February 16, 2000 llo rtlaitò <Dh»eru»r Health P h y s ic ia n s honored by peers CQNT1UMJTEPSTOB* t on Page A3 ÿln rtla n b (ßbeeruer H eart disease is a big problems for women ( O M H I B U tU S I O m Heart Disease, not cancer, is the leading killer o f women in the U.S. “Most women do not experience heart d ise a se u n til a fte r m e n o p au se b ecau se the ho rm o n e estro g en protects them up until that point,” said Dr. Rebecca Reeves at The DeBakey Heart Center at Baylor College o f Medicine in Houston. “Following menopause, estrogen levels change. This is why many doctors encourage women to go on horm o n e rep lacem en t th erap y .” S om e o f th e risk factors for heart disease in w o m en in clu d e obesity, high blood pressure, high cholesterol, sm oking, a lack o f exercise, and a poor diet. E ating a b lan ch e d d iet w h ere less than 30 p ercen t o f ca lo rie s co m e from fat is v ery im portant. F eb ru ary is N atio n al H eart M onth, o f e ar in fectio n in ch ild ren . T he P ortland O bserve « Kaiser Perm anente physicians Robert Shneidman, MD, and Sean Jones, MD, have received the Distinguished Physician Award from the HM O” 660-physician group. First given in 1979, this annual aw ard h o n o rs p h y sician s for quality o f service to patients, excellence in clinical practice, contributions to both the HMO and the com m unity, personal achievem ents and relationship with peers. Dr. Shneidman is board certified in gastroenterology and internal m e d ic in e and p ra c tic e s g a stro e n te ro lo g y at K a ise r Permanente’s Interstate Medical Office South. He earned his medical degree from the University ofTexas Medical School in Houston. Dr. Shneidman is the clinical assistant professor at OHSU and is active in the c lin ic a l g astro en tero lo g y fellowship also at OHSU. He has been involved in a two-year study o f Helicobactor pylori, a bacteria that causes stomach ulcers. Dr. Shneidman is also involved in anemia research. Dr. Jones is a board-certified internist practicing at the Interstate Medical Office East. He received his m edical degree from Yale University School ofMedicine. Dr. Jo n e s w o rk ed as th e c lin ic coordinator for internal medicine residents rotating in the Interstate campus. He worked on writing and d isse m in a tin g d e p re ssio n g u id e lin e s fo r p rim a ry care physicians. Underage drinking is strong predictor of alcoholism, alcohol abuse The National Institute on Alcohol Abuse and A lcoholism (N IA A A ) now has hard evidence to support what many prevention specialists and parents have long assumed: Youthful experim entation with alcohol is not a benign rite o f passage. It is a risk- filled practice that can have d isastro u s results. The earlier a young person drinks alcohol, the m ore likely he o r she is to develop a clinically defined alcohol dis order at som e point in life. A $ 1 2 -m illio n stu d y by N IA A A , released last January, offers scientific val id atio n th at y o u n g p eo p le w ho b egan drinking before age 15 are four times more likely to dev elo p alcoholism than those w ho began drinking at age 21. M ore than 4 0 p e rc e n t o f resp o n d en ts w ho b eg an drin k in g befo re age 15 w ere classified w ith alcohol dependence at som e tim e in th eir lives com pared w ith 24.5 percent for respondents w ho began drin k in g at age 17 and about 10 percent for those who began drinking at age 21 and 22. T he study also found that the risk o f developing alcohol abuse (a m aladaptive drin k in g pattern that repeatedly causes life p ro b lem s) m o re th an d o u b le d for persons w ho began drinking before age 15 compared with those who began drink ing at age 21. T h e stu d y , w h ic h sa m p le d 4 3 ,0 0 0 people, documents that the risk for alcohol dependence and alcohol abuse decreases 11m i free ----------HAZELDEN----------- s te a d ily an d s ig n ific a n tly w ith e ach increasing year o f age o f drinking onset. T h e N IA A A stu d y has b e c o m e an im portant teaching tool for people such as Kay Provine, a prevention specialist at H azelden and codeveloper o f a popular parenting skills program called Roots and W ings. “A s soon as the study cam e out, I m ade a bar graph to show the correlation betw een early drinking and alcoholism ," said Provine. “It is so effective for parents to see something this concrete. Every year you can delay kids from using alcohol you are buying them time to develop phys ically, em otionally, spiritually and psy chologically.” Parents often don 't think their kids listen to th em , said P ro v in e. B ut th e annual Minnesota Student Survey o f 9th and 12th g ra d e rs co n d u c te d fo r the M in n e so ta D ep artm en t o f C h ild ren , F am ilies and Learning, consistently shows that young people are listening. “Parental objection is the second m ost im portant reason kids give for not using alcohol,” said Provine. (The first is “don’t ¡jke the taste.”) “Young people are beginning to drink earlier and earlier now— some as young as 9 or 10. And drinking for them is about intoxica tion, about getting drunk. Each o f these facts spells trouble. Parents can consider it a victory o f sorts if they can see that their kids delay onset o f use, whether it is a m atter o f months or years. Every day our youth choose not to use improves their chances o f not developing alcohol use problem s.” Provine and other prevention special ists know that the most effective preven tion programs are ongoing, consistent and involve all aspects of a child’s life: home, school and community. O ne program that has been proven to be effective is Project N orthland, a com m unity-based preven tion program designed to delay the onset o f alcohol use, reduce alco h o l use for young people w ho have alread y tried drinking, and limit the number o f alcohol- related problems o f young people. Project N o rth lan d began at th e U n iv e rsity o f M in n e so ta in 1990 as a p re v e n tio n research program funded by the NIAAA. It is the largest random ized com m unity trial ever conducted for the prevention of adolescent alcohol use. Project Northland, designed to be imple mented over a three-year period during grades 6-8, involves students, parents, teachers and the com m unity at large. The p re v e n tio n c u rric u lu m , p u b lish e d by H azelden, uses com ic book characters to help young people talk with their parents about alcohol (sixth grade), deal with peer pressures to use alcohol (seventh grade), and develop com m unityw ide changes in alco h o l-related program s and policies (eighth grade). A m o n g 2 ,4 0 0 s tu d e n ts fo llo w e d in northeastern Minnesota, monthly drinking was 20 percent lower and weekly drinking w as 30 percent low er for students w ho engaged in Project N orthland activities com pared with students in control groups w ho did not. "Parents have to let their kids know that u n d erag e d rin k in g is not o kay,” said Provine. ‘T hey need to talk about family standards and expectations and talk about them again and again. Hopefully, they’ll wait to experiment with alcohol. It might not stop the train, but it will put the brakes on.” F o r in fo rm a tio n a b o u t P ro je c t Northland, contact Hazelden Publishing at (800) 328-0098. Alive & Free is a chemical health column provided by Hazelden, a nonprofit agency that provides a wide range o f information and services relating to alcohol and drug depen dence. Address questions to Alive & Free Editor, B C 10, P.O. Box 11, Center City, MN 55012-0011. For more resources on substance abuse, call Hazelden at (800) 257-7800 or check its web site at www.hazelden.org. Calm your Web site anxiety » > AT&T Small Business Hosting Services AT&T W eb Hosting: $25/month Finally, Web hosting without a host of complications. Now you can have a busi ness-quality Web site and the support of AT&T at an affordable price. Starting at $25/month, you get a world-class Web site with business features like domain name service, CGI scripting, e-mail, and more. 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