Bauer Alexandria G, Williams Joah, Hambrick Erin, Rempfer Melisa, Bennett Kymberly, Christensen Kelsey, Berkley-Patton Jannette Y
Center of Alcohol & Substance Use Studies, Rutgers University.
Department of Psychology, University of Missouri-Kansas City.
Psychol Trauma. 2024 May;16(4):653-660. doi: 10.1037/tra0001462. Epub 2023 Apr 13.
Young Black/African American men (YBM) are at greater risk for trauma and related mental health concerns compared to young non-Hispanic White men but are less likely to receive mental health care when needed. The current study used a Theory of Planned Behavior (TPB)-guided framework to qualitatively explore beliefs, norms, and intentions related to seeking mental health screening and linkage to care (LTC) among YBM exposed to trauma.
Participants ( = 55, = 23 years) were YBM aged 18-30 recruited from urban community settings in Kansas City, MO, between October 2018 and April 2019 for participation in focus groups.
Participants discussed lived experiences with trauma and mental health care, plus salient behavioral beliefs-both positive and negative. Key normative referents were significant others and family members, and participants endorsed greater motivation to seek care with their support. Control beliefs ranged from individual and interpersonal facilitators and barriers to more systemic factors (e.g., availability of providers, cost, lack of access, disparities in incarceration).
Tailored interventions are needed to promote engagement in mental health services among YBM, with strategies that recognize cultural contexts and ongoing needs for general well-being. Recommendations for providers and systems are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
与年轻的非西班牙裔白人男性相比，年轻的黑人/非裔美国男性（YBM）遭受创伤及相关心理健康问题的风险更高，但在需要时接受心理健康护理的可能性较小。本研究使用计划行为理论（TPB）指导的框架，定性地探索了遭受创伤的YBM在寻求心理健康筛查及与护理联系（LTC）方面的信念、规范和意图。
2018年10月至2019年4月期间，从密苏里州堪萨斯城的城市社区环境中招募了年龄在18 - 30岁的YBM参与者（n = 55，平均年龄 = 23岁），参与焦点小组讨论。
参与者讨论了创伤和心理健康护理的生活经历，以及显著的行为信念——包括积极的和消极的。关键的规范参照对象是重要他人和家庭成员，参与者认可在他们的支持下寻求护理的更大动力。控制信念范围从个人和人际促进因素及障碍到更多的系统因素（例如，提供者的可用性、成本、缺乏可及性、监禁差异）。
需要量身定制的干预措施，以促进YBM参与心理健康服务，采取认识文化背景和持续的总体幸福感需求的策略。讨论了对提供者和系统的建议。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
