1. At the Intersection of Race, Socioeconomics, and Chronic Illness: A Case and Frame Analysis of Two Survivor-Caregiver Dyads in the Aftermath of Stroke.
- Author
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McCarthy, Michael J., Wells, Anjanette, Schellinger, Jeffrey, and Bird, Angela
- Subjects
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FRAMES (Social sciences) , *STROKE , *SOCIAL determinants of health , *ECOLOGICAL systems theory , *LIFE change events , *CHRONIC diseases - Abstract
Although the overall incidence of stroke in the United States has decreased in recent years, the incidence of stroke among Black Americans has not changed. This has resulted in a widening gap between White and Black stroke survivors and their families. A variety of factors contribute to this inequity including social determinants of health (e.g., adverse life events, discrimination, neighborhood deprivation, lack of access to health care). This article uses a "case and frame" approach, through the lens of ecological systems theory, to illustrate how social determinants of health express themselves in two stroke survivor-caregiver dyads living in a large Midwestern city. We draw out implications for practice and policy in social work and related disciplines that focus on recognizing the impact of social determinants of health, developing culturally-specific interventions that mitigate unique stressors but that also leverage unique strengths, and building capacity for cultural competence and cross-cultural health communication within organizations. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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