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Social Work With African American MalesHealth, Mental Health, and Social Policy$
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Waldo E. Johnson

Print publication date: 2010

Print ISBN-13: 9780195314366

Published to Oxford Scholarship Online: September 2010

DOI: 10.1093/acprof:oso/9780195314366.001.0001

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Health and Health-Care Service Use Among Middle-Class Black Men

Health and Health-Care Service Use Among Middle-Class Black Men

(p.209) 12 Health and Health-Care Service Use Among Middle-Class Black Men
Social Work With African American Males

Sherrill L. Sellers

Vence L. Bonham

Harold W. Neighbors

Shuntay McCoy

Oxford University Press

This chapter examines participation in healthcare services among middle-class Black men from a cross-sectional survey of college-educated African American men. The survey was conducted as a series of computer-assisted telephone interviews (CATI) by Michigan State University's Institute for Public Policy and Social Research, Office of Survey Research. The results support the view that race and socioeconomic status are related to health and health service use in complex ways. The findings also suggest that a strengths perspective that accounts for positive health behaviors is a valuable avenue for understanding health and health service use of middle-class Black men. The findings further suggest that race of provider may be of less importance than other factors such as clients' feelings of trust in the provider. Overall it was found that middle-class men who participated in this study were in above-average health and consistently accessed healthcare services. Physical health was associated with age, income, marital status, education, and positive health behaviors. Regression analyses also revealed that accessing healthcare services was associated with characteristics of the individual (e.g. age), whereas satisfaction with provider was associated with length of time with provider and feelings of welcome and trust.

Keywords:   African American males, middle class, healthcare services, healthcare utilization

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