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Qualitative Health Research
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The Church Family and Kin: An Older Rural Black Woman’s Support Network and Preferences for Care Providers

Eileen J. Porter

University of Missouri-Columbia

Lawrence H. Ganong

University of Missouri

Jane M. Armer

Office of Research at Sinclair School of Nursing, University of Missouri-Columbia

Although kin and church are considered premier support sources for rural elders, few scholars have undertaken descriptive studies to explore the nature of rural Black elders’ support networks and their preferences for in-home service providers. In the case study described in this article, methods of support network analysis and descriptive phenomenology were used to analyze data from five lengthy, open-ended interviews with a 94-year-old rural Black woman. The various groups and individuals of her network are labeled in her words, the network’s supportive functions are described, and preferences for providers are noted. In addition, the varying structures of her home care experience with the support network members are described. Her attempts to voice and exercise her preferences for in-home service providers are explained in terms of two contrasting processes: preference uptake and preference suppression. Based on these findings, implications for appraising the appropriateness of rural elders’ in-home services are discussed.

Qualitative Health Research, Vol. 10, No. 4, 452-470 (2000)
DOI: 10.1177/104973200129118570
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