Journal article
“I Have More Friends That Died Than Fingers and Toes”: Service Utilization Needs and Preferences for Violence and Substance Use Prevention Among Young Black Boys and Men
Journal of interpersonal violence
09 Aug 2024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Young Black men (YBM) disproportionately face the most severe forms and consequences of youth violence (YV) and substance use disorders, but are less likely to access and be retained in services for these high-risk behaviors. Investigating service uptake disparities and the role of barrier-reducing intervention delivery models is essential; so is understanding the service needs and preferences of YBM. This study explores the experiences of violence-involved and substance-disordered YBM and service providers working with them from racially and economically diverse communities, focusing on their service needs and preferences. Additionally, we examine the potential benefits and drawbacks of digital health interventions in addressing crucial structural barriers to service access and promoting equity for Black boys in high-violence environments. Individual interviews were conducted with 16 YBM (selected from a larger pool of 300 participants from a pilot study) and 7 service providers (four females, three males). Data analysis utilized an Interpretive Description (ID) approach guided by the Phenomenological Variant of Ecological Systems Theory (PVEST). Four themes emerged: (1) Revolving Doors and Histories of Violence; (2) Benefits of Violence: “You Do Something to Me, I Do Something to You”; (3) Positive and Negative Perceptions of Violence and Substance Use Prevention Programs; and (4) Need for Equity-Focused and Barrier-Mitigating Digital Health Interventions. Our findings identified avoidance mechanisms utilized by YBM at both individual and community levels and highlighted perceptions of existing community-based programs and digital interventions as crucial tools for mitigating barriers to care. This study also confirms the prevalence of critical service gaps and program uptake issues, even in cities with abundant programs. Thus emphasizing the need for equity-focused interventions co-designed with and for YBM in high-violence and substance use contexts.
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Details
- Title
- “I Have More Friends That Died Than Fingers and Toes”: Service Utilization Needs and Preferences for Violence and Substance Use Prevention Among Young Black Boys and Men
- Creators
- Chuka N. Emezue - Rush University Medical CenterDale Dan-Irabor - University of Missouri–Kansas CityAdaobi Anakwe - Drexel UniversityAndrew P. Froilan - Rush University Medical CenterAaron Dunlap - Rush University Medical CenterNiranjan S. Karnik - University of Illinois at ChicagoWrenetha A. Julion - Rush University Medical Center
- Publication Details
- Journal of interpersonal violence
- Publisher
- Sage
- Number of pages
- 31
- Grant note
- National Institute for Minority Health and Health Disparities (NIMHD): P50MD01734 Institute for Translational Medicine (ITM, NIH/NCATS): UL1TR002389, KL2TR002387, TL1TR00238
The author(s) disclosed receipt of the following financial support for the research and/ or authorship of this article: Financial support for undertaking this study was provided by the Rush BMO Health Equity Institute (RBIHE), The Chicago Chronic Condition Equity Network (C3EN) and The Joyce Chapman Community Grant Program (C3EN mini-grant) both funded through the National Institute for Minority Health and Health Disparities (NIMHD; P50MD01734), Joyce Chapman Community Grant Program (C3EN mini-grant), and the Institute for Translational Medicine (ITM, NIH/NCATS-funded Pilot Translational and Clinical and Translational Science Awards (through Grant Numbers UL1TR002389, KL2TR002387, and TL1TR00238). This research is a precursor to a series of studies on the development, adaptation, and pilot testing of BrotherlyACT.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:001288889500001
- Scopus ID
- 2-s2.0-105001584219
- Other Identifier
- 991021899214904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Criminology & Penology
- Family Studies
- Psychology, Applied