Health Disparities in Boys and Men of Color

Jones, Dionne J.; Crump, Aria Davis; Lloyd, Jacqueline J.

doi:10.2105/ajph.2011.300646

Cited by 16 publications

(14 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Men of color have a greater burden of diabetes complications compared to whites ( Graham & Gracia, 2012 ; Treadwell et al, 2010 ). While many factors may contribute to these health disparities, such as access to health care, chronic stress, and inequalities in key social determinants of health ( Graham & Gracia, 2012 ; Jones, Crump, & Lloyd, 2012 ), solutions have been limited thus far.…”

mentioning

confidence: 99%

Power Up for Health: Pilot Study Outcomes of a Diabetes Prevention Program for Men from Disadvantaged Neighborhoods

et al. 2018

View full text Add to dashboard Cite

There is a significant evidence base for the Diabetes Prevention Program, a lifestyle intervention to prevent onset of type 2 diabetes among high-risk individuals; however, translation of this intervention for men has been challenging. This report presents outcomes of the pilot study of an adapted 16-week diabetes prevention program entitled “Power Up for Health.” The study goal was to better engage men of color with prediabetes from disadvantaged neighborhoods of New York City. It was implemented at five different recreation centers located in predominantly low-income neighborhoods across New York City. The curriculum was facilitated by male lifestyle coaches only; one group was conducted in Spanish. Primary outcome was weight loss from baseline to 16 weeks. Other measures included lifestyle activities, depressive symptoms, and self-reported health status. Men (N = 47) were screened by telephone. Of the 29 eligible men who began the program, 25 attended at least 4 sessions (52% non-Latino Black, 32% Latino, mean age 51.7 ± SD 9.9 years, mean body mass index 35 ± SD 6.9 kg/m2). End of program outcomes (n = 23) varied by site and included a mean weight loss of 3.8% (9.7 lbs); 3 of the 5 sites had a mean weight loss of 5.6%, meeting the national goal of 5%–7%. Men (n = 23) attended a mean of 11.6 of 16 sessions. Improvement in depressive symptoms, healthy eating and exercise, and health status were also seen. While recruitment was challenging with many lessons learned, the adapted men’s diabetes prevention program shows promise of success for participants and their coaches.

show abstract

mentioning

confidence: 99%

Power Up for Health: Pilot Study Outcomes of a Diabetes Prevention Program for Men from Disadvantaged Neighborhoods

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Notably, AA men have higher rates of diabetes, cardiovascular disease, and obesity than White men; moreover, the new AIDS case rate is strikingly higher for Black men (104.1/100,000) compared to White men (13.7/100,000), as well as all other groups [1–3]. AAs suffer from health disparities in part due to poorer access and engagement in screenings and health promotion activities.…”

Section: Introductionmentioning

confidence: 99%

“…AAs suffer from health disparities in part due to poorer access and engagement in screenings and health promotion activities. There has been a national focus on the development of multifaceted solutions to eliminate racial and ethnic health disparities in AA boys and men [3, 4]. …”

Section: Introductionmentioning

confidence: 99%

Alternative Locales for the Health Promotion of African American Men: A Survey of African American Men in Chicago Barbershops

et al. 2016

View full text Add to dashboard Cite

African American men (AA) carry unequal burdens of several conditions including cancer, diabetes, hypertension, and HIV. Engagement of diverse populations including AA men in research and health promotion practice is vital to examining the health disparities that continue to plague many racially and ethnically diverse communities. To date, there is little research on best practices that indicate locations, community areas and settings to engage AA men in research and health promotion. Traditionally, the AA church has been a key area to engage AA men and women. However, changing tides in attendance of AA parishioners require additional information to identify areas where AAs, particularly, AA men congregate. The AA barbershop has been identified as a place of social cohesion, cultural immersion and solidarity for AA men but specific sub-populations of AA men may be underrepresented. To further investigate additional locales where AA men congregate, this study engaged AA barbers and clients in several urban community barbershops in Chicago, Illinois. 127 AA men over age 18y/o receiving grooming services in 25 Chicago area barbershops across 14 predominantly AA communities were consented and recruited for a quantitative survey study. The self-administered surveys were completed in ~15 min and $10 compensation was provided to men. Descriptive statistics were reported for demographic variables and for frequency of responses for locations to find AA men of specific age ranges for health promotion and screening activities. Outside of the traditionally used churches or barbershops, the top recommended recruitment sites by age were: 18–29y/o− city park or a recreational center; 30–39y/o− gym, bars or the street; 40–49y/o− various stores, especially home improvement stores, and the mall; and 50y/o+- fast food restaurants in the mornings, such as McDonalds, and individual’s homes. The study participants also reported that locations where AA men congregate vary by age. Findings from this study illustrate that AA barbers and barbershops remain a key stakeholder in health promotion among AA men. The findings also demonstrate the need for additional research to examine best practices for identifying locations where diverse groups of AA men that vary by age and sexual orientation may congregate in order to support increased health promotion among AA men.

show abstract

“…For example, Black men are more likely than others to be unemployed, to have a history of incarceration, to have unstable housing or to experience homelessness. [5-7] In addition, due to political and economic macrosocial policies, Black men are more likely than others to live in highly segregated and high poverty neighborhoods. [7-9]…”

Section: Introductionmentioning

confidence: 99%

Neighborhood Socioeconomic Disadvantage; Neighborhood Racial Composition; and Hypertension Stage, Awareness, and Treatment Among Hypertensive Black Men in New York City: Does Nativity Matter?

Cole

Duncan

Ogedegbe

et al. 2016

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

Objective Neighborhood-level poverty and racial composition may contribute to racial disparities in hypertension outcomes. Little is known about how the effects of neighborhood social environments may differ by nativity status among diverse urban Black adults. We aimed to characterize the influence of neighborhood-level socio-demographic factors on hypertension outcomes among US- and foreign-born Black men with uncontrolled blood pressure. Design We conducted a cross-sectional analysis of baseline data from two large community-based trials of hypertensive Black men aged 50 and over linked with census tract data from the 2012 American Community Survey 5-year estimates. We defined census tracts with high racial segregation as those where 60% or more self-identified as Black and high poverty census tracts as those where 20% or more lived below the poverty line. Multivariable general estimating equations models were used to measure associations between neighborhood characteristics and stage of hypertension, hypertension awareness, and treatment to yield adjusted prevalence ratios (aPR). Models were run separately for US- and foreign-born Black men. Results Over 64% of the 1,139 participants lived in a census tract with a high percentage of Black residents and over 71% lived in high poverty census tracts. Foreign-born Black men living in neighborhoods with a high concentration of Black residents were less likely to be treated for their high blood pressure (aPR 0.44, 95% CI 0.22-0.88), but this result did not hold for US-born Black men. There were no significant associations between neighborhood poverty and hypertension outcomes. Conclusions Neighborhood context may impact treatment for hypertension, one of the most important factors in hypertension control and decreasing hypertension-related mortality, particularly among foreign-born Black men.

show abstract

Health Disparities in Boys and Men of Color

Cited by 16 publications

References 1 publication

Power Up for Health: Pilot Study Outcomes of a Diabetes Prevention Program for Men from Disadvantaged Neighborhoods

Power Up for Health: Pilot Study Outcomes of a Diabetes Prevention Program for Men from Disadvantaged Neighborhoods

Alternative Locales for the Health Promotion of African American Men: A Survey of African American Men in Chicago Barbershops

Neighborhood Socioeconomic Disadvantage; Neighborhood Racial Composition; and Hypertension Stage, Awareness, and Treatment Among Hypertensive Black Men in New York City: Does Nativity Matter?

Contact Info

Product

Resources

About