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:暂无翻译