“That Was Grown Folks’ Business”: Narrative Reflection and Response in Older Adults’ Family Health History Communication

Yamasaki, Jill; Hovick, Shelly R.

doi:10.1080/10410236.2013.837569

Cited by 17 publications

(16 citation statements)

References 36 publications

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“…Although health was not commonly discussed in past generations of Black families, the focus group participants stated health communications have significantly increased in Black families and Black communities. These findings were consistent with the Yamasaki and Hovick (2015) study, which reported motivation to improve health communication within Black families resulted from past family experiences of health secrecy of parents. Using focus groups, the men gained insight into their communication experiences as children within their families and how those experiences shaped their perception and willingness to disclose their own diagnosis of prostate cancer.…”

Section: Discussionsupporting

confidence: 90%

An Exploration of Precancer and Post-Cancer Diagnosis and Health Communication Among African American Prostate Cancer Survivors and Their Families

2020

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Prostate cancer is the second most common cancer among American men, with Black men at the highest risk for the disease. Few studies have been published on how communication between Black prostate cancer survivors and their family members affect health outcomes and subsequent health communication. The purpose of this study was to understand cancer and health communication among Black prostate cancer survivors and their families before and after disclosing their diagnosis. Through a mixed method design, 11 Black prostate cancer survivors participated from the Southeastern region of the United States, completed questionnaires, and took part in a focus group. The study utilized 4 focus groups of Black prostate cancer survivors ranging in age from 51 to 76 years. Descriptive statistics revealed 91% ( n = 10) of participants indicated they could openly discuss health issues in their family and 82% ( n = 9) indicated a female relative as the person responsible for teaching about health. An analysis of the transcripts revealed four themes utilizing thematic network: (a) communication over the life course of the prostate cancer survivor, (b) parents’ communication with family, (c) disclosing prostate cancer diagnosis, and (d) treatment options for prostate cancer. Results suggested the participants recognized the importance of discussing prostate cancer with their families to reduce fears and misconceptions about the disease. Through the exploration of cancer and health communication within Black families, solutions can be derived for increasing health behaviors and health knowledge among men.

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Section: Discussionsupporting

confidence: 90%

An Exploration of Precancer and Post-Cancer Diagnosis and Health Communication Among African American Prostate Cancer Survivors and Their Families

2020

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“…Previous studies found that Blacks may delay seeking medical care [22] as part of a culture that normalizes privacy regarding medical concerns [23]. Some recipients commented specifically on male avoidance in seeking preventive care and how admitted illness could damage one’s self-perception of strength and autonomy.…”

Section: Discussionmentioning

confidence: 99%

Inter- and Intrapersonal Barriers to Living Donor Kidney Transplant among Black Recipients and Donors

Davis

Grogan

Cox

et al. 2016

J. Racial and Ethnic Health Disparities

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Context End-stage renal disease (ESRD) is more common among Blacks, but Blacks are less likely to receive a live donor kidney transplant (LDKT). Objective The objective of this study is to identify barriers and coping mechanisms that Black LDKT recipients and donors experienced while receiving or donating a kidney. Design A qualitative study was conducted using structured interviews. Thematic analysis was used for data interpretation. Participants All 20 participants identified as Black, with two participants identifying themselves as multiracial. The mean age for the 14 recipients was 60, and the average age for the 6 living donors was 47. Results Themes emerging from the data suggest both recipients and donors faced barriers in the LDKT experience. Recipients faced barriers associated with their denial and avoidance of the severity of their ESRD, their desire to maintain the privacy of their health status, and their refusal to approach potential donors. Donors encountered negative responses from others about the donors’ desire to donate and the initial refusal of recipients to accept a LDKT offer. Recipients identified faith as a coping mechanism, while donors identified normalization of donation as their method of coping. Various types of social support helped donors and recipients navigate the transplant process. Conclusion Black LDKT recipients and donors must overcome barriers prior to receiving or donating a kidney. Most of these barriers arise from communication and interactions with others that are either lacking or undesirable. Future interventions to promote LDKT among Blacks may benefit by specifically targeting these barriers.

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“…Women are seen as family health historians and the responsible ones for communicating health information within the family (Koehly et al, 2009; Nycum, Avard, & Knoppers, 2009; Wiseman, Dancyger, & Michie, 2010). A generational pattern has also emerged, with older generations often adopting a sense of responsibility for communicating and sharing information about family health history with younger generations (Ashida & Schafer, 2015; Hovick, Yamasaki; Burton-Chase, & Peterson, 2015; Yamasaki & Hovick, 2015). Cultural differences have also been found, with Latinos and African Americans holding certain beliefs (e.g., shame; fatalism) and values (e.g., maintaining independence; protecting relatives from worry) that are negatively associated with family health history communication (Haggstrom & Shapiro, 2006; Kinney, Gammon, Coworth, Simonsen, & Arce-Laretta, 2010; Yamasaki & Hovick, 2015).…”

Section: Introductionmentioning

confidence: 99%

Family Ties: The Role of Family Context in Family Health History Communication About Cancer

Rodríguez

Corona

Bodurtha

et al. 2016

Journal of Health Communication

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Family health history about cancer is an important prevention and health promotion tool. Yet, few studies have identified family context factors that promote such discussions. We explored relations among family context (cohesion, flexibility, and openness), self-efficacy, and cancer communication (gathering family history, sharing cancer risk information, and frequency) in a diverse group of women enrolled in a randomized control trial. Baseline survey data for 472 women were analyzed. Average age was 34 years, 59% identified as Black, 31% graduated high school, and 75% reported a family history of any cancer. Results showed that greater family cohesion and flexibility were related to higher communication frequency and sharing cancer information. Women who reported greater self-efficacy were more likely to have gathered family history, shared cancer risk information, and communicated more frequently with relatives. Openness was not associated with communication but was related to greater family cohesion and flexibility. Adjusting for demographic variables, self-efficacy and family cohesion significantly predicted communication frequency. Women with higher self-efficacy were also more likely to have gathered family health history about cancer and shared cancer risk information. Future research may benefit from considering family organization and self-efficacy when developing psychosocial theories that, in turn, inform cancer prevention interventions.

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“That Was Grown Folks’ Business”: Narrative Reflection and Response in Older Adults’ Family Health History Communication

Cited by 17 publications

References 36 publications

An Exploration of Precancer and Post-Cancer Diagnosis and Health Communication Among African American Prostate Cancer Survivors and Their Families

An Exploration of Precancer and Post-Cancer Diagnosis and Health Communication Among African American Prostate Cancer Survivors and Their Families

Inter- and Intrapersonal Barriers to Living Donor Kidney Transplant among Black Recipients and Donors

Family Ties: The Role of Family Context in Family Health History Communication About Cancer

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