Money worries may contribute to heart disease in black Americans, a new study suggests. “Stress is known to contribute to disease risk, but the data from our study suggest a possible relationship between financial stress and heart disease that clinicians should be aware of as we research and develop interventions to address social determinants of health disparities,” said study senior author Dr. Cheryl Clark. She is a hospitalist and researcher at Brigham and Women’s Hospital in Boston. Her team analyzed data gathered between 2000 and 2012 from more than 2,200 participants in a long-term study examining heart disease in black men and women in the Jackson, Miss., area. None of the participants had evidence of heart disease at the start of the study. They were asked to rate the level of stress they had in several areas, including financial struggles, such as difficulty paying bills and running out of pocket money. Compared to those without financial stress, the risk of heart disease was nearly three times higher among those with moderate-to-high financial stress, and nearly two times higher among those with mild financial stress, the investigators found. The combination of three important heart disease factors — depression, smoking and diabetes — appeared to explain some of the connection between financial stress and heart disease risk, the study authors said. The findings suggest that financial stress…  read on >

Anyone who has cared for a hospitalized loved one knows that frequent nighttime sleep interruptions — caused by noise or nursing checks — are a big concern. But in a new study, a Chicago hospital adopted sleep-friendly measures for patients that led to fewer nighttime awakenings without compromising care. Nighttime room entries dropped by 44 percent after researchers educated doctors and nurses on the health consequences of in-hospital sleep deprivation. The researchers also tweaked the hospital’s electronic health records system to avoid unnecessary overnight disruptions. Over a year, patients in the so-called SIESTA unit also experienced an average of four times fewer disruptions for medication dosing and three times fewer for routine vital signs. “We’ve known [inpatient sleep deprivation] is a problem since Florence Nightingale in the 1800s, so why hasn’t it been fixed? It’s a very patient-centered problem that also has health implications,” said study author Dr. Vineet Arora. She’s a professor of medicine at University of Chicago. Arora’s prior research showed that even short amounts of sleep loss among hospital patients were associated with higher blood pressure and higher blood sugar levels during hospitalization. Other research has focused on delirium in sleep-deprived patients, as well as hospital readmission rates, she said. A prior survey of Medicare patients also showed that only 62 percent reported their room was kept quiet at night, Arora noted.…  read on >

If the fun is often missing from your social activities or play feels like work, researchers at Washington University in St. Louis have an explanation: You’re probably overplanning. With so many demands on your time, precise scheduling might be the only way to accomplish everything you want. But while that can help at work and with family responsibilities, applying it to leisure time takes away spontaneity and, in turn, much of the enjoyment. Researchers conducted 13 studies that examined how scheduling affects the way people experience a variety of leisure activities, like meeting for coffee and going to the movies. They found that assigning a specific date and time for an activity can undermine its fun factor and make it feel like a chore or even work. Scheduling lessened both the happy anticipation of an event and the fun when doing it. But don’t completely delete your e-calendar. Leisure activities are important for personal well-being, so do make time for them. Just be more casual in your approach. Researchers suggest roughly scheduling them, meaning choose the date in advance, but be less firm about the details until the actual day. You can apply this to any type of leisure activity. For instance, if you’re organizing a vacation, resist overscheduling every day in advance. Prep before you go with a “big picture” list of things you’d…  read on >

When children are having suicidal thoughts, their parents may often be in the dark, a new study shows. The study included more than 5,000 kids, aged 11 to 17, and one parent for each child. Researchers found that among the children, 8 percent said they had contemplated suicide at some time. But only half of their parents were aware of it. The same gap showed up when researchers looked at the issue from a different angle: Around 8 percent of parents said their child had ever thought about suicide. Almost half the time, the child denied it, according to findings published online Jan. 14 in Pediatrics. It all points to a “pretty substantial disagreement” between parents’ and kids’ reports, said study leader Jason Jones, a research scientist at Children’s Hospital of Philadelphia. In cases where parents are unaware of their child’s struggles, one reason may simply be that the signs were not obvious, according to Jones. “It’s often difficult to know what’s going on in someone else’s mind,” he said. That’s not to say there are no warning signs of suicide risk, Jones pointed out. Some of those red flags include withdrawal from friends, family and activities; sleeping too much or too little; irritable or aggressive behavior; and giving away possessions, according to the American Foundation for Suicide Prevention. Still, it can be tough for…  read on >

Two-thirds of gay fathers have felt the pain of social stigma, and they have encountered that stigma most often in religious settings, a new survey shows. “We were not surprised that stigma is still experienced by gay fathers,” said study author Dr. Ellen Perrin. “But we did not expect so much stigma to be experienced in religious settings.” In an anonymous survey of 732 American gay fathers spread across 47 states, researchers found that 63.5 percent said they had been shamed, hurt, excluded or made to feel uncomfortable in the prior year. Nearly one in five said their children had at times shied away from socializing out of anxiety that they would also encounter social stigma. The survey also found that more than one-third of gay dads came up against social stigma at religious gatherings, making it the most common place where they were made to feel uncomfortable or shunned as parents. Perrin, a professor of developmental-behavioral pediatrics with the Floating Hospital for Children and Tufts University’s School of Medicine in Boston, stressed the findings were solely a snapshot of how stigma plays out among today’s gay fathers. Nor would she venture a guess as to whether the degree of stigma being experienced by gay fathers today is also felt by lesbian parents. “In general, some people think that there is more stigma about gay…  read on >

The number of parks, libraries and natural resources in the state where you reside might have a great deal to do with how happy you are. New research suggests that Americans who live where more money is spent on these “public goods” are happier than their counterparts in other states. “Public goods are things you can’t exclude people from using — and one person using them doesn’t stop another from doing so,” explained study author Patrick Flavin. He’s an associate professor of political science at Baylor University in Waco, Texas. “They’re typically not profitable to produce in the private market, so if the government doesn’t provide them, they will either be under-provided or not at all,” he added in a university news release. Other types of public goods include highways and police protection, the researchers said. In the study, Flavin and his colleagues analyzed data on more than 26,000 Americans’ self-reported levels of happiness collected between 1976 and 2006. While the study only found an association between happiness and public goods, higher spending on these goods make communities “more livable, with more amenities,” Flavin said. “If roads are completed and kept up, so that people aren’t stuck in traffic, they have more time to do things they enjoy doing. Large parks are social spaces — and one clear finding of happiness studies is that people…  read on >