Black and Blue: Depression and African American Men

Plowden, Keith O.; Adams, Linda Thompson; Wiley, Dana

doi:10.1016/j.apnu.2016.04.007

Cited by 30 publications

(21 citation statements)

References 71 publications

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“…This might suggest that Black men who opted into the YBMen intervention had some indication that additional resources might be useful for them. Previous studies have found that Black men tend to describe depression and stress synonymously (Hudson et al, 2018;Watkins & Neighbors, 2007), that racism is directly linked to depression Goodwill et al, In Press;Watkins et al, 2011), and that targeted interventions can reduce depressive symptoms for Black men (Plowden et al, 2016;Watkins, 2012;Watkins & Jefferson, 2013). One of the aims of the YBMen intervention is to decrease depression symptoms, so preferred results were achieved in this study.…”

Section: Discussionmentioning

confidence: 56%

An Online Behavioral Health Intervention Promoting Mental Health, Manhood, and Social Support for Young Black Men: The YBMen Project

et al. 2020

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Conventional definitions of mental health, manhood, and social support create barriers to accessing behavioral health care for Black men ages 18 to 30. Targeted behavioral health interventions sensitive to culture, social norms, and gender that circumvent these barriers are desperately needed to improve access and integrated care for this group. This article reports mixed methods findings from the 2017 iteration of the Young Black Men, Masculinities, and Mental Health (YBMen) project, a social media–based, psychoeducational program that promotes mental health, progressive definitions of manhood, and sustainable social support for Black men. Young Black men ( n = 350) across two universities in the Midwest completed baseline surveys on their mental health, definitions of manhood, and social support. Forty of the men participated in the YBMen intervention and at postintervention reported experiencing fewer depressive symptoms on the Patient Health Questionnaire (PHQ-9, Z = −2.05, p < .01) and the Gotland Male Depression Scale (GMDS; Z = −1.76, p < .05). There were also changes on the Conformity to Masculine Norms Inventory (CMNI) for Self-Reliance ( Z = −0.34, p = .26) and Heterosexual Self-Presentation ( Z = −0.18, p = .59), though these changes were not statistically significant. A qualitative review of postintervention interviews revealed participants’ appreciation of the YBMen project and its influence on their mental health, manhood, and social support. Programmatic efforts that support the behavioral health, positive development, and social relationships of Black men translate into positive families, communities, and experiences as they live, learn, love, and work over the life course.

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Section: Discussionmentioning

confidence: 56%

An Online Behavioral Health Intervention Promoting Mental Health, Manhood, and Social Support for Young Black Men: The YBMen Project

et al. 2020

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“…Similarly, certain conditions such as multiple chronic ailments and pain seem to push AA older adults toward treatment. This might be because of high levels of stigma associated with depression in the AA community [65,66]. We argue that pain and chronic medical conditions may be the primary reason AA older adults seek medical care, mainly in primary care settings.…”

Section: Discussionmentioning

confidence: 94%

“…Moreover, AAs who receive mental health services view their care less favorably compared to Whites [67], suggesting that they may encounter the lingering effects of structural racism within health care settings. Related sociocultural factors, such as race-based and cultural stigma, can affect perceptions of their treatment [65,66]. In 2012, Jimenez and colleagues revealed that older AAs had differing beliefs on the causes of mental problems compared to Whites, which can affect treatment decision making [68].…”

Section: Discussionmentioning

confidence: 99%

“…Literature shows that older AAs have difficulty filling their medications due to low access to pharmacy services, lack of medication knowledge, and cost. AAs differ in their presentation of depression and other related mental health problems and may exhibit symptoms resembling a psychotic disorder, leading to misdiagnosis and inappropriate treatment [66]. Clinicians should exercise caution when evaluating treatment options for depression and should assist these individuals with medication supply and adherence.…”

Section: Discussionmentioning

confidence: 99%

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Depression Treatment Status of Economically Disadvantaged African American Older Adults

et al. 2020

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Background: It is known that depression remains largely untreated in underserved communities. Hence, it is desirable to gain more knowledge on the prevalence and correlates of untreated depression among African-American (AA) older adults in economically disadvantaged areas. This knowledge may have the public health benefit of improving detection of AA older adults with depression who are at high risk of not receiving treatment, thereby reducing this health disparity. Objective: To study health and social correlates of untreated depression among AA older adults in economically disadvantaged areas. Methods: Between 2015 and 2018, this cross-sectional survey was conducted in South Los Angeles. Overall, 740 AA older adults who were 55+ years old entered this study. Independent variables were age, gender, living arrangement, insurance type, educational attainment, financial strain, chronic medical conditions, and pain intensity. Untreated depression was the dependent variable. Logistic and polynomial regression models were used to analyze these data. Results: According to the polynomial regression model, factors such as number of chronic medical conditions and pain intensity were higher in individuals with depression, regardless of treatment status. As our binary logistic regression showed, age, education, and number of providers were predictive of receiving treatment for depression. Conclusion: Age, educational attainment, number of providers (as a proxy of access to and use of care) may be useful to detect AA older adults with depression who are at high risk of not receiving treatment. Future research may focus on decomposition of the role of individual-level characteristics and health system-level characteristics that operate as barriers and facilitators to AA older adults receiving treatment for depression.

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“…We also did not study adherence or self-reported use of prescribed medications. Additionally, depressive symptoms may have been underreported due to cultural stigma within the African American population toward mental illness [ 74 , 75 , 76 ]. This may lead to individuals not wanting to acknowledge or being unable to recognize signs of depression.…”

Section: Limitationsmentioning

confidence: 99%

Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults

et al. 2020

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African-American older adults, particularly those who live in economically deprived areas, are less likely to receive pain and psychotropic medications, compared to Whites. This study explored the link between social, behavioral, and health correlates of pain and psychotropic medication use in a sample of economically disadvantaged African-American older adults. This community-based study recruited 740 African-American older adults who were 55+ yeas-old in economically disadvantaged areas of South Los Angeles. Opioid-based and psychotropic medications were the outcome variables. Gender, age, living arrangement, socioeconomic status (educational attainment and financial strain), continuity of medical care, health management organization membership, sleeping disorder/insomnia, arthritis, back pain, pain severity, self-rated health, depressive symptoms, and major chronic conditions were the explanatory variables. Logistic regression was used for data analyses. Arthritis, back pain, severe pain, and poor self-rated health were associated with opioid-based medications. Pain severity and depressive symptoms were correlated with psychotropic medication. Among African-American older adults, arthritis, back pain, poor self-rated health, and severe pain increase the chance of opioid-based and psychotropic medication. Future research should test factors that can reduce inappropriate and appropriate use and prescription of opioid-based and psychotropic medication among economically disadvantaged African-American older adults.

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Black and Blue: Depression and African American Men

Cited by 30 publications

References 71 publications

An Online Behavioral Health Intervention Promoting Mental Health, Manhood, and Social Support for Young Black Men: The YBMen Project

An Online Behavioral Health Intervention Promoting Mental Health, Manhood, and Social Support for Young Black Men: The YBMen Project

Depression Treatment Status of Economically Disadvantaged African American Older Adults

Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults

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