Leveraging the Black barbershop as a community haven exploring perceptions of mental health in Black men 公开
Cross, De'Von (Spring 2023)
Published
Abstract
Compared to the general U.S. population, Black men tend to experience relatively poor health outcomes, many of which are the downstream effects of social determinants of health. In addition, Black men are subject to a high incidence of non-communicable diseases (NCD) that result from a combination of genetic, physiological, environmental, and behavioral factors (tobacco use, physical inactivity, and unhealthy diet). Of the NCDs commonly explored through research, such as hypertension, Type II diabetes, various cancers, hyperlipidemia, and asthma, mental illness is a NCD that characteristically goes unaddressed and is therefore under-researched. In addition, there exists stigmas within health-related spaces that have historically ostracized Black men from feeling a sense of inclusion and identity, therefore acting as inflammatory to a community that is desperately in need of culturally sensitive and patient-centered care. The purpose of this study is therefore to explore how utilizing the barbershop setting as a community-identifiable haven might assist Black men in navigating their attitudes and perceptions of mental health, its associated norms, and stigmas (including those involving masculine identity), and barriers such norms pose to successful facilitation or implementation of mental health services and interventions. In achieving this aim, the study will take an exploratory qualitative approach that uses elements of phenomenology to A) understand the experience of the barbershop-setting vis-à-vis the participants and B) construct a working theory on how utilizing spaces such as the barbershop can serve as a catalyst for change in addressing mental health and elements of well-being among Black men.
Table of Contents
Chapter 1: Introduction 1
Rationale 1
Purpose Statement 2
Significance Statement 3
Chapter 2: Review of Literature 4
Introduction 4
Mental Health & Black Men 4
Shortage of Resources 5
The Atlanta Context: Health Inequities and Income Inequality 6
Attitudes & Beliefs: Social Constructs 9
Efficacy of Community Safe-Spaces 10
Barbers, Black Men & The Barbershop 10
Wellbeing & the Barbershop 12
Existing Efforts to Use Barbershops in Support of Mental Health 12
Summary 14
Chapter 3: Manuscript 16
ABSTRACT 16
INTRODUCTION 17
METHODS 19
Study Sample and Recruiting 20
Focus Group Discussions 21
Reflexivity 23
RESULTS 24
Theme 1: Defining the barbershop as a “safe-space” and “brave-space” 24
Theme 2: Personal influencers of the barbershop culture 30
Theme 3: Mental Health and the barbershop 35
Theme 4: Repurposing the barbershop for Black men’s mental health 41
DISCUSSION 43
Chapter 4: Public Health Implications 48
Strengths and Limitations 49
Future Implications 50
Conclusion 50
References 52
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