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The Costly Performance of Strength: An Exploration of Mental Health Treatment Utilization Among Black Women in the Deep South- [electronic resource]
The Costly Performance of Strength: An Exploration of Mental Health Treatment Utilization Among Black Women in the Deep South- [electronic resource]

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자료유형  
 학위논문
Control Number  
0016934236
International Standard Book Number  
9798380307567
Dewey Decimal Classification Number  
362
Main Entry-Personal Name  
Martin, Amber N.
Publication, Distribution, etc. (Imprint  
[S.l.] : The University of Alabama at Birmingham., 2023
Publication, Distribution, etc. (Imprint  
Ann Arbor : ProQuest Dissertations & Theses, 2023
Physical Description  
1 online resource(157 p.)
General Note  
Source: Dissertations Abstracts International, Volume: 85-03, Section: A.
General Note  
Advisor: Washington, Teneasha;Wilkinson, Larrell L.
Dissertation Note  
Thesis (Ph.D.)--The University of Alabama at Birmingham, 2023.
Restrictions on Access Note  
This item must not be sold to any third party vendors.
Summary, Etc.  
요약Introduction: Strength is indoctrinated into the cultural tapestry of Black women, dating back to slavery, and passed down through intergenerational socialization. The incessant need for Black women to be strong diminishes their psychological health leading to poorer quality of life. Further, historical injustices and unethical practices in mental healthcare continue to perpetuate the need for Black women to perform in strength. The performance of strength is one explanation for the grave mental health disparities among Black women offering an opportunity to better understand their mental health needs. This project aims to center Black women within the cultural contextualization of the Strong Black Woman/Superwoman (SBW/SW) schema employing established public health models to frame our understanding about mental health treatment utilization in a region highly impacted by poverty and inequality which are primary risk factors for mental health disorders.Methods: Qualitative in-depth interviews were conducted with Black women living in the Deep South to explore their lived experiences as it relates to mental health, help-seeking, and treatment utilization. Topics included defining the SBW/SW schema, awareness of mental healthcare and treatment utilization, experiences related to endorsement of the SBW/SW and mental health, barriers to mental health treatment utilization, and suggestions for improvement. Interviews were conducted virtually, and audio recorded. Audio-recordings were transcribed, and transcripts were analyzed using thematic analysis. Results: Interviews were completed with 13 Black women living in the Deep South exploring mental health treatment utilization and the unique factors that impact help-seeking and decision making. The first manuscript provides a theoretical conceptualization of the literature about the mental health needs of Black women and factors that may impact treatment utilization. The second manuscript describes the qualitative approach taken and the protocol developed to conduct the current study. The third manuscript reports findings related to the mental health needs of Black women and factors impacting mental health treatment utilization.Conclusions: Results from this study helped established an understanding of how to support the mental health needs of Black women providing implications for the development of targeted interventions that address barriers to treatment utilization, provider training, and educational and promotion strategies to dismantle stigma. For example, we found that positive experiences such as compassionate person-centered care in the therapeutic setting increased desire to utilize mental health treatment services. Therefore, culturally responsive provider training may improve mental health treatment utilization among Black women over time.
Subject Added Entry-Topical Term  
Mental health.
Subject Added Entry-Topical Term  
Public health education.
Subject Added Entry-Topical Term  
Womens studies.
Index Term-Uncontrolled  
Black women
Index Term-Uncontrolled  
Strength
Index Term-Uncontrolled  
Treatment utilization
Index Term-Uncontrolled  
Superwoman
Added Entry-Corporate Name  
The University of Alabama at Birmingham Public Health
Host Item Entry  
Dissertations Abstracts International. 85-03A.
Host Item Entry  
Dissertation Abstract International
Electronic Location and Access  
로그인을 한후 보실 수 있는 자료입니다.
Control Number  
joongbu:641560

MARC

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■020    ▼a9798380307567
■035    ▼a(MiAaPQ)AAI30573576
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a362
■1001  ▼aMartin,  Amber  N.
■24510▼aThe  Costly  Performance  of  Strength:  An  Exploration  of  Mental  Health  Treatment  Utilization  Among  Black  Women  in  the  Deep  South▼h[electronic  resource]
■260    ▼a[S.l.]▼bThe  University  of  Alabama  at  Birmingham.  ▼c2023
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2023
■300    ▼a1  online  resource(157  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-03,  Section:  A.
■500    ▼aAdvisor:  Washington,  Teneasha;Wilkinson,  Larrell  L.
■5021  ▼aThesis  (Ph.D.)--The  University  of  Alabama  at  Birmingham,  2023.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aIntroduction:  Strength  is  indoctrinated  into  the  cultural  tapestry  of  Black  women,  dating  back  to  slavery,  and  passed  down  through  intergenerational  socialization.  The  incessant  need  for  Black  women  to  be  strong  diminishes  their  psychological  health  leading  to  poorer  quality  of  life.  Further,  historical  injustices  and  unethical  practices  in  mental  healthcare  continue  to  perpetuate  the  need  for  Black  women  to  perform  in  strength.  The  performance  of  strength  is  one  explanation  for  the  grave  mental  health  disparities  among  Black  women  offering  an  opportunity  to  better  understand  their  mental  health  needs.  This  project  aims  to  center  Black  women  within  the  cultural  contextualization  of  the  Strong  Black  Woman/Superwoman  (SBW/SW)  schema  employing  established  public  health  models  to  frame  our  understanding  about  mental  health  treatment  utilization  in  a  region  highly  impacted  by  poverty  and  inequality  which  are  primary  risk  factors  for  mental  health  disorders.Methods:  Qualitative  in-depth  interviews  were  conducted  with  Black  women  living  in  the  Deep  South  to  explore  their  lived  experiences  as  it  relates  to  mental  health,  help-seeking,  and  treatment  utilization.  Topics  included  defining  the  SBW/SW  schema,  awareness  of  mental  healthcare  and  treatment  utilization,  experiences  related  to  endorsement  of  the  SBW/SW  and  mental  health,  barriers  to  mental  health  treatment  utilization,  and  suggestions  for  improvement.  Interviews  were  conducted  virtually,  and  audio  recorded.  Audio-recordings  were  transcribed,  and  transcripts  were  analyzed  using  thematic  analysis.  Results:  Interviews  were  completed  with  13  Black  women  living  in  the  Deep  South  exploring  mental  health  treatment  utilization  and  the  unique  factors  that  impact  help-seeking  and  decision  making.  The  first  manuscript  provides  a  theoretical  conceptualization  of  the  literature  about  the  mental  health  needs  of  Black  women  and  factors  that  may  impact  treatment  utilization.  The  second  manuscript  describes  the  qualitative  approach  taken  and  the  protocol  developed  to  conduct  the  current  study.  The  third  manuscript  reports  findings  related  to  the  mental  health  needs  of  Black  women  and  factors  impacting  mental  health  treatment  utilization.Conclusions:  Results  from  this  study  helped  established  an  understanding  of  how  to  support  the  mental  health  needs  of  Black  women  providing  implications  for  the  development  of  targeted  interventions  that  address  barriers  to  treatment  utilization,  provider  training,  and  educational  and  promotion  strategies  to  dismantle  stigma.  For  example,  we  found  that  positive  experiences  such  as  compassionate  person-centered  care  in  the  therapeutic  setting  increased  desire  to  utilize  mental  health  treatment  services.  Therefore,  culturally  responsive  provider  training  may  improve  mental  health  treatment  utilization  among  Black  women  over  time.
■590    ▼aSchool  code:  0005.
■650  4▼aMental  health.
■650  4▼aPublic  health  education.
■650  4▼aWomens  studies.
■653    ▼aBlack  women
■653    ▼aStrength
■653    ▼aTreatment  utilization
■653    ▼aSuperwoman
■690    ▼a0347
■690    ▼a0500
■690    ▼a0453
■71020▼aThe  University  of  Alabama  at  Birmingham▼bPublic  Health.
■7730  ▼tDissertations  Abstracts  International▼g85-03A.
■773    ▼tDissertation  Abstract  International
■790    ▼a0005
■791    ▼aPh.D.
■792    ▼a2023
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16934236▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
■980    ▼a202402▼f2024

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