title: Sociostructural factors influencing health behaviors of urban African-American men.
abstract: African-American men are suffering disproportionately from most illnesses. Seemingly, action is needed if health disparities that disproportionately affect African-American men as compared to their White and female counterparts are to be reduced or eliminated. An important step in decreasing common health disparities evidenced among African-American men is to understand social factors that act as motivators and barriers to seeking care for most of this vulnerable population. Following a constructionist epistemology, this study used ethnography to explore social structure factors that motivate urban African-American men to seek care. Leininger's Culture Care Diversity and Universality Theory guided this study. Qualitative interviews were conducted with urban African-American men and other individuals in the community to explore understanding, attitudes, and beliefs about health. Critical issues examined included social factors associated with health seeking behaviors. Themes that emerged from these data indicated that critical social factors include: 1) Kinship/significant others; 2) accessibility of resources; 3) ethnohealth belief; and 4) accepting caring environment. The data also indicated a relationship between these social factors and health seeking behaviors of urban African-American men.
authors.affiliation: University of Maryland, Baltimore, School of Nursing, Baltimore, MD, USA. plowden@son.umaryland.edu
authors.forename: Keith O
authors.initials: KO
authors.lastname: Plowden
authors.forename: Anthony E
authors.initials: AE
authors.lastname: Young
mesh_terms: D000328:Adult; D001741:Black or African American; D003469:Culture; D004645:Empathy; D015438:Health Behavior / Q000208:ethnology*; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008571:Men / Q000523:psychology; D009511:New England; D011369:Professional-Patient Relations; D012944:Social Support; D014505:Urban Population