Black men face a double barrier to mental health help-seeking: traditional masculinity norms demanding emotional restrictiveness and systemic racism fostering institutional mistrust. While celebrity mental health disclosures show promise for stigma reduction, limited research examines their impact on Black masculine communities through digital platforms. This convergent mixed-methods study analysed 11,306 YouTube comments following rapper Lil Wayne's unprecedented disclosure of childhood suicide attempt and lifelong mental health struggles. Quantitative analysis using VADER sentiment classification, Latent Dirichlet Allocation topic modelling, and NRC emotion lexicon analysis revealed predominantly positive sentiment with systematic community amplification of mental health discourse. Reflexive thematic analysis of 2,100 high-engagement comments identified eight themes, with peer support achieving the highest saturation, contradicting isolation narratives. Findings support a Digital Permission Structures Model demonstrating how intersectional celebrity status (race + gender + high-status), hip-hop authenticity values, and digital platform affordances create triadic authorisation mechanisms enabling vulnerability expression. Community responses revealed communal masculinity rooted in Ubuntu philosophy and active reconstruction of masculine norms, positioning help-seeking as strength. Results challenge deficit-based models of Black masculinity, suggesting interventions should leverage collectivism, partner with high-status cultural figures, employ strength-based messaging, and centre hip-hop authenticity rather than imposing Western individualistic frameworks. This study provides evidence-based strategies for culturally responsive mental health interventions addressing persistent disparities in Black men's service utilisation.
翻译:黑人男性在寻求心理健康帮助时面临双重障碍:传统男性气质规范要求情绪克制,系统性种族主义则助长了对制度的不信任。尽管名人心理健康披露在减少污名化方面展现出潜力,但现有研究很少通过数字平台考察其对黑人男性群体的影响。这项收敛性混合方法研究分析了说唱歌手Lil Wayne史无前例地披露童年自杀企图及长期心理健康斗争后产生的11,306条YouTube评论。通过VADER情感分类、潜在狄利克雷分配主题建模及NRC情感词典分析进行的定量研究显示,评论总体呈现积极情感倾向,且心理健康讨论存在系统性社区放大效应。对2,100条高互动评论的反思性主题分析识别出八个主题,其中同伴支持达到最高饱和度,这与孤立叙事形成矛盾。研究结果支持"数字许可结构模型",该模型揭示了交叉性名人身份(种族+性别+高社会地位)、嘻哈真实性价值观与数字平台可供性如何形成三重授权机制,从而促进脆弱性表达。社区回应展现出植根于Ubuntu哲学的共同体男性气质,以及对男性规范的积极重构,将寻求帮助重新定义为力量体现。这些发现挑战了基于缺陷的黑人男性气质模型,建议干预措施应:利用集体主义文化,与高地位文化人物合作,采用基于优势的传播策略,并围绕嘻哈真实性而非强加西方个人主义框架进行设计。本研究为针对黑人男性服务使用持续差异的文化适应性心理健康干预提供了循证策略。