黒人理髪店における血圧低下の持続可能性
Ronald G Victor1, Ciantel A Blyler1, Ning Li2
1Smidt Heart Institute at Cedars-Sinai Medical Center, Los Angeles, CA (R.G.V., C.A.B., K.L., N.B.M., M.R., F.R.).
Circulation
|December 29, 2018
まとめ
この研究では 理髪師を健康促進に, 薬剤師を薬剤管理に巻き込むことで 12ヶ月間にわたって高血圧の黒人男性における 血圧 (BP) が著しく低下することが示されています.
科学分野:
- 心血管の健康
- 公衆衛生の介入
- 健康 の 格差
背景:
- 高血圧は非ヒスパニックの黒人男性に不釣り合いな影響を及ぼします
- この集団における高血圧管理を改善するために コミュニティベースの介入が必要である.
- 現存するモデルは,この集団が直面する独特のニーズと障壁を十分に解決できないかもしれません.
研究 の 目的:
- 非ヒスパニック系黒人男性のための 新型の高血圧治療モデルを開発し テストする
- 理髪師と薬剤師を統合したモデルの有効性と持続可能性を評価する.
- 静脈動脈血圧 (BP) と治療の遵守に対する影響を評価する.
主な方法:
- 高血圧 (≥140 mm Hg) の黒人男性319人を対象とした12ヶ月のクラスターランダム化試験.
- 薬剤師による介入か 積極的な対照群にランダムに割り当てられました
- 介入グループは,理髪師から健康促進を受け,アメリカ高血圧協会の認定薬剤師から薬剤管理を受けました.
主要な成果:
- 介入グループでは,平均静脈圧が12. 6mmHg減少し,対照群では7. 2mmHg減少した.
- 目標血圧 (<130/ 80 mm Hg) は介入群の68. 0%と対照群の11. 0%で達成された.
- この介入は持続的な有効性と安全性を示し,コホート保持率は90%で,重篤な有害事象は発生しなかった.
結論:
- コミュニティベースのモデルで 理髪師と薬剤師を結びつけることで 高血圧の黒人男性における 血圧を効果的に低下させ 維持できます
- この介入モデルは広範囲で実施し,健康上の格差を解決する見込みを示しています.
- この効果的な高血圧管理戦略を拡大するためにさらなる実施研究が必要である.
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