Gilbert Keon L, Ray Rashawn, Siddiqi Arjumand, Shetty Shivan, Baker Elizabeth A, Elder Keith, Griffith Derek M
Department of Behavioral Sciences and Health Education and.
Department of Sociology, University of Maryland at College Park, College Park, Maryland 20742.
Annu Rev Public Health. 2016;37:295-311. doi: 10.1146/annurev-publhealth-032315-021556.
Over the past two decades, there has been growing interest in improving black men's health and the health disparities affecting them. Yet, the health of black men consistently ranks lowest across nearly all groups in the United States. Evidence on the health and social causes of morbidity and mortality among black men has been narrowly concentrated on public health problems (e.g., violence, prostate cancer, and HIV/AIDS) and determinants of health (e.g., education and male gender socialization). This limited focus omits age-specific leading causes of death and other social determinants of health, such as discrimination, segregation, access to health care, employment, and income. This review discusses the leading causes of death for black men and the associated risk factors, as well as identifies gaps in the literature and presents a racialized and gendered framework to guide efforts to address the persistent inequities in health affecting black men.
在过去二十年里,人们对改善黑人男性健康以及影响他们的健康差距的兴趣与日俱增。然而,在美国几乎所有群体中,黑人男性的健康状况始终排名最低。关于黑人男性发病和死亡的健康及社会原因的证据一直狭隘地集中在公共卫生问题(如暴力、前列腺癌和艾滋病毒/艾滋病)以及健康决定因素(如教育和男性性别社会化)上。这种有限的关注忽略了特定年龄段的主要死因以及其他健康的社会决定因素,如歧视、隔离、获得医疗保健的机会、就业和收入。本综述讨论了黑人男性的主要死因及相关风险因素,还指出了文献中的空白,并提出了一个基于种族和性别的框架,以指导解决影响黑人男性健康的持续不平等问题的努力。