While conducting ethnographic fieldwork and in-depth interviews, it was apparent that previous research failed to capture the gravity of health challenges experienced by grandparent caregivers.  High blood pressure, strokes, heart attacks, diabetes, obesity, various cancers, depression, and mental illness were widespread among study participants. At the same time, some women engaged in stress minimization and denial in the face of obvious hardship and unremitting stressors. Black grandmothers in skipped-generation households experience significant stressors without comparable coping resources. My next project addresses the health disparities they experience when compared to their non-caregiving counterparts and other racial/ethnic groups. By incorporating interventions and biological measures into future research, I have charted a course toward understanding and impacting the relationship between chronic stress, stress appraisals, coping, and health outcomes.