, a professor of psychiatry at Stanford, agreed that naltrexone is effective, but said he wouldn't be \"uncritical\" of it. He defended AA. He estimated there were \"hundreds of thousands of women\" who would say they \"owe their life\" to AA. And in the Bay Area, he said, studies of samples of problem drinkers found that women were a little more likely than men drinkers to go to AA, and \"if they go, they are likely to benefit.\"\u003c/p>\n\u003cp>\u003cstrong>College-educated women at greater risk\u003c/strong>\u003c/p>\n\u003cp>The CDC report found that white and hispanic women 18-34, as well as high school girls, and women with family incomes about $75,000 a year were most likely to binge drink. And long-term effects can set in more quickly in women than in men. Humphries referred to a \"telescoped\" course. \"In other words,\" he told Forum's audience, \"they won't have been having a problem for very long, may be just five years, but they already have as much wreckage in their lives as a man might accrue over 10 or 15 years.\"\u003c/p>\n\u003cp>Once women enter treatment, Humphries encouraged people to search\u003c/p>\n\u003cp>for the best approach that works for them. \"It's like shopping,\" he said. \"It's a lot about relationship.\" Choice is a good thing, he said. There are choices in medications and counseling styles. Forum host Michael Krasny pointed out there's no silver bullet. Humphries concurred. \"The pathway out of this that works is the one that works for you. If what you're doing is making you healthier, happier, more responsible in life, then just keep doing it.\"\u003c/p>\n\u003cp>Near the end of the hour, Sarah Mart with industry watchdog Alcohol Justice may have pointed to why there's an increase of alcohol use in women. She argued that the industry is working to \"transition women from non-alcohol to alcohol products.\"\u003c/p>\n\u003cp>\"They're sweet, they're bubbly,\" she said in reference to alcoholic beverages targeted to women. \"They're brightly colored, both the product themselves, the liquid as well as all of the packaging.\"\u003c/p>\n\u003cp>\u003cstrong>Listen to the program:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201307181000.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201307181000.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/13861/binge-drinking-on-rise-in-american-women","authors":["240"],"categories":["stateofhealth_12"],"tags":["stateofhealth_562","stateofhealth_397"],"featImg":"stateofhealth_13871","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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