Engaging Young Black Males in Sexual and Reproductive Health Care: A Review of the Literature

Young Black males (YBM) ages 18 to 24 years are more at risk of contracting sexually transmitted infections (STIs) and have a substantially greater need for sexual reproductive health (SRH) services than other groups. Despite this significant need, the extant literature does not provide a comprehensive picture of how YBM seek preventive care services (e.g., STI testing). Therefore, the purpose of this review is to address YBM’s SRH access and use of STI/HIV testing and screening in this population, with a specific emphasis on young heterosexual Black males, by identifying barriers and facilitators of engaging with SRH care. An electronic search was performed using Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, PubMed, and Scopus online databases. Keywords were adapted to each database and included variations of “Black males,” “sexual reproductive healthcare services,” “youth (18-24 years old),” and “healthcare access and utilization.” Studies from the review reported that barriers to engaging in SRH care included lack of health insurance, ideas of masculinity that conflict with SRH care, stigma related to accessing services, and lack of knowledge regarding available services and care options. The top facilitators for utilizing SRH care were engagement on behalf of health clinics, confidence gained from social support, access to quality health care in one’s community, and trust in the health care system and providers. This review contributes to the current state of the science and is important to the improvement of high-quality services for this population, including respect, choice in care, confidentially, and compassion.

Strategic Mentoring: A Culturally Responsive Approach for Supporting Black Males

Young Black males living in single-parent homes, in spite of never having a mentor, understand the value of a responsible same-sex mentor. Thirteen Black males between the ages of eighteen and twenty-five offered well-expressed thoughts on mentoring and why they believe mentoring adds value to their lives. They characterized unstructured mentoring as a process without a specific agenda. The consideration of Black males struggling without a father in the home requires the serious consideration of strategic mentoring as a solution for change. Strategic mentoring has a clear purpose, is communication-centric, is designed to develop during the course of a long-term mutual commitment between mentor and mentee, and incorporates the child’s mother into the mentoring experience.

Race, Racism, and the Cool Pose: Exploring Black and White Male Masculinity

Scholars argue that racial oppression uniquely causes Black males to construct a definition of their masculinity—the “Cool Pose”—that is different from White male masculinity. In this paper, using a nationally representative survey conducted in 2018, we examined whether young Black males were more likely than White male youths to feel greater pressure to conform to the Cool Pose. We analyzed six measures of the Cool Pose. We found no evidence that young Black males were more likely than White male youths to feel greater pressure to use violence if provoked. However, we found that young Black males were more likely than White male youths to feel greater pressure to be physically and emotionally strong, play sports, and to dominate or control others. We conclude that research needs to move beyond idiosyncratic accounts of Black males’ cultural adaptations in order to explicate the developmental processes that affect how Black males living in a systemically racist society express their masculinity.

Premature Deaths of Young Black Males in the United States

In the United States, generations of young Black males, ages 15 to 24 years, are prematurely dying from homicide and suicide. Between 1950 and 2010, the average death rate for young Black males due to homicide was 81.7 per 100,000 and suicide was 11.8 per 100,000. Ages 15 to 24 years are the intersecting developmental stages of adolescence and young adulthood when premature death should not be expected. The trauma and ceased procreation prospects stemming from Black males’ premature deaths represent a public health crisis in America. Heightened public health approaches are needed to bring attention to a young racial-gender group that is dying five to six decades prior to their life expectancy. The mass suicide-homicide killings, premature deaths, and death disparities among young Black males, ages 15 to 24, in the United States is not a paranoid propaganda. It is undeniably a disturbing public health crisis that requires an urgent national response to reverse and ultimately eradicate the premature death of young Black males.