Race &amp; Family: A Structural Approach

Coles, Roberta L.

doi:10.4135/9781483329000

Cited by 17 publications

(36 citation statements)

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“…African Americans may be more likely than Whites to include extended family and fictive kinship when defining family (Coles, 2006; Segrin & Flora, 2005; Stewart, 2007), which may not reflect the structural/biological definition of family that underlies many FHH tools. It is unknown whether differing conceptions of family affect communication about health and collection of FHH information, but a mismatch between an individual’s definition of family and the structural/biological definition underlying many FHH tools could affect patterns of communication about FHH or the use of tools (Petruccio et al, 2008).…”

Section: Defining Familymentioning

confidence: 99%

The Context of Collecting Family Health History: Examining Definitions of Family and Family Communication about Health among African American Women

Thompson

Seo

Griffith

et al. 2015

Journal of Health Communication

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Public health initiatives encourage the public to discuss and record family health history (FHH) information, which can inform prevention and screening for a variety of conditions. Most research on FHH discussion and collection, however, has involved predominantly White participants and has not considered lay definitions of family or family communication patterns about health. This qualitative study of 32 African American women, 16 with a history of cancer, analyzed participants’ definitions of family, family communication about health, and collection of FHH information. “Family” was defined by biological relatedness, social ties, interactions, and proximity. Several participants noted using different definitions of family for different purposes (e.g. biomedical vs. social). Health discussions took place between and within generations and were influenced by structural relationships (e.g. sister) and characteristics of family members (e.g. trustworthiness). Participants described managing tensions between sharing health information and protecting privacy, especially related to generational differences in sharing information, fear of familial conflict or gossip, and denial (sometimes described as refusal to “own” or “claim” a disease). Few participants reported that anyone in their family kept formal FHH records. Results suggest FHH initiatives should address family tensions and communication patterns that affect discussion and collection of FHH information.

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Section: Defining Familymentioning

confidence: 99%

The Context of Collecting Family Health History: Examining Definitions of Family and Family Communication about Health among African American Women

Thompson

Seo

Griffith

et al. 2015

Journal of Health Communication

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“…Describing disparities in health outcomes provides effective measures for intervention and prevention programs to improve policies and clinical practices that aim to eliminate disparities in health. The literature discloses a long tradition of research on racial disparities in health (Smedley, Stith, & Nelson, 2003), especially within the United States, which is considered one of the most racially diverse countries in the world (Coles, 2006). In 2003, the U.S. Census Bureau designated Hispanics as the nation's largest minority group (Borak, Fiellin, & Chemerynski, 2004).…”

mentioning

confidence: 97%

The Hispanic Epidemiological Paradox in the Fastest-Growing State in the United States

Yang¹,

Qeadan²,

Smith-Gagen³

2009

Hisp Hlth Care Int

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“…Qualitative studies have documented the dual burden experienced by HIV+ women of being both patient and caregiver (Sandelowski & Barroso, 2003; Bunting, 2001, Hackl et al, 1997). Given the prevalence of single-mother households (12% nationally), with higher proportions of this household type found among African Americans (31%) and Hispanics (18%) (Coles, 2006), it is important for family intervention researchers to reach the larger family network which can be a key resource for support and assistance.…”

Section: Introductionmentioning

confidence: 99%

Examining family networks of HIV+ women in drug recovery: Challenges and opportunities.

Mitrani¹,

Weiss‐Laxer²,

Ow³

et al. 2009

Families, Systems, & Health

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HIV/AIDS is recognized as affecting and being affected by the family. HIV+ women in drug recovery and their families are particularly at risk due to family disruption and stigma. Yet family research with HIV+ adults is hampered by the challenges of defining the family, engaging family members into research, and tracking changes in family composition. In this paper we describe the family context of 144 HIV+ women in drug abuse recovery who are enrolled in a randomized trial of a family intervention to improve medication adherence and reduce relapse. "Family" was defined to include the women's household members, romantic partners, children and their caregivers, and others identified as a major source of support. The women reported on a total of 651 family members. We describe the family and household networks, romantic partnerships and parenting arrangements of our participants. We also describe the engagement rate of family member enrollment in the research study, and the stability of romantic partnerships, parenting and living arrangements over one year. We conclude with methodological implications for future family-based clinical research with HIV+ adults.

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Race & Family: A Structural Approach

Cited by 17 publications

References 0 publications

The Context of Collecting Family Health History: Examining Definitions of Family and Family Communication about Health among African American Women

The Context of Collecting Family Health History: Examining Definitions of Family and Family Communication about Health among African American Women

The Hispanic Epidemiological Paradox in the Fastest-Growing State in the United States

Examining family networks of HIV+ women in drug recovery: Challenges and opportunities.

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