A cluster-randomized trial of blood-pressure reduction in barbershops

A cluster-randomized trial of blood-pressure reduction in barbershops

All the men had systolic blood pressure over 140 mm Hg based on multiple measurements taken on two different days. Black men reduced one of their biggest medical risks through a novel project that shows the power of familiar faces and trusted places to improve health. "For all the regressive politics about sexuality or gender it sometimes harbors, the black barbershop has remained a space of pride, community and reflection across generations, much in the same way the black church has", Jason Parham wrote for Fader in 2017.

Muhammad recruited his own customers for the study and helped recruit 50 other barbershops to participate. "We have a lot more influence than just the doctor walking in the door".

Black men have the highest rates of high blood pressure compared to any other racial, ethnic or gender group. Only half of Americans with high pressure have it under control; many don't even know they have the condition.

Churches, barbershops and beauty salons have always been used to reach people with limited access to doctors, to promote cancer screenings and other health-related events. Dr. Ronald Victor, a cardiologist at Cedars-Sinai Medical Center, wanted to reach black men. "It nearly has a social club feel to it, a delightful, friendly environment", he stated. That study was of 17 Dallas barbershops. An active control approach referred to barbers encouraging lifestyle modifications and doctor appointments.

The new work involved 303 men and 52 barbershops.

In the second group, barbers encouraged their patrons to follow up with a primary care provider for treatment and make lifestyle changes, such as increasing exercise and decreasing salt consumption.

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And that doesn't factor in the costs borne from retaliation taken by foreign partners against unrelated US industries. My research focuses on the politics of trade and what prompts political leaders to impose restrictions like tariffs.

"High blood pressure disproportionately affects the African-American community, and we must find new ways to reach out so we can prevent strokes, heart attacks, heart failure and early deaths", Victor said.

At the start of the study, their top pressure number averaged 154. One group received intervention from both their barber and a pharmacist, who visited the shop once a month and provided further education. Almost 64 percent of the men who met with a pharmacist lowered their blood pressure to a healthy level below the mark where hypertension begins. Only 12 percent of the men who just got advice dropped to that level. Also there was a decrease in diastolic blood pressure of 18 mmHg. "I didn't know it was a silent killer like it is", he said. "I think I'm a pretty nice doctor and have loyal patients, but nothing like that". "It was time to get my health right". Now that Sims has lowered his pressure to 125 over 85, he takes his health more seriously, and he says he feels as good on the inside as he does on the outside.

Left untreated, high blood pressure can damage blood vessels throughout the body, according to the American Heart Association.

The study was funded by a grant from the National Heart, Lung, and Blood Institute of the National Institutes of Health, among other funding sources.

Their results were published Monday in the New England Journal of Medicine.

The cost of doing this isn't really known.

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