Ashlyn Barnard
Research Mentor(s): Jade Burns
Mentor Department: Nursing – Division of Health Behavior & Biological Sciences
Authors: Ashlyn Barnard, Hadas Kluger, Jade Burns
Session: Session 4 (1:00pm – 1:50pm)
Presentation Type: Poster 35
Abstract
Background: Data has shown that health beliefs may have a profound impact on utilization and access in young adult populations, specifically in young men’s health. To address this gap, tailoring health advertising and communication to a specific audience may aid in accessing healthcare more effectively, which can improve outcomes for such populations. Purpose: The purpose of this study is to explore how the intersection of online engagement and sexual health perceptions, along with additional perceived facilitators and barriers, influences access to sexual reproductive healthcare and safe sex behaviors for young Black men (YBM), using in-depth interviews. Methods: Qualitative interviews were conducted with Black males (n=25), ages 18-24 in the United States. Participants were recruited between June 2024 and December 2024 through email, word of mouth, Detroit Community Health Connection’s Men’s health group, paid advertisements via social media, and electronic newsletters with paid incentives. Interviews were transcribed using the Otter AI application and subsequently reviewed by the research team for accuracy, grammar, and content, followed by thematic analysis. Results: Thematic analysis yielded participants’ explanations of their perceptions of significant barriers and facilitators to testing, screening, and access to sexual health care for young Black males (YBM). Preliminary findings revealed (1) facilitators in STI screenings were proactive outreach and education from clinics and organizations, and (2) barriers included cost, lack of insurance, stigma and shame, lack of self-esteem, lack of knowledge or education about STI testing and treatment, accessibility and convenience (eg. transportation), and racism or underrepresentation in the healthcare system. Conclusions: The results of this study can be used to develop more impactful interventions and tailored healthcare advertisements for young Black males through social media to encourage sexual well-being and help them to prepare and engage in positive reproductive health behaviors such as STI testing and clinic use.
