Identification of barriers to healthcare access for underserved men in Denver

Whitley, Elizabeth M.; Samuels, Benilda A.; Wright, Richard; Everhart, Rachel M.

doi:10.1016/j.jmhg.2005.05.006

Cited by 18 publications

(16 citation statements)

References 18 publications

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“…Compared to White men, Black men attend fewer preventative health visits and face premature mortality from illnesses amenable to early interventions (Ravenell, Whitaker, & Johnson, 2008;Wong et al, 2006). Studies of Black men's preventative health services, which are primarily qualitative, have linked the lack of access to health care to socioeconomic barriers (Ravenell et al, 2008;Whitley, Samuels, Wright, & Everhart, 2005), limited health knowledge or awareness (Cheatham, Barksdale, & Rodgers, 2008), masculinity (Cheatham et al, 2008;Wade, 2008;Whitley et al, 2005), fatalism (Ravenell et al, 2008), and medical mistrust (Cheatham et al, 2008;Hammond, Matthews, & Corbie-Smith, 2010;Wade, 2008;Whitley et al, 2005;Wong et al, 2006).…”

Section: Health Determinantsmentioning

confidence: 99%

The Disproportionality of HIV Transmission Among Black Men Who Have Sex with Men (BMSM): Recommendations for an Effective Prevention Model

Young¹,

McLeod²

2013

ASW

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The Black community shoulders the heaviest HIV/AIDS burden of any racial or ethnic group in the United States, with Black men who have sex with men being the most impacted subpopulation (CDC, 2011). Health determinants (i.e., behavior, social environment, physical environment, and healthcare) of Black men who have sex with men are examined for consideration in the creation of innovative HIV prevention programs specific to the community. The only two intervention strategies targeting this population approved by the Centers for Disease Control and Prevention,Defend Yourself programs, are scrutinized, and the theoretical underpinnings of these evidence-based programs (i.e., social cognitive theory, diffusion of innovations) will be examined in order to recommend strategies for future interventions to reach greater numbers within the community.

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Section: Health Determinantsmentioning

confidence: 99%

The Disproportionality of HIV Transmission Among Black Men Who Have Sex with Men (BMSM): Recommendations for an Effective Prevention Model

Young¹,

McLeod²

2013

ASW

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“…Studies of African-American men's preventive health services utilization, primarily qualitative, attribute underutilization to fatalism, 19 socioeconomic barriers, 19,20 limited health knowledge or awareness, 21 medical mistrust, 22 and masculinity. [20][21][22][23] Well-established healthcare utilization models suggest psychosocial factors work with socioeconomic and insurance-related determinants to produce such delays. 24,25 The contribution of psychosocial factors is less understood.…”

Section: Introductionmentioning

confidence: 99%

Masculinity, Medical Mistrust, and Preventive Health Services Delays Among Community-Dwelling African-American Men

et al. 2010

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BACKGROUND:The contribution of masculinity to men's healthcare use has gained increased public health interest; however, few studies have examined this association among African-American men, who delay healthcare more often, define masculinity differently, and report higher levels of medical mistrust than non-Hispanic White men. OBJECTIVE: To examine associations between traditional masculinity norms, medical mistrust, and preventive health services delays. DESIGN AND PARTICIPANTS: A cross-sectional analysis using data from 610 African-American men age 20 and older recruited primarily from barbershops in the North, South, Midwest, and West regions of the U.S. (2003)(2004)(2005)(2006)(2007)(2008)(2009). MEASUREMENTS: Independent variables were endorsement of traditional masculinity norms around self-reliance, salience of traditional masculinity norms, and medical mistrust. Dependent variables were selfreported delays in three preventive health services: routine check-ups, blood pressure screenings, and cholesterol screenings. We controlled for socio-demography, healthcare access, and health status. RESULTS: After final adjustment, men with a greater endorsement of traditional masculinity norms around self-reliance (OR: 0.77; 95% CI: 0.60-0.98) were significantly less likely to delay blood pressure screening. This relationship became non-significant when a longer BP screening delay interval was used. Higher levels of traditional masculinity identity salience were associated with a decreased likelihood of delaying cholesterol screening (OR: 0.62; 95% CI: 0.45-0.86). African-American men with higher medical mistrust were significantly more likely to delay routine check-ups (OR: 2.64; 95% CI: 1.34-5.20), blood pressure (OR: 3.03; 95% CI: 1.45-6.32), and cholesterol screenings (OR: 2.09; 95% CI: 1.03-4.23). CONCLUSIONS: Contrary to previous research, higher traditional masculinity is associated with decreased delays in African-American men's blood pressure and cholesterol screening. Routine check-up delays are more attributable to medical mistrust. Building on African-American men's potential to frame preventive services utilization as a demonstration, as opposed to, denial of masculinity and implementing policies to reduce biases in healthcare delivery that increase mistrust, may be viable strategies to eliminate disparities in African-American male healthcare utilization.KEY WORDS: masculinity; medical mistrust; preventive health services delays; African-American men.

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“…Eight focus groups were conducted, stratified by ethnicity, age, and language preference (Whitley, Samuels, Wright, & Everhart, 2005).…”

Section: Needs Assessmentmentioning

confidence: 99%

Building Effective Programs to Improve Men's Health

Whitley

Jarrett

Young³

et al. 2007

Am J Mens Health

Self Cite

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Historically, the health care needs of poor men and men of color have been neglected in the United States, resulting in significant disparities in health and health outcomes. Dedicated resources to address the particular needs of men are necessary to eliminate the health disparities that afflict underserved men. The following article compiles and shares some of the lessons learned as experienced by three Community Voices sites that have been active in men's health. Community Voices Miami's Overtown Men's Health Study, Denver Health Men's Health Initiative, and Baltimore Men's Health Center are working to address the health needs of men in some of the most vulnerable communities in the United States. Examples of community-specific assessment of men's needs, community engagement, service delivery, service to special populations, marketing, addressing sustainability, and advances in public policy to improve men's health are presented.

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Identification of barriers to healthcare access for underserved men in Denver

Cited by 18 publications

References 18 publications

The Disproportionality of HIV Transmission Among Black Men Who Have Sex with Men (BMSM): Recommendations for an Effective Prevention Model

The Disproportionality of HIV Transmission Among Black Men Who Have Sex with Men (BMSM): Recommendations for an Effective Prevention Model

Masculinity, Medical Mistrust, and Preventive Health Services Delays Among Community-Dwelling African-American Men

Building Effective Programs to Improve Men's Health

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