Health Behaviors and All-Cause Mortality in African American Men

Thorpe, Roland J.; Wilson‐Frederick, Shondelle M.; Bowie, Janice V.; Coa, Kisha; Clay, Olivio J.; LaVeist, Thomas A.; Whitfield, Keith E.

doi:10.1177/1557988313487552

Cited by 68 publications

(81 citation statements)

References 62 publications

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“…The chronic illness burden among Black men in the United States is disproportionate compared to other male ethnic and racial groups [5]. Unmanaged chronic illness, where illness symptoms go untreated and advance in severity, also adversely impact the health of Black men.…”

Section: Prioritizing Chronic Illness Management Among Black Menmentioning

confidence: 99%

Too Important to Ignore: Leveraging Digital Technology to Improve Chronic Illness Management Among Black Men (Preprint)

Grande¹,

Sherman²

2017

Preprint

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Health disparities associated with chronic illness experiences of Black men demonstrate widespread systematic failures to meet an urgent need. Well-established social and behavioral determinants that have led to health disparities among Black men, include racism, discrimination, and stress. While advocacy work that includes community-engagement and tailoring health promotion strategies have shown local impact, evidence shows the gaps are increasing. We suspect that failure to reduce current disparities may be due to conventional public health interventions and programs; therefore, we submit that innovative interventions, ones that embrace digital technologies and their ability to harness naturally occurring social networks within groups, like Black men, have particular importance and deserve attention. This commentary characterizes the current literature on chronic illness among Black men as well as health interventions that use digital technology, to build a case for expanding research in this area to reduce the overwhelming burden of chronic illness among Black men.

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Section: Prioritizing Chronic Illness Management Among Black Menmentioning

confidence: 99%

Too Important to Ignore: Leveraging Digital Technology to Improve Chronic Illness Management Among Black Men (Preprint)

Grande¹,

Sherman²

2017

Preprint

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“…African-American men experience greater morbidity, premature mortality, and earlier onset of disease and present at later stages of disease progression than white men. [1][2][3][4][5][6][7][8] While these disparities are well established, explanations for observed race differences remain.…”

Section: Introductionmentioning

confidence: 99%

“…This has been largely missing in previous men's health literature yet an important determinant of men's health disparities. 4,7,8,12 The objectives of this study were to examine race disparities in chronic conditions among a sample of white and African-American men living in similar social and environmental conditions and compare these findings to a national sample.…”

Section: Introductionmentioning

confidence: 99%

Disentangling Race and Social Context in Understanding Disparities in Chronic Conditions among Men

et al. 2014

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Disparities in men's health research may inaccurately attribute differences in chronic conditions to race rather than the different health risk exposures in which men live. This study sought to determine whether living in the same social environment attenuates race disparities in chronic conditions among men. This study compared survey data collected in 2003 from black and white men with similar incomes living in a racially integrated neighborhood of Baltimore to data from the 2003 National Health Interview Survey. Multivariable logistic regression models estimated to determine whether race disparities in chronic conditions were attenuated among men living in the same social environment. In the national sample, black men exhibited greater odds of having hypertension (odds ratio [OR]=1.58, 95 % confidence interval [CI] 1.34, 1.86) and diabetes (OR=1.62, 95 % CI 1.27-2.08) than white men. In the sample of men living in the same social context, black and white respondents had similar odds of having hypertension (OR=1.05, 95 % CI 0.70, 1.59) and diabetes (OR=1.12, 95 % CI 0.57-2.22). There are no race disparities in chronic conditions among low-income, urban men living in the same social environment. Policies and interventions aiming to reduce disparities in chronic conditions should focus on modifying social aspects of the environment.

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“…Black males have significantly higher rates of morbidity and mortality from many medically amendable conditions compared with White males (Haiman et al, 2006;Mozaffarian et al, 2015;Schiller, Lucas, Ward, & Peregoy, 2012;Siegel, Naishadham, & Jemal, 2012;Thorpe et al, 2013;Thorpe et al, 2014). More troubling is the fact that Black males are less likely to seek medical care regardless of the severity of their health problems (Neighbors & Howard, 1987), and are less likely to seek routine health care screening when compared with White men (U.S. Department of Health & Human Service, 2006).…”

Section: Racial and Ethnic Diversity And Disparity Issuesmentioning

confidence: 99%

Discrimination in Health Care: Correlates of Health Care Discrimination Among Black Males

2015

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Using data from the Indiana Black Men's Health Study (N = 455), a community-based sample of adult Black men, the primary aim of this study was to explore factors of health care discrimination, and to examine if such reports differed by age and the frequency of race thoughts. Approximately one in four men reported experiencing discrimination in the health care setting. Results from the multivariable logistic regression models suggested that frequent race thoughts (odds ratio [OR]: 1.89, p < .05), not having health insurance (OR: 1.80, p < .05), and increased depressive symptomology (OR: 1.06, p < .01) were positively associated with reports of health care discrimination. A multiplicative interaction coefficient of age and frequency of race thoughts was included to determine if health care discrimination differed by age and frequency of race thoughts (OR: 1.03, p = .08). Results from the predicted probability plot suggested that the likelihood of experiencing health care discrimination decreases with age (OR: 0.97, p < .05). In particular, results suggested that between the ages of 33 and 53 years, Black men who experienced frequent race thoughts were more likely to report experiences of discrimination in the health care setting than men of the same age that did not experience frequent race thoughts. These results highlight the need for empirical work to better understand the experiences of Black men, a group less likely to utilize health care services than most adult groups within the health care setting.

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Health Behaviors and All-Cause Mortality in African American Men

Cited by 68 publications

References 62 publications

Too Important to Ignore: Leveraging Digital Technology to Improve Chronic Illness Management Among Black Men (Preprint)

Too Important to Ignore: Leveraging Digital Technology to Improve Chronic Illness Management Among Black Men (Preprint)

Disentangling Race and Social Context in Understanding Disparities in Chronic Conditions among Men

Discrimination in Health Care: Correlates of Health Care Discrimination Among Black Males

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