1 Department of Sociology, DePaul University, Chicago, IL, USA.
2 Department of Anesthesiology, Washington University in Saint Louis School of Medicine, Saint Louis, MO, USA.
Am J Mens Health. 2019 May-Jun;13(3):1557988319856738. doi: 10.1177/1557988319856738.
Black men suffer inequalities in health and health-care outcomes relative to other racial/ethnic groups, requiring well-informed efforts for health promotion. Fewer Black men have a usual source of health care, which may be a contributor to these disparities. Increasing access to and the likelihood of a usual source of care among Black men are important to address health and health-care disparities. In this focus group study, we sought to better understand how Black men think about primary care and usual sources of care. A total of six focus groups were conducted with N = 25 men. Groups were a mix of men with and without a usual source of care. Several themes were identified through analysis of the data regarding factors that contribute to Black men going to the doctor. Themes identified in the data analysis included Lack of Health Insurance as a Barrier to Establishing Usual Source of Care; Family Promoting Health Care Use; Relationship With Doctor, Trust, and Empowerment; Age and Maturity in Health Promotion; and Positive Tone of Messaging. Future research should explore if similar findings are obtained among men in different regions of the United States or between Black men of different backgrounds. Taking a step beyond this research, specifically, future research can also examine the impact of particular health messages/messaging on Black men's health-care-seeking behaviors.
黑人男性在健康和医疗保健结果方面相对于其他种族/族裔群体存在不平等，需要有针对性地进行健康促进。黑人男性中较少有人有常规的医疗服务来源，这可能是造成这些差异的原因之一。增加黑人男性获得和常规医疗服务来源的机会对于解决健康和医疗保健方面的差异非常重要。在这项焦点小组研究中，我们试图更好地了解黑人男性对初级保健和常规医疗服务来源的看法。总共进行了六组焦点小组，共有 25 名男性参加。这些小组包括有和没有常规医疗服务来源的男性。通过对数据进行分析，我们确定了一些与黑人男性就医的因素相关的主题。数据分析中确定的主题包括：缺乏健康保险是建立常规医疗服务来源的障碍；家庭促进医疗保健的使用；与医生的关系、信任和授权；促进健康的年龄和成熟度；以及信息传递的积极基调。未来的研究应该探讨在美国不同地区的男性或不同背景的黑人男性中是否也能得出类似的发现。在此研究的基础上，未来的研究还可以进一步探讨特定健康信息/信息传递对黑人男性医疗保健寻求行为的影响。
