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Understanding Complex Roles of Family for Latina Health

Evaluating Family Obligation Stress

Molina, Yamilé PhD; Henderson, Vida PharmD, PhD; Ornelas, India J. PhD; Scheel, John R. MD, PhD; Bishop, Sonia BS; Doty, Sarah L. MSW; Patrick, Donald L. PhD; Beresford, Shirley A. A. PhD; Coronado, Gloria D. PhD

doi: 10.1097/FCH.0000000000000232
Original Articles

We developed a measure of family obligation stress and compared its relationship to health and unmet health care needs relative to social support among a sample of US-based Latinas. Data come from a randomized controlled trial within 4 clinics to increase mammography among Latinas (n = 539). The 1-factor measure had acceptable reliability and construct validity. Family obligation stress was associated with worse health and greater unmet health care needs. Family obligation stress varied by years in the United States and country of origin. Our measure of family obligation stress contributes new venues to family research among Latino populations.

Community Health Sciences Division, School of Public Health, University of Illinois at Chicago (Dr Molina); University of Illinois Cancer Center, Chicago (Dr Henderson); Departments of Health Services (Drs Ornelas and Patrick) and Epidemiology (Dr Beresford), School of Public Health, University of Washington, Seattle; Department of Radiology, School of Medicine, University of Washington, Seattle (Dr Scheel); Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington (Ms Bishop); Health Education Program Coordinator, Sea Mar Community Health Centers, Seattle, Washington (Ms Doty); and Kaiser Permanente Research Center for Health Research, Portland, Oregon (Dr Coronado).

Correspondence: Yamile Molina, PhD, Community Health Sciences Division, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612 (

This work was supported in part by the National Cancer Institute at the National Institutes of Health [P50CA148143, R25CA92408, K01CA193918]. Dr Molina was supported by the Cancer Center and Center for Research on Women and Gender at the University of Illinois at Chicago.

The authors declare no conflicts of interest.

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