School of Nursing, University of Michigan, Ann Arbor, MI, USA.
College of Nursing and Health Innovation, The University of Texas at Arlington, Arlington, TX, USA.
Am J Mens Health. 2021 Nov-Dec;15(6):15579883211062024. doi: 10.1177/15579883211062024.
Young Black males (YBM) ages 18 to 24 years are more at risk of contracting sexually transmitted infections (STIs) and have a substantially greater need for sexual reproductive health (SRH) services than other groups. Despite this significant need, the extant literature does not provide a comprehensive picture of how YBM seek preventive care services (e.g., STI testing). Therefore, the purpose of this review is to address YBM's SRH access and use of STI/HIV testing and screening in this population, with a specific emphasis on young heterosexual Black males, by identifying barriers and facilitators of engaging with SRH care. An electronic search was performed using Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, PubMed, and Scopus online databases. Keywords were adapted to each database and included variations of "Black males," "sexual reproductive healthcare services," "youth (18-24 years old)," and "healthcare access and utilization." Studies from the review reported that barriers to engaging in SRH care included lack of health insurance, ideas of masculinity that conflict with SRH care, stigma related to accessing services, and lack of knowledge regarding available services and care options. The top facilitators for utilizing SRH care were engagement on behalf of health clinics, confidence gained from social support, access to quality health care in one's community, and trust in the health care system and providers. This review contributes to the current state of the science and is important to the improvement of high-quality services for this population, including respect, choice in care, confidentially, and compassion.
18 至 24 岁的年轻黑人男性（YBM）比其他群体更容易感染性传播感染（STI），对性生殖健康（SRH）服务的需求也更大。尽管存在这种巨大的需求，但现有文献并没有全面描述 YBM 如何寻求预防性保健服务（例如，STI 检测）。因此，本综述的目的是通过确定与 SRH 护理相关的障碍和促进因素，来解决 YBM 在 SRH 方面的可及性和对 STI/HIV 检测和筛查的使用问题，重点关注年轻的异性恋黑人男性。使用 Cumulative Index to Nursing and Allied Health Literature (CINAHL)、PsycInfo、PubMed 和 Scopus 在线数据库进行了电子检索。关键词根据每个数据库进行了调整，包括“黑人男性”、“性生殖健康护理服务”、“青年（18-24 岁）”和“医疗保健的获取和利用”的变体。综述中报道的研究表明，参与 SRH 护理的障碍包括缺乏健康保险、与 SRH 护理相冲突的男子气概观念、与获取服务相关的耻辱感以及缺乏对可用服务和护理选择的了解。利用 SRH 护理的最大促进因素包括代表健康诊所进行的参与、来自社会支持的信心、在社区获得优质的医疗保健以及对医疗保健系统和提供者的信任。本综述有助于了解当前的科学状况，对于改善这一人群的高质量服务非常重要，包括尊重、护理选择、保密性和同情心。
