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Wippold GM, Abshire DA, Wilson DK, Woods T, Zarrett N, Griffith DM. Shop Talk: A Qualitative Study to Understand Peer Health-related Communication Among Black Men at the Barbershop. Ann Behav Med 2024:kaae027. [PMID: 38815252 DOI: 10.1093/abm/kaae027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2024] Open
Abstract
BACKGROUND While successful health promotion efforts among Black men have been implemented at barbershops, the focus has largely been on outcomes as opposed to the processes by which outcomes are produced. An understanding of processes can be leveraged in the design and implementation of future efforts to improve the health of Black men. PURPOSE The objectives of the present study were to: (i) understand peer-derived sources of health-related support at the barbershop and (ii) understand the role of the barbershop in promoting health among Black men. METHODS Seven focus groups were conducted at barbershops used predominately by Black men. Each focus group lasted between 45 and 60 min. Using a thematic approach, each focus group was independently coded by two coders using a codebook derived from an inductive and deductive approach. The results were confirmed with members of the community advisory board. RESULTS Three themes emerged: (i) dynamic and candid exchange of health-related support at the barbershop; (ii) tailored forms of health-related and judgment-free communication that provide encouragement and increase motivation; and (iii) characteristics of a supportive environment at the barbershop that facilitate health-related communication. CONCLUSIONS The findings of the present study offer a potential pathway for public health efforts seeking to improve health among Black men. Those interested in designing and implementing these efforts can create tailored programs for Black men by recognizing and leveraging the unique dynamics of health-related conversations at the barbershop.
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Affiliation(s)
- Guillermo M Wippold
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Demetrius A Abshire
- College of Nursing, University of South Carolina, Columbia, South Carolina, USA
| | - Dawn K Wilson
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Terry Woods
- Healthy Mind, Body, and Family Foundation, Sumter, South Carolina, USA
- Main Attraction Barbershop, Sumter, South Carolina, USA
| | - Nicole Zarrett
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Derek M Griffith
- Department of Health Management and Policy, School of Health, Georgetown University, Washington, DC, USA
- Center for Men's Health Equity, Georgetown University, Washington, DC, USA
- Racial Justice Institute, Georgetown University, Washington, DC, USA
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Potter D, Valera P. Health Is Power, and Health Is Wealth: Understanding the Motivators and Barriers of African American/Black Male Immigrants With Gastrointestinal Conditions. Am J Mens Health 2024; 18:15579883241227333. [PMID: 38311894 PMCID: PMC10846062 DOI: 10.1177/15579883241227333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 11/27/2023] [Accepted: 11/30/2023] [Indexed: 02/06/2024] Open
Abstract
The digestive health of African American/Black male immigrants in the United States has not been previously studied. Much of what is known about gastrointestinal (GI) concerns in this population is based on studies conducted on the overall Black American population. The purpose of this narrative study was to understand how African American/Black male immigrants with GI concerns navigated their GI condition. Fifteen African American/Black male immigrants from various cities in the United States participated in two remote focus groups to discover what motivates them to take control of their illness. Narrative analysis was used to analyze the qualitative data. Most men, 47% (n = 7), did not have health insurance, and 67% (n = 10) reported their income was less than US$52,000. The themes identified were: (1) lack of knowledge of GI, (2) denial of initial diagnosis, (3) self-discipline, (4) positive provider interactions, (5) health as a priority, and (6) advice to other African American/Black male immigrants experiencing GI. A strengths-based approach is necessary for describing the health-seeking behaviors among African American/Black male immigrants.
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Affiliation(s)
- Daina Potter
- School of Public Health, Rutgers University, Newark, NJ, USA
| | - Pamela Valera
- School of Public Health, Rutgers University, Newark, NJ, USA
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Lee DC, Shi L, Wang J, Sun G. Usual source of care and access to care in the US: 2005 vs. 2015. PLoS One 2023; 18:e0278015. [PMID: 36638087 PMCID: PMC9838861 DOI: 10.1371/journal.pone.0278015] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Accepted: 11/09/2022] [Indexed: 01/14/2023] Open
Abstract
INTRODUCTION The study examined the association of usual source of care (USC) and healthcare access using a series of access indicators including both positive and negative measures for the US population in 2005 and 2015 while controlling for individual sociodemographic and socioeconomic characteristics. Results of the study would help advance the knowledge of the relationship between USC and access to care and assist decisionmakers in targeted interventions to enhance USC as a strategy to enhance access. METHODS The household component of the US Medical Expenditure Panel Survey (MEPS-HC) in 2005 and 2015 were used for the study. To estimate the relative risk of having USC on access to care, odds ratios (ORs) and their 95% confidence intervals (CIs) were used with unconditional logistic regression and adjusted for socioeconomic and demographic characteristics. RESULTS Those with USC were significantly more likely to have better access to care compared to those without USC. The USC-access connection remains significant and strong even after controlling for socioeconomic and demographic characteristics. Regarding subpopulations likely to lack USC, two notable findings are that racial/ethnic minorities (Black, Asian, and Hispanic) are more likely than White to lack USC and that those uninsured are more likely to lack USC. CONCLUSION The study contributes to the literature on USC and access to care and has significant policy and practical implications. For example, having a USC is critical to accessing the health system and is particularly important as a tool to addressing racial disparities in access.
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Affiliation(s)
- De-Chih Lee
- Department of Information Management, Da-Yeh University, Changhua, Taiwan, R.O.C
| | - Leiyu Shi
- Johns Hopkins Primary Care Policy Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Jing Wang
- Johns Hopkins Primary Care Policy Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America
- Anhui Medical University, Hefei, China
| | - Gang Sun
- Department of Health Management, School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
- * E-mail: ,
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Burns JC, Reeves J, Calvert WJ, Adams M, Ozuna-Harrison R, Smith MJ, Baranwal S, Johnson K, Rodgers CRR, Watkins DC. Engaging Young Black Males in Sexual and Reproductive Health Care: A Review of the Literature. Am J Mens Health 2021; 15:15579883211062024. [PMID: 34877895 PMCID: PMC8664320 DOI: 10.1177/15579883211062024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Young Black males (YBM) ages 18 to 24 years are more at risk of contracting sexually transmitted infections (STIs) and have a substantially greater need for sexual reproductive health (SRH) services than other groups. Despite this significant need, the extant literature does not provide a comprehensive picture of how YBM seek preventive care services (e.g., STI testing). Therefore, the purpose of this review is to address YBM’s SRH access and use of STI/HIV testing and screening in this population, with a specific emphasis on young heterosexual Black males, by identifying barriers and facilitators of engaging with SRH care. An electronic search was performed using Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, PubMed, and Scopus online databases. Keywords were adapted to each database and included variations of “Black males,” “sexual reproductive healthcare services,” “youth (18-24 years old),” and “healthcare access and utilization.” Studies from the review reported that barriers to engaging in SRH care included lack of health insurance, ideas of masculinity that conflict with SRH care, stigma related to accessing services, and lack of knowledge regarding available services and care options. The top facilitators for utilizing SRH care were engagement on behalf of health clinics, confidence gained from social support, access to quality health care in one’s community, and trust in the health care system and providers. This review contributes to the current state of the science and is important to the improvement of high-quality services for this population, including respect, choice in care, confidentially, and compassion.
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Affiliation(s)
- Jade C Burns
- School of Nursing, University of Michigan, Ann Arbor, MI, USA
| | - Jaquetta Reeves
- College of Nursing and Health Innovation, The University of Texas at Arlington, Arlington, TX, USA
| | | | - Mackenzie Adams
- School of Nursing, University of Michigan, Ann Arbor, MI, USA
| | - Rico Ozuna-Harrison
- College of Literature, Science, and the Arts, University of Michigan, Ann Arbor, MI, USA
| | - Maya J Smith
- Medical School, University of Michigan, Ann Arbor, MI, USA
| | - Salisha Baranwal
- College of Literature, Science, and the Arts, University of Michigan, Ann Arbor, MI, USA
| | - Kedar Johnson
- School of Nursing, University of Michigan, Ann Arbor, MI, USA
| | - Caryn R R Rodgers
- Department of Pediatrics, Division of Academic General Pediatrics, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Daphne C Watkins
- Vivian A. and James L. Curtis Center for Health Equity Research and Training, School of Social Work, University of Michigan, Ann Arbor, MI, USA
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Cunningham-Erves J, Campbell L, Barlow C, Barajas C, Mayo-Gamble T, Perry M, Johnson G. Reducing HPV Associated Cancers and Disparities: Engaging African American Men to Develop a Culturally-Appropriate Program that Addresses their Needs. AMERICAN JOURNAL OF HEALTH EDUCATION 2021; 52:194-206. [PMID: 34239655 DOI: 10.1080/19325037.2021.1930614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Background The Healthy Men, Health Communities program aims to improve preventive behaviors among African American men to reduce HPV-related cancer disparities. Purpose We describe the development of an educational intervention using cultural-targeting strategies (i.e., linguistics, peripherals, evidence, socio-culture, and constituent-involving). Methods After building capacity of community-based organization (CBO) leaders as research team members, we conducted 3 focus groups, 30 surveys, and a community review and program evaluation with African American men. Results Focus group themes were: 1) The Known and Unknown of Cancer, HPV, and the vaccine; (2) Personal experiences with cancer were commonplace; (3) Barriers to Engaging HPV Cancer Preventive Behaviors; (4) Multi-Modal Strategies are needed to improve preventive behaviors; and (5) Actual versus Preferred Sources of Information. Survey data indicated men desired information on penile (52%) and oral cancers (48%). The preferred education format was a summit with speakers on various topics (96%). Post-summit evaluation indicated majority of males intended to get screened (73%), eat healthier (77%), and exercise more (64%). About 40% reported getting themselves, children, or grandchildren the HPV vaccine. Discussion Our program demonstrated acceptability, feasibility, and preliminary efficacy. This work warrants further study as a potential program to improve HPV preventive behaviors among African American men.
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Affiliation(s)
- Jennifer Cunningham-Erves
- Department of Internal Medicine, Meharry Medical College, 1005 Dr. D.B. Todd Jr. Blvd, Nashville, Tennessee, 37208-3599, United States
| | - Lanese Campbell
- Second Missionary Baptist Cooperative Ministries, 1000 Halcyon Ave, Nashville, Tennessee, 37204, United States
| | - Calvin Barlow
- Second Missionary Baptist Cooperative Ministries, 1000 Halcyon Ave, Nashville, Tennessee, 37204, United States
| | - Claudia Barajas
- Vanderbilt Ingram Cancer Center, 1301 Medical Center Dr #1710, Nashville, Tennessee, 37232
| | - Tilicia Mayo-Gamble
- Department Community Health Behavior and Education, Georgia Southern University, P.O. Box 8015, 501 Forest Drive, Statesboro, GA, 30460, United States
| | - Michel Perry
- Tennessee Department of Health, 665 Mainstream Drive, Nashville, Tennessee 37243, United States
| | - George Johnson
- School of Graduate Studies and Research, Meharry Medical College, Nashville, Tennessee 37208-3599, United States
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Adams RD, Johnson WE. Faith as a Mechanism for Health Promotion among Rural African American Prostate Cancer Survivors: A Qualitative Examination. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3134. [PMID: 33803629 PMCID: PMC8003072 DOI: 10.3390/ijerph18063134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 03/10/2021] [Accepted: 03/13/2021] [Indexed: 01/04/2023]
Abstract
Conceptualized using critical race theory as a theoretical underpinning, this study analyzed the lived experiences of older, rural, African American male prostate cancer (hereafter referenced as PrCA) survivors' faith and health promotion practices within Northeast Louisiana. Qualitative data from journaling, observations, and semi-structured interviews were obtained from ten older, African American male PrCA survivors residing in four rural parishes of Louisiana. The data analysis employed a two-stage approach known as Polkinghorne's analysis of narratives and narrative analysis using an art-based methodological approach. Framed as composite character counterstories, survivors' narratives revealed how survivors made sense of and gave meaning to their PrCA diagnosis, treatment, recovery, and survivorship. Specifically, their counterstories indicate that centering and honoring the unique and often taken-for-granted perspectives of older, rural, African American male PrCA survivors offered a deeper understanding of the multiple factors influencing their quality of life, as well as the sociostructural mechanisms impacting their survivorship care. Faith was examined as both a secular and sacred source of support that these men viewed as central to the acceptance of their diagnosis, treatment, recovery, and survivorship.
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Affiliation(s)
- Raymond D. Adams
- Department of Social Work, Psychology & Counseling, College of Education, Humanities, and Behavioral Sciences, Alabama A&M University, Normal, AL 35810 1, USA
| | - Waldo E. Johnson
- Crown Family School of Social Work, Policy, and Practice, The University of Chicago, Chicago, IL 60637 2, USA
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