The cascade of social determinants in producing chronic disease in low-income African-American men

Autor: David Buchanan, Aline Gubrium, Lamont Scott, Henry Douglas
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: International Journal of Qualitative Studies on Health & Well-Being, Vol 13, Iss 1 (2018)
Druh dokumentu: article
ISSN: 1748-2623
1748-2631
17482631
DOI: 10.1080/17482631.2018.1549920
Popis: Purpose: There is a dearth of effective, evidence-based programs to reduce chronic disease in low-income African-American men. We report on the results of formative research in the National Institutes of Health (NIH)-funded MOCHA Moving Forward project on factors identified by the participants to drive health disparities. Methods: Based on individual interviews with 42 middle-aged (40–65 years), low-income African-American men, three themes emerged. Results: First, the results indicate a hierarchy in the perceived relative influence of different factors, with poverty and unemployment perceived to have the most powerful affects. Second, results show that factors in different domains do not operate as discrete independent influences, but rather, interact synergistically. Finally, the findings show how perceived social structural constraints have produced deep cynicism about the future, with notably divergent reactions, producing a sense that there is almost nothing an individual can do, or paradoxically, a greater the sense of personal responsibility. Conclusion: The implications of addressing the cascade of social determinants to reduce chronic disease in African-American men are discussed.
Databáze: Directory of Open Access Journals
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