University of Michigan, Ann Arbor, MI, USA.
Institute for Social Research, Ann Arbor, MI, USA.
Am J Mens Health. 2020 Jul-Aug;14(4):1557988320937215. doi: 10.1177/1557988320937215.
Conventional definitions of mental health, manhood, and social support create barriers to accessing behavioral health care for Black men ages 18 to 30. Targeted behavioral health interventions sensitive to culture, social norms, and gender that circumvent these barriers are desperately needed to improve access and integrated care for this group. This article reports mixed methods findings from the 2017 iteration of the Young Black Men, Masculinities, and Mental Health (YBMen) project, a social media-based, psychoeducational program that promotes mental health, progressive definitions of manhood, and sustainable social support for Black men. Young Black men ( = 350) across two universities in the Midwest completed baseline surveys on their mental health, definitions of manhood, and social support. Forty of the men participated in the YBMen intervention and at postintervention reported experiencing fewer depressive symptoms on the Patient Health Questionnaire (PHQ-9, = -2.05, < .01) and the Gotland Male Depression Scale (GMDS; = -1.76, < .05). There were also changes on the Conformity to Masculine Norms Inventory (CMNI) for Self-Reliance ( = -0.34, = .26) and Heterosexual Self-Presentation ( = -0.18, = .59), though these changes were not statistically significant. A qualitative review of postintervention interviews revealed participants' appreciation of the YBMen project and its influence on their mental health, manhood, and social support. Programmatic efforts that support the behavioral health, positive development, and social relationships of Black men translate into positive families, communities, and experiences as they live, learn, love, and work over the life course.
传统的心理健康、男子气概和社会支持定义为 18 至 30 岁的黑人男性获得行为健康护理设置了障碍。迫切需要针对文化、社会规范和性别敏感且规避这些障碍的针对性行为健康干预措施,以改善该群体的获得途径和综合护理。本文报告了 2017 年“年轻黑人男性、男子气概和心理健康”(YBMen)项目迭代的混合方法研究结果,这是一个基于社交媒体的心理教育项目,旨在促进心理健康、进步的男子气概定义和黑人男性可持续的社会支持。中西部两所大学的 350 名年轻黑人男性完成了关于他们的心理健康、男子气概定义和社会支持的基线调查。其中 40 人参加了 YBMen 干预,在干预后报告称,他们的抑郁症状在患者健康问卷(PHQ-9, = -2.05,<.01)和哥特兰男性抑郁量表(GMDS; = -1.76,<.05)上有所减轻。在男子气概规范遵从量表(CMNI)的自立性( = -0.34,<.26)和异性恋自我呈现( = -0.18,<.59)方面也有变化,但这些变化没有统计学意义。对干预后访谈的定性回顾显示,参与者对 YBMen 项目及其对他们的心理健康、男子气概和社会支持的影响表示赞赏。支持黑人男性行为健康、积极发展和社会关系的项目努力转化为积极的家庭、社区和生活经历,因为他们在生活、学习、爱和工作中度过一生。