Lesbian,gay, bisexual,and transgender families and health

Research consistently demonstrates that family relationships are key determinants of health, but most research on health and families focuses on a heterosexual and cisgender context. Sexual and gender identities often are overlooked or erased in family and health research. We present an overview of the current state of research on LGBT families and health, using a life course approach and pointing to the ways that LGBT people's experiences of families occur within a broader social structural context, with implications for their health and the health of their family members. We focus on parenthood, parent–child ties, intimate relationships, and caregiving. We also identify two theoretical obstacles for studies of LGBT families and health as well as important research areas for moving forward, such as the inclusion of non‐binary and queer identities in our studies of family and health. Incorporation of LGBT and other queer families and family forms into our health research interrogates assumptions within family and health research and offers insight into how to move the field forward.     

Negotiating Inequality Among Adult Siblings: Two Case Studies

Qualitative instrumental case study analysis of adult siblings from 2 families explores how socioeconomic inequality among them affects their relationships to one another. Eight middle‐aged siblings’ observations of childhood, parental expectations, work and family history, lifestyle, and current sibling ties indicate that childhood interdependence, parallel parental treatment, similar intergenerational mobility, greater success of the younger rather than older siblings, and economic success due to other than individual effort facilitate smoother negotiations of material inequality and enhance the negotiation of sibling relationships as important sources of support. These new insights on negotiating sibling ties over time are related to various forms of capital, a life course perspective, and ambivalence, and point to fresh avenues for future research and theory.     

Pets and Family Relationships Among Nursing Home Residents

An anthropological study of pet visiting programs to three nursing homes reveals five aspects of how elderly residents deal with their past and present ties to their families. (1) Sessions trigger childhood memories and family reminiscences associated with animals. (2) Pet loss and human loss are spoken about as interrelated experiences. (3) Animal visits highlight and help counteract the decline of domesticity that people go through in institutions. (4) Residents explore their ties to pets they have had to give up and their relationships with family members currently caring for these animals. (5) The occasional visits of people's kin during pet sessions indicates the role of animals in domestic interaction and the reaction of family members to the situation of their institutionalized relatives. These findings are compared with other studies on the ties between pets and the elderly.     

Family Processes and Children's and Adolescents' Well-Being

The primary purpose of this review was to examine theory and research published during the past decade that focused on family processes and children's and adolescents' well-being. Scholarship focused on family processes and child and adolescent well-being made significant and exciting advances during this decade based on several key advancements. In addition to a brief introduction and a conclusion, this decade in review is organized into four sections. In the first section, advances made in the literature because of increased attention to complexity and specificity are illustrated. The second section describes advances that were made because of increased attention to family processes in diverse families. Diversity in the samples of families studied, extensions in family process models, and the revisioning of grand theories using a diversity lens that were used to conceptualize family processes are detailed. In the third section, the importance of time in the study of family processes and child and adolescent well-being is described. The emphasis on families' daily lives is noted. In addition, prospective considerations and studies of change over time are highlighted. Strengths in family functioning are detailed in the fourth section of this article: positivity, regulatory processes, and family organization. These three areas were selected to elaborate the idea that one of the major advancements in the family process literature during the past decade was an emphasis on family strengths. This review concludes with a commentary regarding how conceptual and methodological advancements during the past decade can guide future scholarship.     

Advances in Families and Health Research in the 21st Century

We review research on families and health published between 2000 and 2009 and highlight key themes and findings from innovative, methodologically rigorous studies. Whereas research in prior decades focused primarily on whether family structure affects child and adult health, contemporary research examines the contextual and processual factors that shape for whom, for which outcomes, and under what conditions families affect mental and physical health. We discuss how family structure, transitions, and processes within families of origin affect children's health over the life course. We then examine the effects of marital status, transitions, and quality for adult health. We point out limitations in current research, discuss implications of recent findings for policy, and highlight theoretical and methodological directions for future research.     

Coordination Tasks and Negotiation Modes of Linked Lives in Entrepreneurial Families

The overlap of business and family roles, and how they are linked in entrepreneurial families, requires intergenerational negotiation. Biographical case reconstruction analysis of 32 narrative interviews of 12 German entrepreneurial families explores what coordination tasks need to be resolved and how family members negotiate their interlocking lives. The article finds that entrepreneurial families actively coordinate positions, life phases, and material transfers by means of a pedagogy of succession, life course evidence analysis, and entrepreneurial narratives. The article presents two innovations. First, it demonstrates how these families experience and cope with their linked lives under flexible working conditions and in multigenerational families. Second, it argues that research on linked lives should shift from focusing on outcomes to understanding emergence and operations, and it advances the use of the biographical case reconstruction method for this endeavor.     

Negotiating Emotional Support: Sober Gay Latinos and Their Families

This study explores how sober gay Latino men obtain support from their families. Familial ties can be a protective health factor, yet many gay Latinos experience rejection from family members because of their sexuality. There are very few studies that examine the extent and quality of emotional support from kin for this population. Understanding family dynamics within the context of recovery and sexuality can increase our understanding of how to leverage family ties to develop alcohol abuse interventions. The study was conducted via semistructured interviews with 30 sober gay Latinos using a grounded theory approach. Analyses of the qualitative data identified the following themes: family values shaped the participants’ perception of their range of choices and emotional responses; participants reported feeling loved and supported even when sexuality was not discussed with parents; and family support for sobriety is essential. Findings suggest that familial ties shape perceptions of support and importance of disclosing sexual identity. Family support often results from agreements about sexual identity disclosure, and some families can overcome cultural and religious taboos on sexuality. Future studies should investigate families that negotiate acceptance with their gay members, and whether they exhibit heterosexual biases that may influence the psychological stress of gay Latino men who wish to be sober.     

Family ties and economic stability concerns of migrant labour families in Jordan

74 labor migrant families from various socioeconomic classes in Amman, Jordan were interviewed to examine changes in relationships among family members, extended family, and neighbors and their concerns about economic stability in the host country, Jordan, and the world market. Another purpose was to determine how current migration policies of the Arab oil-producing countries which prohibit labor migrants from bringing their families to the host country affect labor migration among families. The families consisted of either those who did or did not accompany the labor migrant. Overall labor migration affected unaccompanied families more than accompanied families, e.g., only 19% of the unaccompanied families reported increased family unity compared with 56% of accompanied families. Problems within unaccompanied families increased in 43% of the cases but in only 6% of the accompanied families. Many of these problems resulted in children dropping out of school which reflected the control fathers had within the family, separation, or divorce. Yet labor migration reduced family ties with extended family members and neighbors almost equally for both groups. Accompanied families were not as concerned about economic stability in Jordan as unaccompanied families (38% vs. 50%). Perhaps these families tended not to invest remittances received from the labor migrants working in Arab oil-producing countries in Jordan. Both groups were quite concerned about the economic stability in the host countries (66% and 72%, respectively) and the world market (59% and 62%, respectively), however. Since family unity suffers when families do not accompany labor migrants, it is suggested that oil-producing nations that depend on foreign labor should guarantee family unity as a human right.     

Families With Children and Adolescents: A Review,Critique, and Future Agenda

This decade's literature on families with children and adolescents can be broadly organized around the implications for youth of family statuses (e.g., family structure) and family processes (e.g., parenting). These overlapping bodies of research built on past work by emphasizing the dynamic nature of family life and the intersection of families with other ecological settings, exploring race/ethnic diversity, identifying mechanisms connecting family and child/adolescent factors, and taking steps to address the threats to causal inference that have long been a problem for family studies. Continuing these trends in the future will be valuable, as will increasing the number of international comparisons, exploring “new” kinds of family diversity, and capturing the convergence of multiple statuses and processes over time.     

Strengthening Families Through Volunteerism: Integrating Family Volunteerism and Family Life Education

This article builds on increasing interest in family volunteering by presenting it as a family life education tool for strengthening relationships and family functioning. In this context, family volunteering is similar to service learning in which families learn together while giving back to their community. Informed by a discussion on bioecological systems theory, psychosocial development theory, and select studies on volunteering, this article seeks to discover how family volunteering benefits individual and family growth. Existing research indicates that, due to its rich resources, it can deepen relationships, reinforce effective interpersonal skills, and help individuals overcome life's crises. Implications for family life educators and future research are presented, including the need for collaboration and stronger data on which to base flexible and fun volunteer opportunities for families.     

Cancer in the Family: Review of the Psychosocial Perspectives of Patients and Family Members

As advances in cancer care have led to more treatment options and longer survival for cancer patients, a focus on quality of life for patients and their families has gained importance. This review provides a discussion of stress and coping theory, documents the relevance of this topic area for social work practice, and illuminates the results of a literature review by emphasizing the perspective from which research was collected within the family system. Recognizing the impact of cancer on the lives of patients, their partners, children, and the family as a whole is an essential factor in providing appropriate and adequate psychosocial services to families facing cancer.     

Family support in late life: A review of the literature on aging,disability, and family caregiving

ABSTRACT

For older adults and people with disabilities in the United States, family caregiving is an important part of remaining at home and in the community. As care recipients and caregivers age, family dynamics change, and the health, social, and financial impacts of this (largely unremunerated) work have implications for individuals, families, and social policy. In this review, the authors map the literature across multiple fields related to disability and aging to understand caregiving in late life, what it means to be an older caregiver and/or to care for older people. The authors summarize the findings of 97 articles to address the care, services, and supports family caregivers provide for older adults; negative and positive impacts for caregivers serving in this role; supports that family members use or need; and societal impact of family caregiving. Much of the literature describes the work family caregivers provide and negative impacts of caregiving. Less attention is devoted to caregiving benefits, supports used by family caregivers, and societal impacts. The authors conclude with an agenda for future research that attends to the need for research that includes: more diverse samples, new types of caregivers, longitudinal data, qualitative data and analysis, and comparative research.     

Conceptualizations of Family by Older Gay Men

SUMMARY

Gay lives challenge historically dominant understandings of family. Given that definitions of family have been heterosexually based, how do non-heterosexuals define and understand “family?” Drawing from the family life course perspective, we propose that contemporary cohorts of older gay men represent a strategic vantage point for understanding innovations in family life, and thus expand current understandings of a gay life course. We use data from an interview study of gay men over the age of 50 who talked about their family relationships. While providing diverse definitions of family, biological ties and closeness were two consistent dimensions for defining both positive and negative family relationships by these older gay men. Narratives of coming out were central to discussions of current relationships with parents and children. The findings from this study indicate that sexual orientation influences life trajectories and transitions and point to useful avenues for further research on contemporary family life.     

Human Sexuality Education in Marriage and Family Therapy Graduate Programs

Given the likelihood that marriage and family therapists will encounter clients with sexual concerns, it is important to know how graduate training programs are preparing future clinicians to work with this domain of life. Sixty‐nine marriage and family therapy (MFT) program directors completed an online survey to examine how sexual health education is integrated into graduate training programs. Findings indicate that while the majority of program directors value sexuality curriculum, and most programs require at least one course in this area, there are barriers to privileging sex topics in MFT graduate programs. Barriers include few MFT faculties with expertise in human sexuality and marginalized sexual health topics. Implications for training MFT graduate students and their work with future clients are discussed.     

Exploring Ambivalence in Family Ties: Progress and Prospects

The 2002 exchange on ambivalence in the Journal of Marriage and Family (Vol. 64, No. 3), published under the editorship of Alexis Walker, prompted an impressive array of research on family ties, in particular intergenerational relationships. Following a discussion of the concept's theoretical underpinnings, the author argues that advancing the concept of ambivalence rests on realizing its multilevel potential by addressing the interplay of shifting contradictions experienced by individuals and in relationships and embedded in social institutions and in macro‐level arrangements and processes. She considers progress and limitations in a critical review of predominant applications of ambivalence and then investigates research that advances ambivalence as a bridging concept across multiple levels of analysis. Work on atypical family ties, dependency, contradictory cultural expectations due to migration and social change, families and the welfare state, and on climate change and disability promotes the multilevel potential of ambivalence and points to ways to advance its promise in theory and practice.     

Childhood mental health and adult family relationships: How ADHD shapes experiences with intimate unions and parenthood

Increasingly recognized as a chronic condition that can endure across the life course, childhood attention-deficit/hyperactivity disorder (ADHD) is associated with less stable family formation and more strain around intimate unions (dating, cohabitation and marriage) and parenthood. This article reviews and evaluates multidisciplinary research on childhood ADHD, intimate unions and parenthood, with the purpose of motivating future sociological research in this area. The paper is organized into three general sections. First, I provide an overview of information on ADHD including its diagnosis and treatment, cross-disciplinary etiologies, and sociodemographic correlates. Next, I blend sociological perspectives on labeling and stigma, social stress, and the life course to consider the role of ADHD-related stigma in shaping associations of childhood ADHD with family formation processes (intimate unions and parenthood) and family functioning (relationship quality and communication) in adulthood. Finally, I discuss opportunities for future sociological research on childhood ADHD and adult family relationships that have the potential to contribute both to empirical research on childhood ADHD and adult family relationships, as well as to sociological research at the intersection of family and health.     

Transnational Relations: Family Migration among Recent Polish Migrants in London

This paper is based on a qualitative study of recent Polish migrants in London ( Ryan, et al., 2007 ). The paper reveals the roles that different family members played in the migration narratives of these Polish migrants. In order to gain a broader understanding of migration patterns, it is necessary to explore what is meant by “the family” and how this may operate transnationally. By examining spatially dispersed relationships, the paper aims to contribute to an understanding of transnational families. In addition, by highlighting the various ways in which families may be split, reunited, and reshaped through the process of migration, the paper argues for a need to explore the shifting ties between relatives “here” and “there”. The paper explores the dynamism of these relationships over time in the context of specific immigration regimes and the interplay with local attachments.     

Migrant Women’s Transnationalism: Family Patterns and Policies

Whereas current policies on migration and integration are beginning to recognise family reunion as one of the most legitimate reasons for acceptance by a host society, they in most cases still do not account for the growing trend of feminisation of migration, and even rarely do they address specific migrants’ needs. As currently constituted, the integration bills envision a one‐way process that places migrants into a position where they cannot question, but only accept and fulfil the predetermined requirements of integration plans. But who are the women that migrate, what influence do their transnational experiences have on their families, and how do migration policies envision the reality of increasing transnationalism? This paper focuses on biographical interviews with migrant women in Slovenia as a valuable method to question current integration measurements, applied here to explore female migrants’ experiences in transnational family life and social networks. A gender sensitive approach is applied that critically evaluates the specificities of family reunification policies, which define women migrants as dependent family members. We discuss life trajectories of women migrants, focusing the debate on their own experiences in and with family life. This new empirical material is used to theorise gaps in contemporary migration research. Women migrants’ own reflections of transnational family ties show a great variety of experiences and their narratives are a unique window into motivational, political, as well as legal dimensions of migration.