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Copyright 2000 Daily News, L.P.  
Daily News (New York)

April 30, 2000, Sunday SPORTS FINAL EDITION

SECTION: LIFELINE; Pg. 16

LENGTH: 1289 words

HEADLINE: THE EARLY YEARS

BYLINE: BY LESLIE DICKSTEIN

BODY:
HELPING CHILDREN HEAR0-2 YEARS

One of the greatest pleasures of new parenthood is hearing your baby respond to your voice with his first coos and gurgles. Yet many children - thousands each year - may go for months without hearing anything - from the sound of a rattle to their parents' "I love you" - because they leave the hospital with undetected hearing loss.

According to the National Campaign for Hearing Health, some 12,000 babies are born with some form of hearing loss each year. Yet less than half of all newborns have their hearing tested before leaving the hospital. Their disability may go unnoticed until they are school age or even older.

"Deafness is the most common birth defect," says Cameron Page, an NCHH associate. "Yet even a lot of pediatricians and doctors aren't aware of the importance of [infant hearing tests]. Parents have to be proactive."

That's the message the NCHH hopes to get out through "May Babies," an initiative that aims to increase infant hearing screenings by at least 50%.

The NCHH has published a national report card identifying which states support or mandate universal newborn hearing screenings. Currently, according to the report, New York rates unsatisfactory (only 9.7% of newborns are screened). But a new law mandating statewide screenings may increase the numbers by the fall.

"All babies born in the state will be screened for hearing loss," says Lynn Spivak, director of the Hearing and Speech Center at the North Shore Long Island Jewish Hospital. "The sooner we get to those babies, the better off they are."

In the meantime, suggests Spivak, parents can request in-hospital screenings or take their baby to an outpatient audiology center. High-risk babies - those born prematurely or who have a facial or cranial abnormality, some kind of syndrome or a family history of hearing loss - should almost always be tested.

DIFFERENT ROADS3-5 YEARS

Even if you think you know someone inside out, their parenting style may surprise you. Your old college friend may let her kids run wild until they collapse into bed at midnight. Your neighbor may think a slap on the behind is the best cure for a child that won't behave. Even your spouse may come up with a punishment that knocks you for a loop.

What should parents do in such circumstances? Say something to your friend about her methods of discipline, and you risk ruining the relationship. Keep your mouth shut, and your child gets exposed to potentially damaging behaviors.

"The first thing for parents to keep in mind is that there are different strokes for different folks," says Arlene Eisenberg, co-author of the "What to Expect" series. "There isn't just one right way to parent. What may seem like bad parenting to you may be perfectly good parenting for someone else."

On the other hand, she says, if a friend is doing something you really object to - hitting her children, for example, or not putting her children in car seats - you might try saying something in a noncritical way. Try, "You know, I recently read somewhere that spanking doesn't work because it ends up teaching kids that hitting is an acceptable way of expressing anger."

Or use yourself as an example. Say, "You know, I used to let my children go to bed whenever they wanted, but I found they actually like having some kind of structure because it makes them feel safe."

But ultimately, says Eisenberg, parents must consider the needs of their children first. If you don't want your child exposed to spanking, for example, you may want to forgo play dates with certain families for a while. You can still maintain the adult relationship. Just don't bring the kids.

MEDIA, ALCOHOL AND TOBACCO6-10 YEARS

For many kids, media consumption is a full-time job. They're spending up to 40 hours a week plugged in to some form of entertainment - television, movies, the Internet, CDs.

But what messages are kids getting from their steady diet of Hollywood and technology?

According to a recent Kaiser Family Foundation report, nearly 90% of the most popular movies show people - usually attractive, high-status characters - smoking. Though less common than on the big screen, lighting up is fairly common on TV, too: According to the report, about 22% of the most popular TV programs show smokers, most of whom are the kind of person your kid might emulate.

Alcohol has an even rosier image in movies and TV. Three out of four episodes of the most popular TV shows depict alcohol use and almost all movies (93%) show characters drinking (and without any consequences). Researchers say it's unclear whether watching people smoke, drink or do drugs causes a child to take up the behavior. But one thing is certain: Repeated media exposure to successful, attractive people using alcohol, tobacco and drugs reinforces the idea that such behaviors are normal.

"It's important to think about how [substances] are being depicted, and what message is being communicated," says Vicky Rideout, Kaiser's entertainment media and public health program director.

For starters watch or listen to what your kids are tuned in to, and encourage them to think critically about the content. "Especially kids who are in that special window - age 8 to 12," says Rideout. "Evidence shows that kids in that age group want to hear from their parents. After that time, a parent's influence goes down markedly."

Another recommendation: monitor the amount of time children spend with media. "Two-thirds of the kids in this age group have televisions in their bedrooms," says Rideout. "That leads to more isolated, uncommented upon media consumption."

STEROID ABUSE11-15 YEARS

With teens under pressure to look and perform their best, the use of anabolic steroids is on the rise. Despite serious side effects, steroid use has jumped substantially in recent years, particularly among girls and athletes. Anabolic steroids can only be obtained legally if you have a perscription; but children say they are easy to get on the street. Steroid supplements such as Dehydroepian-drosterone (DHEA) and Androstenedione (ANDRO) are widely available at retail stores.

A recent report from the National Institute on Drug Abuse shows that from 1998 to 1999, steroid use rose from 1.2% to 1.7% for eighth-graders, and from 2% to 2.7% for 10th-graders. The increase is even more pronounced among athletes, ranging from 4% to 12% during the same period. Most troubling, experts say, is NIDA's finding that while steroid use is going up, knowledge of the drugs' risks is decreasing. "The perception of harm going down has always been a predictor that use is going to increase," says Timothy Condon, NIDA's associate director. "This information needs to get to the the kids and the parents."

Anabolic steroids can stunt bone growth in adolescents and permanently damage the heart, liver and kidneys. In males, it may cause impotence, reduced sperm production, shrunken testicles and permanently enlarged breasts. In girls, side effects include irreversible lowering of the voice, smaller breasts and excessive body hair.

NIDA is backing a prevention program called ATLAS (Adolescents Training and Learning to Avoid Steroids), developed by Drs. Linn Goldberg and Diane Elliot, both of the Oregon Health Sciences University. Unlike other drug programs, ATLAS is a team-centered effort. Children learn that good nutrition and healthy training are not only good for them, but good for teams they play on.

Goldberg says, "What you need are coaches, who can be very influential, parents, who can be very influential, and teammates."

The ATLAS program is a product of Sunburst Technology and is available on the Web at Sunburst.com for an initial fee of $149.95. 

GRAPHIC: PHOTODISC

LOAD-DATE: May 1, 2000




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