What are friends for? A longer life

In the quest for better health, many people turn to doctors, self-help books or herbal supplements. But they overlook a powerful weapon that could help them fight illness and depression, speed recovery, slow aging and prolong life: their friends.

Researchers are only now starting to pay attention to the importance of friendship and social networks in overall health. A 10-year Australian study found that older people with a large circle of friends were 22 percent less likely to die during the study period than those with fewer friends.

A large 2007 study showed an increase of nearly 60 percent in the risk for obesity among people whose friends gained weight. And last year, Harvard researchers reported that strong social ties could promote brain health as we age.

“In general, the role of friendship in our lives isn’t terribly well appreciated,” said Rebecca G. Adams, a professor of sociology at the University of North Carolina, Greensboro. “There is just scads of stuff on families and marriage, but very little on friendship. It baffles me. Friendship has a bigger impact on our psychological well-being than family relationships.”

In a new book, “The Girls From Ames: A Story of Women and a 40-Year Friendship” (Gotham), Jeffrey Zaslow tells the story of 11 childhood friends who scattered from Iowa to eight different states. Despite the distance, their friendships endured through college and marriage, divorce and other crises, including the death of one of the women in her 20s.

Using scrapbooks, photo albums and the women’s own memories, Mr. Zaslow chronicles how their close friendships have shaped their lives and continue to sustain them. The role of friendship in their health and well-being is evident in almost every chapter.

Two of the friends have recently learned they have breast cancer. Kelly Zwagerman, now a high school teacher who lives in Northfield, Minn., said that when she got her diagnosis in September 2007, her doctor told her to surround herself with loved ones. Instead, she reached out to her childhood friends, even though they lived far away.

“The first people I told were the women from Ames,” she said in an interview. “I e-mailed them. I immediately had e-mails and phone calls and messages of support. It was instant that the love poured in from all of them.”

When she complained that her treatment led to painful sores in her throat, an Ames girl sent a smoothie maker and recipes. Another, who had lost a daughter to leukemia, sent Ms. Zwagerman a hand-knitted hat, knowing her head would be cold without hair; still another sent pajamas made of special fabric to help cope with night sweats.

Ms. Zwagerman said she was often more comfortable discussing her illness with her girlfriends than with her doctor. “We go so far back that these women will talk about anything,” she said.

Ms. Zwagerman says her friends from Ames have been an essential factor in her treatment and recovery, and research bears her out. In 2006, a study of nearly 3,000 nurses with breast cancer found that women without close friends were four times as likely to die from the disease as women with 10 or more friends. And notably, proximity and the amount of contact with a friend wasn’t associated with survival. Just having friends was protective.

Bella DePaulo, a visiting psychology professor at the University of California, Santa Barbara, whose work focuses on single people and friendships, notes that in many studies, friendship has an even greater effect on health than a spouse or family member. In the study of nurses with breast cancer, having a spouse wasn’t associated with survival.

While many friendship studies focus on the intense relationships of women, some research shows that men can benefit, too. In a six-year study of 736 middle-age Swedish men, attachment to a single person didn’t appear to affect the risk of heart attack and fatal coronary heart disease, but having friendships did. Only smoking was as important a risk factor as lack of social support.

Exactly why friendship has such a big effect isn’t entirely clear. While friends can run errands and pick up medicine for a sick person, the benefits go well beyond physical assistance; indeed, proximity does not seem to be a factor.

It may be that people with strong social ties also have better access to health services and care. Beyond that, however, friendship clearly has a profound psychological effect. People with strong friendships are less likely than others to get colds, perhaps because they have lower stress levels.

Last year, researchers studied 34 students at the University of Virginia, taking them to the base of a steep hill and fitting them with a weighted backpack. They were then asked to estimate the steepness of the hill. Some participants stood next to friends during the exercise, while others were alone.

The students who stood with friends gave lower estimates of the steepness of the hill. And the longer the friends had known each other, the less steep the hill appeared.

“People with stronger friendship networks feel like there is someone they can turn to,” said Karen A. Roberto, director of the center for gerontology at Virginia Tech. “Friendship is an undervalued resource. The consistent message of these studies is that friends make your life better.”

(Source: nytimes.com)

Muslim woman refused travel on bus due to headscarf

Bus company Arriva said that it was a case of confusion and not racism that led a bus driver to refuse travel to a woman wearing a headscarf

A Muslim family was shocked when a local bus driver refused to continue driving unless the mother, who was wearing a traditional headscarf, got off the bus.

Århus Stiftstidende newspaper reported that Houria Nouioua, together with her husband and three young children, was told by the young male bus driver that she couldn’t travel on the bus because she was wearing a niqab – a traditional Muslim veil that covers the face.

‘The driver said that the rules in Denmark meant he couldn’t carry passengers that were masked,’ said the woman’s husband, Mohamed Belgacem. ‘I was so shocked that she couldn’t travel on the bus. I’ve lived in Denmark for 12 years and have never experienced anything like this.’

The Arriva bus remained at the bus stop for 15 minutes while other passengers became involved in the incident, outraged at the behaviour of the bus driver.

‘It’s pure racism and discrimination,’ said a female passenger who rang the Arriva head office and spoke to an official who instructed the driver to accept the Muslim passenger.

Martin Wex, press manager with Arriva said the driver will not be fired as it was not a case of racism but one of confusion.

‘The driver said he had heard that masks were forbidden during demonstrations in Denmark and thought that it also applied to busses,’ said Wex, who confirmed that in the next issue of the employee magazine rules will be made clear to all personnel.

Bad marriages harder on women's health

The cardiovascular damage wrought by an unhappy marriage may be greater for women than men, a new study shows. While both men and women in “strained” unions, those marked by arguing and being angry, were more likely to feel depressed than happier partners, the women in the contentious relationships were more likely to develop high blood pressure, high cholesterol, high blood sugar and other markers of what's known as “metabolic syndrome,” said study author Nancy Henry, a doctoral candidate in clinical healthy psychology at the University of Utah.

Metabolic syndrome is known to boost the risk of heart disease, stroke and diabetes.

While many studies have linked poor marriages with poor health, Henry said she believes her is the first to tie in depression as a possible route through which the strain boosts the risk of metabolic syndrome. “The negativity triggers the depression, which is associated with the metabolic syndrome,” said Henry. This was found true, she said, only for the women in her study.

For the study, she interviewed 276 couples, median age 54, by questionnaires, asking about positive aspects of marriage quality such as mutual support and sharing, and negative aspects such as arguing, feelings of hostility and disagreeing over important issues such as kids, money and in-laws. She asked about depressive symptoms.

Couples were married, on average, 27.5 years, most in their original marriage. “For the most part, you could say, these were happily married couples,” Henry said. About 20 percent of the men and 12 percent of the women in the study had metabolic syndrome (diagnosed when three of the five risk factors were present).

The men were as likely as the women to become depressed with marital strain, but the link between negativity, depression and metabolic syndrome only applied to women, she said. The depression in women accounted for the metabolic syndrome, she said.

Exactly why isn't known, but Henry speculated that women may take the negativity more to heart and ruminate about it more than men.

Henry can't say specifically how much risk of metabolic syndrome is attributed to the negativity. Earlier research has linked negativity in marriage with an increased risk of heart disease for both men and women. She was expected to present her findings Thursday at the American Psychosomatic Society annual meeting, in Chicago.

Another researcher in the field called the findings interesting, especially the new focus on depression as a possible mechanism through which the strain influences the metabolic syndrome.

“The study raises the importance of increasing our understanding of how depression influences biological processes that result in metabolic syndrome -- and why these processes might be stronger for women than men,” said Debra Umberson, a professor of sociology at the University of Texas at Austin.

The findings, Umberson said, fit in with her research finding a strong effect of marital strain on partners' overall health. But the gender difference finding differs from her research. “Basically, we find that marital strain undermines the health of men and women,” she said, adding that perhaps the men in Henry's study had their health influenced in a different way.

More research is needed, Henry said, to figure out how the pieces fit together. Meanwhile, Umberson said: “Choose your partner carefully. A strained marriage is bad for your health.” If it's already strained, she said, focus on reducing conflict.

(Source: HealthDay News)