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. 2020 Dec;59(4):1608-1626.
doi: 10.1111/famp.12505. Epub 2019 Nov 20.

The Critical Need to Recognize That Families Matter for Adult Health: A Systematic Review of the Literature

Sarah B Woods  1 , Kate Bridges  1 , Erica N Carpenter  2
Affiliations

The Critical Need to Recognize That Families Matter for Adult Health: A Systematic Review of the Literature

Sarah B Woods et al. Fam Process. 2020 Dec.

Abstract
in English, Spanish, Chinese

A systemic approach to researching families and health should capture the complex network within which family members are embedded, including multiple family relationships and larger systems of health care. However, much of the families and health research focused on adult family members has focused solely on intimate partnerships, usually the marital relationship. This neglects the remainder of the powerfully influencing family relationships adults retain, and may increasingly focus on as they age. We conducted a systematic review of the families and adult health literature, retaining 72 articles which were subsequently thematically coded to highlight main foci of this area of research. Results highlight six themes, which include family relationship quality, family composition, behavioral factors in health and health care, psychophysiological mediators, caregiving, and aging health. Findings support an underrepresentation of family members, other than the intimate partner, in research on adult health.

Un enfoque sistémico de la investigación sobre las familias y la salud debería captar la red compleja dentro de la cual están insertados los familiares, incluidas las relaciones entre varias familias y los sistemas más amplios de asistencia sanitaria. Sin embargo, gran parte de la investigación sobre las familias y la salud centrada en los familiares adultos se ha concentrado únicamente en las relaciones íntimas, generalmente en las relaciones conyugales. Esto desatiende el resto de las relaciones familiares fuertemente influyentes que lo adultos conservan, y en las que posiblemente se centren cada vez más a medida que envejecen. Realizamos un análisis sistemático de la bibliografía sobre las familias y la salud de los adultos, y conservamos 72 artículos que posteriormente se codificaron temáticamente para destacar los ejes principales de esta área de investigación. Los resultados recalcan seis temas, entre los cuales se encuentran: la calidad de las relaciones familiares, la composición familiar, los factores conductuales en la salud y la asistencia sanitaria, los mediadores psicofisiológicos, el cuidado, y la salud en la vejez. Los resultados respaldan una subrepresentación de los familiares aparte de la pareja íntima en las investigaciones sobre la salud de los adultos.

系统方法研究家庭和健康应该把握住复杂的网络 ，在这个网络里家庭成员都交织在一起，这个网络包括了多重家庭关系和更大的保健系统。但是，聚焦于成人家庭成员的家庭和健康相关研究很多都只关注亲密关系，也就是婚姻关系。成人维护的有强大影响力的家庭关系中还有很多其他的关系都被忽视了，而且随着年龄变大，越会对亲密关系更关注。本文对家庭和成人健康相关文献进行系统性研究，72篇筛选出的文章依次按照主题进行解码，找到这个领域内的主要核心主题。结果表明有六大主题，其包括：家庭关系质量，家庭结构，健康和保健方面的行为因素，心理身体调节因素，看护情况，和老年人健康。研究结果支持在成人健康方面的研究中较少得到代表的家庭成员，而不仅仅是亲密伴侣。.

Keywords: Chronic Disease; Family Relations; Health; Health Behavior; Systems Theory; comportamiento con respecto a la salud; enfermedad crónica; relaciones familiares; salud; teoría de sistemas; 健康; 健康行为; 家庭关系; 慢性病; 系统理论.

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