Related Experiment Video
Updated: Jul 5, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
Exploring Preventive Health Care Utilization Among Black/African American Men
Harrell Jordan1, Rohan Jeremiah1, Karriem Watson1
1College of Nursing, University of Illinois Chicago, Chicago, IL, USA.
Black/African American men face significant barriers to preventive healthcare, with religion and medical mistrust decreasing engagement. Their health perceptions often misalign with actual health outcomes, highlighting a critical need for improved access and culturally sensitive care.
Area of Science:
- Public Health
- Health Disparities
- Sociology of Health
Background:
- Black/African American (BAA) men experience the lowest life expectancy and highest mortality rates in the U.S.
- BAA men are more likely to use emergency departments for routine care, indicating underutilization of preventive services.
- Existing research identifies medical mistrust and religious beliefs as barriers, but factors influencing current preventive care use remain underexplored.
Purpose of the Study:
- To examine current preventive health care practices among BAA men.
- To explore the influence of predisposing, enabling, and need factors on preventive health care utilization in BAA men, using the Andersen Healthcare Utilization Model.
- To investigate how factors like income, education, religious affiliation, and medical mistrust intersect to affect healthcare engagement.
Main Methods:
- Cross-sectional study involving 176 Black/African American men.
- Analysis based on the Andersen Healthcare Utilization Model.
- Examination of preventive health care practices and their correlation with demographic, attitudinal, and need-based factors.
Main Results:
- Higher income and education levels were positively associated with healthcare utilization, as expected.
- A significant finding was the inverse relationship between religious affiliation, higher medical mistrust, and decreased healthcare engagement, with religion acting as a barrier.
- Perceptions of health varied by sexual orientation, education, and income, but participants' self-perceived health did not align with their objective health status.
Conclusions:
- Religious affiliation and medical mistrust significantly impede preventive healthcare utilization among BAA men.
- Discrepancies between perceived and actual health outcomes underscore a critical gap in health awareness and engagement.
- Future research should consider the role of masculine norms as potential enabling factors for preventive care in this population.
Related Concept Videos
Preventive Healthcare Services
Disorders of the Male Reproductive System
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions II: Airborne and Protective Environment
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...

