# Examining Health-Seeking Behavior among Diverse Ethnic Subgroups within Black Populations in the United States and Canada: A Cross-Sectional Study

## TL;DR

This study explores how different ethnic subgroups within Black populations in the US and Canada seek healthcare, revealing key factors like age, gender, and education that influence their behavior.

## Contribution

The study highlights intra-group differences in health-seeking behavior among Black ethnic subgroups, challenging the assumption of ethnic homogeneity.

## Key findings

- Older age, being female, and unemployment were linked to better health-seeking behaviors.
- Those with high school diplomas or bachelor's degrees were more likely to engage in favorable health-seeking behavior than those with graduate degrees.
- Determinants of health-seeking behavior were consistent across ethnic origins and countries of birth.

## Abstract

The Black populations, often treated as ethnically homogenous, face a constant challenge in accessing and utilizing healthcare services. This study examines the intra-group differences in health-seeking behavior among diverse ethnic subgroups within Black communities. A cross-sectional analysis included 239 adults ≥18 years of age who self-identified as Black in the United States and Canada. Multiple logistic regression assessed the relationship between health-seeking behaviors and ethnic origin, controlling for selected social and health-related factors. The mean age of the participants was 38.6 years, 31% were male, and 20% were unemployed. Sixty-one percent reported a very good or excellent health status, and 59.7% were not receiving treatment for chronic conditions. Advancing age (OR = 1.05, CI: 1.01–1.09), female gender (OR = 3.09, CI: 1.47–6.47), and unemployment (OR = 3.46, CI: 1.35–8.90) were associated with favorable health-seeking behaviors. Compared with the participants with graduate degrees, individuals with high school diplomas or less (OR = 3.80, CI: 1.07–13.4) and bachelor’s degrees (OR = 3.57, CI: 1.3–9.23) were more inclined to have engaged in favorable health-seeking behavior compared to those with graduate degrees. Across the Black communities in our sample, irrespective of ethnic origins or country of birth, determinants of health-seeking behavior were age, gender, employment status, and educational attainment.