Browsing by Subject "Black men"

Now showing 1 - 4 of 4
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    Adult Learning in the Urban Context: Community Engagement from the Voices of Four Adult Black Males
    (2020-09) Duff, Myron Carl, Jr.; Scheurich, James J.; Kazembe, Lasana; Merrill, Henry; Murtadha, Khaula
    The Loving Neighborhood was a very active ecosystem consisting of four communities (Capella, Carson, Midtown, and Summerville) that came together to form one larger community. Although the four neighborhoods’ ethnic makeup was about 30% Black, 30% Latino, and 30% White, the Carson community was predominantly Black. The Carson neighborhood had a very vibrant neighborhood association in which there were four adult Black males who actively participated in Carson’s economic and community development efforts. These men consistently attended neighborhood meetings, volunteered on community action committees, held community leadership positions, and participated regularly in local events. In order to understand the work of adult Black males who were seeking to improve the quality of life in a specific community context, this research sheds light on the “voices” of these four adult Black males as they attempted to foster neighborhood transformation by becoming more active in an Black urban community. It is imperative that the shared meanings of Black men be understood within the ecosystems in which they existed, emphasizing the importance of their conversations that addressed the needs of their communities. While previous research studies have explored adult learning and community engagement separately, these studies have failed to address how Black males could have helped Black communities in grassroots development efforts. Studies that have addressed these intersections could have provided valuable insight into why Black men became active in their communities, what they might have learned because of their community activism, how they remained motivated, and what skills they would have needed in order to effectively engage underserved neighborhoods. In response to this deficiency, this inquiry employed a critical approach to explore the importance of the unique voices of these four Black men as they participated in the transformation of their neighborhoods.
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    Cultural Trauma Scale (CuTS): Psychometric evaluation of Black men's beliefs, emotions, and coping
    (2023-11) Gregory Jr., Virgil Lee; Tucker Edmonds, Joseph
    Racism and gender-based prejudice produce a synergistic and toxic effect that necessitates analysis. There is a need to conduct more research with Black men as their experiences with race-based trauma may differ, given their concurrent disproportionate exposure to other forms of violence. Objective: The study’s purpose was to develop items for and evaluate the factor structure and internal consistency of the Cultural Trauma Scale (CuTS) in an exclusive sample of Black men. Method: Using the Yale Center for Clinical Investigation, Community Alliance for Research Engagement principles, the study was conducted in a context of community engaged research. Data were collected from individual interviews and focus groups, subject matter experts, and a sample of 150 adult Black men. Principal axis factoring (PAF) was used to determine the factor structure of the scale items. Results: Via PAF the final factor structure included five constructs addressing: American & Its Justice System: Cognitive- Emotional Responses (Cronbach’s Alpha = .88), Cognitive-Behavioral Coping (Cronbach’s Alpha = .77), Willingness to Seek Cultural Trauma Treatment (Cronbach’s Alpha = .88), Tripartite Police Fear (Cronbach’s Alpha = .81), and Resilience (Cronbach’s Alpha = .61). Conclusion: The CuTS represents psychometric advancement in the measurement of Black male social justice and healing from cultural trauma. Keywords: Cognitive-Behavioral, Cultural Trauma, Black, Men, Psychometric Clinical Impact Statement: The measurement properties of the Cultural Trauma Scale (CuTS) were examined in an exclusive adult Black male sample. The data suggest the CuTS measures trauma regarding Black structural, cognitive, emotional, familial, and professional health seeking concepts. This study provides a tool for measuring constructs within a Black male demographic that are frequently encountered in Black clinical research and practice.
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    Hormone receptor-positive breast cancer and black race: does sex matter?
    (Springer, 2021) Eskander, Mariam F.; Li, Yaming; Bhattacharyya, Oindrila; Tsung, Allan; Oppong, Bridget A.; Hamad, Ahmad; Gatti-Mays, Margaret; Obeng-Gyasi, Samilia; Economics, School of Liberal Arts
    Purpose: Black breast cancer patients have worse clinical outcomes than their White counterparts. There are few studies comparing clinical outcomes between Black male breast cancer (MBC) and female breast cancer (FBC) patients. The objective of this study is to examine differences in presentation, treatment, and mortality between Black MBC and FBC. Methods: The National Cancer Database was queried for all Black MBC and FBC patients, ages 18-90, with hormone receptor-positive breast cancer diagnosed between 2010 and 2016. Hormone receptor positivity was defined as estrogen receptor-positive, progesterone-positive and HER 2-negative cancer. Sociodemographic and clinical variables were compared between MBC and FBC patients on bivariable analysis. After propensity score matching, overall survival was evaluated using the log-rank test and Cox proportional hazards. Results: Compared to FBC patients, MBC patients had higher rates of metastatic disease (stage 4, MBC 4.4% vs. FBC 2.6%, p < 0.001), larger tumors (tumor size < 2 cm, MBC 32.1 vs. FBC 49.1%, p < 0.001) and a higher percentage of poorly differentiated tumors (grade 3, MBC 28.5% vs. FBC 21.4%, p < 0.001). MBC patients had lower rates of hormone therapy (MBC 66.4% vs. FBC 80.7%, p < 0.001) and neoadjuvant chemotherapy (MBC 5.8% vs. FBC 7.5%, p = 0.05) than FBC. On propensity score matched analysis, Black MBC patients had a higher overall mortality (p25 of 60 months vs. 74 months) compared to FBC patients (p = 0.0260). Conclusion: Among hormone receptor-positive Black MBC and FBC patients, there are sex-based disparities in stage, hormone therapy use and overall survival.
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