LAUSR

Mental health remains a critical concern within the Black communities in Canada, influenced by systemic racism, stigma, and cultural beliefs. Despite the importance and influence of intergenerational perspectives in seeking and use of care, research in this area is scarce. This study identifies mental health perceptions among Black youth and parents and examines how stigma, cultural beliefs, and experiences of racism influence these perceptions. We conducted semi-structured interviews with 32 Black youth aged 15 to 24, (mean age = 20.69 years, SD = 2.25) and 27 Black parents (mean age = 44.88, SD = 10.40) from May 2021 to April 2023. Interviews conducted via Zoom were transcribed and analyzed inductively and thematically using multiple rounds of coding, allowing themes to emerge organically without being guided by predetermined categories. Analysis identified three key themes showing important differences between Black youth and parents: (a) an acculturation gap characterized by older generations’ adherence to cultural norms and stigma surrounding mental health, (b) differing perceptions of stressors between youth and parents, with older generations prioritizing financial challenges and minimizing emotional struggles, and (c) youth-driven motivation for change, emphasizing greater mental health awareness and openness for future generations. Youth reported barriers to discussing mental health with older family members due to stigma, concerns about family reputation, and cultural expectations of resilience. This study highlights significant intergenerational differences in mental health perceptions within Black Canadians, shaped by acculturation, values, and social expectations. While older generations often prioritize cultural preservation, resilience, and privacy and minimize mental health struggles, youth are advocating for change.