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Health Promotion Awareness in Barbershops and Salons: An International Cross-Sectional Survey in Japan and Thailand


Aging societies are a worldwide concern, as people are living longer than ever before. The success of the “barbershop project” in improving community health in the USA suggests that the aging issue can be tackled using this method even in Asia. Nevertheless, the health promotion awareness of barbers/stylists has barely been reported in Asia. This study aimed to identify the health promotion awareness of barbers and stylists in Japan and Thailand. An international cross-sectional survey was conducted between March and December 2017. Questionnaire contents included the “current status of existing health-promotion-related services,” “awareness of contribution to maintaining people’s health,” and “awareness of collaboration with health care professionals.” Participants were 99 Japanese and 101 Thai shop owners. In Japan, more health-promotion-related services were already provided through shops, and health care awareness was higher than in Thailand. In both countries, some shops were willing to collaborate with health care professionals. In Japan, “barbers/stylists have consultation opportunities with health care professionals,” “health-related leaflets are provided,” “development of therapy/care,” and “barbershops/salons become a bridge between communities and hospitals” were mentioned as ideas for collaboration. In conclusion, barbers/stylists are highly interested in health due to the direct connection between beauty and health. Collaboration between barbershops/salons and health care professionals is possible, especially in Japan due to its super-aging society. Further development of the barbershop/salon project is needed.

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  1. 1.

    Cabinet Office. Government of Japan. (2018). Current status and future vision of population aging. Aging Society white paper, (in Japanese).

  2. 2.

    Hsu, M., Huang, X., & Yupho, S. (2015). The development of universal health insurance coverage in Thailand: Challenges of population aging and informal economy. Social Science & Medicine,145, 227–236.

  3. 3.

    Linnan, L. A., D’Angelo, H., & Harrington, C. B. (2014). A literature synthesis of health promotion research in salons and barbershops. American Journal of Preventive Medicine,47(1), 77–85.

  4. 4.

    Van Dellen, J. R. (2012). Barber surgeon, or surgeon barber? World Neurosurgery,77(2), 293–295.

  5. 5.

    Luque, J. S., Rivers, B. M., Gwede, C. K., Kambon, M., Green, B. L., & Meade, C. D. (2011). Barbershop communications on prostate cancer screening using barber health advisers. American Journal of Men’s Health,5(2), 129–139.

  6. 6.

    Luque, J. S., Rivers, B. M., Kambon, M., Brookins, R., Green, B. L., & Meade, C. D. (2010). Barbers against prostate cancer: A feasibility study for training barbers to deliver prostate cancer education in an urban African American community. Journal of Cancer Education,25(1), 96–100.

  7. 7.

    Luque, J. S., Ross, L., & Gwede, C. K. (2014). Qualitative systematic review of barber-administered health education, promotion, screening and outreach programs in African-American communities. Journal of Community Health,39(1), 181–190.

  8. 8.

    Ward, R., Campbell, S., & Keady, J. (2016). ‘Gonna make yer gorgeous’: Everyday transformation, resistance and belonging in the care-based hair salon. Dementia (London),15(3), 395–413.

  9. 9.

    Linnan, L. A., Reiter, P. L., Duffy, C., Hales, D., Ward, D. S., & Viera, A. J. (2011). Assessing and promoting physical activity in African American barbershops: Results of the FITStop pilot study. American Journal of Men’s Health,5(1), 38–46.

  10. 10.

    Madigan, M. E., Smith-Wheelock, L., & Krein, S. L. (2007). Healthy hair starts with a healthy body: Hair stylists as lay health advisors to prevent chronic kidney disease. Preventing Chronic Disease,4(3), A64.

  11. 11.

    Releford, B. J., Frencher, S. K., Jr., Yancey, A. K., & Norris, K. (2010). Cardiovascular disease control through barbershops: Design of a nationwide outreach program. Journal of the National Medical Association,102(4), 336–345.

  12. 12.

    Roosta, N., Wong, M. K., & Woodley, D. T. (2012). Norris Comprehensive Cancer Center Melanoma Working Groups. Utilizing hairdressers for early detection of head and neck melanoma: an untapped resource. Journal of American Academy of Dermatology,66(4), 687–688.

  13. 13.

    Floyd, T. D., DuHamel, K. N., Rao, J., Shuk, E., & Jandorf, L. (2017). Acceptability of a salon-based intervention to promote colonoscopy screening among African American women. Health Education & Behavior,44(5), 791–804.

  14. 14.

    Roy, S., Hansen, A. R., Ross, L., & Larson, R. (2018). A qualitative study to assess barber perceptions of the feasibility of the employer as a health advisor for obesity prevention. American Journal of Men’s Health,12(5), 1450–1462.

  15. 15.

    Victor, R. G., Ravenell, J. E., Freeman, A., et al. (2011). Effectiveness of a barber-based intervention for improving hypertension control in black men: The BARBER-1 study: A cluster randomized trial. Archives of International Medicine,171(4), 342–350.

  16. 16.

    Makabe S. (2018). Final report (D15-R-0234) “International collaborative investigation of underlying technology to develop information exchange platform with hair dresser/barber for successful aging in Thailand and Japan” (in Japanese). Toyota Research Foundation, 1–34

  17. 17.

    Linnan, L. A., & Ferguson, Y. O. (2007). Beauty salons: A promising health promotion setting for reaching and promoting health among African American women. Health Education & Behavior,34(3), 517–530.

  18. 18.

    Solomon, F. M., Linnan, L. A., Wasilewski, Y., Lee, A. M., Katz, M. L., & Yang, J. (2004). Observational study in ten beauty salons: Results informing development of the North Carolina BEAUTY and Health Project. Health Education & Behavior,31(6), 790–807.

  19. 19.

    Victor, R. G., Ravenell, J. E., Freeman, A., et al. (2009). A barber-based intervention for hypertension in African American men: Design of a group randomized trial. American Heart Journal,157(1), 30–36.

  20. 20.

    Korstjens, I., & Moser, A. (2018). Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. European Journal of General Practice,24(1), 120–124.

  21. 21.

    Drake, B. F., Shelton, R. C., Gilligan, T., & Allen, J. D. (2010). A church-based intervention to promote informed decision making for prostate cancer screening among African American men. Journal of the National Medical Association,102(3), 164–171.

  22. 22.

    Kreuter, M. W., Black, W. J., Friend, L., et al. (2006). Use of computer kiosks for breast cancer education in five community settings. Health Education & Behavior,33(5), 625–642.

  23. 23.

    Murayama, Y. (2016). Innovation in neurosurgery: Intellectual property strategy and Academia/Industrial collaboration. Neurological Medico-Chirurgical (Tokyo),56(9), 569–573.

  24. 24.

    Tsuruya, N., Kawashima, T., Shiozuka, M., Nakanishi, Y., & Sugiyama, D. (2018). Academia-industry Cooperation in the Medical Field: Matching Opportunities in Japan. Clinical Therapeutics,40(11), 1807–1812.

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The authors would like to thank all the participants. This study was funded by the Toyota Foundation Research Grant Program (D15-R-0234). The founders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Correspondence to Sachiko Makabe.

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The authors declare that they have no conflict of interest.

Ethical Approval

This study was ethically approved (registration number 1635 by Akita University, registration number 307/2560 by the Faculty of Associated Medical Sciences, Chiang Mai University, and registration number 36/2560 by Suranaree University of Technology). It was also registered trial at UMIN in Japan (registration number UMIN000026106).

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Makabe, S., Kume, Y., Kamata, T. et al. Health Promotion Awareness in Barbershops and Salons: An International Cross-Sectional Survey in Japan and Thailand. J Community Health (2020).

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  • Health promotion awareness
  • Barbershops
  • Salons
  • Aging society
  • Asia