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Mental Health Treatment-Seeking Appraisal, Afrocentric Cultural Norms, and Mental Health Functioning: Buffering Factors of Young Black Men’s Externalizing Behavior

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Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

Abstract

Background

Depression rates are disproportionately high among Black American Men. This disparity––compounded by low mental healthcare seeking rates and high incorrect diagnosis rates in men––could be related to masculine norms, including self-reliance, restrictive emotionality, and stoicism. Furthermore, men are more likely to engage in externalized behavior, such as aggression, to cope with mental health challenges; this pattern is influenced by cultural and environmental factors. Contrary to these detrimental factors, social relationships, belief in social networks, and collectivism have been associated with positive mental health in these populations. Similarly, an Afrocentric worldview (including concepts like Ubuntu and African self-consciousness) has been hypothesized to promote positive mental health outcomes among Black American men. However, little research exists on harnessing these factors as a means of increasing health-seeking behaviors in young Black males.

Aim

To elucidate the effect of region, depression, African humanism, collectivism, and help-seeking values and needs concerning aggression in young Black males.

Method

This study included Black or African American participants (n = 428) identifying as male, aged 18–25 years, who responded to a Qualtrics survey with questions on region, aggression, depression, African humanism, collectivism, and help-seeking value and need.

Results

Hierarchical linear regression revealed that collectivism, humanness, value, and the need for seeking treatment were inversely associated with aggression (p < 0.001).

Discussion/Conclusion

Highlighting the effect of cultural norms and help-seeking behaviors and the aggravating effect of depression on aggression in young Black males can help to develop aggression-mitigating interventions rooted in Afrocentric Norms.

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Data Availability

The data included in this report are available on request.

Code Availability

Not applicable

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Author information

Authors and Affiliations

  1. Washington University in St. Louis, St. Louis, MO, USA

    Husain Lateef, Francine Jellesma, Melody Rachel Konadu Frempong, Baffour Boaten Boahen-Boaten, Benjamin C. B. Leach, Ellie Borgstrom & Portia B. Nartey

  2. Johns Hopkins University, Baltimore, MD, USA

    Leslie Adams

  3. University of Missouri, Columbia, MO, USA

    Donte Bernard

Authors
  1. Husain Lateef
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  2. Leslie Adams
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  3. Donte Bernard
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  4. Francine Jellesma
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  5. Melody Rachel Konadu Frempong
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  6. Baffour Boaten Boahen-Boaten
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  7. Benjamin C. B. Leach
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  8. Ellie Borgstrom
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  9. Portia B. Nartey
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Contributions

Dr. Husain Lateef led study conception, design, and data collection. All authors contributed to writing and commented on all versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Husain Lateef.

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Ethics Approval

This study was approved by the Institutional Review Board at Washington University in St. Louis (07/29/2022; IRB# 202110177).

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

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All participants signed a statement of informed consent that included a statement about the dissemination of deidentified data.

Competing Interests

The authors declare no competing interests.

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Lateef, H., Adams, L., Bernard, D. et al. Mental Health Treatment-Seeking Appraisal, Afrocentric Cultural Norms, and Mental Health Functioning: Buffering Factors of Young Black Men’s Externalizing Behavior. J. Racial and Ethnic Health Disparities (2023). https://doi.org/10.1007/s40615-023-01771-7

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  • DOI: https://doi.org/10.1007/s40615-023-01771-7

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