Extended Family

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Simon Gregson - One of the best experts on this subject based on the ideXlab platform.

  • Extended Family s and women s roles in safeguarding orphans education in aids afflicted rural zimbabwe
    Social Science & Medicine, 2005
    Co-Authors: Constance Nyamukapa, Simon Gregson
    Abstract:

    The Extended Family forms the basis for orphan care and education in sub-Saharan Africa. Initial absence followed by emergence of differentials in primary school enrolment between orphans and non-orphans have been attributed to the strength and subsequent HIV/AIDS-induced breakdown of Extended Family orphan care arrangements. Yet, few attempts have been made to describe how these arrangements are affected by HIV/AIDS or how they relate to observed patterns of childhood outcomes by sex and orphan status. We use a combination of quantitative and qualitative data to show that maternal orphans but not paternal or double orphans have lower primary school completion rates than non-orphans in rural Zimbabwe, and that these patterns reflect adaptations and gaps in Extended Family orphan care arrangements. Sustained high levels of primary school completion amongst paternal and double orphans--particularly for girls--result from increased residence in female-headed households and greater access to external resources. Low primary school completion amongst maternal orphans results from lack of support from fathers and stepmothers and ineligibility for welfare assistance due to residence in higher socio-economic status households. These effects are partially offset by increased assistance from maternal relatives. These findings indicate that programmes should assist maternal orphans and support women's efforts by reinforcing the roles of Extended families and local communities, and by facilitating greater self-sufficiency.

Jennifer M. Grossman - One of the best experts on this subject based on the ideXlab platform.

  • Extended-Family Talk about Sex and Teen Sexual Behavior.
    International Journal of Environmental Research and Public Health, 2019
    Co-Authors: Jennifer M. Grossman, Amanda M. Richer, Alicia D. Lynch, Lisette M. Desouza, Ineke Ceder
    Abstract:

    Research shows that Family communication about sexuality can protect against teens’ risky sexual behavior. However, few studies assess talk with Extended Family about sex or how this communication relates to teens’ sexual behavior. The current study includes cross-sectional survey data from 952 adolescents. Structural equation modeling (SEM) was used to assess associations between teens’ sexual risk behaviors and communication with Extended Family about protection methods, risks of sex and relational approaches to sex, defined as talk about sex within a close relationship. For sexually active teens, talk about protection methods was associated with fewer sexual partners and talk about risks of sex was associated with more sexual partners regardless of teen gender and the generation of Extended Family with whom teens talk. Results suggest that Extended-Family talk about sex may influence teens’ sexual behavior independent of effects of teen–parent communication. However, the direction of the effect depends on the content of the conversations. These findings suggest the need to explore whether and how Extended Family could be included in health prevention and intervention programs, because programs which include Family largely focus on parents.

  • Extended-Family Talk about Sex and Teen Sexual Behavior
    Proceedings, 2018
    Co-Authors: Jennifer M. Grossman, Amanda M. Richer, Alicia D. Lynch, Lisette M. Desouza
    Abstract:

    Research shows that Family sexuality communication is protective for teens’ risky sexual behavior, but most studies on this topic focus exclusively on the parent–teen dyad. The few studies that assessed Extended Family sexuality communication use a single item to measure this communication and showed mixed results as to whether it is associated with sexual risk behaviors for teens. The current study included cross-sectional survey data from 952 teens in the 11th and 12th grades. Structural equation modeling (SEM) was used to assess associations between teens’ sexual risk behaviors and communication with Extended Family about protection methods, risks of sex and relational approaches to sex. Results showed that, for sexually active teens, talk about protection methods was associated with fewer sexual partners and talk about risks of sex was associated with more sexual partners, even after accounting for talk with parents about sex and controlling for teen gender, racial/ethnic background and mothers’ education. Results suggest that Extended Family talk with teens about sex might protect them from risky sexual behavior, over and above the effects of teen–parent communication. However, the direction of the effect depends on the content of the conversations. Talk about protection might support teens’ sexual health, while talk about risks of sex with teens who have already had sex, might not be effective. These findings suggest the need to explore whether and how Extended Family could be included in health prevention and intervention programs, which currently focus on parents.

  • Youth Perspectives on Sexuality Communication With Parents and Extended Family
    Family Relations, 2018
    Co-Authors: Jennifer M. Grossman, Amanda M. Richer, Ineke Ceder, Linda Charmaraman, Sumru Erkut
    Abstract:

    Objective: To explore Extended-Family sexuality communication and compare it with parent sexuality communication. Background: Family communication about sex can protect teens from sexual risk behavior. However, most studies on this topic focus exclusively on the parent-teen dyad; few capture the broader context of teens' Family communication. Method: Using a mixed-methods approach, a convenience sample of 22 teens from diverse racial and ethnic backgrounds were interviewed. Participants were asked to identify Family members with whom they talk about sex and relationships, topics discussed, messages shared, and the teens' comfort talking about sex and relationships. Thematic analysis was used to explore participants' shared meanings and experiences. Results: Eighty-six percent of teens reported talking with both parents and Extended Family about sex. Teens were more likely to report that parents than Extended Family shared messages about delaying sex and avoiding teen pregnancy and gave advice or shared information about sex. Teens were more likely to view Extended Family than parents as easy to talk with and as having shared life experiences, and some reported avoiding talk with parents about issues related to sexuality due to feeling awkward or fearing a negative reaction. Conclusion: Extended Family may play a somewhat different role than parents in teens' sexuality communication, but Family members showed a largely common set of Family values. Implications: Extended Family may be a valuable teen resource for sexuality communication, particularly when teens feel uncomfortable talking with parents.

  • The Role of Extended Family in Teen Sexual Health
    Journal of Adolescent Research, 2014
    Co-Authors: Jennifer M. Grossman, Allison J. Tracy, Amanda M. Richer, Sumru Erkut
    Abstract:

    Despite increasing Extended Family involvement in child rearing, particularly in minority families, few studies investigate their role in talking with teens about sex or how this relates to teens’ sexual behavior. This mixed-methods study assesses Extended Family sexuality communication through a survey of 1,492 diverse middle school students and interviews with 32 students. Logistic regression shows that participants who report having had sex are more likely to report talking with Extended Family than those who report not having had sex. Interview themes explored reasons for and content of teen sexuality conversations with Extended Family. More sexually active teens’ reporting communication with Extended Family is interpreted as Extended Family members gaining importance in sexuality communication as teens become sexually active.

Hugo W Moser - One of the best experts on this subject based on the ideXlab platform.

  • adrenoleukodystrophy incidence new mutation rate and results of Extended Family screening
    Annals of Neurology, 2001
    Co-Authors: Lena Bezman, Ann B Moser, Gerald V Raymond, Piero Rinaldo, Paul A Watkins, Kirby D Smith, Nancy E Kass, Hugo W Moser
    Abstract:

    Utilizing the plasma very long chain fatty acid assay, supplemented by mutation analysis and immunofluorescence assay, we determined the number of X-linked adrenoleukodystrophy (X-ALD) hemizygotes from the United States identified each year in the two laboratories that perform most of the assays in this country: the Kennedy Krieger Institute between 1981 and 1998 and the Mayo Clinic Rochester from 1996 to 1998. The minimum frequency of hemizygotes identified in the United States is estimated to be 1:42,000 and that of hemizygotes plus heterozygotes 1:16,800. Our studies involved 616 pedigrees with a total of 12,787 identified at-risk members. Diagnostic assays were performed in 4,169 at-risk persons (33%) and included members of the Extended Family. Only 5% of male probands and 1.7% of X-ALD hemizygotes were found to have new mutations. The Extended Family testing led to the identification of 594 hemizygotes and 1,270 heterozygotes. Two hundred fifty of the newly identified hemizygotes were asymptomatic and represent the group in which therapy has the greatest chance of success. Identification of heterozygotes provides the opportunity for disease prevention through genetic counseling. Diagnostic tests should be offered to all at-risk relatives of X-ALD patients and should include members of the Extended Family. Ann Neurol 2001;49:512–517

  • adrenoleukodystrophy incidence new mutation rate and results of Extended Family screening
    Annals of Neurology, 2001
    Co-Authors: Lena Bezman, Ann B Moser, Gerald V Raymond, Piero Rinaldo, Paul A Watkins, Kirby D Smith, Nancy E Kass, Hugo W Moser
    Abstract:

    Utilizing the plasma very long chain fatty acid assay, supplemented by mutation analysis and immunofluorescence assay, we determined the number of X-linked adrenoleukodystrophy (X-ALD) hemizygotes from the United States identified each year in the two laboratories that perform most of the assays in this country: the Kennedy Krieger Institute between 1981 and 1998 and the Mayo Clinic Rochester from 1996 to 1998. The minimum frequency of hemizygotes identified in the United States is estimated to be 1:42,000 and that of hemizygotes plus heterozygotes 1:16,800. Our studies involved 616 pedigrees with a total of 12,787 identified at-risk members. Diagnostic assays were performed in 4,169 at-risk persons (33%) and included members of the Extended Family. Only 5% of male probands and 1.7% of X-ALD hemizygotes were found to have new mutations. The Extended Family testing led to the identification of 594 hemizygotes and 1,270 heterozygotes. Two hundred fifty of the newly identified hemizygotes were asymptomatic and represent the group in which therapy has the greatest chance of success. Identification of heterozygotes provides the opportunity for disease prevention through genetic counseling. Diagnostic tests should be offered to all at-risk relatives of X-ALD patients and should include members of the Extended Family.

Amanda M. Richer - One of the best experts on this subject based on the ideXlab platform.

  • Extended-Family Talk about Sex and Teen Sexual Behavior.
    International Journal of Environmental Research and Public Health, 2019
    Co-Authors: Jennifer M. Grossman, Amanda M. Richer, Alicia D. Lynch, Lisette M. Desouza, Ineke Ceder
    Abstract:

    Research shows that Family communication about sexuality can protect against teens’ risky sexual behavior. However, few studies assess talk with Extended Family about sex or how this communication relates to teens’ sexual behavior. The current study includes cross-sectional survey data from 952 adolescents. Structural equation modeling (SEM) was used to assess associations between teens’ sexual risk behaviors and communication with Extended Family about protection methods, risks of sex and relational approaches to sex, defined as talk about sex within a close relationship. For sexually active teens, talk about protection methods was associated with fewer sexual partners and talk about risks of sex was associated with more sexual partners regardless of teen gender and the generation of Extended Family with whom teens talk. Results suggest that Extended-Family talk about sex may influence teens’ sexual behavior independent of effects of teen–parent communication. However, the direction of the effect depends on the content of the conversations. These findings suggest the need to explore whether and how Extended Family could be included in health prevention and intervention programs, because programs which include Family largely focus on parents.

  • Extended-Family Talk about Sex and Teen Sexual Behavior
    Proceedings, 2018
    Co-Authors: Jennifer M. Grossman, Amanda M. Richer, Alicia D. Lynch, Lisette M. Desouza
    Abstract:

    Research shows that Family sexuality communication is protective for teens’ risky sexual behavior, but most studies on this topic focus exclusively on the parent–teen dyad. The few studies that assessed Extended Family sexuality communication use a single item to measure this communication and showed mixed results as to whether it is associated with sexual risk behaviors for teens. The current study included cross-sectional survey data from 952 teens in the 11th and 12th grades. Structural equation modeling (SEM) was used to assess associations between teens’ sexual risk behaviors and communication with Extended Family about protection methods, risks of sex and relational approaches to sex. Results showed that, for sexually active teens, talk about protection methods was associated with fewer sexual partners and talk about risks of sex was associated with more sexual partners, even after accounting for talk with parents about sex and controlling for teen gender, racial/ethnic background and mothers’ education. Results suggest that Extended Family talk with teens about sex might protect them from risky sexual behavior, over and above the effects of teen–parent communication. However, the direction of the effect depends on the content of the conversations. Talk about protection might support teens’ sexual health, while talk about risks of sex with teens who have already had sex, might not be effective. These findings suggest the need to explore whether and how Extended Family could be included in health prevention and intervention programs, which currently focus on parents.

  • Youth Perspectives on Sexuality Communication With Parents and Extended Family
    Family Relations, 2018
    Co-Authors: Jennifer M. Grossman, Amanda M. Richer, Ineke Ceder, Linda Charmaraman, Sumru Erkut
    Abstract:

    Objective: To explore Extended-Family sexuality communication and compare it with parent sexuality communication. Background: Family communication about sex can protect teens from sexual risk behavior. However, most studies on this topic focus exclusively on the parent-teen dyad; few capture the broader context of teens' Family communication. Method: Using a mixed-methods approach, a convenience sample of 22 teens from diverse racial and ethnic backgrounds were interviewed. Participants were asked to identify Family members with whom they talk about sex and relationships, topics discussed, messages shared, and the teens' comfort talking about sex and relationships. Thematic analysis was used to explore participants' shared meanings and experiences. Results: Eighty-six percent of teens reported talking with both parents and Extended Family about sex. Teens were more likely to report that parents than Extended Family shared messages about delaying sex and avoiding teen pregnancy and gave advice or shared information about sex. Teens were more likely to view Extended Family than parents as easy to talk with and as having shared life experiences, and some reported avoiding talk with parents about issues related to sexuality due to feeling awkward or fearing a negative reaction. Conclusion: Extended Family may play a somewhat different role than parents in teens' sexuality communication, but Family members showed a largely common set of Family values. Implications: Extended Family may be a valuable teen resource for sexuality communication, particularly when teens feel uncomfortable talking with parents.

  • The Role of Extended Family in Teen Sexual Health
    Journal of Adolescent Research, 2014
    Co-Authors: Jennifer M. Grossman, Allison J. Tracy, Amanda M. Richer, Sumru Erkut
    Abstract:

    Despite increasing Extended Family involvement in child rearing, particularly in minority families, few studies investigate their role in talking with teens about sex or how this relates to teens’ sexual behavior. This mixed-methods study assesses Extended Family sexuality communication through a survey of 1,492 diverse middle school students and interviews with 32 students. Logistic regression shows that participants who report having had sex are more likely to report talking with Extended Family than those who report not having had sex. Interview themes explored reasons for and content of teen sexuality conversations with Extended Family. More sexually active teens’ reporting communication with Extended Family is interpreted as Extended Family members gaining importance in sexuality communication as teens become sexually active.

Sumru Erkut - One of the best experts on this subject based on the ideXlab platform.

  • Youth Perspectives on Sexuality Communication With Parents and Extended Family
    Family Relations, 2018
    Co-Authors: Jennifer M. Grossman, Amanda M. Richer, Ineke Ceder, Linda Charmaraman, Sumru Erkut
    Abstract:

    Objective: To explore Extended-Family sexuality communication and compare it with parent sexuality communication. Background: Family communication about sex can protect teens from sexual risk behavior. However, most studies on this topic focus exclusively on the parent-teen dyad; few capture the broader context of teens' Family communication. Method: Using a mixed-methods approach, a convenience sample of 22 teens from diverse racial and ethnic backgrounds were interviewed. Participants were asked to identify Family members with whom they talk about sex and relationships, topics discussed, messages shared, and the teens' comfort talking about sex and relationships. Thematic analysis was used to explore participants' shared meanings and experiences. Results: Eighty-six percent of teens reported talking with both parents and Extended Family about sex. Teens were more likely to report that parents than Extended Family shared messages about delaying sex and avoiding teen pregnancy and gave advice or shared information about sex. Teens were more likely to view Extended Family than parents as easy to talk with and as having shared life experiences, and some reported avoiding talk with parents about issues related to sexuality due to feeling awkward or fearing a negative reaction. Conclusion: Extended Family may play a somewhat different role than parents in teens' sexuality communication, but Family members showed a largely common set of Family values. Implications: Extended Family may be a valuable teen resource for sexuality communication, particularly when teens feel uncomfortable talking with parents.

  • The Role of Extended Family in Teen Sexual Health
    Journal of Adolescent Research, 2014
    Co-Authors: Jennifer M. Grossman, Allison J. Tracy, Amanda M. Richer, Sumru Erkut
    Abstract:

    Despite increasing Extended Family involvement in child rearing, particularly in minority families, few studies investigate their role in talking with teens about sex or how this relates to teens’ sexual behavior. This mixed-methods study assesses Extended Family sexuality communication through a survey of 1,492 diverse middle school students and interviews with 32 students. Logistic regression shows that participants who report having had sex are more likely to report talking with Extended Family than those who report not having had sex. Interview themes explored reasons for and content of teen sexuality conversations with Extended Family. More sexually active teens’ reporting communication with Extended Family is interpreted as Extended Family members gaining importance in sexuality communication as teens become sexually active.