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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Now showing 1 - 10 of 367
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    A Cluster-Randomized Trial of Blood-Pressure Reduction in Black Barbershops
    (The New England Journal of Medicine, 2018) Victor, Ronald; Lynch, Kathleen; Li, Ning; Blyler , Ciantel
    BACKGROUND Uncontrolled hypertension is a major problem among non-Hispanic black men, who are underrepresented in pharmacist intervention trials in traditional health care settings. METHODS We enrolled a cohort of 319 black male patrons with systolic blood pressure of 140 mm Hg or more from 52 black-owned barbershops (nontraditional health care setting) in a cluster-randomized trial in which barbershops were assigned to a pharmacist-led intervention (in which barbers encouraged meetings in barbershops with specialty-trained pharmacists who prescribed drug therapy under a collaborative practice agreement with the participants’ doctors) or to an active control approach (in which barbers encouraged lifestyle modification and doctor appointments). The primary outcome was reduction in systolic blood pressure at 6 months. RESULTS At baseline, the mean systolic blood pressure was 152.8 mm Hg in the intervention group and 154.6 mm Hg in the control group. At 6 months, the mean systolic blood pressure fell by 27.0 mm Hg (to 125.8 mm Hg) in the intervention group and by 9.3 mm Hg (to 145.4 mm Hg) in the control group; the mean reduction was 21.6 mm Hg greater with the intervention (95% confidence interval, 14.7 to 28.4; P<0.001). A blood-pressure level of less than 130/80 mm Hg was achieved among 63.6% of the participants in the intervention group versus 11.7% of the participants in the control group (P<0.001). In the intervention group, the rate of cohort retention was 95%, and there were few adverse events (three cases of acute kidney injury). CONCLUSIONS Among black male barbershop patrons with uncontrolled hypertension, health promotion by barbers resulted in larger blood-pressure reduction when coupled with medication management in barbershops by specialty-trained pharmacists. (Funded by the National Heart, Lung, and Blood Institute and others; ClinicalTrials.gov number, NCT02321618.)
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    Outpatient weight management in African-Americans: The Healthy Eating and Lifestyle Program (HELP) study
    (2005) Kumanyika, Shiriki K; Shults, Justine; Fassbender, Jennifer E; Whitt-Glover, Melicia C; Brake, Vivian; Kallan, Michael J; Iqbal, Nayyar; Bowman, Marjorie A
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    Cardiovascular Disease Control Through Barbershops: Design of a Nationwide Outreach Program
    (2013) Releford , Bill J.; Frencher, Stanley K; Yanchey, Antronette
    Objectives To review the success of barbershops as vehicles for health promotion and outline the Black Barbershop Health Outreach Program (BBHOP), a rapidly growing, replicable model for health promotion through barbershops. Methods BBHOP was established by clinicians in order to enhance community level awareness of and empowerment for cardiometabolic disorders such as diabetes and cardiovascular disease. At coordinated events utilizing existing infrastructures as well as culturally and gender-specific health promotion, BBHOP volunteers screen for diabetes and hypertension and reinforce lifestyle recommendations for the prevention of cardiometabolic disorders from the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Patrons with abnormal findings are referred to participating physicians or health care facilities. We performed a selective review of the literature in order to place this model for health promotion in the context of previous efforts in barbershops. BBHOP is among several successful programs that have sought to promote health in barbershops. Combining a grassroots organization approach to establishing a broad-based network of volunteers and partner agencies with substantial marketing expertise and media literacy, the BBHOP has screened more than 7000 African American men in nearly 300 barbershops from more than 20 cities across 6 states. Conclusions The BBHOP is an effective method for community level health promotion and referral for cardio-metabolic diseases, especially for AA men, one of the nation’s most vulnerable populations.
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    Translating the Diabetes Prevention Program Into an Urban Medically Underserved Community
    (2008) Seidel, Miriam; Powell, Robert; Zgibor, Janice; Siminerio, Linda; Piatt, Gretchen
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    Translating the Diabetes Prevention Program Into an Urban Medically Undeserved Community
    (2008) Seidel, Miriam; Powell, Robert; Zgibor, Janice; Siminerio, Linda; Piatt, Gretchen
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    Proceedings: Driving Down Disparities Innovations in Health Care Delivery, Communications and Technology
    (2014) Jospeh, Mary Jane; Triantis, Maria; Shea, Madeleine; Lloyd, Tassika
    The Disparities National Coordinating Center (DNCC) held a virtual conference on Tuesday, April 8, 2014 to inspire QIOs with innovations in technology, communications and care delivery that will be applicable to their future disparities work. Over 200 participants joined the conference to learn about new techniques in healthcare delivery; gain understanding of how technology, effective communication and policies can impact health disparities and explore innovative ways to apply these tools to their work.
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    Charting the Course
    (National Institute of Health - Office of Disease Prevention, 2014) UNSPECIFIED
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    Towards a Unified Taxonomy of Health Indicators: Academic Health Centers and Communities Working Together to Improve Population Health
    (2014) Aguilar-Gaxiola, Sergio; Ahmed, Syed; Zeno, Franco; Kissack, Anne; Gabriel, Davera; Hurd, Thelma; Ziegahn, Linda; Bates, Nancy; Calhoun, Karen; Carter-Edwards, Lori; Corbie-Smith, Giselle; Eder, Milton; Ferrans, Carol; Hacker, Karen; Rumala, Bernice; Strelnick , Hal; Wallerstein, N.
    The Clinical and Translational Science Awards (CTSA) program represents a significant public investment. To realize its major goal of improving the public's health and reducing health disparities, the CTSA Consortium's Community Engagement Key Function Committee has undertaken the challenge of developing a taxonomy of community health indicators. The objective is to initiate a unified approach for monitoring progress in improving population health outcomes. Such outcomes include, importantly, the interests and priorities of community stakeholders, plus the multiple, overlapping interests of universities and of the public health and health care professions involved in the development and use of local health care indicators. The emerging taxonomy of community health indicators that the authors propose supports alignment of CTSA activities and facilitates comparative effectiveness research across CTSAs, thereby improving the health of communities and reducing health disparities. The proposed taxonomy starts at the broadest level, determinants of health; subsequently moves to more finite categories of community health indicators; and, finally, addresses specific quantifiable measures. To illustrate the taxonomy's application, the authors have synthesized 21 health indicator projects from the literature and categorized them into international, national, or local/special jurisdictions. They furthered categorized the projects within the taxonomy by ranking indicators with the greatest representation among projects and by ranking the frequency of specific measures. They intend for the taxonomy to provide common metrics for measuring changes to population health and, thus, extend the utility of the CTSA Community Engagement Logic Model. The input of community partners will ultimately improve population health.
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    Sexually Transmitted Disease Surveillance 2012
    (U.S. Department of Health and Human Services, 2013) UNSPECIFIED