Families and Health: Volume III in the

Families and Health: Volume III in the "Families in the 21st Century Series"

Pub. Date:
Allyn & Bacon, Inc.


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Families and Health: Volume III in the "Families in the 21st Century Series"

This interdisciplinary text examines five different components of family health—biology, behavior, social-cultural circumstances, the environment, and health care—and the ways they affect the abilities of family members to perform well in their homes, workplaces, and communities.

Product Details

ISBN-13: 9780205627202
Publisher: Allyn & Bacon, Inc.
Publication date: 11/16/2009
Series: Families in the 21st Century Series
Pages: 208
Product dimensions: 6.96(w) x 9.08(h) x 0.44(d)

About the Author

Janet R. Grochowski is the Endowed Professor of Education and Department Chair at the College of St. Benedict-St. John’s University, Professor Emerita of Health Studies at the University of St. Thomas, and former Chair of Health and Human Development and Director of Family Studies at University of St. Thomas. Her professional interest in family health springs from a long career devoted to interdisciplinary study of complex communities, such as families, and the interactive impacts of complex health determinants on individuals and their families. She has taught numerous courses on health and well-being from a variety of perspectives—personal, family, consumer, environmental, national, and global–and is the co-author (with Meg Wilkes Karraker) of Families with Futures: A Survey of Family Studies for the Twenty-First Century (Routledge).

The "Families in the 21st Century" Series Editor is Susan Ferguson, Associate Professor of Sociology at Grinnell College. Her own research interests include the never-married and women's health issues.

Table of Contents

Families in the Twenty-First Century vii

Preface x

Acknowledgments xi

About the Author xii

Chapter 1 Introduction: Families and Their Health 1

Family Health: Definitions and Determinants 2

Case 1.1 Tyra: Influences on Family Health 4

The Status of American Families' Health 6

Overweight and Obese 9

Access to Health Care 12

Uninsured and Underinsured 12

Case 1.2 Trent: Uninsured Young Adults 15

Family Health Concept: From Insularism to Interdisciplinary 19

Reconnecting Mind-Body-Spirit in Health Care 19

The Biopsychosocial Model and Beyond 20

General Systems and Related Family Health Theories 22

Conclusion and Book Organization 25

Critical Thinking Questions 28

Chapter 2 Biology and Family Health: Beyond Genomics 29

Genome-Based Research and Family Health 30

Multifactorial Inheritance Disorders 31

Race, Ethnicity, and Genetics in Health Disparities 32

Family Health Histories 33

Case 2.1 Victoria and Hope: Breast Cancer in the Family 34

Ethical, Legal, and Social Implications (ELSI) 36

Families' Adaptations to Chronic Illnesses 37

Family Health and Alzheimer's Disease (AD) 38

Case 2.2 Hank and Lily: A Time of Loss and Love 40

Family Caregivers 42

Loss, Dying, and Death-Part of Family Health 44

Case 2.3 Noah and Maria: Gone Without Goodbye 45

Case 2.4 Josh: Dying Well 46

Conclusion 48

Critical Thinking Questions 49

Chapter 3 Behavior Patterns: Families' Health Choices 51

Interactive Nature of Family Health Behaviors 51

Case 3.1 Alicia:No Vaccinations for My Kids 51

Family Health Promotion-"Health Work" 53

An Ecological Approach 54

Health Behavior Theories and Models56

Intrapersonal Models 57

Case 3.2 Simone: Sex and the Heart 58

Interpersonal Approaches 60

Cigarette Smoking Is Addictive, But Stopping Can Be Contagious 60

Case 3.3 Julio: Childhood Obesity-Beyond Family Concern 61

Community-Based Approaches 65

Conclusion 69

Critical Thinking Questions 69

Chapter 4 Social Determinants and Family Health 71

Health Disparities among Families 71

Case 4.1 The Injustice of Health Inequities 71

Infant Mortality 75

Cardiovascular Disease 77

Diabetes 78

Cancers 78

HIV Infection and AIDS 79

Immunizations 80

Mental Illness 80

Discrimination, Stigmatization, and Health 84

Family Relationships and Mental Health 85

Families: Overcoming Mental Illness Stigma and Discrimination 86

Case 4.2 Sarah: What a Depressed Teenager Wished She Could Say Chris Gonzalez 88

Health Education: Family, School, and Community Collaborations 92

Case 4.3 Mia: The High Price of Ignorance 92

Conclusion 96

Critical Thinking Questions 98

Chapter 5 Environmental Exposures and Global Family Health 99

The Global Burden of Infectious Disease 99

Case 5.1 Aisha: Malaria-A Disease of Poverty 99

The HIV/AIDS Pandemic 101

Case 5.2 Mandisa: The Youthful, Feminine Face of HIV/AIDS 104

HIV/AIDS-Related Stigma and Discrimination 107

The Global Reach of Pollution 110

Case 5.3 Leon: Uneasy Breaths of Pediatric Asthma 111

Internal Environmental Exposures: Imbalances in Biological Flora 115

External Environmental Exposures: The Global Tobacco Epidemic 116

Deeper Health Impacts: Air Pollution and DNA 117

Work Environments and Global Family Health 118

Women in the Workplace 119

Psychosocial Work Environment 120

Case 5.4 Theresa and David: Stress...at Work by Steven Sauter et al. (2008:1) 123

Work-to-Family and Family-to-Work Conflicts 128

Smart Workplaces: Just for the Health of It 130

Conclusion 131

Critical Thinking Questions 132

Chapter 6 Health Care and Families 133

Underinsured Families: Paying Too Much and Getting Too Little 133

Case 6.1 Ed: Medical Tourism and American Health Care 133

Dental Health Coverage, Not a Frill 136

Globalization of Health Care and Medical Travel 137

An Ailing Health System 139

Case 6.2 Isabella: Unhealthy Health Care 139

Healthy Lives 143

Access 144

Equity 145

Quality 146

Efficiency 149

Health Care Reform and Redesign 149

Affordable and Equitable Access 150

Higher Quality and Efficiency in Delivery Performance 152

Greater Accountability, Leadership, and Reorganization in Health Care 154

Geisinger-Like Health System: Translating Knowledge into Action 155

Case 6.3 Kaela: Creating a Patient-Centered Primary Home 156

Conclusion 158

Critical Thinking Questions 159

Summary 161

References 165

Index 189

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