Community-Based Hemoglobin A<sub>1C</sub> Testing in Barbershops to Identify Black Men With Undiagnosed Diabetes

Osorio, Marcela; Ravenell, Joseph; Sevick, Mary Ann; Ararso, Yonathan; Young, Ta’Loria; Wall, Stephen P.; Lee, Dong Hoon

doi:10.1001/jamainternmed.2019.6867

Cited by 16 publications

(12 citation statements)

References 6 publications

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“…It could also be done in a range of non-clinical settings where people often attend to make initial checks more accessible. A recent example is the community based screening for diabetes in barbershops to identify black men with undiagnosed diabetes 17 . Since many people tested will be at low absolute risk for both CVD and diabetes, only a minority at higher or intermediate risk (or those with a family history of premature cardiovascular disease) would require formal blood testing.…”

Section: The Potential Advantages and Challenges To Screeningmentioning

confidence: 99%

Improving prevention strategies for cardiometabolic disease

Sattar

Gill

Alazawi

2020

Nat Med

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Section: The Potential Advantages and Challenges To Screeningmentioning

confidence: 99%

Improving prevention strategies for cardiometabolic disease

Sattar

Gill

Alazawi

2020

Nat Med

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“…This is notable considering that ABI testing, just one component of our study, requires more time than health screenings employed in other barbershop-based interventions, such as blood pressure measurements and glucose checks. 43,44 Participants noted several factors important for successful implementation, including a large, private space to conduct ABI testing and information delivery tailored to individual health literacy.…”

Section: Discussionmentioning

confidence: 99%

Black Men’s Awareness of Peripheral Artery Disease and Acceptability of Screening in Barbershops: A Qualitative Analysis

Coy¹,

Brinza

DeLozier³

et al. 2022

Preprint

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IntroductionPeripheral artery disease (PAD) disproportionately burdens Black Americans, particularly Black men. Despite the significant prevalence and high rate of associated morbidity and mortality, awareness of and treatment initiation for PAD remains low in this demographic group. To improve awareness, early detection, and treatment initiation of PAD among Black men, barbershops may be ideal settings for screening and education. MethodsA qualitative study involving 1:1 participant interviews in Cleveland, Ohio assessed perspectives of Black men about barbershop-based screening and education about PAD. Inductive thematic analysis was performed to derive themes directly from the data to reflect perceived PAD awareness and acceptability of screening in a barbershop setting. Results 28 African American/Black, non-Hispanic men completed a qualitative interview for this analysis. Mean age was 59.3±11.2 years and 93% of participants resided in socioeconomically disadvantaged zip codes. Several themes emerged indicating increased awareness of PAD and acceptability of barbershop-based screenings for PAD, advocacy for systemic changes to improve the health of the community, and a desire among participants to increase knowledge about cardiovascular disease.ConclusionsParticipants were overwhelmingly accepting of PAD screenings and reported increased awareness of PAD and propensity to seek healthcare due to engagement in the study. Participants provided insight into barriers and facilitators of health and healthcare-seeking behavior, as well as into the community and the barbershop as an institution. Additional research is needed to explore the perspectives of additional stakeholders and to translate community-based screenings into treatment initiation.

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“…Based on results of prior community‐based research that enrolled a similar population, 34 , 35 we set the following prespecified criteria for feasibility: recruitment rate of ≥35% and retention rate of ≥70%. We hypothesized that the prevalence of PAD in our sample would be greater than or equal to the ≈6% PAD prevalence rate in similarly aged Black men in the United States.…”

Section: Methodsmentioning

confidence: 99%

Findings of a Novel Barbershop‐Based Peripheral Artery Disease Screening Program for Black Men

Solaru

Coy

DeLozier

et al. 2022

JAHA

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Background Peripheral artery disease (PAD) increases the risk of cardiovascular events and limb events including amputations. PAD is twice as prevalent in Black compared with non‐Hispanic White individuals, especially among men. Screening for PAD using the ankle–brachial index in community settings, such as the barbershop, could lead to earlier diagnosis and treatment. Methods and Results A pilot study was conducted at 2 barbershops in Cleveland, OH from June to December 2020 to assess the feasibility of screening for PAD in the barbershop setting and the effect of an educational intervention on PAD awareness. After screening with both automated and Doppler ankle–brachial index, PAD was identified in 5/31 (16.1%) of participants. Baseline systolic blood pressure, low‐density lipoprotein cholesterol, and random blood glucose were higher in participants who screened positive for PAD ( P <0.001). PAD awareness was low overall. There was a significant improvement in PAD awareness assessment scores obtained at the initial and exit visits (9.93±4.23 to 12.50±4.41, P =0.004). An association was found between PAD awareness at baseline and highest education level achieved: compared with those with some college/associate's degree or higher, non–high school graduates scored lower on PAD awareness ( P =0.022), as did those who only had a high school diploma or tests of General Educational Development ( P =0.049). Conclusions In a pilot study, barbershop‐based screening for PAD among Black men revealed a higher than expected PAD prevalence and low PAD awareness. An educational video was effective at increasing PAD awareness. Ankle–brachial index screening and educational outreach in the barbershop may be a feasible and effective tool to diagnose PAD and reduce PAD disparities among Black men at highest risk.

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Community-Based Hemoglobin A_1C Testing in Barbershops to Identify Black Men With Undiagnosed Diabetes

Abstract: Impact of a value-based formulary on medication utilization, health services utilization, and expenditures.

Cited by 16 publications

References 6 publications

Improving prevention strategies for cardiometabolic disease

Improving prevention strategies for cardiometabolic disease

Black Men’s Awareness of Peripheral Artery Disease and Acceptability of Screening in Barbershops: A Qualitative Analysis

Findings of a Novel Barbershop‐Based Peripheral Artery Disease Screening Program for Black Men

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Community-Based Hemoglobin A1C Testing in Barbershops to Identify Black Men With Undiagnosed Diabetes

Abstract: Impact of a value-based formulary on medication utilization, health services utilization, and expenditures.

Cited by 16 publications

References 6 publications

Improving prevention strategies for cardiometabolic disease

Improving prevention strategies for cardiometabolic disease

Black Men’s Awareness of Peripheral Artery Disease and Acceptability of Screening in Barbershops: A Qualitative Analysis

Findings of a Novel Barbershop‐Based Peripheral Artery Disease Screening Program for Black Men

Contact Info

Product

Resources

About

Community-Based Hemoglobin A_1C Testing in Barbershops to Identify Black Men With Undiagnosed Diabetes