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首页> 外文期刊>Journal of health communication >The Context of Collecting Family Health History: Examining Definitions of Family and Family Communication about Health among African American Women
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The Context of Collecting Family Health History: Examining Definitions of Family and Family Communication about Health among African American Women

机译：收集家庭健康史的背景：检查非洲裔美国妇女中家庭健康的定义和家庭沟通

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摘要

Public health initiatives encourage the public to discuss and record family health history information, which can inform prevention and screening for a variety of conditions. Most research on family health history discussion and collection, however, has predominantly involved 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 family health history 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 family health history records. Results suggest family health history initiatives should address family tensions and communication patterns that affect discussion and collection of family health history information.
机译：公共卫生举措鼓励公众讨论和记录家庭健康史信息，这些信息可以为各种情况的预防和筛查提供信息。但是，大多数有关家庭健康史讨论和收集的研究主要涉及白人参与者，并且没有考虑家庭的健康定义或有关健康的家庭沟通模式。这项对32名非裔美国妇女16进行的定性研究具有癌症历史，分析了参与者的家庭定义，有关健康的家庭沟通以及收集了家庭健康史信息。家庭是由生物学上的联系，社会联系，互动和亲近来定义的。几位与会者指出，出于不同的目的（例如，生物医学与社会），使用了不同的家庭定义。健康讨论发生在几代人之间以及几代之内，并且受到结构关系（例如姐妹）和家庭成员特征（例如信任度）的影响。与会者描述了管理共享健康信息与保护隐私之间的紧张关系，特别是与共享信息的代际差异，对家庭冲突或八卦的恐惧以及否认（有时被描述为拒绝“拥有”或“宣称”疾病）有关。很少有参与者报告说，他们家庭中的任何人都保留了正式的家庭健康史记录。结果表明，家庭健康史计划应该解决影响家庭健康史信息讨论和收集的家庭紧张关系和沟通方式。

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