Author ORCID Identifier
https://orcid.org/0000-0001-6602-3318
Defense Date
2024
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Psychology
First Advisor
Kristina Hood, PhD
Abstract
This mixed methods study aimed to analyze the health profiles of Black emerging adults (who do not seek medical care for chronic condition management) college students to identify factors influencing their use of preventive services and their choices in healthcare plans. The study revealed distinct profiles of Black emerging adults based on patterns of factors related to their engagement with healthcare, such as barriers to care, insurance access, usual source of care, self-rated health, intention to seek care, discrimination, trust in physician, medical mistrust, and sex-assigned at birth. Interviews were conducted to investigate the similarities and differences among all participants regarding how they obtain healthcare. These interviews aimed to uncover Black emerging adults' perceptions of health, the obstacles and facilitators affecting their use of services, and their decision-making processes regarding healthcare. The interviews found that Black emerging adult college students have a prevention-oriented mindset toward their health. Their care-seeking, trust, and attitudes towards the healthcare system are heavily influenced by their family members. Because of their own and their loved one’s experiences as well as systemic barriers, they are willing to seek healthcare but are just cautious and skeptical when they do. Considering their unique intersections of race, age, and college status, an integrated model of care may be suitable for Black emerging adults due to their focus on prevention, collaborative care, flexibility, and care coordination. In conclusion, this study paints a holistic picture of Black emerging adult college student’s health. Subsequent research can use these profiles and the lived experiences of our participants to create actionable, safe, and intentional programming to enhance not only the health service use of this community but the betterment of healthcare providers and systems.
Rights
© Alexandra M. Wynn
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
5-8-2024