KTRS News
NEARLY ALL US STATES SEE HEFTY DROP IN TEEN BIRTHS
Thursday, 23 May 2013 09:14 Published in Health & FitnessAll states but West Virginia and North Dakota showed significant drops over five years. But the Mountain States of Arizona, Colorado, Idaho, Nevada and Utah saw rates fall by 30 percent or more.
In 22 states, teen Hispanic birth rates plunged at least 40 percent, which was described as "just amazing," by the report's lead author, Brady Hamilton of the Centers for Disease Control and Prevention.
What's driving the declines? No one can say for sure. Experts believe the explanation is complicated and probably varies a bit from state to state. The national figure has been falling since 1991, aside from a brief interruption in 2006 and 2007.
The CDC report released Thursday is based on birth certificates for 2007 through 2011. Last year, the CDC announced the overall improvement in teen births: a record low of 31 births per 1,000 teens ages 15 to 19. That compares to 42 births per 1,000 five years earlier.
The new report focuses on state figures in 2011:
- Lowest rates are in New Hampshire, Massachusetts, Connecticut and Vermont, each with rates under 17 per 1,000.
- Highest rates overall continue to be in the South, led by Arkansas and Mississippi, each with rates of about 50 per 1,000. In Arkansas, the majority of teen births are to white moms. In Mississippi, the majority are black.
- White teens continue to have the lowest birth rate nationally - about 22 births per 1,000. Black teens saw a larger improvement, but their rate was still more than twice the white rate, at 47 per 1,000.
- Overall, the Hispanic rate plummeted from 75 to 49 per 1,000, now virtually a tie with the black rate.
The teen drop in the last five years coincided with an overall decline in births, which experts attribute to a weak economy that dampened enthusiasm for having children.
Hispanic women have been part of that trend, possibly due to the economy and to illegal immigration crackdowns in some states that reduce the number of young Hispanic females entering the country from Mexico and other nations, said John Santelli, a Columbia University professor of population and family health.
That means new immigrants are having less impact on birth statistics, and second- and third-generation families are having more influence.
As time goes on, Hispanics - like other immigrant groups before them - tend to adopt American customs and practices.
"There is more attention on education, career, and the future," said Dr. Janet Realini, head of Healthy Futures of Texas, a San Antonio-based organization focused on preventing teen and unplanned pregnancies.
Hispanic rates, though, continue to be much higher than those for blacks and whites in most of the states with the largest Hispanic populations, including California, Texas, New York, New Jersey, Arizona, Colorado, New Mexico and Georgia.
Texas has the highest number of teen births in the nation, with nearly 43,000 in 2011. Nearly two-thirds were to Hispanic moms.
The overall improvement, though, is something to celebrate, said Bill Albert, chief program officer of the National Campaign to Prevent Teen and Unplanned Pregnancy.
"Geography, politics, or policy alone simply cannot explain the widespread declines," Albert said in an email. "Credit goes to teens themselves who are clearly making better decisions about sex, contraception, and their future."
--- Online:
CDC report: HTTP://WWW.CDC.GOV/NCHS/
© 2013 THE ASSOCIATED PRESS. ALL RIGHTS RESERVED. THIS MATERIAL MAY NOT BE PUBLISHED, BROADCAST, REWRITTEN OR REDISTRIBUTED. Learn more about our PRIVACY POLICY and TERMS OF USE.
BIRTH CONTROL COVERAGE UP FOR FEDERAL APPEAL
Thursday, 23 May 2013 09:11 Published in Health & FitnessThe Oklahoma City-based arts-and-crafts chain argues that businesses - not just the currently exempted religious groups - should be allowed to seek exception from that part of the health law if it violates their religious beliefs.
"They ought to be able - just like a church, just like a charity - to have the right to opt out of a provision that infringes on their religious beliefs," said Kyle Duncan, who will argue before the 10th Circuit Court of Appeals on behalf of the Green family, the founders of Hobby Lobby Stores Inc. and a sister company, Christian booksellers Mardel Inc.
The Greens contend that emergency contraception is tantamount to abortion because it can prevent a fertilized egg from implanting in the womb. They also object to providing coverage for certain kinds of intrauterine devices.
Lower courts have rejected Hobby Lobby's claim, saying that for-profit businesses aren't covered by an exemption added to the law for religious organizations. That exemption applies to churches themselves, but not to affiliated nonprofit corporations, like hospitals, that do not rely primarily on members of the faith as employees.
In a decision issued late last year, a federal judge concluded simply, "Hobby Lobby and Mardel are not religious organizations."
But U.S. District Judge Joe Heaton in Oklahoma City also wrote that "the court is not unsympathetic" to Hobby Lobby's dilemma and that the question of compelling employer health coverage for certain procedures "involves largely uncharted waters."
Other businesses in multiple states are challenging the contraception mandate, too. Hobby Lobby is the most prominent company making the claim, and it is the first to be heard by a federal appeals court. The U.S. Justice Department will argue for the government that the contraception mandate should stay.
The 10th Circuit opted to hear the case before all nine judges, not the typical three-judge panel, indicating the case's importance.
In December, the 10th Circuit denied Hobby Lobby's request for an injunction to prevent it being subject to fines while its argument was on appeal. The U.S. Supreme Court also denied an injunction, with Justice Sonia Sotomayor writing that it was not "indisputably clear" that Hobby Lobby needed immediate protection.
In response, the company restructured its health insurance, Duncan said. But Hobby Lobby, which is self-insured, will face fines by July 1 if it does not provide the coverage, he said.
Hobby Lobby calls itself a "biblically founded business" and is closed on Sundays. Founded in 1972, the company now operates more than 500 stores in 41 states and employs more than 13,000 full-time employees who are eligible for health insurance.
The Hobby Lobby case has attracted broad interest from health groups and religious groups. A panel including reproductive rights organizations and the American Public Health Association banded together last year to ask the court to reject Hobby Lobby's claim. The groups argued it would be dangerous precedent to allow for-profit private businesses to use religious beliefs to deny coverage.
In a brief to the court filed last year, the health groups argued that allowing businesses not to cover some contraceptives would be like allowing businesses to tell employees they can't use wages to buy morning-after pills or other products that offend the employer's religious belief.
"Of course, no one would argue that (Hobby Lobby owners) could seek, on religious grounds, to preclude their employees from spending their wages on contraception. This same rationale requires rejecting employers' demands to impose their religious views on employees through restrictions on the use of health insurance benefits," the health groups argued.
Susan Polan, associate executive director of the American Public Health Association, said the Hobby Lobby case is an important test of how far businesses can go in seeking to exempt coverage of health procedures they don't like.
"We're talking about women's access to reproductive health. That should be a decision between a patient and her health care provider, not a patient and her employer," Polan said this week.
--- Kristen Wyatt can be reached at HTTP://WWW.TWITTER.COM/APKRISTENWYATT
© 2013 THE ASSOCIATED PRESS. ALL RIGHTS RESERVED. THIS MATERIAL MAY NOT BE PUBLISHED, BROADCAST, REWRITTEN OR REDISTRIBUTED. Learn more about our PRIVACY POLICY and TERMS OF USE.
The Royal & Ancient Golf Club and U.S. Golf Association said Rule 14-1b will take effect in 2016.
"We recognize this has been a divisive issue, but after thorough consideration, we remain convinced that this is the right decision for golf," R&A chief executive Peter Dawson said.
The new rule does not ban the long putters, only the way they commonly are used. Golfers no longer will be able to anchor the club against their bodies to create the effect of a hinge. Masters champion Adam Scott used a long putter he pressed against his chest. British Open champion Ernie Els and U.S. Open champion Webb Simpson used a belly putter, as did Keegan Bradley in the 2011 PGA Championship.
"We strongly believe that this rule is for the betterment of the game," USGA President Glen Nager said. "Rule 14-1b protects one of the important challenges in the game - the free swing of the entire club."
The announcement followed six months of contentious debate, and it might not be over.
The next step is for the PGA Tour to follow the new rule or decide to establish its own condition of competition that would allow players to anchor the long putters. PGA Tour Commissioner Tim Finchem said in February the USGA and R&A would be "making a mistake" to adopt the rule, though he also has stressed the importance of golf playing under one set of rules.
"I think it's really important that the PGA Tour - and all the professional tours - continue to follow one set of rules," USGA executive director Mike Davis said. "We have gotten very positive feedback from the tours around the world saying that they like one set of rules, they like the R&A and USGA governing those. So if there was some type of schism, we don't think that would be good for golf.
"And we are doing what we think is right for the long-term benefit of the game for all golfers, and we just can't write them for one group of elite players."
The tour said in a statement it would consult with its Player Advisory Council and policy board to determine "whether various provisions of Rule 14-1b will be implemented in our competitions, and if so, examine the process for implementation."
PGA of America President Ted Bishop, who had some of the sharpest comments over the last few months, also said his group would discuss the new rule - and confer with the PGA Tour - before deciding how to proceed.
"We are disappointed with this outcome," Bishop said. "As we have said publicly and repeatedly during the comment period, we do not believe 14-1b is in the best interest of recreational golfers and we are concerned about the negative impact it may have on both the enjoyment and growth of the game."
Some forms of anchoring have been around at least 40 years, and old photographs suggest it has been used even longer. It wasn't until after Bradley became the first major champion to use a belly putter that the USGA and R&A said it would take a new look at the putting style.
"It can never be too late to do the right thing," Nager said.
Those in favor of anchored putting argued that none of the top 20 players in the PGA Tour's most reliable putting statistic used a long putter, and if it was such an advantage, why wasn't everyone using it?
"Intentionally securing one end of the club against the body, and creating a point of physical attachment around which the club is swung, is a substantial departure from that traditional free swing," Nager said. "Anchoring creates potential advantages, such as making the stroke simpler and more repeatable, restricting the movement and rotation of the hands, arms and clubface, creating a fixed pivot point, and creating extra support and stability that may diminish the effects of nerves and pressure."
The governing bodies announced the proposed rule on Nov. 28, even though they had no data to show an advantage. What concerned them more was a spike in usage on the PGA Tour, more junior golfers using the long putters and comments from instructors that it was a better way to putt. There was concern the conventional putter would become obsolete over time.
The purpose of the new rule was simply to define what a putting stroke should be.
"The playing rules are not based on statistical studies," Nager said. "They are based on judgments that define the game and its intended challenge. One of those challenges is to control the entire club, and anchoring alters that challenge."
The topic was so sensitive that the USGA and R&A allowed for a 90-day comment period, an unprecedented move for the groups that set the rules of golf. The USGA said about 2,200 people offered feedback through its website, while the R&A said it had about 450 people from 17 countries go through its website.
Among those who spoke in favor of the ban were Tiger Woods, Brandt Snedeker and Steve Stricker.
"I've always felt that in golf you should have to swing the club, control your nerves and swing all 14 clubs, not just 13," Woods said Monday.
Tim Clark and Carl Pettersson have used the long putter as long as they have been on the PGA Tour. Scott switched to the broom-handle putter only in 2011, and he began contending in majors for the first time - tied for third in 2011 Masters, runner-up at the 2012 British Open, his first major victory in the Masters last month.
"It was inevitable that big tournaments would be won with this equipment because these are the best players in the world, and they practice thousands of hours," Scott said after winning the Masters. "They are going to get good with whatever they are using."
It was Clark's dignified speech to a players-only meeting - with Davis from the USGA in the room - that helped sway the tour's opinion to oppose the ban.
Davis and Dawson said their research indicated the opposition to the new rule was mainly in America. The European Tour and other tours around the world all backed the ban.
Players can still use the putter, but it would have to be held away from the body to allow free swing. Mark Newell, head of the USGA's rules committee, said the rule would be enforced like so many others in golf - players would have to call the penalty on themselves.
© 2013 THE ASSOCIATED PRESS. ALL RIGHTS RESERVED. THIS MATERIAL MAY NOT BE PUBLISHED, BROADCAST, REWRITTEN OR REDISTRIBUTED. Learn more about our PRIVACY POLICY and TERMS OF USE.
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