Literature DB >> 33971874

Narratives of young black men on barriers to health care and poor health care seeking behaviours at a university setting: a qualitative study.

Sinakekelwe Khumalo1,2,3, Musawenkosi Mabaso4, Tawanda Makusha4, Myra Taylor5.   

Abstract

BACKGROUND: Institutions of higher learning provide education, training, independence and life-long skills for young people. However, for students to achieve their optimal growth and intellectual development they need to be healthy psychologically, mentally and physically. This can be achieved through the development of effective health programs for all university students. This qualitative study was designed to explore Black male students' perspectives and experiences regarding the utilization of on-campus health services at the University of KwaZulu-Natal.
METHODS: The study population was selected using purposive sampling. Data were collected using four focus group discussions (FGDs) with 36 participants and three key informant interviews. Thematic analysis was conducted to identify the key patterns and themes that emerged from the data.
RESULTS: Emerging themes included poor knowledge and awareness, negative perceptions and attitudes, fear and lack of privacy, and negative experiences leading to poor access and utilization of campus health services. The findings suggested a need for more advocacy and awareness campaigns especially among first year students, campaigns for normalization of sexual health, addressing HIV stigma and discrimination, providing youth friendly services to improve students' use of sexual health services, and ultimately, their overall health and well-being.
CONCLUSIONS: The findings give valuable insights from male students on the barriers and potential solutions to campus health services and highlight where improvements can be directed to increase access and use of health services by the study population.

Entities:  

Keywords:  Access and utilization of health services; Black male students; South Africa; university

Year:  2021        PMID: 33971874     DOI: 10.1186/s12913-021-06470-9

Source DB:  PubMed          Journal:  BMC Health Serv Res        ISSN: 1472-6963            Impact factor:   2.655


  11 in total

1.  The health of students in institutes of higher education: an important and neglected public health problem?

Authors:  S Stewart-Brown; J Evans; J Patterson; S Petersen; H Doll; J Balding; D Regis
Journal:  J Public Health Med       Date:  2000-12

2.  Characterizing sexual health resources on college campuses.

Authors:  Marla E Eisenberg; Kate E Lechner; Ellen A Frerich; Katherine A Lust; Carolyn M Garcia
Journal:  J Community Health       Date:  2012-10

Review 3.  Youth-friendly primary-care services: how are we doing and what more needs to be done?

Authors:  Andre Tylee; Dagmar M Haller; Tanya Graham; Rachel Churchill; Lena A Sanci
Journal:  Lancet       Date:  2007-05-05       Impact factor: 79.321

4.  Risky Sexual Behaviors and Associated Factors Among College Students in Lusaka, Zambia.

Authors:  Xu-Hao Yang; Shuai Yuan; Rui Zhang; Jun-Feng Yu; Selestine H Nzala; Pei-Gang Wang; Qi-Qiang He
Journal:  Arch Sex Behav       Date:  2019-07-15

5.  Differing psychological vulnerabilities among behaviourally and perinatally HIV infected adolescents in South Africa - implications for targeted health service provision.

Authors:  L Sherr; L D Cluver; E Toska; E He
Journal:  AIDS Care       Date:  2018-05-30

6.  Reproductive Health Services: Barriers to Use Among College Students.

Authors:  Melina Bersamin; Deborah A Fisher; Arik V Marcell; Laura J Finan
Journal:  J Community Health       Date:  2017-02

7.  Associations between changing developmental contexts and risky sexual behavior in the two years following high school.

Authors:  Jennifer A Bailey; Kevin P Haggerty; Helene R White; Richard F Catalano
Journal:  Arch Sex Behav       Date:  2010-06-23

Review 8.  Reasons for the use and non-use of school sexual health services: a systematic review of young people's views.

Authors:  C Carroll; M Lloyd-Jones; J Cooke; J Owen
Journal:  J Public Health (Oxf)       Date:  2011-12-18       Impact factor: 2.341

9.  Interpersonal relations between health care workers and young clients: barriers to accessing sexual and reproductive health care.

Authors:  Farzana Alli; Pranitha Maharaj; Mohammed Yacoob Vawda
Journal:  J Community Health       Date:  2013-02

10.  Barriers and enablers to sexual health service use among university students: a qualitative descriptive study using the Theoretical Domains Framework and COM-B model.

Authors:  Christine Cassidy; Andrea Bishop; Audrey Steenbeek; Donald Langille; Ruth Martin-Misener; Janet Curran
Journal:  BMC Health Serv Res       Date:  2018-07-24       Impact factor: 2.655

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