Quantum Sufficit
Just Enough
Canadians are healthier than their American neighbors,
according to a study published in the American
Journal of Public Health. Even though Americans spend almost twice as
much per capita on health care as Canada, Canadians have fewer unmet health
needs, better access to medical care, and enjoy better health overall. The
study reviewed results of a telephone survey conducted between 2002 and 2003
that included more than 3,500 Canadian and nearly 5,200 American adults.
Researchers found that Americans were more likely than Canadians to be obese
and had higher rates of diabetes, high blood pressure, arthritis, and lung
disease. Americans also are one third less likely to have a primary care
physician and two times less likely to take necessary medications. In spite of
all this, Americans reported being happier with the quality of health care they
received compared with their neighbors to the north. (Am J Public Health, July 2006)
Does a man's level of education reflect his actions as a
parent? A report released by the National Center for Health Statistics says
that fathers with a college degree are more attentive parents than those with
less education. According to the report, men with higher education levels were
more likely to bathe and play with their children than those without a high
school diploma, and 74 percent fed or ate meals with their children each day.
Forty-seven percent of men 22 to 44 years of age with less than a high school
education had a child outside of marriage, compared with 6 percent of college
graduates. Although college graduates fussed over their children more, the
study showed that most fathers were active in their children's lives, even if
they did not live with them, and 98 percent of all fathers reported the rewards
of fatherhood were worth the cost and effort involved. (NCHS, May 31, 2006)
The idea that sex in the final weeks of pregnancy will
encourage labor is not only an old wives' tale-the act might even delay labor.
A study published in Obstetrics &
Gynecology focused on 95 women who were beyond their 37th week of
pregnancy between July 2004 and July 2005. About one half of the women reported
having sex during the last few weeks of their pregnancy. Women who abstained
from sex delivered at an average gestational age of 39.3 weeks, whereas the
sexually active women reached an average of 39.9 weeks, a difference of about
four days. Although the study results do not indicate any danger in having sex
during pregnancy, researchers say their data do not suggest that physicians
recommend intercourse as a means of encouraging labor. (Obstet Gynecol, June 2006)
The liberalization of the drug policy in Switzerland,
once criticized for being potentially counterproductive, has actually resulted
in fewer new heroin users. A study published in The Lancet analyzed data on more than 7,250
heroin addicts in Zurich over a 13-year period who had enrolled in a treatment
program substituting methadone or buprenorphine for heroin. In 1990, the year
before the programs were instituted, the city reported 850 new heroin users. By
2002, the number had declined to 150. Switzerland's harm-reduction policy,
which uses methods such as methadone- and heroin-assisted treatment and needle
exchange programs, has emphasized heroin use as a medical issue. Researchers
say this has given the drug less of a rebellious image, which appears to be
making it less attractive to young people, causing fewer new users. (The Lancet, June 3, 2006)
Strict parents are more likely to have overweight
children. According to a study published in Pediatrics, parents who use an authoritarian
parenting approach had children at the highest risk of becoming overweight
compared with those whose parents use other parenting styles. The study
followed 872 children who were enrolled at their time of birth in 1991 and
divided into groups according to their parents' style (i.e., authoritative,
authoritarian, permissive, or neglectful). The fewest weight problems occurred
in children whose parents were authoritative (i.e., with high expectations for
self-control but sensitive to the child's feelings). Parents who were
permissive (indulgent with no discipline) or neglectful (no emotional
involvement or rule structure) had children twice as likely to be overweight.
Children with authoritarian parents (strict with low levels of sensitivity) had
five times the risk of being overweight by age six, probably because their
strict environment causes them to overeat in response to stress. (Pediatrics, June 2006)
| Copyright © 2006 by the American
Academy of Family Physicians. |









