Black Men may Have Better Control High Blood Pressure Through Barber-based Interventions

by Kathy Jones on  October 26, 2010 at 9:00 PM Hypertension News
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A report posted online in the Archives of Internal Medicine, one of the JAMA/Archives journals, says that black men who are offered a blood pressure check while at the barbershop appear more likely to improve control of hypertension.

"Uncontrolled hypertension is one of the most important causes of premature disability and death among non-Hispanic black men," the authors write as background information in the article. "Compared with black women, men have less frequent physician contact for preventive care and thus substantially lower rates of hypertension detection, medical treatment and control."

Additionally, "black-owned barbershops hold special appeal for community-based intervention trials because they are a cultural institution that draws a large and loyal male clientele and provides an open forum for discussion of numerous topics, including health, with influential peers." Ronald G. Victor, M.D., then of University of Texas Southwestern Medical Center, Dallas, and now of Cedars-Sinai Medical Center, Los Angeles, and colleagues conducted a randomized trial involving 17 black-owned barbershops in Dallas County, Texas between March 2006 and December 2008.

At the beginning of the study, nine barbershops were randomized into the comparison group. At these barbershops, 695 patrons with hypertension (an average of 77 per shop) received standard hypertension education pamphlets written for a broad audience. At the eight barbershops randomly assigned to the intervention group, 602 patrons with hypertension (an average of 75 per shop) received personalized, sex-specific health messaging, and were exposed to posters of other male hypertensive patrons of the same shop modeling treatment-seeking behavior. Additionally, barbers in the intervention group offered patrons blood pressure checks during haircuts. Follow-up data was collected from both groups after 10 months.

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