TY - JOUR
T1 - Through our eyes
T2 - Exploring African-American men's perspective on factors affecting transition to manhood
AU - Bharmal, Nazleen
AU - Kennedy, David
AU - Jones, Loretta
AU - Lee-Johnson, Charles
AU - Morris, D'Ann
AU - Caldwell, Ben
AU - Brown, Anthony
AU - Houston, Tina
AU - Meeks, Charlene
AU - Vargas, Roberto
AU - Franco, Idalid
AU - Razzak, A. Rab
AU - Brown, Arleen F.
N1 - Funding Information:
Acknowledgement: The authors wish to thank Jamico Elder, Charles Boyd, and Andrea Jones for their participation in the community advisory board, and the Los Angeles Urban League for meeting space. Dr. Bharmal was supported by the Robert Wood Johnson Clinical Scholars Program and UCLA National Service Research Award (T32 PE19001). Dr. Brown was supported by the Beeson Career Development Award (K23 AG26748), the UCLA Resource Center in Minority Aging Research (AG02004), the National Center on Minority Health and Health Disparities (P20MD00148), and the American Heart Association Outcomes Research Center Award (0875133 N). Portions of this work were presented at the 2010 Academy Health Conference in Boston, MA and 2010 Society of General Internal Medicine Annual Conference, Minneapolis, MN.
PY - 2012/2
Y1 - 2012/2
N2 - BACKGROUND: Premature mortality and disparities in morbidity observed in African-American men may be associated with factors in their social, economic, and built environments that may be especially influential during the transition to adulthood. OBJECTIVE: To have young, African-American men from Los Angeles County identify and prioritize factors associated with their transition to manhood using photovoice methodology and pile-sorting exercises. DESIGN: Qualitative study using community-based participatory research (CBPR) and photovoice PARTICIPANTS: Twelve African-American men, ages 16-26 years, from Los Angeles County, California. APPROACH: We used CBPR principles to form a community advisory board (CAB) whose members defined goals for the partnered project, developed the protocols, and participated in data collection and analysis. Participants were given digital cameras to take 50-300 photographs over three months. Pile-sorting techniques were used to facilitate participants' identification and discussion of the themes in their photos and selected photos of the group. Pile-sorts of group photographs were analyzed using multidimensional scaling and hierarchical cluster analysis to systematically compare participants' themes and identify patterns of associations between sorted photographs. Sub-themes and related quotes were also elicited from the pile-sorting transcripts. The CAB and several study participants met periodically to develop dissemination strategies and design interventions informed by study findings. KEY RESULTS: Four dominant themes emerged during analysis: 1) Struggles face during the transition to manhood, 2) Sources of social support, 3) Role of sports, and 4) Views on Los Angeles lifestyle. The project led to the formation of a young men's group and community events featuring participants. CONCLUSIONS: CBPR and photovoice are effective methods to engage young, African-American men to identify and discuss factors affecting their transition to manhood, contextualize research findings, and participate in intervention development.
AB - BACKGROUND: Premature mortality and disparities in morbidity observed in African-American men may be associated with factors in their social, economic, and built environments that may be especially influential during the transition to adulthood. OBJECTIVE: To have young, African-American men from Los Angeles County identify and prioritize factors associated with their transition to manhood using photovoice methodology and pile-sorting exercises. DESIGN: Qualitative study using community-based participatory research (CBPR) and photovoice PARTICIPANTS: Twelve African-American men, ages 16-26 years, from Los Angeles County, California. APPROACH: We used CBPR principles to form a community advisory board (CAB) whose members defined goals for the partnered project, developed the protocols, and participated in data collection and analysis. Participants were given digital cameras to take 50-300 photographs over three months. Pile-sorting techniques were used to facilitate participants' identification and discussion of the themes in their photos and selected photos of the group. Pile-sorts of group photographs were analyzed using multidimensional scaling and hierarchical cluster analysis to systematically compare participants' themes and identify patterns of associations between sorted photographs. Sub-themes and related quotes were also elicited from the pile-sorting transcripts. The CAB and several study participants met periodically to develop dissemination strategies and design interventions informed by study findings. KEY RESULTS: Four dominant themes emerged during analysis: 1) Struggles face during the transition to manhood, 2) Sources of social support, 3) Role of sports, and 4) Views on Los Angeles lifestyle. The project led to the formation of a young men's group and community events featuring participants. CONCLUSIONS: CBPR and photovoice are effective methods to engage young, African-American men to identify and discuss factors affecting their transition to manhood, contextualize research findings, and participate in intervention development.
KW - Men's health
KW - Qualitative research
KW - Race/ethnicity
KW - Socioeconomic factors
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U2 - 10.1007/s11606-011-1836-0
DO - 10.1007/s11606-011-1836-0
M3 - Article
C2 - 21910088
AN - SCOPUS:84856721358
SN - 0884-8734
VL - 27
SP - 153
EP - 159
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
IS - 2
ER -