Black men's health-related quality of life: A qualitative study to understand community-identified perception and needs.

IF 3.1 2区心理学 Q1 PSYCHOLOGY Health Psychology Pub Date : 2024-11-01 Epub Date: 2024-07-25 DOI:10.1037/hea0001403

Guillermo M Wippold, Demetrius A Abshire, Derek M Griffith, Nicole Zarrett, Barney Gadson, Terry Woods, Dawn K Wilson

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Abstract

Objective: Health-related quality of life (HRQoL) is a multidimensional indicator of overall health associated with premature mortality. Black men score low on measures of HRQoL, but it is unclear how Black men conceptualize HRQoL and whether there have been efforts to promote HRQoL among these men. The present qualitative study to understand Black men's conceptualization of HRQoL and strategies to improve HRQoL was based in community-based participatory research and the social-ecological model of health.

Method: A community advisory board (CAB) was established, and the need for an effort to promote HRQoL promotion among Black men was assessed and supported. A focus group protocol was developed in conjunction with the CAB and a group of barbers. Seven focus groups were conducted consisting of 56 Black men in the Southeastern United States. The mean age of participants was 45 years. Two reviewers coded each focus group. Reliability ranged from 71% to 76%. A thematic analysis was conducted, and the findings were confirmed with the CAB.

Results: Three themes emerged: (a) a holistic conceptualization of health that includes spiritual functioning among Black men; (b) a state of HRQoL among Black men predominately marked by mental health concerns, in addition to physical and social health concerns; and (c) multilevel determinants of HRQoL among Black men. This last theme consisted of three subthemes related to community-level, interpersonal, and intrapersonal determinants of HRQoL.

Conclusions: Findings from this study can help inform the development of strategies to improve HRQoL and reduce health disparities among Black men. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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黑人男性与健康相关的生活质量：一项定性研究，旨在了解社区确定的看法和需求。

目标：与健康相关的生活质量（HRQoL）是与过早死亡相关的整体健康的多维指标。黑人男性在 HRQoL 测量中得分较低，但目前尚不清楚黑人男性如何看待 HRQoL，也不清楚是否在这些男性中开展了促进 HRQoL 的工作。本定性研究以社区参与式研究和健康的社会生态模式为基础，旨在了解黑人男性的 HRQoL 概念和改善 HRQoL 的策略：方法：成立了一个社区咨询委员会（CAB），评估了在黑人男性中促进 HRQoL 的必要性并给予了支持。与社区咨询委员会和一群理发师共同制定了焦点小组协议。七个焦点小组由美国东南部的 56 名黑人男性组成。参与者的平均年龄为 45 岁。两名审查员对每个焦点小组进行了编码。可信度在 71% 到 76% 之间。进行了主题分析，并与 CAB 确认了分析结果：出现了三个主题：(a) 黑人男性健康的整体概念化，包括精神功能；(b) 黑人男性的 HRQoL 状态除身体和社会健康问题外，主要以心理健康问题为特征；(c) 黑人男性 HRQoL 的多层次决定因素。最后一个主题包括三个子主题，分别涉及社区层面、人际层面和个人内部的 HRQoL 决定因素：本研究的结果有助于为制定改善黑人男性 HRQoL 和减少健康差异的策略提供信息。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.