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Decisions to Seek Healthcare Based on Family Health History Among Urban Appalachian Women |
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| Authors: | Robyn A. Cree John Lynch Margaret G. Au Melanie F. Myers |
| Affiliation: | (1) College of Medicine, University of Cincinnati, Cincinnati, OH, USA;(2) Department of Communication; College of Arts & Sciences, University of Cincinnati, Cincinnati, OH, USA;(3) Reproductive Endocrine Unit, Massachusetts General Hospital, Boston, MA, USA;(4) College of Allied Health Sciences, University of Cincinnati, Cincinnati, OH, USA;(5) Division of Human Genetics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA;(6) 3333 Burnet Avenue ML 4006, Cincinnati, OH 45229, USA |
| Abstract: | Family health history (FHH) is a valuable health promotion tool that can be used to assess disease risk and make lifestyle and screening recommendations. However, few FHH resources exist for medically underserved populations such as the urban Appalachian community in Cincinnati Ohio. Women of Appalachian heritage with less than a college education who did and did not participate in a prior FHH education session were interviewed by phone in a semi-structured format. Interviewees were asked to discuss their understanding of FHH and the role FHH played in seeking (or not seeking) medical care. Analysis of their discussion identified four overarching themes as well as a model identifying conditions that facilitated or impeded the choice to seek medical care based on FHH. Findings from this study may be used to develop targeted FHH educational interventions in the urban Appalachian and other communities. |
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