Intergenerational African families in which the grandmother is the primary caregiver of grandchildren and great-grandchildren are increasing rapidly in American society. Over the past decade, researchers and policy makers have shown considerable concern over the increases in grandparent-maintained households. This concern has stimulated a proliferation of research on grandparent caregiving on a wide range of issues. Among these are the impact of multiple roles on health, reasons for the rapid increase, problems and needs, social structure and extended family relationships, social support,...