Janet R. Grochowski is the Endowed Professor of Education and Department Chair at the College of St. Benedict-St. John's University, Professor Emerita of Health Studies at the University of St. Thomas, and former Chair of Health and Human Development and Director of Family Studies at University of St. Thomas. Her professional interest in family health springs from a long career devoted to interdisciplinary study of complex communities, such as families, and the interactive impacts of complex health determinants on individuals and their families. She has taught numerous courses on health and well-being from a variety of perspectives--personal, family, consumer, environmental, national, and global-and is the co-author (with Meg Wilkes Karraker) of "Families with Futures: A Survey of Family Studies for the Twenty-First Century" (Routledge). The "Families in the 21st Century" Series Editor is Susan Ferguson, Associate Professor of Sociology at Grinnell College. Her own research interests include the never-married and women's health issues.
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Introduction: Families and Their Health Chapter 1. Family Health: Definitions and Determinants Case 1.1 Tyra: Influences on Family Health The Status of American Families' Health Overweight and Obese Access to Health Care Uninsured and Underinsured Family Health Concept: From Insularism to Interdisciplinary Reconnecting Mind-Body-Spirit in Health Care The Biopsychosocial Model and Beyond General Systems and Related Family Health Theories Summary and Book Organization Critical Thinking Questions Chapter 2. Biology and Family Health: Epigenetics and Beyond Epigenetic Inheritance Research and Family Health Multifactorial Inheritance Disorders Race, Ethnicity and Genetics in Health Disparities Family Health Histories Case 2.1 Victoria and Hope: Breast Cancer in the Family Ethical, Legal, and Social Implications (ELSI) Families' Adaptations to Chronic Illnesses Family Health and Alzheimer's Disease (AD Family Caregivers Loss, Dying, and Death - Part of Family Health Case 2.3 Tylor and Maria: Gone Without Goodbye Case 2.4 Josh: Dying Well Summary Critical Thinking Questions Chapter 3. Behavior Patterns: Families' Health Choices Interactive Nature of Family Health Behaviors Family Health Promotion - "Health Work" An Ecological Approach Health Behavior Theories and Models Intrapersonal Models Interpersonal Approaches Community-Based Approaches Summary Critical Thinking Questions Chapter 4. Social Determinants and Family Health Health Disparities Among Families Infant Mortality Cardiovascular Disease (CVD) Type 2 Diabetes Cancers HIV Infection and AIDS Immunizations Mental Illness Discrimination, Stigmatization, and Health Family Relationships and Mental Health Health Education: Families, Schools, and Communities Collaborations Summary Critical Thinking Questions Chapter 5. Environmental Exposures and Global Family Health The Global Burden of Infectious Disease The HIV/AIDS Pandemic HIV/AIDS-Related Stigma and Discrimination The Global Reach of Pollution Internal Environmental Exposures: Imbalances in Biological Flora External Environmental Exposures: The Global Tobacco Epidemic Deeper Health Impacts: Air Pollution and DNA Work Environments and Global Family Health Women in the Workplace Psychosocial Work Environment Work-to-Family and Family-to-Work Conflicts Smart Workplaces: Just for the Health of It Summary Critical Thinking Questions Chapter 6. Health Care and Families Underinsured Families: Paying Too Much and Getting Too Little Dental Health Coverage, Not a Frill Globalization of Health Care and Medical Travel An Ailing Health System on the Mend? Healthy Lives Access Equity Quality Efficiency Health Care Reform and Redesign Affordable and Equitable Access Higher Quality and Efficiency in Delivery Performance Greater Accountability, Leadership, and Reorganization in Health Care Geisinger-Like Health System: Translating Knowledge into Action Summary Critical Thinking Questions Final Summary Comments References Index