科研之友
微信
新浪微博
Facebook
分享链接
摘要
Black men have less physician contact than other groups and thus lower rates of hypertension treatment and control. In the Barber-Assisted Reduction in Blood Pressure among Ethnic Residents trial, hypertension control in 8 active-intervention barbershops where barbers offered blood pressure (BP) checks with haircuts and motivated black male patrons with high BP to seek provider follow-up showed a small improvement over that in 7 comparison shops where patrons received hypertension pamphlets but not barber-BP checks. Undertreatment of hypertension, which is common in primary care, may have impacted the outcomes. Thus, in patrons with a baseline systolic BP of >= 140 mm Hg and 10-month follow-up including BP and medication data, we performed post hoc comparison of systolic BP reduction between comparison-arm patrons (n = 68) treated by primary care providers (PCPs) with (1) intervention-arm patrons (n = 37) treated by PCPs or (2) intervention-arm patrons (n = 33) who lacked access to PCPs and were treated by hypertension specialist physicians serving as safety net providers. The latter group had higher baseline systolic BP than the others (162 +/- 3 vs 155 +/- 2 and 154 +/- 2 mm Hg, respectively, p < 0.01). After adjustment for baseline systolic BP and other covariates, systolic BP reduction was 21 +/- 4 mm Hg greater than in the comparison group (p < 0.0001), when barbers referred patrons to hypertension specialists but was no different when they referred to PCPs (4 +/- 4 mm Hg, p = 0.31). Specialist-treated patrons received more BP medication and different classes of medication than PCP-treated patrons. In conclusion, the barber-based intervention if connected directly to specialty-level medical care-could have a large public health impact on hypertensive disease in black men.
- 出版日期2013-11-1
