Bs 18Bs 18

The family , culture and illnessThe family , culture and illness

Overview of the familyOverview of the familyDefinitionDefinitionA group of people related by blood, adoption or A group of people related by blood, adoption or marriage is a familymarriage is a familyThe interpersonal relationships –significant role The interpersonal relationships –significant role in healthin healthNuclear and extended familiesNuclear and extended familiesThe traditional nuclear family includes mother, The traditional nuclear family includes mother, father and dependant childrenfather and dependant childrenExtended family grand parents, aunts and Extended family grand parents, aunts and cousins who live outside house hold. cousins who live outside house hold.

Demographics and current trendsDemographics and current trendsMarriage and children in the US the average age Marriage and children in the US the average age of first marriage is 24,.5 for women and 26.7 for of first marriage is 24,.5 for women and 26.7 for men.men.More than 75% of people 30-54 years of age are More than 75% of people 30-54 years of age are married.married.A good marriage is important predictor of health. A good marriage is important predictor of health. married people are physically and mentally married people are physically and mentally healthier and have higher self esteem than non healthier and have higher self esteem than non married people married people

40% of children live in families with 2 40% of children live in families with 2 working parents.working parents.

23% live in traditional family in which 23% live in traditional family in which father works outside and mother stays at father works outside and mother stays at home.home.

Cost of raising children in US 90 ,000$ to Cost of raising children in US 90 ,000$ to 180000$.180000$.

Add 80000$ for private college fees. Add 80000$ for private college fees.

25% are childless. Half of them are child 25% are childless. Half of them are child less by choice.less by choice.

Divorce and single parent familiesDivorce and single parent familiesClose to half of all marriages in US end in Close to half of all marriages in US end in divorcedivorceFactors associated with divorce include lack of Factors associated with divorce include lack of family support, marriage during teenage years, family support, marriage during teenage years, differences in religion and socio economic back differences in religion and socio economic back ground, serious illness and death of a child.ground, serious illness and death of a child.Divorced men are more likely to marry than Divorced men are more likely to marry than women. physicians have a higher divorce rate women. physicians have a higher divorce rate than other occupations..than other occupations..

Single parent familiesSingle parent families

Have lower incomes and less social Have lower incomes and less social support. Chances of physical and mental support. Chances of physical and mental illness >.illness >.

Fastest growing population of single Fastest growing population of single mothers is educated professional women.mothers is educated professional women.

Single parent families 87% are headed by Single parent families 87% are headed by women 13 % headed by men.women 13 % headed by men.

Children in single parent familiesChildren in single parent families

> Risk of illness, depression, drug abuse, > Risk of illness, depression, drug abuse, suicide, crimes and divorce.suicide, crimes and divorce.

Even if noncustodial parent does not Even if noncustodial parent does not provide support, children who continue to provide support, children who continue to have regular contact have fewer problems.have regular contact have fewer problems.

Child custodyChild custody

After divorce, types of child custody being After divorce, types of child custody being granted include joint split and sole custody.granted include joint split and sole custody.

In sole custody child lives with one parent while In sole custody child lives with one parent while the other has visitation rights.the other has visitation rights.

Joint residential custody –child spends some Joint residential custody –child spends some time living with each parent.time living with each parent.

Split custody – each parent has custody of at Split custody – each parent has custody of at least one child.least one child.

Culture in the US.Culture in the US.Most elderly americans spend the last Most elderly americans spend the last years living on their own. 20% live with years living on their own. 20% live with family members 5% live in nursing family members 5% live in nursing homes.homes.

Emphasis placed on hygeine and Emphasis placed on hygeine and cleanlinesscleanliness

Nuclear family with few children is valued.Nuclear family with few children is valued.

Culture and illnessCulture and illness

Ehnic groups are not homogeneous. Ehnic groups are not homogeneous. Groups often have characteristic ways of Groups often have characteristic ways of dealing with illness.dealing with illness.

Culture shockCulture shock

Strong emotional response related to Strong emotional response related to geographic relocation.geographic relocation.

Young immigrant men .> Risk of this.Young immigrant men .> Risk of this.

Minority subculturesMinority subcultures

32 million african americans32 million african americans

Average incomes is about half white Average incomes is about half white familiesfamilies

They have shorter life expectancyThey have shorter life expectancy

Higher rates of hypertension, stroke Higher rates of hypertension, stroke obesityobesity

Hispanic americansHispanic americans

Spanish speaking place greater value on Spanish speaking place greater value on nuclear family with many children. respect nuclear family with many children. respect for the elderly is important. seek health for the elderly is important. seek health care from folk healers.15 million mexican care from folk healers.15 million mexican americans, 2 million puerto rican americans, 2 million puerto rican americans, 5 million others.americans, 5 million others.

Asian americansAsian americansThe largest group of asian americans are The largest group of asian americans are chinese 1.5 million, filipino 1.4 million, chinese 1.5 million, filipino 1.4 million, japanese 1 million.japanese 1 million.Korean .8 million, asian indian .6 million Korean .8 million, asian indian .6 million and vietnamese .5 million.and vietnamese .5 million.Strong respect for elderly .abdominal Strong respect for elderly .abdominal aortic area – spiritual coreaortic area – spiritual coreFolk remedies Folk remedies

Native americans—american indians and Native americans—american indians and eskimoseskimos

2 million native americans2 million native americans

Have their own programme of medical Have their own programme of medical carecare

Low incomes .high rates of alcoholism and Low incomes .high rates of alcoholism and suicidesuicide