Masculinity and Race-Related Factors as Barriers to Health Help-Seeking Among African American Men.
Masculinity and Race-Related Factors as Barriers to Health Help-Seeking Among African American Men.
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DOI：
10.1080/08964289.2016.1165174
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发表时间：
2016-07
期刊：
影响因子：
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通讯作者：
Upton RD
中科院分区：
文献类型：
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作者：
Powell W;Adams LB;Cole-Lewis Y;Agyemang A;Upton RD
男性倾向于推迟寻求健康帮助，这在很大程度上归因于男性气质，但研究结果几乎没有关注面临额外种族相关寻求帮助障碍的非洲裔美国男性。主要建立在电抗理论，我们测试一个假设的模型，定位种族歧视，男性气质规范的显着性，日常的种族主义（ERD），种族认同（RI），控制感（SOC）和抑郁症的主要障碍，非洲裔美国男性的健康求助。458名非洲裔美国人主要从美国西部和南部地区的理发店招募。主要结局是求助障碍量表（BHSS）评分。采用验证性因素分析和通径分析对假设模型进行了测量不变性检验。我们的模型拟合非常好，χ2（4，N = 457）= 3.84，p > 0.05; CFI = 0.99; TLI = 1.00; RMSEA = 0.00，90% CI [0.00，0.07]，并且在不同年龄、收入和教育阶层之间的操作相当。频繁ERD和较高的MNS有助于较高的BHHS评分。ERD暴露与BHHS评分之间的关系部分由SOC减少和抑郁性抑郁症介导。旨在解决非洲裔美国人的健康求助的干预措施，不仅要解决男子气概的规范，但也有控制感的威胁，以及日常的种族主义引起的负面心理后遗症。
Men’s tendency to delay health help-seeking is largely attributed to masculinity, but findings scarcely focus on African-American men who face additional race-related, help-seeking barriers. Building principally on reactance theory, we test a hypothesized model situating racial discrimination, masculinity norms salience, everyday racism (ERD), racial identity (RI), sense of control (SOC) and depressive symptomatology as key barriers to African-American men’s health help-seeking. 458 African-American men were recruited primarily from U.S. barbershops in the Western and Southern regions. The primary outcome was Barriers to Help-Seeking Scale (BHSS) scores. The hypothesized model was investigated with confirmatory factor and path analysis with tests for measurement invariance. Our model fit was excellent χ2(4,N = 457) = 3.84, p > .05; CFI = .99; TLI = 1.00; RMSEA = .00, and 90% CI [.00, .07] and operated equivalently across different age, income, and education strata. Frequent ERD and higher MNS contributed to higher BHHS scores. The relationship between ERD exposure and BHHS scores was partially mediated by diminished SOC and greater depressive symptomatology. Interventions aimed at addressing African-American men’s health help-seeking should not only address masculinity norms, but also threats to sense of control, and negative psychological sequelae induced by everyday racism.