Most Americans think they won’t get caught driving while high on marijuana, a new AAA Foundation survey finds. Nearly 70% of the nearly 2,600 licensed drivers polled think there’s a low chance that a driver using pot will be stopped by police. “Marijuana can significantly alter reaction times and impair a driver’s judgment,” said David Yang, the foundation’s executive director. “Yet, many drivers don’t consider marijuana-impaired driving as risky as other behaviors like driving drunk or talking on the phone while driving.” Seven percent of survey respondents said they approved of driving after recently using marijuana, more than other dangerous behaviors such as alcohol-impaired driving (1.6%); drowsy driving (1.7%); and prescription drug-impaired driving (3%). Millennials (nearly 14%) were most likely to report having driven within an hour of using marijuana in the past month, followed by Generation Z (10%). (Millennials are 25 to 39 years old; members of Generation Z are 24 and younger.) Men (8%) were more likely than women (5%) to report driving shortly after using marijuana in the past month, the survey found. The findings suggest that about 14.8 million people drove within an hour of using marijuana in the past month. That’s significant because most impairment occurs within the one to four hours of using the drug. Drivers high on marijuana have nearly double the crash risk, according to the foundation.…  read on >

Many parents of lesbian, gay or bisexual (LGB) children take years to adjust after learning about their sexual orientation, a new study finds. The study included more than 1,200 parents of LGB youth aged 10 to 25. The parents visited a website with LGB resources and were asked to complete a questionnaire. Of those parents, 26% had learned that their child identified as LGB in the past month. The parents were asked: “How hard is it for you, knowing that your son or daughter is gay, lesbian or bisexual?” They responded on a five-point scale, ranging from not at all hard to extremely hard. The survey revealed that adjusting takes time. Parents who had learned about their child’s sexual orientation two years ago struggled just as much as those who had recently been told. Black and Hispanic parents reported a harder adjustment than white parents, and parents of older youth had greater difficulty than parents of younger children, the findings showed. Fathers and mothers had similar levels of difficulty, as did parents of boys and girls, according to the study published June 18 in the journal Archives of Sexual Behavior. Parents who’d known for five years or more that their child is LGB reported the least amount of difficulty. “Surprisingly, we found that parents who knew about a child’s sexual orientation for two years struggled…  read on >

For people recovering from surgery or dealing with a painful injury, an expert suggests that there are a number of safer alternatives for managing pain than using potentially addictive opioids. “Today, more than ever before, we have a host of other methods that can effectively lessen pain,” Dr. James Grant, chair of the department of anesthesiology at Cedars-Sinai in Los Angeles, said in a hospital news release. The United States is grappling with an opioid addiction epidemic. There were 218,000 overdose deaths involving prescription opioids in 2017, five times higher than in 1999, according to the U.S. Centers for Disease Control and Prevention. Many people become addicted when they receive prescription opioid medications after surgery or a major injury. The first step in reducing opioid addiction is making patients realize that managing pain doesn’t mean they are going to be pain-free, according to Grant. “It’s important for patients to understand that when you undergo surgery, you won’t be entirely pain-free,” he said. “We need to manage expectations and make sure patients understand there likely will be some discomfort associated with any procedure. But as days go by after the procedure, the discomfort should progressively subside a little until you get back to your pre-procedure state.” Grant also outlined a number of ways to manage pain without opioids. For many patients, over-the-counter nonsteroidal, anti-inflammatory medications like…  read on >

You don’t have to adopt a total vegetarian lifestyle to improve your health. You can get some of its advantages simply by replacing some of the animal proteins in your diet with plant-based ones. This can be an especially important switch for people who have even one risk factor for heart disease, like smoking, excessive drinking, being overweight or being inactive. Researchers looked at 30 years of data from 131,000 participants in the landmark Nurses’ Health Study and compared the outcomes of eating different types of protein for a study published in JAMA Internal Medicine. The investigators found that swapping just a small amount of animal-based protein — processed red meat in particular — with plant-based protein cut the risk of early death from all causes. And the greater the swap, the greater the benefits. On the other hand, the researchers found that eating a diet high in animal protein was associated with a higher risk of death from heart disease. Nuts, legumes including beans and lentils, and even whole grains all contain some protein and can be quite filling. But rather than a radical shift in eating, which could be hard to maintain long-term, make small swaps on a consistent basis so that the changes will stick. Some ideas: Use beans to replace some of the ground beef in recipes. Have oatmeal with chopped…  read on >

Cigarette use fell in most countries over the past three decades, but increased in some nations, notably China, a new global study says. Researchers analyzed data from 71 countries that represent 85% of the world’s population and account for more than 95% of global cigarette use. While overall cigarette use declined, there were significant differences between countries. About 2.5 million metric tons (MMT) of cigarettes were smoked in China in 2013, more than Russia (0.36 MMT), the United States (0.28 MMT), Indonesia (0.28 MMT), Japan (0.20 MMT), and the next 35 highest consuming countries combined. The United States and Japan had reductions of more than 0.1 MMT over a decade, while Russian consumption plateaued, and Chinese and Indonesian consumption rose by 0.75 MMT and 0.1 MMT, respectively. The study was published June 19 in The BMJ. A second study in the same issue of the journal looked at global cigarette use after adoption of the World Health Organization’s Framework Convention on Tobacco Control, a 2003 international treaty meant to reduce tobacco use. It found that wealthy and European countries had a decrease in annual consumption of more than 1,000 cigarettes per adult, but low- and middle-income and Asian countries had an annual increase of more than 500 cigarettes per adult. The findings “should motivate greater implementation of proven tobacco control policies” and “encourage more assertive…  read on >

Research points to a very long list of benefits from exercise, from improving your overall health to easing stress and enhancing mental well-being. But a landmark study in the journal Circulation highlights a negative, yet specific, concern. While health factors like obesity and diabetes are known heart attack triggers, data from 12,500 people in 52 countries pointed to two other risk factors to be aware of: exercising at a very high level of physical exertion; and anger or emotional distress. Either can double the risk of a heart attack. And when combined, they’re even more dangerous, tripling the risk. So, while you might take a walk around the block to cool off when you’re angry, it’s not the time to bench press 300 pounds at the gym. Does this mean you should never challenge yourself with strenuous workouts? Not necessarily. For an external trigger such as exercise to bring on a heart attack, there probably needs to be an existing problem, like cholesterol build-up in your arteries, researchers explained. Regular activity is associated with heart benefits, according to the American College of Cardiology. The person who faces a risk from exercise is more likely to be someone out-of-shape who jumps into vigorous exertion suddenly. That’s a reminder that the best approach is to start slow, and increase duration and intensity at a slow yet steady…  read on >

Everyone experiences anxious moments now and then. But for those with Generalized Anxiety Disorder (GAD), the worry is frequent and overwhelming, often interfering with everyday activities. Now, a small study suggests that these burdensome feelings can be quelled with a little heart-pumping activity. The study found that just a half hour of vigorous exercise might do the trick. For the study, 35 young adults with suspected but undiagnosed GAD (subclinical GAD) ran on a treadmill for 30 minutes at high intensity, then spent 30 minutes sitting. They completed questionnaires on their feelings of worry, anxiety, energy and fatigue before and after each session. Both men and women emerged less anxious and worried and more energetic after the workout. For women, the improvements were even stronger. Nearly 7 million adults in the United States have GAD, with women more likely to be affected. But only about 40% get treatment for it, and research has focused on alternative therapies. Researchers said their study is the first to show positive effects for young men with subclinical GAD. The findings support previous research about the benefits of exercise for women with GAD. “Several plausible mechanisms have been suggested” to explain the anxiety-easing benefits of exercise, said study lead author Matthew Herring, a lecturer in sport, exercise and performance psychology at the University of Limerick in Ireland. These reasons include…  read on >

Radiation treatment for lung cancer can help extend lives, but it might also raise a patient’s odds for heart attacks and heart failure, a new study shows. Many patients may have no choice but to accept the risk: For about half of people diagnosed with the number one cancer killer, radiation remains the only viable treatment, the research team noted. “This is alarming data — to think that one in 10 of the patients I’m treating for this type of cancer will go on to have a heart attack or other major cardiac event,” senior author Dr. Raymond Mak, a thoracic radiation oncologist at the Brigham and Woman’s Hospital in Boston, said in a hospital news release. “These cardiac events are happening earlier and more often than previously thought,” he added. “More patients are living long enough to experience this risk of cardiac toxicity. We need to start paying attention to this and working together with cardiologists to help these patients.” One expert unconnected to the study agreed that patients face heart risks, but in many cases it’s tough to tease out why. “Although the radiation that we give to patients for lung cancer is of course directed mainly at their tumor, there may be overlap in the beams of radiation that affect the heart,” explained Dr. Adam Lackey. He directs thoracic surgery at Staten…  read on >

When eating healthy becomes an around-the-clock obsession, it could be a sign of trouble. An extreme preoccupation with clean eating is an eating order called orthorexia nervosa. Though less well-known than anorexia nervosa or bulimia — and not as well-documented — a new study review says orthorexia can also have serious emotional and physical consequences. “Orthorexia is really more than just healthy eating,” said review co-author Jennifer Mills, an associate professor of health at York University in Toronto. “It’s healthy eating taken to the extreme, where it’s starting to cause problems for people in their lives and starting to feel quite out of control.” The review of published research from around the world on the disorder was recently published in the journal Appetite. Mills and her colleague Sarah McComb looked at risk factors and links between orthorexia and other mental disorders. Orthorexia, unlike some other eating disorders, is not yet recognized in the standard psychiatric manuals. Healthy eating to the extreme No clear line divides healthy eating from orthorexia’s extreme eating. The foods someone with orthorexia might avoid are the same as those someone with healthy habits might avoid — such as preservatives, anything artificial, salt, sugar, fat, dairy, other animal products, genetically modified foods or those that aren’t organic. It boils down to whether avoiding foods leads to obsession — excessive time and energy…  read on >

A face-lift for Father’s Day, anyone? It could happen: A new report finds many more men are taking advantage of the same plastic surgeries that have long been associated with women. The midlife decision by men to try a face-lift or other procedure has been nicknamed the “Daddy-Do-Over” — referencing the “Mommy Makeover” for women. Whatever it’s called, “men are embracing the idea of surgery more than before,” said Dr. Alan Matarasso, president of the American Society of Plastic Surgeons (ASPS). He stressed that the average man approaching or in middle age might have different reasons for wanting a nip or a tuck, compared to his female peers. “Obviously, men don’t go through the same physical changes that women experience during pregnancy and post-pregnancy, but their lifestyle does change, which can impact their appearance,” Matarasso said in a society news release. “Diet and exercise patterns fluctuate, and they don’t sleep as much,” he added. “Men notice their body changes due to aging and parenting, and it starts to look completely different in their 30s and 40s. That is the point of a Daddy-Do-Over.” In fact, according to the ASPS, more than 1 million men had cosmetic surgery in 2018, a 29% increase since 2000. Like women, men are typically getting body contouring and facial procedures to enhance their physique and keep the dreaded “dad bod”…  read on >