Targeting Hypertension: Working with Rural Barbershops to Identify Hypertension and Encourage Treatment

J Health Care Poor Underserved. 2021;32(1):258-270. doi: 10.1353/hpu.2021.0023.

Abstract

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.

MeSH terms

  • Barbering*
  • Black or African American
  • Female
  • Health Promotion
  • Humans
  • Hypertension* / epidemiology
  • Male
  • Men