FAMILY EFFECTS ON HEALTH. Atatürk University Medical Faculty 2010-2011 Semester I Class 1 Family Medicine Lectures Yrd. Doç. Dr. Memet IŞIK [email protected] Objektives. At the end of this lecture, the participants will be able to;
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Pequengnant and Bray, 1997: Group of people who are biologically, emotionally and legally bound.
Bird ST. Beyond Marital Status: Relationship Type and Duration And the Risk of Low Birth Weight. Family Planning Perspectives 2000
Turkish Population and Health Surveys 2003
House ve ark. 1988
-Accidents, violence, alcohol, heart attack, lung cancer
Martikainen P, Valkonen T. Mortality after the death of a spouse: rates and causes of death in a large Finnish cohort. Am J Public Health 1996;86(8):1087-1093.
Martikainen P, Valkonen T. Mortality after death of spouse in relation to duration of bereavement in Finland. J Epidemiol Community Health 1996;50(3):264-268.
World Health Organization. Statistical Indices of Family Health No. 589:17, 1976.
In the case of smoking parents or siblings, smoke are more likely
Salt, calories, cholesterol, fat consumption ...
Gegenetic also have effect
whole family out for a walk ...
Changing roles (role = “expected behavior” that goes with a social position)
People marry later, have fewer kids, and also have them later
Single parent families (these are more likely to be poor)
Role conflict: Being a good doctor to one’s patients versus being a good mother to one’s kids
1) Effects on Illness Behaviour:
Stoic? self-medicate? seek alternative medicine? Effects on medical adherence: the extent to which a person's behavior coincides with medical or health advice
e.g. religion & health (faith healing)
2) Effects on patients with long term illness:
Quality of care provided by family members (female relatives as care providers for kids, husbands, in-laws and elderly parents)
3) Family and social networks promote health:
Socially isolated have poorer mental health; recover slower from sickness
“Troubled family that has a negative effect on the physical or psychological well-being of its individual family members”
4) Dysfunctional families and poor parenting:
Families with divorced parents are NOT NECESSARILY dysfunctional families !
5) Learning of health-related behaviour
e.g. quality of diet and health (including obesity), smoking and passive smoking, alcohol (religion & alcohol consumption), risk-taking behaviour, values and behaviour (including sexual behaviour)
6) Family changes can affect health
“Stressful life events” such as marital breakdown and divorce, death of spouse etc. increase risk of sickness for other family members
Large families: can affect health of kids in a negative manner
1) Effect of chronic disease or death
Role changes: if the wife gets sick or dies, the husband has to adjust (or vice-versa)
Economic pressures: family member stops work to care for the sick, patient is unable to work, medical bills become high
2) Stress from taking care of sick family member
e.g. Alzheimer’s disease, serious mental illness, relative who is bed-ridden or incontinent
3) Stigmatizing diseases such as HIV/AIDS
e.g. hostility from neighbours, abandonment by own family