This exploratory research paper investigated the coping strategies of families of hospitalized psychiatric patients and identified their positive and negative coping strategies. In this paper, the coping strategies of 45 family members were examined using a descriptive, correlational, mixed method research approach. Guided by the Neuman Systems Model and using the Family Crisis Oriented Personal Evaluation Scales and semistructured interviews, this paper found that these family members used more emotion-focused coping strategies than problem-focused coping strategies. The common coping strategies used by family members were communicating with immediate family, acceptance of their situation, passive appraisal, avoidance, and spirituality. The family members also utilized resources and support systems, such as their immediate families, mental health care professionals, and their churches.

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Purpose-The purpose of this study was to describe diabetes self-management practices and service utilization among Gullah families in South Carolina.Methods-Data were obtained from 1,276 persons with type 2 diabetes through interviews using the Family Health History Questionnaire. This was a primary analysis of a project conducted in conjunction with a parent study (Project SuGar) which focused on the molecular aspects of diabetes. Descriptive statistics were used for data analysis.Results-Diabetes self-management behaviors were not consistent with recommendations from the American Diabetes Association. Over half (55.6%) reported exercising, but only 27.7% reported self-glucose monitoring. Service utilization was poor, less than half, (41.1%) reported referral to a diabetic class/diet, 32.8% reported making yearly visits to the ophthalmologist; 22.3% reported visiting the dentist, and only 12.8% reported visiting the podiatrist.Conclusions-Although some self-management behaviors were identified, Gullah family members remain at risk for preventable diabetes complications. Education must reflect behaviors and beliefs valued by Gullah individuals. Culturally appropriate educational programs may increase use of health care services aimed at decreasing preventable complications of type 2diabetes in the Gullah population.

The health of the parents affected the lives of adult siblings in both negative and positive ways. Although the majority of the adult siblings expressed a willingness to care for their parent(s) in an attempt to reciprocate the care, they had received from them, challenges emerged from dealing with family stressors.

This article measures the effects of exposure to violence on problem behavior (adjustment outcomes) among 306 African American middle and high school students in the state of Virginia. Relying on recent research examining the relationship between violent events and problem behavior, the study uses structural equation modeling to examine internalizing and externalizing behavioral characteristics (i.e., delinquency, depression, negative self-esteem, and avoidance) among African American youth exposed to violence through direct victimization, witnessing violence, and association with delinquent peers. The results show a strong association between victimization experience and adjustment outcomes including internalizing (i.e., self-rejection, depression) and externalizing (i.e., offenses) problem behavior. The results also suggest a linkage between victimization and avoidance as a coping strategy. With regard to gender differences, the findings indicate a greater influence of victimization on offenses, self-rejection, and avoidance among men and a stronger influence of victimization on depression among women in the sample. Implications for intervention and future research are discussed.

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Rates of violence in the United States have steadily declined over the last decade. However, there continues to be a disproportionate number of homicides among African American young men compared to their race and gender counterparts. Among African American males between the ages of 15–24, homicide is the leading cause of death. This is a public health issue that seems very preventable and a plethora of research and interventions have explored psychosocial causes that might aid in reducing rates of violence. Although there have been a significant number of efforts to understand and reduce violence, few studies or interventions have explored the unique cultural factors that might serve as buffers against violence for African American males. This study examines the role of culture in reducing rates of violent behavior among adolescent and young adult males. Findings suggest that culture plays an important protective role in the likelihood of engaging in violence for this group.