A Qualitative Analysis of Former Black US Military Personnel’s Cancer Accessibility for Prostate Cancer Treatment

Abstract

Contextualizing race-based differences in prostate cancer (PrCA) outcomes among African American male adults aged ≥60 years who were former military personnel was studied during the onset of the COVID-19 pandemic. Based on in-depth qualitative interviews, the authors sought to elucidate the complexities of intersecting vulnerabilities experienced by this particular male-ethnic group through an intersectionality framework. Utilizing Solórzano and Yosso’s method of counter-storytelling, along with Polkinghorne’s two stages of narrative configuration, the authors examined how multiple, compounding forms of inequality can create obstacles to health equity while also challenging existing social systems to advance the cause of social justice in health outcomes for African American male adults aged ≥60 years who were former military personnel and are PrCA survivors. Two primary themes emerged from the qualitative narratives: (1) Advocacy Through Education as a Communal Obligation and (2) The Private Struggle: Post-Treatment Experiences and Quality of Life. This formative study will support the justification for establishing a praxis-oriented framework for members of this historically excluded group. This article provides a culturally responsive frame for mental health and public health praxis and research. Orienting a justice-informed lens becomes essential to affect change at the local, state, and federal levels.