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Pathways to Help-Seeking Among Black Male Trauma Survivors: A Fuzzy Set Qualitative Comparative Analysis
John A Rich1,2,3, Theodore J Corbin1,2,3, Sara F Jacoby4,5
1Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.
Black men experiencing trauma may seek psychological help due to severe symptoms or financial/discrimination concerns. Conversely, low symptoms and social concerns predict not seeking help, revealing complex pathways.
Area of Science:
- Psychology
- Trauma Studies
- Health Disparities
Background:
- Black men often experience traumatic stress alongside social concerns like discrimination and financial hardship.
- Understanding the interplay of trauma symptoms and social factors is crucial for addressing psychological help-seeking behaviors.
Purpose of the Study:
- To investigate the complex relationships between traumatic stress symptoms and social factors (discrimination, financial worry) in predicting psychological help-seeking among injured Black men.
Main Methods:
- Qualitative interviews and quantitative data from 32 injured Black men were analyzed.
- Validated instruments measured posttraumatic stress, depression, financial worry, and discrimination/stigma.
- Fuzzy set qualitative comparative analysis (fsQCA) identified causal pathways for help-seeking and non-help-seeking.
Main Results:
- Three pathways to psychological help-seeking were identified: severe trauma symptoms alone, or financial worry and discrimination combined, were sufficient.
- Two pathways to *not* seeking psychological help were found, linked to low symptom severity and low social concerns.
- fsQCA revealed multiple, complex pathways influencing help-seeking decisions in this population.
Conclusions:
- Psychological help-seeking among Black men after trauma is influenced by varied combinations of symptom severity and social factors.
- Findings underscore the need for tailored interventions that address the unique psychosocial needs of Black men experiencing trauma.
- Further research is essential to fully elucidate the multifaceted pathways toward psychological help-seeking in this demographic.
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