Department of Psychology, University of South Carolina, 1512 Pendleton Avenue, Barnwell College, Mailbox 38, Columbia, SC, 29208, USA.
J Racial Ethn Health Disparities. 2022 Dec;9(6):2131-2138. doi: 10.1007/s40615-021-01151-z. Epub 2021 Sep 17.
African American men have the lowest life expectancy of any ethnic gender group in the USA. Furthermore, these men endorse having a lower health-related quality of life (HRQoL) than any other group. There have been recent calls from national organizations to improve HRQoL-a multidimensional indicator of health strongly associated with mortality and morbidity. Following these calls, there have been widespread efforts implemented to improve HRQoL among the US population, though no known effort has been implemented that is tailored to the unique experiences of African American men. Health promotion efforts that are not tailored to the unique preferences and experiences of these men are likely to produce limited results. Formative research conducted among African American men is needed in order to design and implement an effective HRQoL-promoting intervention for African American men. The present study constitutes such formative research and was conducted with a sample of 211 African American men. Hierarchical regressions were performed to understand the role of literature-derived predictors of HRQoL among these men. Results found that depression, stress, and physical activity were found to be significant predictors of HRQoL among these men. This is the first known study to examine predictors of HRQoL among African American men-a group that disproportionately experiences health disparities and low HRQoL, though for who few successful health promotions exist. The findings from this study have implications for those seeking to design and implement HRQoL-promoting interventions among African American men.
美国非裔男性的预期寿命是所有族裔性别群体中最低的。此外,这些男性的健康相关生活质量(HRQoL)自评低于其他任何群体。最近,一些国家组织呼吁提高 HRQoL——这是一个与死亡率和发病率密切相关的多维健康指标。在这些呼吁之后,美国已经广泛开展了提高 HRQoL 的工作,但尚未针对非裔美国男性的独特经历实施任何已知的工作。如果不针对这些男性的独特偏好和经历进行调整,促进健康的工作可能收效甚微。需要在非裔美国男性中开展形成性研究,以便为非裔美国男性设计和实施有效的 HRQoL 促进干预措施。本研究就是这样的形成性研究,研究对象是 211 名非裔美国男性。通过分层回归分析了解这些男性 HRQoL 的文献衍生预测因素的作用。结果发现,抑郁、压力和体力活动是非裔美国男性 HRQoL 的重要预测因素。这是首次研究非裔美国男性 HRQoL 的预测因素的研究——尽管该群体存在不成比例的健康差距和低 HRQoL,但针对他们的成功健康促进措施却很少。这项研究的结果对那些试图为非裔美国男性设计和实施 HRQoL 促进干预措施的人具有重要意义。