Young teens who vape and smoke cigarettes may be setting themselves up to be heavy smokers by the time they are older teens, a new study suggests. The researchers chalked it up to what they called the “entrenchment hypothesis.” “There has been a lot of attention on restricting e-cigarettes, so that they do not serve as a pathway into tobacco initiation,” said senior study author Jeremy Staff, a professor of sociology and criminology at Pennsylvania State University. “Our findings highlight that considering their impacts on youth who initiate smoking at an early age remains important as well.” Staff said, “Among early-smoking teens in both the U.K. and U.S., those who had vaped before age 15 were more likely to be smokers, as well as frequent tobacco smokers, by the time they reached late adolescence.” This study can’t prove that cigarette smoking and vaping cause heavier tobacco smoking in the late teens, only that there appears to be a connection, the researchers noted. E-cigarette use among teens who already smoke early in adolescence generates more harmful patterns of tobacco use later on in adolescence, said lead researcher Brian Kelly, from the department of sociology at Purdue University, in West Lafayette, Ind. “Many studies on youth vaping focus on the important goal of prevention of smoking, but less often consider youth who begin smoking early,” Kelly said.…  read on >  read on >

Depression during pregnancy may be linked to heart disease as soon as two years later, new research suggests. This is true even when patients don’t have high blood pressure during pregnancy, the research team reports April 19 in the Journal of the American Heart Association. “We need to use pregnancy as a window to future health,” said lead study author Dr. Christina Ackerman-Banks, assistant professor of obstetrics and gynecology-maternal fetal medicine at Baylor College of Medicine and Texas Children’s Hospital in Houston. “Complications during pregnancy, including prenatal depression, impact long-term cardiovascular health,” she said in a journal news release. “The postpartum period provides an opportunity to counsel and screen people for cardiovascular disease in order to prevent these outcomes.” About 20% of women experience depression during pregnancy, the researchers noted. They shouldn’t panic as the study doesn’t prove a direct cause-and-effect relationship between depression and heart disease, only an association. Researchers found the most significant association was between depression and ischemic heart disease (narrowed arteries), with depressed women having an 83% higher risk of developing the condition within two years of delivery than those without a depression diagnosis. When arteries are narrowed, less blood and oxygen reach the heart muscle. This can lead to heart attack, the American Heart Association explains. “I recommend that anyone diagnosed with prenatal depression be aware of the implications on…  read on >  read on >

Nearly one-third of Americans live in counties with unhealthy air, according to a new report from the American Lung Association. One in three, or 120 million, people lives with unhealthy levels of ozone or particle pollution, the “State of the Air” report says. While air quality has improved overall, there are major differences between Eastern and Western states and in air pollution exposure for white people and people of color, according to the association. “The good news is that ozone pollution has generally improved across the nation, thanks in large part to the success of the Clean Air Act. In this year’s ‘State of the Air’ report, we found that 19.3 million fewer people are living in areas with unhealthy levels of ozone pollution, also known as smog,” said Harold Wimmer, national president and CEO of the association. “However, the fact is that 120 million people still live in places with unhealthy air pollution, and not all communities are seeing improvements. This is why it is crucial to continue our efforts to ensure that every person in the U.S. has clean air to breathe,” Wimmer added in an association news release. The report, which covers 2019 to 2021, found about 54% of those living with unhealthy air quality were Black Americans and other minorities. People of color were 64% more likely to live in a…  read on >  read on >

Poverty is the fourth-greatest cause of death in the United States, according to new research. Researchers at the University of California, Riverside estimate that poverty was associated with 183,000 deaths in 2019 among people 15 years and older. And that’s a conservative estimate, they say, because the year was just prior to the COVID-19 pandemic. “Poverty kills as much as dementia, accidents, stroke, Alzheimer’s and diabetes,” said David Brady, the study’s lead author and a UCR professor of public policy. “Poverty silently killed 10 times as many people as all the homicides in 2019. And yet, homicide firearms and suicide get vastly more attention,” he added in a university news release. People living in poverty have incomes less than 50% of the U.S. median income, the researchers noted. (In 2021, the median household income was $70,784 per household, according to the U.S. Census Bureau.) Impoverished Americans have roughly the same survival rates as richer folks until they hit their 40s. Then they die at significantly higher rates, according to the study. The analysis found that only heart disease, cancer, and smoking kill more people than poverty. Deaths related to obesity, diabetes, drug overdoses, suicides, firearms and homicides were all fewer than deaths associated with poverty. Researchers analyzed income data from the Institute for Social Research at the University of Michigan and death data from household…  read on >  read on >

Striking a better work-life balance might make you a more effective manager on the job, according to a new study. A survey of managers and their employees found that bosses who could shut off after-work emails, calls and job-related stress had greater success guiding underlings to meet work goals. “We found that when leaders psychologically detached from work when at home — they did not actively think about work-related issues, but instead engaged in activities that allowed them to disconnect and recharge — they felt more energized the next day at work, in ways that made them more effective as rated by their direct reports,” said study lead author Klodiana Lanaj. Managers who were best able to distinguish between their work life and their home life ended up “rated as more transformational and powerful by their subordinates,” said Lanaj, an associate professor of management at the University of Florida Warrington College of Business. “In contrast, on days when leaders kept ruminating about negative aspects of their work while at home, they felt more drained the next day at work, and were less transformational and powerful,” she added. Lanaj and her colleagues in 2019 surveyed 73 full-time work managers/leaders, including human resources managers, directors of finance, general managers and/or chief engineers. Nearly 6 in 10 were women, and the majority were white, with an average age…  read on >  read on >

With so many American kids and teens dealing with depression or anxiety, pediatricians are increasingly stepping in as mental health care providers. Now, a new study suggests they are doing a decent job — but too few kids are being referred for talk therapy. Researchers found that in cases where a pediatrician prescribed medication for a child’s depression or anxiety, it was by and large appropriately done. Of kids who later saw a mental health specialist, few had their medication adjusted — a sign, experts said, that the original prescription was right. On the other hand, the study found, only one-third of kids prescribed medication also received a referral to see a therapist. That’s a concern, because if kids have symptoms substantial enough to warrant medication, they should also receive some type of counseling, said Eric Butter, chief of psychology at Nationwide Children’s Hospital in Columbus, Ohio. “A pill never taught a kid how to cope better,” said Butter, who wrote an editorial published April 17 with the study in the journal Pediatrics. It’s not clear why only a minority of children in the study were referred to a therapist. However, Butter said he suspects it’s because of a well-known national problem: There are too few child mental health specialists to meet the demand. “I think that 33% figure might be higher if pediatricians had…  read on >  read on >

Deciding to go into therapy is a big move, one that people sometimes struggle with for a variety of reasons. But now that you’ve realized therapy would be helpful for you, how to find a therapist? It’s important to know what outcome you’re hoping for and what you feel you need help achieving. It will take a little research to determine which professionals your insurance will cover and how you’ll pay any out-of-pocket costs, but asking the right questions can help you ensure you have a qualified therapist who’s also the right fit for you. Know your options While numerous types of therapy exist, perhaps the best known is cognitive behavioral therapy (CBT), which is used to treat a number of mental health issues, from anxiety to eating disorders. It focuses on uncovering unhealthy patterns of thought and exploring how a person’s thoughts, feelings and behaviors affect each other, according to the National Alliance on Mental Illness (NAMI). “Cognitive behavioral therapy is going to be an approach to treatment that looks at or tries to understand current functioning problems and address what’s maintaining those and how might a person’s current behaviors and cognitions be contributing to those challenges,” said Lynn Bufka, a clinical psychologist in Maryland and the American Psychological Association’s associate chief for practice transformation. Another type is relational psychotherapy, often focused on couple…  read on >  read on >