“I can literally spill my guts and be 100% honest and it helped”: Narratives of Mental Health Service Utilization Among Young Black Gay and Bisexual Men Living with HIV Restricted; Files Only
Johnson, Zoe (Fall 2022)
Abstract
Young, Black, gay, bisexual, and other men who have sex with men (YB-GBMSM) living with HIV, experience a high burden of mental health concerns, yet underutilize mental health care services. This study qualitatively explored mental health care pathways, including motivations, experiences, and barriers to care, to understand why mental health care service utilization and engagement remain low. We conducted a secondary analysis of 23 in-depth interviews with YB-GBMSM who previously utilized mental health care services using a narrative approach. We found that YB-GBMSM follow different pathways to utilize mental health care service. YB-GBMSM in our study were motivated to seek care due to several life stressors and events and reported overall positive experiences with the care they received. However, they faced significant barriers related to stigma, financial constraints, and logistics (housing and transportation) which influenced utilization and continued engagement in mental health care services. Our conclusions discuss implications for future research and suggestions for improving mental health service utilization and engagement among YB-GBMSM.
Table of Contents
Chapter 1: Introduction and Literature Review.. 1
Mental Health and HIV 1
Mental Health of YB-GBMSM 2
Mental Health Service Utilization Among YB-GBMSM 4
Perceptions and Barriers 5
Experiences in Care 8
Problem Statement 8
Purpose Statement 9
Definition of Terms 9
Chapter 2: Manuscript 10
Introduction. 13
Methods 15
Qualitative Approach and Study Population 15
Sampling and Recruitment Strategies 15
Data Collection 15
Procedures 16
Data Analysis 17
Results 17
Motivations for Seeking Mental Health Care 18
Formal Evaluation 18
Catharsis 19
Navigating Adversity 19
Interpersonal Relationships 20
HIV Diagnosis 23
Experience in Care 28
Freedom from Judgement 28
Confidentiality and Trust 28
Barriers to Care 29
Stigma 29
Low Perceived Need 30
Financial Constraints 30
Logistics 31
Discussion 31
Chapter 3: Conclusion and Public Health Implications 37
References 38
About this Master's Thesis
School | |
---|---|
Department | |
Degree | |
Submission | |
Language |
|
Research Field | |
Stichwort | |
Committee Chair / Thesis Advisor |
Primary PDF
Thumbnail | Title | Date Uploaded | Actions |
---|---|---|---|
File download under embargo until 06 January 2025 | 2022-11-28 21:32:43 -0500 | File download under embargo until 06 January 2025 |
Supplemental Files
Thumbnail | Title | Date Uploaded | Actions |
---|