They Can’t Breathe: Why Neighborhoods Matter for the Health of African American Men and Boys

Family influences on the health of African American men and boys must be considered in tandem with those produced by broader social ecologic exposures. The purpose of this chapter is to make the case for exploring the impact of neighborhoods on health risk-taking (e.g., substance abuse) among African American males during emerging adulthood, when substance use escalates. The central hypothesis, grounded in the Phenomenological Variant of Ecological Systems Theory (PVEST), and psychobiological models of stress, coping, and risk-taking, is that neighborhoods with high violence, alcohol, and drug activity instigate substance use through increased daily stress experiences, leading in turn to higher negative affect, emotion suppression, and dysregulated cortisol and testosterone. We place our arguments in the context of recent high profile deaths of African American males (e.g., Eric Garner) and discuss ways to advance future neighborhoods-level research with African American males as they transition to adulthood.