Brawner Bridgette M, Talley Lloyd M, Baker Jillian L, Bowleg Lisa, Dominique Tiffany B, Robinson Daiquiri Y, Riegel Barbara
M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, PA.
DiversFYI Consulting, New York, NY.
Ethn Dis. 2022 Jul 21;32(3):169-184. doi: 10.18865/ed.32.3.169. eCollection 2022 Summer.
An understanding of the factors that influence cardiovascular (CVD) risk among young Black men is critically needed to promote cardiovascular health earlier in the life course and prevent poor outcomes later in life.
To explore how individual (eg, depression, racial discrimination) and environmental factors (eg, neighborhood resources) are associated with CVD risk factors among young Black men.
We conducted a convergent mixed methods study (qualitative/quantitative, QUAL+quant) with Black men aged 18 to 30 years (N = 21; 3 focus groups). Participants completed a self-administered electronic survey immediately prior to the focus groups.
Participants (M age = 23) reported: two or more CVD risk factors (75%; eg, high blood pressure); racial discrimination (32%); and depressive symptoms in the past 2 weeks (50%). Five themes emerged: 1) emergence and navigation of Black manhood stressors; 2) high expectations despite limited available resources; 3) heart disease socialization: explicit and vicarious experiences; 4) managing health care needs against fear, avoidance and toughing it out; and 5) camaraderie and social support can motivate or deter. The integrated qualitative and quantitative analyses highlight race, gender, and class intersectionality factors that are relevant to what it means to be young, Black, male and of lower socioeconomic status in the United States.
Our findings help to identify modifiable, culturally specific and contextually relevant factors that relate to CVD risk factors among young Black men. Such work is crucial to inform interventions, primary prevention efforts, policies, and social-structural changes to thwart the development of CVD and advanced disease stages.
迫切需要了解影响年轻黑人男性心血管疾病（CVD）风险的因素，以便在生命早期促进心血管健康，并预防后期出现不良后果。
探讨个体因素（如抑郁症、种族歧视）和环境因素（如社区资源）如何与年轻黑人男性的CVD风险因素相关。
我们对18至30岁的黑人男性（N = 21；3个焦点小组）进行了一项融合性混合方法研究（定性/定量，QUAL+quant）。参与者在焦点小组讨论前立即完成了一份自我管理的电子调查问卷。
参与者（平均年龄 = 23岁）报告称：有两种或更多CVD风险因素（75%；如高血压）；遭受种族歧视（32%）；以及在过去两周内有抑郁症状（50%）。出现了五个主题：1）黑人成年压力源的出现与应对；2）尽管可用资源有限但期望很高；3）心脏病的社会化：直接和间接经历；4）在恐惧、回避和硬撑的情况下管理医疗需求；5）同志情谊和社会支持可以起到激励或阻碍作用。综合定性和定量分析突出了种族、性别和阶级交叉因素，这些因素与在美国作为年轻、黑人、男性且社会经济地位较低的意义相关。
我们的研究结果有助于确定与年轻黑人男性CVD风险因素相关的可改变、具有文化特异性和与背景相关的因素。此类工作对于为干预措施、初级预防工作、政策和社会结构变革提供信息至关重要，以阻止CVD的发展和疾病进展到晚期阶段。
