African American Men's Perspectives on Promoting Physical Activity: “We're Not That Difficult to Figure Out!”

African American men report poorer health than do White men and have significantly greater odds for developing chronic diseases partly because of limited physical activity. Understanding how to encourage healthy behaviors among African American men will be critical in the development of effective physical activity messages and programs. Guided by principles of cultural sensitivity and social marketing, this research examined middle-aged and older African American men's recommended strategies for promoting physical activity to African American men of their age. The authors report results from 49 interviews conducted with middle-aged (45–64 years) and older (65–84 years) African American men in South Carolina. Four groups of African American men were recruited: middle-aged active men (n = 17), middle-aged inactive men (n = 12), older active men (n = 10), older inactive men (n = 10). Themes related to marketing and recruitment strategies, message content, and spokesperson characteristics emerged and differed by age and physical activity level. Recommended marketing strategies included word of mouth; use of mass media; partnering with churches, businesses, and fraternities; strategic placement of messages; culturally appropriate message framing; and careful attention to selection of program spokespersons. Findings will help in the marketing, design, implementation, and evaluation of culturally appropriate interventions to encourage physical activity among middle-aged and older African American men in the South.

[1]  A. Michael Huberman,et al.  An expanded sourcebook qualitative data analysis , 1994 .

[2]  V. Strecher,et al.  One size does not fit all: The case for tailoring print materials , 1999, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[3]  N. Wallerstein,et al.  Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. , 2010, American journal of public health.

[4]  E. Higginbotham,et al.  Community-based strategies for recruiting older, African Americans into a behavioral intervention study. , 2009, Journal of the National Medical Association.

[5]  Kimberly J. Sprecker How Involvement, Citation Style, and Funding Source Affect the Credibility of University Scientists , 2002 .

[6]  E. Maibach,et al.  Adapting Evidence-Based Strategies to Increase Physical Activity Among African Americans, Hispanics, Hmong, and Native Hawaiians: A Social Marketing Approach , 2007, Preventing chronic disease.

[7]  D. Friedman,et al.  A Comprehensive Assessment of the Difficulty Level and Cultural Sensitivity of Online Cancer Prevention Resources for Older Minority Men , 2007, Preventing chronic disease.

[8]  A. Yancey,et al.  Increasing physical activity among church members: community-based participatory research. , 2007, American journal of preventive medicine.

[9]  R. Haley,et al.  A barber-based intervention for hypertension in African American men: design of a group randomized trial. , 2009, American heart journal.

[10]  K D Kochanek,et al.  Deaths: final data for 1999. , 2001, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[11]  A. Viera,et al.  Assessing and Promoting Physical Activity in African American Barbershops: Results of the FITStop Pilot Study , 2011, American journal of men's health.

[12]  P. Sharpe,et al.  Using Focus Groups in the Consumer Research Phase of a Social Marketing Program to Promote Moderate-Intensity Physical Activity and Walking Trail Use in Sumter County, South Carolina , 2005, Preventing chronic disease.

[13]  L. Fried,et al.  Marketing public health through older adult volunteering: Experience Corps as a social marketing intervention. , 2010, American journal of public health.

[14]  R. Branson,et al.  African Americans' participation in clinical research: importance, barriers, and solutions. , 2007, American journal of surgery.

[15]  Rhonda K. Lewis,et al.  Baseline Assessment of the Health Status and Health Behaviors of African Americans Participating in the Activities-for-Life Program: A Community-Based Health Intervention Program , 2004, Journal of Community Health.

[16]  L. Jones,et al.  Strategies for Recruitment of Healthy Premenopausal Women into the African American Nutrition for Life (A NULIFE) Study. , 2010, Journal of women's health.

[17]  M. Horner,et al.  Breast cancer disparities in South Carolina: early detection, special programs, and descriptive epidemiology. , 2006, Journal of the South Carolina Medical Association.

[18]  A. Motulsky,et al.  Enhancing recruitment of healthy African American volunteers in a city with a small African American community: results from a dietary supplement crossover trial. , 2007, Ethnicity & Disease.

[19]  Melicia C Whitt-Glover,et al.  Systematic Review of Interventions to Increase Physical Activity and Physical Fitness in African-Americans , 2009, American journal of health promotion : AJHP.

[20]  Sonya A. Grier,et al.  Social marketing in public health. , 2005, Annual review of public health.

[21]  Jay M Bernhardt,et al.  Perceived Barriers to Internet-Based Health Communication on Human Genetics , 2002, Journal of health communication.

[22]  Lashaundrea B Crook,et al.  Meaningful messages: adults in the Lower Mississippi Delta provide cultural insight into strategies for promoting the MyPyramid. , 2010, Journal of nutrition education and behavior.

[23]  M. Weinrich,et al.  Body mass index and intake of selected foods in African American men. , 2007, Public health nursing.

[24]  Stella M. Yu Healthy People 2010 , 1998, Maternal and Child Health Journal.

[25]  L. Burgio,et al.  Social Marketing as a Framework for Recruitment , 2004, Journal of aging and health.

[26]  ROBERT W. Johnson,et al.  Healthy people. , 1985, Canadian journal of public health = Revue canadienne de sante publique.

[27]  S. Wilcox,et al.  Impact of a Community-Based Prevention Marketing Intervention to Promote Physical Activity Among Middle-Aged Women , 2010, Health education & behavior : the official publication of the Society for Public Health Education.

[28]  Rui Liu,et al.  Methods and management of the healthy brain study: a large multisite qualitative research project. , 2009, The Gerontologist.

[29]  Linda Neuhauser,et al.  The power of community-based health communication interventions to promote cancer prevention and control for at-risk populations. , 2008, Patient education and counseling.

[30]  Melissa Bopp,et al.  Understanding physical activity participation in members of an African American church: a qualitative study. , 2006, Health education research.

[31]  J. Morse Qualitative data analysis (2nd ed): Mathew B. Miles and A. Michael Huberman. Thousand Oaks, CA: Sage Publications, 1994. Price: $65.00 hardback, $32.00 paperback. 238 pp , 1996 .

[32]  Phd Daniela B. Friedman MSC,et al.  Prostate cancer communication strategies recommended by older African-American men in South Carolina: A qualitative analysis , 2009, Journal of Cancer Education.

[33]  S. Olsen,et al.  Partnership with an African American Sorority to Enhance Participation in Cancer Genetics Research , 2008, Public Health Genomics.

[34]  Melicia C Whitt-Glover,et al.  Pilot Study of a Faith-Based Physical Activity Program Among Sedentary Blacks , 2008, Preventing chronic disease.

[35]  D. Friedman,et al.  Assessment of Cultural Sensitivity of Cancer Information in Ethnic Print Media , 2006, Journal of health communication.

[36]  N. Anderson,et al.  Racial and Ethnic Disparities in Health and Mortality Among the U.S. Elderly Population , 2004 .

[37]  I-Min Lee,et al.  Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. , 2007, Medicine and science in sports and exercise.

[38]  A. Yancey,et al.  Cardiovascular disease control through barbershops: design of a nationwide outreach program. , 2010, Journal of the National Medical Association.

[39]  C. Crump,et al.  Formative Evaluation of AARP's Active for Life® Campaign to Improve Walking and Bicycling Environments in Two Cities , 2007, Health promotion practice.

[40]  Daniela B Friedman,et al.  Cancer coverage in North American publications targeting seniors. , 2003, Journal of cancer education : the official journal of the American Association for Cancer Education.

[41]  Lisa Gualtieri,et al.  The Internet as a Health Information Source: Findings from the 2007 Health Information National Trends Survey and Implications for Health Communication , 2010, Journal of health communication.

[42]  R. Mayo,et al.  The Upstate Witness Project: addressing breast and cervical cancer disparities in African American churches. , 2009, Journal of the South Carolina Medical Association.

[43]  Daniela B. Friedman,et al.  A qualitative study of Canadian Aboriginal women’s beliefs about “credible” cancer information on the internet , 2009, Journal of Cancer Education.

[44]  P. Areán,et al.  Recruitment and retention of older minorities in mental health services research. , 2003, The Gerontologist.

[45]  Gary L. Kreps Strategic Use of Communication to Market Cancer Prevention and Control to Vulnerable Populations , 2008, Health marketing quarterly.

[46]  T. Laveist,et al.  Minority Populations and Health: An Introduction to Health Disparities in the United States , 2005 .

[47]  J. Hébert,et al.  Prostate cancer disparities in South Carolina: early detection, special programs, and descriptive epidemiology. , 2006, Journal of the South Carolina Medical Association.

[48]  M. Laurant,et al.  Effectiveness of physical activity interventions for older adults: a review. , 2002, American journal of preventive medicine.

[49]  Daniela B. Friedman,et al.  Authorship and Information Sourcing for Health News on Local TV Web Sites: An Exploratory Analysis , 2011 .

[50]  S. Headen Minority Populations and Health: An Introduction to Health Disparities in the United States , 2005, Preventing Chronic Disease.

[51]  J. Hébert,et al.  Interdisciplinary, Translational, and Community-Based Participatory Research: Finding a Common Language to Improve Cancer Research , 2009, Cancer Epidemiology Biomarkers & Prevention.

[52]  T. Baranowski,et al.  Cultural sensitivity in public health: defined and demystified. , 1999, Ethnicity & disease.

[53]  C. Denny,et al.  Trends in fruit and vegetable consumption among adults in the United States: behavioral risk factor surveillance system, 1994-2000. , 2004, American journal of public health.

[54]  Ross C Brownson,et al.  Declining rates of physical activity in the United States: what are the contributors? , 2005, Annual review of public health.

[55]  A. Strauss,et al.  The discovery of grounded theory: strategies for qualitative research aldine de gruyter , 1968 .

[56]  D. Makuc,et al.  Urban and rural health chartbook , 2001 .

[57]  Elsie R. Pamuk,et al.  Health, United States, 2001; with Urban and rural health chartbook , 2001 .

[58]  K. Resnicow,et al.  Church-based health promotion interventions: evidence and lessons learned. , 2007, Annual review of public health.

[59]  Rachel C. Shelton,et al.  A church-based intervention to promote informed decision making for prostate cancer screening among African American men. , 2010, Journal of the National Medical Association.

[60]  S. Stain,et al.  Racial/ethnic disparity and predictors of leisure-time physical activity among U.S. men. , 2005, Ethnicity & disease.

[61]  David R. Williams The Health of U.S. Racial and Ethnic Populations. , 2005, The journals of gerontology. Series B, Psychological sciences and social sciences.

[62]  Daniel S. Miller,et al.  The annual report to the nation on the status of cancer, 1973–1997, with a special section on colorectal cancer , 2000, Cancer.

[63]  S. Laditka,et al.  Getting the message out about cognitive health: a cross-cultural comparison of older adults' media awareness and communication needs on how to maintain a healthy brain. , 2009, The Gerontologist.

[64]  Gregory M Dominick,et al.  African American Men’s Understanding and Perceptions About Prostate Cancer: Why Multiple Dimensions of Health Literacy are Important in Cancer Communication , 2009, Journal of Community Health.

[65]  A. Bauman,et al.  Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. , 2007, Circulation.

[66]  P. Reed,et al.  Recruitment of older African Americans for survey research: a process evaluation of the community and church-based strategy in The Durham Elders Project. , 2003, The Gerontologist.

[67]  T. Calasanti Feminist gerontology and old men. , 2004, The journals of gerontology. Series B, Psychological sciences and social sciences.

[68]  D. Erwin,et al.  Using cultural beliefs and patterns to improve mammography utilization among African-American women: the Witness Project. , 2000, Journal of the National Medical Association.

[69]  E. Bass,et al.  Knowledge and access to information on recruitment of underrepresented populations to cancer clinical trials. , 2005, Evidence report/technology assessment.

[70]  A. Burdorf,et al.  Demographic, Behavioral, and Psychosocial Correlates of Using the Website Component of a Worksite Physical Activity and Healthy Nutrition Promotion Program: A Longitudinal Study , 2010, Journal of medical Internet research.

[71]  S. Harper,et al.  Trends in the black-white life expectancy gap in the United States, 1983-2003. , 2007, JAMA.

[72]  Gary L. Kreps,et al.  Online cancer communication: meeting the literacy, cultural and linguistic needs of diverse audiences. , 2008, Patient education and counseling.