Health and Disability Among Young Black Men.
Tiffany N Ricks, Angela Frederick, Tracie Harrison
PMID 31834116WHAT IT FOUND
Young Black men with disabilities said they avoided or stopped care because pushing through pain proved manhood, work and cost made care difficult, and providers seemed untrustworthy.
Some still protected health through prayer, diet, braces, and work limits.
Key findings
01Most participants defined seeking healthcare as risking their bodies or quality of life, and participants often argued providers were motivated by profit.
02Several men said they returned to strenuous labor after doctors advised against it, and one stopped therapy when the copay increased.
03Nine of the 11 men identified religious beliefs and spirituality as an essential component of their health promotion.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small and purposive, from one metropolitan area, so the themes cannot be assumed to apply to all young Black men with disabilities. The authors state the purposive sample does not provide a generalizable sample. A participant was born in Cameroon and migrated to the United States at 17, so his life history may differ from the U.S.-born participants. Functional limitation was based on self-reported difficulty with survey tasks. The study describes experiences and themes, not measured health outcomes or tested interventions.
Declared interests
The authors declared no financial or non-financial conflicts of interest. The paper is listed as NIH extramural research support.
The easy way to misread this
Do not treat these themes as true for all young Black men with disabilities. The study was a small purposive interview study in one metropolitan area and was not designed to measure how common these experiences are.