Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item Black Barbershop Outreach to Screen and Educate Black Men About Health(2010) Mays, JeffGoing to the barbershop could mean more than getting a fresh Caesar, fade or lineup. Starting this Saturday in California, the Black Barbershop Health Outreach Program will be offering health screenings and health education to black men at 80 barbershops in 23 cities. The initiative is part of a larger program that will go nationwide and touch 50 cities in all. The goal is to educate and screen black men about diabetes, high blood pressure and the importance of early prostate cancer detection.Item Effectiveness of a Barber-Based Intervention for Improving Hypertension Control in Black Men: The BARBER-1 Study: A Cluster Randomized Trial(2011) Victor, R. G.; Ravenell, J. E.; Freeman, A.; Leonard, D.; Bhat, D. G.; Shafiq, M.; Knowles, P.; Storm, J. S.; Adhikari, E.; Bibbins-Domingo, K.; Coxson, P. G.; Pletcher, M. J.; Hannan, P.; Haley, R. W.BACKGROUND: Barbershop-based hypertension (HTN) outreach programs for black men are becoming increasingly common, but whether they are an effective approach for improving HTN control remains uncertain. METHODS: To evaluate whether a continuous high blood pressure (BP) monitoring and referral program conducted by barbers motivates male patrons with elevated BP to pursue physician follow-up, leading to improved HTN control, a cluster randomized trial (BARBER-1) of HTN control was conducted among black male patrons of 17 black-owned barbershops in Dallas County, Texas (March 2006-December 2008). Participants underwent 10-week baseline BP screening, and then study sites were randomized to a comparison group that received standard BP pamphlets (8 shops, 77 hypertensive patrons per shop) or an intervention group in which barbers continually offered BP checks with haircuts and promoted physician follow-up with sex-specific peer-based health messaging (9 shops, 75 hypertensive patrons per shop). After 10 months, follow-up data were obtained. The primary outcome measure was change in HTN control rate for each barbershop. RESULTS: The HTN control rate increased more in intervention barbershops than in comparison barbershops (absolute group difference, 8.8% [95% confidence interval (CI), 0.8%-16.9%]) (P = .04); the intervention effect persisted after adjustment for covariates (P = .03). A marginal intervention effect was found for systolic BP change (absolute group difference, -2.5 mm Hg [95% CI, -5.3 to 0.3 mm Hg]) (P = .08). CONCLUSIONS: The effect of BP screening on HTN control among black male barbershop patrons was improved when barbers were enabled to become health educators, monitor BP, and promote physician follow-up. Further research is warranted. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00325533.Item A Health Message: When It Comes to Hypertension, We Need Your Help(2004) Beato, Cristina VHypertension is a very common chronic condition that is disproportionately represented in certain populations. Although there have been many past successes in detection, evaluation, treatment, and control of high blood pressure, more successes are needed. Greater collaboration on multiple levels is essential in order to achieve better blood pressure control rates in people with hypertension. The reader's collaborative help is requested.Item African Americans at Greater Risk for Stroke than Other Ethnic Groups(2004) Dawson, GeorgeAccording to the American Stroke Association, a division of the American Heart Association, African Americans are at greater risk of death from cardiovascular disease and stroke than any other ethnic group. Cardiovascular disease, including stroke, is the leading cause of death for African-American men and women—claiming the lives of over 100,000 annually. In 2000, cardiovascular disease accounted for 37% of all African-American deaths. It's estimated that 40% of African-American women and 41% of African- American men have cardiovascular disease, according to the Centers for Disease Control and Prevention of the National Center for Health Statistics. Stroke is the third leading cause of death in America today and a leading cause of severe long-term disability. The American Stroke Association is reminding African Americans this May—American Stroke Month—to learn their risk for stroke and take action to lower their risk.