Thesis (Ph. D.)--University of California, San Diego, 2006. / Title from first page of PDF file (viewed July 21, 2006). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references (p. 242-256).

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This research is a qualitative study that explores the gender role ideology of Black and White men between the ages of 18-30. The study found that both groups are moving toward egalitarianism on different pathways. The pathways illustrate the effect of racial identity on gender role ideology. White respondents had a progressive egalitarianism which stemmed from ideas reflected individualism, secularization, and the identification with the grand narrative of the United States. Their respondents also reflected postmodern ideas. Overall their ideas reflect larger White racial identity and shows an overlap between the progressive understanding of modernity and with postmodernist ideas of non-deterministic definitions. Black respondents had a collaborative egalitarianism which stemmed from historical racial and economic deprivation. Subsequently, Blacks gender role ideology illustrates collaboration and communal interdependence between of Black men and women, and the Black church. Blacks tended to view things from a social perspective that was often reactionary. Overall, their ideas reflected the larger Black racial identity which emphasizes collaboration between men and women and a reliance on community based institutions like the Black church.

Prostate cancer is the most common cancer among men in the United States and is one of the leading causes of cancer death among men of all races. However, African-American men are at particularly high risk. These men are diagnosed more often with prostate cancer, are diagnosed later, and are more than twice as likely to die from prostate cancer than are Caucasian men. A strategy to address this inequity was to develop a community based program that would reach this at risk population. The goal of the project was to develop an evidence-based, theory-supported education and referral program to promote prostate cancer prevention screening among African-American men utilizing New York community church settings. The resultant scholarly project aims to motivate the target population towards prostate cancer prevention screening as appropriate through the development of an evidence-based, theory-supported, community-focused education and referral program using self-efficacy theory. This project provides a program, grounded in self-efficacy, that will educate African-American men about prostate cancer, empower them with knowledge regarding risk, motivate them to seek preventative screenings, and obtain care if needed. An evaluation strategy was developed incorporating a post-test questionnaire to measure participant knowledge and self-efficacy along with a process for measuring referrals to local screening and treatment programs. The program will bring about positive social change through empowerment of a population of men suffering from disparate access to care resulting in increased morbidity and mortality. Dissemination of the project will include presentations to the community church leaders and Caribbean healthcare professionals, as well as publication in Parish nursing journals.

In 2016, prostate cancer was the second leading cause of fatality in the United States. However, the population in this study 'Black American men, ages 40 and older, in selected counties in Fulton, DeKalb, Gwinnett, Clayton and Atlanta metropolitan areas' tended to underutilize prostate cancer care. The purpose of this quantitative, nonexperimental descriptive study was to determine whether socio-economic barriers and perceptions of Black American men about prostate cancer reduce their ability to access quality care in this county in Georgia. The Health Belief Model (HBM) was used to inform the predictive validity of perceptions, attitudes, and belief on individual health behaviors. Data were collected from 303 men through online and mailed researcher-made surveys that had been piloted using the demographic/medical background instrument; data from these surveys were then analyzed using frequency distribution and analysis of variance, coupled with Tukey's honest significant difference test. According to the results, 90% of the respondents stated that early detection and treatment were a perceived benefit of undergoing prostate cancer screening, and respondents perceived early detection, early treatment, and the reduced chance of dying from prostate cancer as the main reasons for undergoing the screening. A potential social significance to this study is that it provides information to health care providers and policy makers to better understand the patterns of Black American men and their motivation to seek early prostate cancer screening. Early screening could reduce costs, both economically and socially, associated with late diagnosis of this disease.

Indiana University-Purdue University Indianapolis (IUPUI) / Indiana University-Purdue University Indianapolis (IUPUI) / According to the most recent US Census statistics, there is an estimated 2.5 million grandparents raising their grandchildren in the United States without the children's parents present in the household. In Indianapolis, the figure constitutes nearly 9,000 households. There are a disproportionately higher number of African American grandparents that are primary caregivers to their grandchildren. However, 6 percent of this population is grandfathers who are raising their grandchildren, while some 40 percent of the grandmothers are married. The research is a compilation of interviews with ten African American grandfathers living in Indianapolis who are raising their grandchildren in their households without the presence of the grandchildren’s parents. These men were either married or widowed and have either formal custody of their grandchildren through adoption, foster care/kinship care, court-appointed guardianship or informal living arrangements. The objective of the research was to capture the lived experiences of these grandfathers who were fulfilling their caregiving roles. Thus, the research methodology used was reflective of the phenomenological paradigm of inquiry.

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This research project was designed to conduct a study of the Concerned Black Man (CBM) of Richmond, a mentorship program for African American males. The specific purposes of the study were to: (1) identify program structure and practices; (2) identify program strengths and weaknesses as perceived by key players; (3) examine the nature of mentor-protege relationships. The population consisted of 33 persons (executive board members, mentors, proteges, parents, business/community leaders, and school officials) involved with the CBM program. The methods of research employed were document collection, observations, unstructured interviews, and focus groups. Conclusions drawn from the study suggest that the Concerned Black Men consist of a small group of dedicated males who operate and administer the entire program. Evidence suggests that although the program has had a positive impact on program participants, the absence of full time staff gives way to a general lack of infrastructure which contributes to uneven and inconsistent program policies and practices. Commitment of the CBM members, youth activities, transportation, and CBM resourcefulness emerged as strengths by key players. Weaknesses cited were membership, communications, and organizational structure. CBM espouses a group approach to mentoring, therefore, formal matching is not encouraged. It is significant that all proteges formed relationships with the same mentor; on the other hand, only one mentor had formed a relationship with either of the proteges interviewed. Both mentors and proteges conveyed that the relationship (1) started in a bi-monthly CBM activity; (2) centered around group-sponsored activities, twice a month; (3) consisted of primarily school-related conversation; (4) was fairly close; (5) gave them positive feelings; and (6) generally effected a positive change in their behavior. The argument is supported that a successful mentoring program requires a solid infrastructure, consistently stated goals and an essential supply of manpower. / Ed. D.

Using data from the Household Component of the 1996 Medical Expenditure Panel Survey, the study compares (1) the accessibility, and (2) the predictors of health care services utilization among African American and non-Hispanic White males, 18 to 65 years old in the United States. Using ANOVA procedure in comparing the means for use of physicians, hospitals, doctors, and difficulty obtaining care, seven hypotheses were tested in the study. First, it was hypothesized that African American men of working age will have less access to health care services (physicians, hospitals, and dentists), and be more likely to report having experienced delay or difficulty obtaining care, compared to non-Hispanic white males of working age. Second, it was hypothesized that, controlling for health status, African American men of working age will have less access to health care services (physicians, hospitals, and dentists), and will also be more likely to experience delay or difficulty obtaining care, than non-Hispanic white males. This was followed by the third hypothesis which compared utilization of physicians, hospitals, dentists, and difficulty obtaining care among African American and non-Hispanic white males, controlling for health status and insurance coverage (any insurance, private insurance, any public insurance, and Medicaid). Hypotheses four through six compared the utilization of physicians, hospitals, and dentists, as well as difficulty obtaining care among African American and non-Hispanic white males, controlling for the following variables sequentially: health status and poverty status; health status and having a usual source of care; and health status and employment status, in that order. Finally, it was hypothesized that, controlling for health status, any insurance, poverty status, and employment status, African American men of working age will have less access to physicians, hospitals, and dentists, and experience more difficulty and delay obtaining care, compared to non-Hispanic white males of working age. Results from the study indicated that Hypothesis 1 was supported for use of physicians and dentists. Hypotheses 2, 3a and 3c were supported for use of physicians, hospitals, and dentists. Hypotheses 3b, 3d, and 4 received support for use of physicians, hospitals, dentists, and difficulty obtaining care. Additionally, both Hypotheses 5 and 6 were supported for use of physicians, hospitals, and dentists, with the last hypothesis being confirmed for use of physicians, hospitals, dentists, and difficulty obtaining care. The study calls for a closure of the gap in access to health care between African American and non-Hispanic white adult males in the US. A reform-oriented government-sponsored single-payer plan modeled after the Canadian health care system is recommended for the United States. A national health insurance plan is most likely to ensure equity of access, compared to others, in the sense that it is founded on the premise that everyone will be covered in a similar fashion. Considering the role of Community Health Centers in serving Medicaid and Medicare recipients, low-income uninsured and insured, the underinsured, as well as high-risk populations and the elderly, in the interim, they should be extended to every community in the United States.