{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:02:32Z","timestamp":1790100152810,"version":"4.0.1"},"reference-count":51,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD017509"],"award-info":[{"award-number":["R01MD017509"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Black men\u2019s health continues to be worse than that of many other groups in the United States. This study\u2019s purpose was to explore interest holders\u2019 perceptions about an intervention proposed to use universal basic income (UBI) to facilitate healthcare access and promote health equity of Black men with chronic conditions, including HIV, and low incomes in a southern state. Semi-structured interviews with 31 interest holders, including members of the priority population, were conducted via phone or Zoom. Pre-implementation factors were identified using the Socioecological Model as a framework for conventional content analysis. Participants noted that certain factors must be considered for any intervention to be successful in improving the health status of the priority population. The following themes were identified: 1) The priority population typically delays healthcare. 2) Relationships are strained due to incarceration or poverty. 3) Correctional health and healthcare systems are not structured to help. 4) Many barriers to health\/healthcare exist within the community. 5) Racism and poverty are often intertwined and are entrenched barriers to health. Equitable interventions, such as providing a UBI, which are designed to improve the health and well-being of the priority population, should address the identified factors at the individual, interpersonal, community, and institutional levels to be effective. Societal factors, such as structural racism and generational poverty, may be too difficult to address in such an intervention.<\/jats:p>","DOI":"10.1371\/journal.pone.0358797","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:21:31Z","timestamp":1790097691000},"page":"e0358797","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Key factors for an equitable health intervention for Black men with low income and chronic illness in a southern state in the United States"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4367-7866","authenticated-orcid":true,"given":"Sarah Alexandra","family":"Marshall","sequence":"first","affiliation":[{"name":"Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences","place":["Little Rock, Arkansas, United States of America"],"department":["Department of Health Behavior & Health Education"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O\u2019Dell","family":"Johnson","sequence":"additional","affiliation":[{"name":"Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences","place":["Little Rock, Arkansas, United States of America"],"department":["Department of Health Behavior & Health Education"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Pro","sequence":"additional","affiliation":[{"name":"Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences","place":["Little Rock, Arkansas, United States of America"],"department":["Department of Health Behavior & Health Education"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Williams","sequence":"additional","affiliation":[{"name":"Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences","place":["Little Rock, Arkansas, United States of America"],"department":["Department of Health Behavior & Health Education"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nickolas","family":"Zaller","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences","place":["Little Rock, Arkansas, United States of America"],"department":["College of Nursing"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke E. E.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Fay W. 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African Americans have a higher risk of being diagnosed with these three chronic illnesses. 2024 [cited 2026 May 18]. Available from: https:\/\/www.bjc.org\/news\/african-americans-have-higher-risk-being-diagnosed-these-three-chronic-illnesses#:~:text=Cancer%2C%20diabetes%2C%20and%20heart%20disease,heart%20disease%20than%20white%20individuals"},{"key":"pone.0358797.ref004","unstructured":"Centers for Disease Control and Prevention (CDC). Health disparities in Black or African American people. 2024 [cited 2026 May 18]. Available from: https:\/\/www.cdc.gov\/health-disparities-hiv-std-tb-hepatitis\/populations\/black-african-american.html"},{"issue":"6","key":"pone.0358797.ref005","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.17383","article-title":"Trends in health care use among Black and White persons in the US, 1963-2019","volume":"5","author":"SL Dickman","year":"2022","journal-title":"JAMA Netw Open"},{"key":"pone.0358797.ref006","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1146\/annurev-publhealth-032315-021556","article-title":"Visible and invisible trends in Black men\u2019s health: pitfalls and promises for addressing racial, ethnic, and gender inequities in health","volume":"37","author":"KL Gilbert","year":"2016","journal-title":"Annu Rev Public Health"},{"issue":"1","key":"pone.0358797.ref007","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1080\/10401334.2018.1456928","article-title":"Adapting Maslow\u2019s hierarchy of needs as a framework for resident wellness","volume":"31","author":"AJ Hale","year":"2019","journal-title":"Teach Learn Med"},{"issue":"3","key":"pone.0358797.ref008","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1007\/s13524-019-00773-7","article-title":"Race matters: income shares, income inequality, and income mobility for all US races","volume":"56","author":"R Akee","year":"2019","journal-title":"Demography"},{"issue":"2","key":"pone.0358797.ref009","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1377\/hlthaff.2021.01394","article-title":"Systemic and structural racism: definitions, examples, health damages, and approaches to dismantling","volume":"41","author":"PA Braveman","year":"2022","journal-title":"Health Aff (Millwood)"},{"issue":"4","key":"pone.0358797.ref010","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1093\/aje\/kwab239","article-title":"Measuring structural racism: a guide for epidemiologists and other health researchers","volume":"191","author":"PB Adkins-Jackson","year":"2022","journal-title":"Am J Epidemiol"},{"issue":"1","key":"pone.0358797.ref011","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/j.1541-1338.2004.00055.x","article-title":"The risks and needs of the returning prisoner population","volume":"21","author":"J Austin","year":"2004","journal-title":"Rev Policy Res"},{"issue":"3","key":"pone.0358797.ref012","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1177\/1078345807303001","article-title":"Aging inmates: a convergence of trends in the American criminal justice system","volume":"13","author":"RV Rikard","year":"2007","journal-title":"J Correct Health Care"},{"issue":"2","key":"pone.0358797.ref013","doi-asserted-by":"crossref","first-page":"526","DOI":"10.3934\/publichealth.2024026","article-title":"Incarceration\u2019s lingering health effects on Black men: impacts persist into retirement","volume":"11","author":"S Assari","year":"2024","journal-title":"AIMS Public Health"},{"issue":"3","key":"pone.0358797.ref014","doi-asserted-by":"crossref","DOI":"10.1111\/soc4.12566","article-title":"Health and justice: framing incarceration as a social determinant of health for Black men in the United States","volume":"12","author":"KM Nowotny","year":"2018","journal-title":"Sociol Compass"},{"issue":"7","key":"pone.0358797.ref015","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1111\/jan.15235","article-title":"Mental health outcomes in formerly incarcerated Black men: a systematic mixed studies review","volume":"78","author":"HA Addison","year":"2022","journal-title":"J Adv Nurs"},{"key":"pone.0358797.ref016","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.socscimed.2018.08.042","article-title":"Mass incarceration, race inequality, and health: expanding concepts and assessing impacts on well-being","volume":"215","author":"KM Blankenship","year":"2018","journal-title":"Soc Sci Med"},{"issue":"15","key":"pone.0358797.ref017","doi-asserted-by":"crossref","first-page":"3581","DOI":"10.1007\/s11606-024-09276-7","article-title":"Barriers and facilitators to quality healthcare for African Americans with incarceration histories","volume":"40","author":"V Coffey","year":"2025","journal-title":"J Gen Intern Med"},{"key":"pone.0358797.ref018","unstructured":"World Bank. Exploring universal basic income: a guide to navigating concepts, evidence, and practices. Washington (DC): World Bank; 2020 [cited 2025 Feb 6]. Available from: https:\/\/www.worldbank.org\/en\/topic\/socialprotection\/publication\/exploring-universal-basic-income-a-guide-to-navigating-concepts-evidence-and-practices"},{"key":"pone.0358797.ref019","first-page":"1","article-title":"Can conservatives be persuaded? Framing effects on support for universal basic income in the US","author":"ESF Yeung","year":"2022","journal-title":"Polit Behav"},{"key":"pone.0358797.ref020","unstructured":"Stockton Economic Empowerment Demonstration. Income volatility. 2021 [cited 2025 Feb 6]. Available from: https:\/\/www.stocktondemonstration.org\/income-volatility"},{"issue":"2","key":"pone.0358797.ref021","doi-asserted-by":"crossref","DOI":"10.1515\/bis-2018-0010","article-title":"Framing the basic income: an experimental study of how arguments and metaphors influence individuals\u2019 opinion formation","volume":"13","author":"T Legein","year":"2018","journal-title":"Basic Income Stud"},{"key":"pone.0358797.ref022","unstructured":"Center for Guaranteed Income Research. Pilots. In: [Internet]. University of Penn; 2026 [cited 2026 April 27]. Available from: https:\/\/www.penncgir.org\/pilots"},{"issue":"9","key":"pone.0358797.ref023","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"H-F Hsieh","year":"2005","journal-title":"Qual Health Res"},{"issue":"4","key":"pone.0358797.ref024","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1080\/16066350500102237","article-title":"Using multiple coders to enhance qualitative analysis: the case of interviews with consumers of drug treatment","volume":"13","author":"L Berends","year":"2005","journal-title":"Addict Res Theory"},{"key":"pone.0358797.ref025","doi-asserted-by":"crossref","first-page":"3881","DOI":"10.2147\/JPR.S471477","article-title":"Using the socioecological model to understand medical staff and older adult patients\u2019 experience with chronic pain: a qualitative study in an underserved community setting","volume":"17","author":"K McDermott","year":"2024","journal-title":"J Pain Res"},{"issue":"1","key":"pone.0358797.ref026","doi-asserted-by":"crossref","DOI":"10.1093\/jamiaopen\/ooac014","article-title":"Applying a socioecological framework to chronic disease management: implications for social informatics interventions in safety-net healthcare settings","volume":"5","author":"KH Nguyen","year":"2022","journal-title":"JAMIA Open"},{"key":"pone.0358797.ref027","doi-asserted-by":"crossref","DOI":"10.2196\/45669","article-title":"Using the socioecological model to explore barriers to health care provision in underserved communities in the Philippines: qualitative study","volume":"7","author":"AT Reyes","year":"2023","journal-title":"Asian Pac Isl Nurs J"},{"issue":"4","key":"pone.0358797.ref028","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1080\/13557858.2010.481330","article-title":"Using the social-ecological model as a research and intervention framework to understand and mitigate obesogenic factors in Samoan populations","volume":"15","author":"KD Cassel","year":"2010","journal-title":"Ethn Health"},{"key":"pone.0358797.ref029","article-title":"Toward the development of a multilevel measure of structural racism: theory and methods.","author":"EV Olives","year":"2026","journal-title":"Am J Epidemiol"},{"key":"pone.0358797.ref030","unstructured":"Hasdell R, Bidadanure J, Berger Gonzalez S. Healthy communities and universal basic income: a conceptual framework and evidence review. Stanford, CA: Basic Income Lab; 2020."},{"issue":"1","key":"pone.0358797.ref031","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1007\/s10488-010-0327-7","article-title":"Advancing a conceptual model of evidence-based practice implementation in public service sectors","volume":"38","author":"GA Aarons","year":"2011","journal-title":"Adm Policy Ment Health"},{"issue":"1","key":"pone.0358797.ref032","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13012-018-0842-6","article-title":"Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework","volume":"14","author":"JC Moullin","year":"2019","journal-title":"Implement Sci"},{"issue":"1","key":"pone.0358797.ref033","article-title":"The role of social determinants of health in promoting health equality: a narrative review","volume":"15","author":"K Chelak","year":"2023","journal-title":"Cureus"},{"issue":"3","key":"pone.0358797.ref034","doi-asserted-by":"crossref","first-page":"138072","DOI":"10.56305\/001c.138072","article-title":"Social determinants of health: the impact of this overlooked vital sign","volume":"4","author":"K Vrtikapa","year":"2025","journal-title":"J Brown Hosp Med"},{"key":"pone.0358797.ref035","article-title":"Moving upstream: how interventions that address the social determinants of health can improve health and reduce disparities","author":"DR Williams","year":"2008","journal-title":"J Public Health Manag Pract"},{"key":"pone.0358797.ref036","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/1468-0009.12640","article-title":"Upstream policy changes to improve population health and health equity: a priority agenda","volume":"101","author":"R Ray","year":"2023","journal-title":"Milbank Q"},{"key":"pone.0358797.ref037","unstructured":"Mallik-Kane K, Paddock E, Jannetta J. Health care after incarceration. The Urban Institute; 2018 [cited 2026 May 18]. Available from: https:\/\/www.urban.org\/research\/publication\/health-care-after-incarceration"},{"key":"pone.0358797.ref038","volume-title":"A pound of flesh: Monetary sanctions as punishment for the poor","author":"A Harris","year":"2016"},{"issue":"1","key":"pone.0358797.ref039","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1177\/14649934231193799","article-title":"Something for everyone? Addressing conservative opposition to universal basic income programmes","volume":"24","author":"CD Wooldridge","year":"2024","journal-title":"Prog Dev Stud"},{"key":"pone.0358797.ref040","unstructured":"Bailey ZD, Felman JM, Bassett MT. How structural racism works \u2013 racist policies as a root cause of U.S. racial health inequities. New Eng J Med. 2021 [cited 2026 May 18]. Available from: https:\/\/www.psychiatry.wisc.edu\/wp-content\/uploads\/2022\/08\/How-Structural-Racism-Works-Racist-Policies-as-a-Root-Cause%E2%80%A6.pdf"},{"issue":"2","key":"pone.0358797.ref041","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1377\/hlthaff.2021.01394","article-title":"Systemic and structural racism: definitions, examples, health damages, and approaches to dismantling","volume":"41","author":"PA Braveman","year":"2022","journal-title":"Health Aff (Millwood)"},{"key":"pone.0358797.ref042","unstructured":"Craigie TA, Grawert AC, Kimble C. Conviction, imprisonment, and lost earnings: how involvement with the criminal justice system deepens inequality. New York (NY): Brennan Center for Justice at New York University School of Law; 2020."},{"key":"pone.0358797.ref043","unstructured":"Couloute L, Kopf D. Out of prison & out of work: unemployment among formerly incarcerated people. Prison Policy Initiative; 2018 [cited 2025 Feb 6]. Available from: https:\/\/www.prisonpolicy.org\/reports\/outofwork.html"},{"key":"pone.0358797.ref044","unstructured":"Carson EA, Sandler DH, Bhaskar R, Fernandez LE, Porter SR. Employment of Persons Released from Federal Prison in 2010. Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics; 2021. NCJ 303147. Available from: https:\/\/bjs.ojp.gov\/content\/pub\/pdf\/eprfp10.pdf"},{"issue":"4","key":"pone.0358797.ref045","doi-asserted-by":"crossref","first-page":"1517","DOI":"10.1093\/sf\/soy096","article-title":"Racialized re-entry: labor market inequality after incarceration","volume":"97","author":"B Western","year":"2018","journal-title":"Soc Forces"},{"key":"pone.0358797.ref046","unstructured":"Wang L, Bertram W. New data on formerly incarcerated people\u2019s employment reveal labor market injustices. Prison Policy Initiative. 2022 [cited 2026 Aug 27]. Available from: https:\/\/www.prisonpolicy.org\/blog\/2022\/02\/08\/employment\/"},{"key":"pone.0358797.ref047","unstructured":"Urban Institute. Nine charts about wealth inequality in America. Urban Institute. [cited 2025 Jul 11]. Available from: https:\/\/apps.urban.org\/features\/wealth-inequality-charts\/"},{"key":"pone.0358797.ref048","unstructured":"Solomon D, Clymer E, Castro A. America\u2019s broken criminal legal system contributes to wealth inequality. Center for American Progress. 2022 [cited 2025 Jul 11]. Available from: https:\/\/www.americanprogress.org\/article\/americas-broken-criminal-legal-system-contributes-to-wealth-inequality\/"},{"key":"pone.0358797.ref049","volume-title":"State of Phone Justice 2022: the problem, the progress, and what\u2019s next","author":"P Wagner","year":"2022"},{"key":"pone.0358797.ref050","unstructured":"Urban Institute. Making jail and prison visits easier makes communities safer. 2024 [cited 2026 Aug 27]. Available from: https:\/\/www.urban.org\/urban-wire\/making-jail-and-prison-visits-easier-makes-communities-safer"},{"key":"pone.0358797.ref051","doi-asserted-by":"crossref","first-page":"1276446","DOI":"10.3389\/frma.2023.1276446","article-title":"Psychometric properties of the TACT framework-Determining rigor in qualitative research","volume":"8","author":"BK Daniel","year":"2024","journal-title":"Front Res Metr Anal"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0358797","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:21:39Z","timestamp":1790097699000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0358797"}},"subtitle":[],"editor":[{"given":"Sungwoo","family":"Lim","sequence":"first","affiliation":[{"name":"New York City Department of Health and Mental Hygiene","place":["UNITED STATES OF AMERICA"]}],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,9,22]]},"references-count":51,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,22]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0358797","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,22]]}}}