Real Men Do…Real Men Don’t: Young Latino and African American Men’s Discourses Regarding Sexual Health Care Utilization

2009 ◽  
Vol 4 (3) ◽  
pp. 218-230 ◽  
Author(s):  
Debra Kalmuss ◽  
Karen Austrian
Keyword(s):  
Health Care ◽  
African American ◽  
Sexual Health ◽  
African American Men ◽  
The United States ◽  
Care Utilization ◽  
Care Seeking ◽  
Sexual Health Care ◽  
New Directions ◽  
The Relationship

There is growing recognition that men as well as women need sexual health care (SHC) services. Despite this, male friendly sexual health services are not readily available in the United States, and men are underutilizing the services that are available. This situation needs to be rectified to improve sexual health outcomes for men and women. In this study we conducted 10 focus groups with young adult Latino and African American men to examine their perceptions of the factors influencing SHC utilization among the men they know, with an emphasis on how notions of what it means to be a man affects health care seeking. The findings both amplify and complicate the relationship between masculinity and SHC seeking. They suggest new directions for public health efforts to enhance men’s SHC utilization.

Examining the Relationship Between Discrimination and Depressive Symptomatology in African American Men: A Literature Review Utilizing a Metanarrative Approach

2020 ◽  
pp. 107839032090768
Author(s):  
Jumelie A. Miller
Keyword(s):  
Health Care ◽  
African American ◽  
Literature Review ◽  
Health Care Providers ◽  
Depressive Symptomatology ◽  
African American Men ◽  
Perceived Discrimination ◽  
Care Providers ◽  
The Relationship ◽  
Improve Health

BACKGROUND: Depression is a debilitating disease that can significantly affect one’s life. Perceived discrimination has been shown to have an impact on depressive symptoms. The purpose of this review is to examine the relationship between discrimination and depressive symptomatology. AIMS: This literature review provides a synthesis of recent literature that provides valuable information that can be used to recognize depressive symptomatology and to improve health outcomes for African American men experiencing depression. METHODS: This literature review examines the current literature and synthesizes 13 studies that met the inclusion criteria utilizing metanarrative methodology with RAMSES standards. Attention was paid to the six guiding principles characteristic of a metanarrative review. PRISMA guidelines were followed for this review. Articles that focused on specific subsets of the African American male community were excluded. RESULTS: It was noted that perceived discrimination was positively associated with depressive symptomatology in African American men. While similar methods for measuring depression were noted in several of the studies, measurement of discrimination varied. Additional factors that appeared to have an association with the relationship between discrimination and depression in this population included social supports, masculine role norms, and sociodemographic factors such as age. CONCLUSION: This synthesis of the literature also can be used to improve health care providers’ engagement with this population to improve the quality of care and health care outcomes. As a result of this review it was found that a positive relationship exists between discrimination and depressive symptomatology in African American men.

The Impact of Binational Barriers to Medical Care on the Care-Seeking Practices of Mexican Immigrants

2021 ◽  
pp. 104973232199204
Author(s):  
Rebecca M. Crocker
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Access ◽  
Mexican Immigrants ◽  
The United States ◽  
Care Utilization ◽  
Care Seeking ◽  
Care Access ◽  
The Impact

Barriers to health care access faced by Mexican immigrants in the United States have been well-documented, including lack of insurance, fear of deportation, and language barriers. However, little is known about this population’s care-seeking experiences before migration. In this article, I use a life-course approach to explore binational isolation from health care and the ways in which early-life experiences pattern Mexicans’ care-seeking practices in the United States. This ethnographic research project took place in Tucson, Arizona, between 2013 and 2014 and used semistructured interviews with service providers and first-generation Mexican immigrants. The majority of participants faced significant barriers to medical care in Mexico, which resulted in low rates of care utilization and heavy reliance on lay modalities. Immigrants faced an even broader array of barriers to care in the United States, and their lack of prior health care access further discouraged care utilization and compromised their medical care experiences after migration.

The Road Home: Predictors of Health Care Utilization Among Older Returning African American Men

2020 ◽  
pp. 003464462096700
Author(s):  
Marquis A. Chandler ◽  
Laurens Van Sluytman ◽  
M. Taqi Tirmazi ◽  
Minli Liao
Keyword(s):  
Health Care ◽  
African American ◽  
Health Care Utilization ◽  
African American Men ◽  
College Education ◽  
Care Utilization ◽  
Health Coverage ◽  
Or Education ◽  
The Road ◽  
Sentencing Policy

Black or African American men face disproportionate rates of incarceration and poor health outcomes. Recent changes in sentencing policy have allowed individuals to return to communities after substantial periods of incarceration. Returning citizens often reenter with numerous challenges: housing, employment, medical assistance, and transportation. Analyses were conducted using multivariable logistic regression to examine the relationship between health care utilization for returning men and need (chronic health conditions), predisposing (age, race, marital status, education, and housing situation), enabling (income, health coverage, employment status, and education) factors. Findings indicated that men 50 and above years (odds ratio [OR] = 1.83, 95% confidence interval [CI] = [1.04, 3.24]), Black or African American men (OR = 4.66, 95% CI = [2.35, 9.22]), those with college education (OR = 1.97, CI [1.07, 3.63]) and those having health coverage (OR = 3.34, CI [2.18, 5.11]) were more likely to utilize health care. These findings suggest the need for a greater need to establish linkages to community-based care during reentry planning. This is particularly relevant for reentering citizens who are not eligible for Medicare due to age or whose linkage to employer bases insurance is limited due to work history, employment discrimination, or education.

scholarly journals Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County

2021 ◽  
Vol 58 ◽  
pp. 004695802110555
Author(s):  
Jonathan Bell ◽  
Stefano Canepa ◽  
Stephanie Kreis ◽  
Melanie M. Taylor
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Clinic Attendance ◽  
Maricopa County ◽  
Sexual Health Care ◽  
Significant Difference ◽  
Parametric Testing ◽  
At Home

The Maricopa County Department of Public Health (MCDPH) Sexually Transmitted Disease (STD) Clinic remained operational during a 6-week statewide Coronavirus Disease 2019 (COVID-19) Stay-at-Home Order. The present study sought to evaluate the effect of the Stay-at-Home Order on countywide STD reporting and uptake of sexual health services. We compared countywide daily median STD reporting and MCDPH STD clinic attendance across 3 timeframes; (1) Pre-Lockdown (01/01/2020–03/30/2020); (2) Lockdown (03/31/2020–05/15/2020); and (3) Post-Lockdown (05/16/2020–12/31/2020). STD reporting was characterized as incident chlamydia, gonorrhea, and primary and secondary syphilis. Clinic attendance was characterized as clients visiting through express testing or provider visits. Differences in STD reporting and clinic attendance were evaluated using non-parametric testing. Comparing Pre-Lockdown to Lockdown, we observed significant declines in the daily median chlamydia case reporting (−22%) and clinic express testing attendance (−29%). Comparing Lockdown to Post-Lockdown, we observed significant increases in daily median chlamydia and gonorrhea case reporting (+20%, +15%; respectively) and clinic express testing and provider visits (+42%, +20%; respectively). No significant difference was observed in countywide syphilis reporting across the 3 timeframes. Declines in STD reporting were observed countywide during the lockdown and were concurrent with declines in attendance observed at the MCDPH STD Clinic. Maintenance of clinic operations during the lockdown allowed for continued uptake of STD testing, diagnosis, treatment, and partner services. This study of sexual health care utilization at the public STD clinic in Maricopa County, Arizona, found reduced testing and provider visits contributed to lower countywide STD reporting during the Arizona COVID-19 Stay-at-Home Order.

scholarly journals Attitudes to sexual health in the United States: results from a national survey of youth aged 15–25 years

Sexual Health ◽  
2017 ◽  
Vol 14 (6) ◽  
pp. 540 ◽  
Author(s):  
Matthew Hogben ◽  
Christopher Harper ◽  
Melissa A. Habel ◽  
Kathryn Brookmeyer ◽  
Allison Friedman
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Social Connectedness ◽  
Online Survey ◽  
Well Being ◽  
The United States ◽  
Sexual Health Care ◽  
Sexual Behaviours ◽  
Health Related ◽  
Physical Intimacy

Background Several common global definitions of sexual health refer to physical, emotional and social well-being, with respect to sexuality, and also to the need for this well-being to be reflected for all individuals in relationships. How well sexual health definitions fit US youths’ attitudes to sexual health, and associations between these attitudes, sexual behaviours and sexual health care were assessed. Methods: In total, 4017 youth aged between 15 and 25 years via an online survey panel, weighted to be representative of the US population, were surveyed. Respondents reported their attitudes towards seven dimensions of sexual health that we abstracted from existing global definitions (emotional fulfillment, social connectedness, spirituality, overall pleasure, physical intimacy, mental fulfillment, reciprocal benefits). Respondents also reported on sexual health-related discussions with partners, sexual behaviours, and their use of sexual health care. Outcomes through weighted frequency estimates and ordinal regression models were reported. Results: Youth generally construed all seven dimensions as important to sexual health, with the emotional dimension rated most favourably. Attitudes to the dimensions of overall pleasure, physical intimacy and spirituality were most consistently related to sexual health discussions and behaviours. The behaviours most consistently related to sexual health attitudes were going for a sexual health check-up, discussing birth control/pregnancy and discussing risk before sex without a condom. Conclusions: Youth construal of sexual health fits well with global sexual health definitions. Attitudes to dimensions of sexual health were related to some sexual health-related behaviours, especially healthcare use and complex discussions.

New Directions in the Study of African American Recolonization

2017 ◽  
Keyword(s):  
African American ◽  
The United States ◽  
Social Aspects ◽  
Political Leaders ◽  
Black And White ◽  
The Social ◽  
New Directions ◽  
Black Missionaries ◽  
The Relationship

New Directions in the Study of African American Recolonization is a collection of essays examining African American recolonization to Africa, primarily Liberia. It considers white and black motivation for supporting African recolonization, the motives of settlers who went, the conditions they faced in Africa, and the role of the U.S. government on the endeavour. The authors also explore the relationship between emancipation in the United States and colonization to Africa. The collection includes analysis on both the social and cultural aspect of recolonization, from both the black and white perspective. Essays address the religious, political, and social aspects of the movement. They look at the role of white and black missionaries and political leaders in African recolonization, and they explore the relationship between the American Colonial Society (ACS) and the federal government. They also look at the effect on American racial ideas in the new colony.

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