Suchergebnisse

Men, especially African American men, have poorer health than women. To identify concerns and experiences that may contribute to this disparity, participatory action research methods were used to conduct six focus groups with fifty-nine participants in a North Carolina city. Aspects of male gender socialization were identified as major barriers to health. This socialization influences many behaviors in which men engage, such as unhealthy diet, limited exercise, unsafe sex, and substance abuse. Focus group participants with fewer educational and financial resources discussed drug-infested communities, economic barriers, crime, lack of affordable health insurance, and perceived discrimination in health care encounters. Participants with more formal education and more financial resources expressed concerns about managed care and chronic diseases. These results demonstrate the importance of male gender socialization in the health of African American men. In addition, economic class must be taken into account when addressing the health of African American men.

Purpose: Stakeholder engagement and community-engaged research (CEnR) are recognized as approaches necessary to promote health equity. Few studies have examined variations in stakeholder perspec­tives on research ethics despite the potential for meaningful differences. Our study exam­ines the association between stakeholders' characteristics and their perception of the importance of 15 stakeholder-developed CEnR ethical statements.Design: Quantitative analysis of close-end­ed Delphi survey.Participants: We recruited a national, non-random, purposive sample of people who were eligible if they endorsed conducting CEnR in public health or biomedical fields. Participants were recruited from publicly available information, professional email distributions, and snowball sampling.Main Outcome Measures: We designed our close-ended Delphi survey from the results of 15 CEnR ethical statements, which were developed from a consensus develop­ment workshop with academic and com­munity stakeholders.Results: 259 participants completed the Delphi survey. The results demonstrated that stakeholders' characteristics (affiliation, ethnicity, number of CEnR relationships, and duration of CEnR partnerships) were not associated with their perception of the importance of 15 ethical statements.Conclusions: The strong agreement among stakeholders on these broad, aspirational ethical statements can help guide partner­ships toward ethical decisions and actions. Continued research about variability among stakeholders' ethics perspectives is needed to bolster the capacity of CEnR to contribute to health equity.Ethn Dis. 2019;29(2):309- 316. doi:10.18865/ed.29.2.309