Beyond the Individual: Social and Cultural Influences on the Health-Seeking Behaviors of African American Men

Eley, Natalie T.; Namey, Emily; McKenna, Kevin; Johnson, Annette Carrington; Guest, Greg

doi:10.1177/1557988319829953

Cited by 32 publications

(26 citation statements)

References 34 publications

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“…Although we are interested in measuring the effect of women's influence on knowledge retention in the male cohort, testing that influence directly is beyond the scope of the pilot. Findings from the current study are largely in agreement and build on those of previous studies demonstrating the interest and involvement of women in the health and health care of AA communities (Allen et al, 2018(Allen et al, , 2013Eley et al, 2019;Jones et al, 2010;Plowden & Young, 2003).…”

Section: Increase In Knowledge and Awarenesssupporting

confidence: 90%

Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

et al. 2020

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African American (AA) men continue to experience worse health outcomes compared to men of other races/ethnicities. Community-based interventions are known to be effective in health promotion and disease prevention. The program objectives were to (a) increase knowledge and risk awareness of targeted conditions, (b) change health-care-seeking attitudes toward regular primary care among AA men, and (c) improve their lifestyle-related health behaviors by leveraging the influence of women in their lives. The community-engaged educational intervention targeted both men and women and included eight 90-min sessions per cohort. Topics included prostate cancer, cardiovascular disease, diabetes, mental health, health-care access, and healthy lifestyle. Sessions were both didactic and interactive. A pre-/post-intervention questionnaire assessed knowledge. Interviews were conducted with male participants and a focus group discussion (FGD) with women to assess program impact. Interview and FGD transcripts were analyzed for themes and recommendations. Major themes were—increased knowledge/awareness of risk associated with chronic conditions, change in health-care-seeking attitudes, increased self-efficacy to engage the health-care system, and lifestyle changes. Other impacts reported were building community/social support, a safe and enabling learning environment, and enhanced community health status overall. Recommendations included having extended, more in-depth sessions, targeting the younger generation, smaller cohort sizes, and more community-based health programming. Community-engaged health promotion using a cohort model as well as including women can be effective in increasing knowledge, enhancing self-efficacy, and providing the much-needed social support. These can influence health-related behaviors and thus contribute to improving health outcomes for AA men.

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Section: Increase In Knowledge and Awarenesssupporting

confidence: 90%

Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

et al. 2020

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“…Generally, the behaviour of people to engage in care and treatment is dependent on several factors including the socio-cultural environment [18, 19]. The theory of explanatory model of health and illness recognises different beliefs and notions held by people regarding disease and its treatment [20, 21].…”

Section: Introductionmentioning

confidence: 99%

Barriers to chronic Hepatitis B treatment and care in Ghana: A qualitative study with people with Hepatitis B and healthcare providers

et al. 2019

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Background Hepatitis B viral (HBV) infection remains an important public health concern particularly in Africa. Between 1990 and 2013, Hepatitis B mortality increased by 63%. In recent times, effective antiviral agents against HBV such as Nucleos(t)ide analogs (NAs) are available. These drugs are capable of suppressing HBV replication, preventing progression of chronic Hepatitis B to cirrhosis, and reducing the risk of hepatocellular carcinoma and liver-related death. Notwithstanding, these treatments are underused despite their effectiveness in managing Hepatitis B. This study sought to explore barriers to treatment and care for people with Hepatitis B (PWHB) in Ghana, paying particular attention to beliefs about aetiology that can act as a barrier to care for PWHB. Methods We used an exploratory qualitative design with a purposive sampling technique. Face-toface interviews were conducted for 18 persons with Hepatitis B (PWHB) and 15 healthcare providers (HCP; physicians, nurses, and midwives). In addition, four focus group discussions (FGD) with a composition of eight HCPs in each group were done. Participants were recruited from one tertiary and one regional hospital in Ghana. Data were processed using QSR Nvivo version 10.0 and analysed using the procedure of inductive thematic analysis. Participants were recruited from one tertiary and one regional hospital in Ghana. Results Three main cultural beliefs regarding the aetiology of chronic Hepatitis B that act as barriers to care and treatment were identified. These were: (1) the belief that chronic Hepatitis B is a punishment from the gods to those who touch dead bodies without permission from their landlords, (2) the belief that bewitchment contributes to chronic Hepatitis B, and (3) the belief that chronic Hepatitis B is caused by spiritual poison. Furthermore, individual level barriers were identified. These were the absence of chronic Hepatitis B signs and symptoms,

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“…Studies had reported that affordability was vital in influencing the choice of treatment provider among the men who made out-of-pocket payment. [6,9,32] Also, socioeconomic factors influence the utilization of health facilities in the absence of health insurance ownership. [9,33] The majority of the respondents who did not subscribe to health insurance (HI) still depended on drug prescriptions for treatment in the last illness episode and visited chemist shops or engaged in self-medication.…”

Section: Discussionmentioning

confidence: 99%

“…The impact of gender norm is not limited to men in Africa but extends to other parts of the globe including the United States and Europe. [32,36] Studies have shown that the description of masculinity and gender as it relates to health is very unhelpful because most men tend to visit the hospital for the curative care of advanced ailments. [30] A majority (95%) of the participants rated themselves as having generally good health and 35.8% reported very good health.…”

Section: Discussionmentioning

confidence: 99%

Health-seeking Behaviour and Self-rated Health of Adult Men in an Urban Local Government Area in Lagos, Nigeria

Ogunyemi¹,

Egemba²,

Onigbogi³

2021

Ann Health Res

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Background: Evidence from the literature suggests that men are less likely to seek health services compared to women. It is important to understand the factors that influence the health-seeking behaviour of men and how it affects their self-rated health. Objectives: To assess the health-seeking behaviour and self-rated health perception of adult men in an urban community in Lagos state. Methods: A descriptive, cross-sectional study was conducted among 300 adult males aged 18 years and above in an urban community in Lagos State, Nigeria. An interviewer-administered questionnaire was used to obtain relevant data. Associations between categorical variables were subjected to statistical analysis. Results: The health-seeking behaviour of the men in the study area was influenced by factors such as the severity of illness (66.1%), availability of funds (13.1%) and subscription to health insurance (18.2%). A majority (94.7%) self-rated their health as good, very good or excellent. Provision of expert care (45.6%) was considered the most important characteristic of health-seeking behaviour. Alcohol consumption (38.8%) was significantly associated with the health perception of the respondents. The respondents (50.2%) preferred using hospitals, compared to other sources during their last illness episode. Conclusion: The respondents exhibited a preference for hospital visit during their last illness, confirming appropriate health-seeking behaviour in the absence of economic hindrances and other factors. Respondents with little or no alcohol intake had better self-rated health.

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Beyond the Individual: Social and Cultural Influences on the Health-Seeking Behaviors of African American Men

Cited by 32 publications

References 34 publications

Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

Barriers to chronic Hepatitis B treatment and care in Ghana: A qualitative study with people with Hepatitis B and healthcare providers

Health-seeking Behaviour and Self-rated Health of Adult Men in an Urban Local Government Area in Lagos, Nigeria

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