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Targeting Hypertension: Working with Rural Barbershops to Identify Hypertension and Encourage Treatment
Insights
Barbershops effectively screened rural African Americans for cardiovascular disease (CVD) risk factors in Mississippi. This innovative approach reached a high-risk population, identifying elevated blood pressure in over a third of participants.
Area of Science:
- Public Health
- Cardiovascular Health
- Health Disparities
Background:
- Cardiovascular disease (CVD) is a leading cause of death in the U.S., disproportionately affecting African Americans in Mississippi.
- Innovative community-based models are needed to address CVD prevalence in underserved rural populations.
Purpose of the Study:
- To assess cardiovascular disease (CVD) prevalence among African Americans in rural Mississippi.
- To evaluate the effectiveness of using barbershops as a venue to reach and screen this population for CVD risk factors.
Main Methods:
- Data collection involved screening barbershop clientele for elevated blood pressure.
- Participants providing consent were referred for clinical care if necessary.
- Screening focused on the African American population in rural Mississippi.
Main Results:
- Over one-third of participants (34.2%) exhibited elevated blood pressure during screening.
- The study successfully reached and screened a significant number of the target population through barbershops.
- Hypertension rates in males were found to be lower than in females, contrasting national trends.
Conclusions:
- Barbershops serve as an effective channel for engaging rural African Americans in cardiovascular health screenings.
- CVD prevalence in rural Mississippi is notably high, underscoring the need for targeted interventions.
- Community-based screening initiatives in accessible locations like barbershops can improve health outcomes.
Introduction:
Cardiovascular disease (CVD), accounting for one in every four U.S. deaths, has had a devastating impact on Mississippi's African American population. Seeking innovative mitigation models, this study assesses CVD prevalence and reach via barbershops to rural Mississippi African Americans.
Methods:
Data was collected from barbershop clientele who consented to be screened and contacted for referral to clinical care if blood pressure was found to be elevated.
Results:
Most participants were African American (97.7%, n=2,756) and male (54.4%). Descriptive findings revealed more than one-third of participants (34.2%) had elevated blood pressure at screening. Factoring in those with hypertension in control, we found lower rates of hypertension in the male population (males 51.4% vs. females 57.8%), a sharp contrast to national rates.
Conclusion:
Evaluation findings suggest CVD prevalence in rural Mississippi is comparatively high but that barbershop partners were able to successfully reach and screen the target population.
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