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      Family Matters: Research on Family Ties and Health, 2010 to 2020

      1 , 2
      Journal of Marriage and Family
      Wiley

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          Abstract

          <p class="first" id="P1">Family ties have wide-ranging consequences for health, for better and for worse. This decade review uses a life course perspective to frame significant advances in research on the effects of family structure and transitions (e.g., marital status), and family dynamics and quality (e.g., emotional support from family members), on health across the life course. Significant advances include the linking of childhood family experiences to health at older ages, identification of biosocial processes that explain how family ties influence health throughout life, research on social contagion showing how family members influence one another’s health, and attention to diversity in family and health dynamics, including gender, sexuality, socioeconomic, and racial diversity. Significant innovations in methods include dyadic and family-level analysis and causal inference strategies. The review concludes by identifying directions for future research on families and health, advocating for a “family biography” framework to guide future research, and calling for more research specifically designed to assess policies that affect families and their health from childhood into later life. </p>

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          Most cited references60

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          Marital quality and health: a meta-analytic review.

          This meta-analysis reviewed 126 published empirical articles over the past 50 years describing associations between marital relationship quality and physical health in more than 72,000 individuals. Health outcomes included clinical endpoints (objective assessments of function, disease severity, and mortality; subjective health assessments) and surrogate endpoints (biological markers that substitute for clinical endpoints, such as blood pressure). Biological mediators included cardiovascular reactivity and hypothalamic-pituitary-adrenal axis activity. Greater marital quality was related to better health, with mean effect sizes from r = .07 to .21, including lower risk of mortality (r = .11) and lower cardiovascular reactivity during marital conflict (r = -.13), but not daily cortisol slopes or cortisol reactivity during conflict. The small effect sizes were similar in magnitude to previously found associations between health behaviors (e.g., diet) and health outcomes. Effect sizes for a small subset of clinical outcomes were susceptible to publication bias. In some studies, effect sizes remained significant after accounting for confounds such as age and socioeconomic status. Studies with a higher proportion of women in the sample demonstrated larger effect sizes, but we found little evidence for gender differences in studies that explicitly tested gender moderation, with the exception of surrogate endpoint studies. Our conclusions are limited by small numbers of studies for specific health outcomes, unexplained heterogeneity, and designs that limit causal inferences. These findings highlight the need to explicitly test affective, health behavior, and biological mechanisms in future research, and focus on moderating factors that may alter the relationship between marital quality and health. (PsycINFO Database Record (c) 2013 APA, all rights reserved).
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            Incarceration and Stratification

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              Racial/ethnic discrimination and well-being during adolescence: A meta-analytic review.

              This meta-analytic study systematically investigates the relations between perceived racial/ethnic discrimination and socioemotional distress, academics, and risky health behaviors during adolescence and potential variation in these relations. The study included 214 peer-reviewed articles, theses, and dissertations with 489 unique effect sizes on 91,338 unique adolescents. Random-effects meta-analyses across 11 separate indicators of well-being identified significant detrimental effects. Greater perceptions of racial/ethnic discrimination were linked to more depressive and internalizing symptoms, greater psychological distress, poorer self-esteem, lower academic achievement and engagement, less academic motivation, greater engagement in externalizing behaviors, risky sexual behaviors, and substance use, and more associations with deviant peers. Meta-regression and subgroup analyses indicated differences by race/ethnicity, gender-by-race/ethnicity interactions, developmental stage, timing of retrospective measurement of discrimination, and country. Overall, this study highlights the pernicious effects of racial/ethnic discrimination for adolescents across developmental domains and suggests who is potentially at greater risk.
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                Author and article information

                Journal
                Journal of Marriage and Family
                Fam Relat
                Wiley
                0022-2445
                1741-3737
                January 05 2020
                February 2020
                January 05 2020
                February 2020
                : 82
                : 1
                : 404-419
                Affiliations
                [1 ]University of Texas at Austin
                [2 ]University of Alabama at Birmingham
                Article
                10.1111/jomf.12640
                8048175
                33867573
                06e6e9be-31f7-42c6-84f7-feb563c33630
                © 2020

                http://onlinelibrary.wiley.com/termsAndConditions#vor

                http://doi.wiley.com/10.1002/tdm_license_1.1

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