Patricia N E Roberson, Jordan Tasman, Rebecca Renegar, Gina Cortez, Katherine A Lenger
{"title":"家庭关系对得不到充分服务的阿巴拉契亚人健康的重要性:生物行为家庭模式的应用与扩展。","authors":"Patricia N E Roberson, Jordan Tasman, Rebecca Renegar, Gina Cortez, Katherine A Lenger","doi":"10.1037/fsh0000826","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Appalachia is characterized by many contextual stressors, including geographic, economic, and cultural barriers to healthcare. Guided by the biobehavioral family model (BBFM), an understanding of the influence of interpersonal relationships (i.e., marital and nonmarital relationships) on health outcomes could be critical to mitigating the region's contextual stressors.</p><p><strong>Method: </strong>Data were collected from 2018 to 2019 among 243 participants across seven pop-up medical clinics in central and southern Appalachia 59% from rural Appalachian counties (rural <i>M</i><sub>age</sub> = 41, 66% women, 90% White; urban <i>M</i><sub>age</sub> = 36, 74% women, 82% White). A series of multivariate regression models were conducted for outcome measures (i.e., depression, pain, physical symptoms, number of conditions, and perceived health).</p><p><strong>Results: </strong>The results suggest that family quality was significantly related to all outcome measures except for perceived health, whereas marital satisfaction was only significantly linked to physical symptoms. Rurality was not significantly associated with any outcome measures and only moderated the association between family quality and a number of conditions.</p><p><strong>Discussion: </strong>These findings demonstrate the importance of nonmarital family relationships on health outcomes for people in Appalachia. Given the limited direct impact rurality in this sample, close relationships may be important for the health and well-being of all economically marginalized Appalachians regarding where they live. Given the cultural tendency for Appalachians to rely on family and kinship networks for healthcare support and the findings in this study, medical professionals should develop innovative programs to incorporate family into healthcare visits, and disease management interventions for people living in Appalachia. 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引用次数: 0
摘要
引言阿巴拉契亚地区有许多环境压力因素,包括医疗保健方面的地理、经济和文化障碍。在生物行为家庭模型(BBFM)的指导下,了解人际关系(即婚姻和非婚姻关系)对健康结果的影响对于减轻该地区的环境压力至关重要:从2018年到2019年,在阿巴拉契亚中部和南部的七个弹出式医疗诊所收集了243名参与者的数据,其中59%来自阿巴拉契亚农村县(农村法师=41,66%为女性,90%为白人;城市法师=36,74%为女性,82%为白人)。对结果测量(即抑郁、疼痛、身体症状、病症数量和健康感知)进行了一系列多变量回归模型:结果表明,除健康感知外,家庭质量与所有结果指标均有显著相关性,而婚姻满意度仅与身体症状有显著相关性。农村地区与任何结果指标都没有明显关联,而且只调节了家庭质量与一些病症之间的关联:这些研究结果表明,非婚姻家庭关系对阿巴拉契亚人的健康结果非常重要。鉴于本样本中农村地区的直接影响有限,亲密关系可能对所有经济边缘化的阿巴拉契亚人的健康和福祉非常重要,与他们的居住地有关。鉴于阿巴拉契亚人依赖家庭和亲属网络提供医疗支持的文化倾向,以及本研究的发现,医疗专业人员应制定创新计划,将家庭纳入医疗就诊和疾病管理干预中,为生活在阿巴拉契亚的人们提供帮助。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
The importance of family relationships for the health of underserved Appalachians: An application and extension of the biobehavioral family model.
Introduction: Appalachia is characterized by many contextual stressors, including geographic, economic, and cultural barriers to healthcare. Guided by the biobehavioral family model (BBFM), an understanding of the influence of interpersonal relationships (i.e., marital and nonmarital relationships) on health outcomes could be critical to mitigating the region's contextual stressors.
Method: Data were collected from 2018 to 2019 among 243 participants across seven pop-up medical clinics in central and southern Appalachia 59% from rural Appalachian counties (rural Mage = 41, 66% women, 90% White; urban Mage = 36, 74% women, 82% White). A series of multivariate regression models were conducted for outcome measures (i.e., depression, pain, physical symptoms, number of conditions, and perceived health).
Results: The results suggest that family quality was significantly related to all outcome measures except for perceived health, whereas marital satisfaction was only significantly linked to physical symptoms. Rurality was not significantly associated with any outcome measures and only moderated the association between family quality and a number of conditions.
Discussion: These findings demonstrate the importance of nonmarital family relationships on health outcomes for people in Appalachia. Given the limited direct impact rurality in this sample, close relationships may be important for the health and well-being of all economically marginalized Appalachians regarding where they live. Given the cultural tendency for Appalachians to rely on family and kinship networks for healthcare support and the findings in this study, medical professionals should develop innovative programs to incorporate family into healthcare visits, and disease management interventions for people living in Appalachia. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
Families Systems & HealthHEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍:
Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.