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Qualitative Systematic Review of Barber-Administered Health Education, Promotion, Screening and Outreach Programs in African-American Communities

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Abstract

The barbershop has been portrayed as a culturally appropriate venue for reaching Black men with health information and preventive health screenings to overcome institutional and socio-cultural barriers. The purpose of this review is to synthesize the peer-reviewed literature on barbershop-based health programs to provide lessons learned for researchers and practitioners. A literature search was conducted to identify articles for the review. Inclusion criteria specified that studies had to be based in the United States and reported about research where barbers were either being assessed for the feasibility of their participation or recruited to administer health education/screening outreach or research activities. The literature search produced 901 unique bibliographic records from peer-reviewed publications. After eliminating articles not meeting the inclusion criteria, 35 articles remained for full-text review. The final article sample consisted of 16 articles for complete abstraction to assess characteristics of studies, role and training of barbers, outcomes targeted, effectiveness, and key findings. All barbershop-based studies reviewed targeted Black men in urban settings. Common study designs were cross-sectional studies, feasibility studies, needs assessments, and one-shot case studies. Barber administered interventions addressed primarily prostate cancer and hypertension, and barbers provided health education, screening, and referrals to health care. Nonintervention studies focused mostly on surveying or interviewing barbers for assessing the feasibility of future interventions. Barbershops are a culturally appropriate venue for disseminating health education materials in both print and media formats. Barbershops are also acceptable venues for training barbers to conduct education and screening. In studies where barbers received training, their knowledge of various health conditions increased significantly and knowledge gains were sustained over time. They were also able to increase knowledge and promote positive health behaviors among their customers, but these outcomes were variable and not consistently documented.

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References

  1. Centers for Disease Control and Prevention. (2011). CDC health disparities and inequalities report—United States, 2011. MMWR Surveillance Summaries, 60(Suppl), 1–114.

    Google Scholar 

  2. American Cancer Society. (2013). Cancer facts & figures for African Americans 2012–2013. Atlanta: American Cancer Society.

    Google Scholar 

  3. Kaiser Family Foundation. (2012). Putting men’s health disparities on the map: Examining racial and ethnic disparities at the state level. Washington, DC.

  4. Jones, D. J., Crump, A. D., & Lloyd, J. J. (2012). Health disparities in boys and men of color. American Journal of Public Health, 102(Suppl 2), S170–S172.

    Article  PubMed  Google Scholar 

  5. 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.

    Article  Google Scholar 

  6. 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.

    Article  Google Scholar 

  7. Releford, B. J., Frencher, S. K, Jr, & Yancey, A. K. (2010). Health promotion in barbershops: Balancing outreach and research in African American communities. Ethnicity and Disease, 20(2), 185–188.

    PubMed  Google Scholar 

  8. Allen, J. D., Kennedy, M., Wilson-Glover, A., & Gilligan, T. D. (2007). African-American men’s perceptions about prostate cancer: Implications for designing educational interventions. Social Science and Medicine, 64, 2189–2200.

    Article  PubMed  Google Scholar 

  9. Grant, C. G., Davis, J. L., Rivers, B. M., et al. (2012). The men’s health forum: An initiative to address health disparities in the community. Journal of Community Health, 37(4), 773–780.

    Article  PubMed  Google Scholar 

  10. Ferdinand, K. C. (1995). The Healthy heart community prevention project: A model for primary cardiovascular risk reduction in the African-American population. Journal of the National Medical Association, 87(8 Suppl), 638–641.

    CAS  PubMed  Google Scholar 

  11. Wright, E, I. I., & Calhoun, T. C. (2001). From the common thug to the local businessman: An exploration into an urban African American barbershop. Deviant Behavior, 22(3), 267–288.

    Article  Google Scholar 

  12. Ferdinand, K. C. (1997). Lessons learned from the healthy heart community prevention project in reaching the African American population. Journal of Health Care Poor Underserved, 8(3), 366–371.

    Article  CAS  Google Scholar 

  13. Kong, B. (1997). Community-based hypertension control programs that work. Journal of Health Care Poor Underserved, 8(4), 409–415.

    Article  CAS  Google Scholar 

  14. 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.

    PubMed Central  PubMed  Google Scholar 

  15. Cowart, L. W., Brown, B., & Biro, D. J. (2004). Education African American men about prostate cancer: The barbershop program. American Journal of Health Studies, 19(4), 205–213.

    Google Scholar 

  16. The Prostate Net. Barbershop Initiatives. (2012). www.theprostatenet.org/barber.html. Accessed 02 June 2013.

  17. Hart, A., Jr, Underwood, S. M., Smith, W. R., et al. (2008). Recruiting African-American barbershops for prostate cancer education. Journal of the National Medical Association, 100(9), 1012–1020.

    PubMed  Google Scholar 

  18. Fraser, M., Brown, H., Homel, P., et al. (2009). Barbers as lay health advocates—developing a prostate cancer curriculum. Journal of the National Medical Association, 101(7), 690–697.

    PubMed  Google Scholar 

  19. Holt, C. L., Wynn, T. A., Lewis, I., et al. (2009). Development of a barbershop-based cancer communication intervention. Health Education, 109(3), 213–225.

    Article  Google Scholar 

  20. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  21. 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 Internal Medicine, 171(4), 342–350.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Hess, P. L., Reingold, J. S., Jones, J., et al. (2007). Barbershops as hypertension detection, referral, and follow-up centers for black men. Hypertension, 49(5), 1040–1046.

    Article  CAS  PubMed  Google Scholar 

  23. 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.

    PubMed Central  PubMed  Google Scholar 

  24. Hart, A, Jr, Smith, W. R., Tademy, R. H., McClish, D. K., & McCreary, M. (2009). Health decision-making preferences among African American men recruited from urban barbershops. Journal of the National Medical Association, 101(7), 684–689.

    PubMed  Google Scholar 

  25. Kilbridge, K. L., Fraser, G., Krahn, M., et al. (2009). Lack of comprehension of common prostate cancer terms in an underserved population. Journal of Clinical Oncology, 27(12), 2015–2021.

    Article  PubMed  Google Scholar 

  26. Meade, C. D., Menard, J., Martinez, D., & Calvo, A. (2007). Impacting health disparities through community outreach: Utilizing the CLEAN look (culture, literacy, education, assessment, and networking). Cancer Control, 14(1), 70–77.

    PubMed  Google Scholar 

  27. 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. Journal of the American Heart, 157(1), 30–36.

    Article  Google Scholar 

  28. Li, J., Linnan, L., Rose, J., et al. (2011). Promoting men’s health within barbershops: Barber/owner survey results and implications for intervention planning. Preventive Medicine, 53(3), 207–208.

    Article  PubMed  Google Scholar 

  29. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  30. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Lewis, Y. R., Shain, L., Quinn, S. C., Turner, K., & Moore, T. (2002). Building community trust: Lessons from an STD/HIV peer educator program with African American barbers and beauticians. Health Promotion Practice, 3(2), 133–143.

    Article  Google Scholar 

  32. Hart, A, Jr, & Bowen, D. J. (2004). The feasibility of partnering with African-American barbershops to provide prostate cancer education. Ethnicity and Disease, 14(2), 269–273.

    PubMed  Google Scholar 

  33. Bragg, C. A. (2011). The Black Barbershop: Increasing health awareness among minority men. AABSS Journal, 15, 1–20.

    Google Scholar 

  34. Pepe, M. (1989). Minority barbers screen customers for hypertension. Health Education, 20(7), 10–12.

    Google Scholar 

  35. Black C. (2005). Barbers clip at cancer. Florida Times-Union. http://jacksonville.com/tu-online/stories/042505/met_18566998.shtml. Accessed 02 June 2013.

  36. The Black Barbershop Health Outreach Program. (2013). http://blackbarbershop.org/. Accessed 02 June 2013.

  37. The Institute for Family Health. “Get Screened, Get Clean” Pop-up barbershop and free health screenings in Harlem. (2012). http://www.institute2000.org/2012/06/25/get-screened-get-clean-pop-up-barbershop-and-free-health-screenings-in-harlem/. Accessed 02/06/13.

  38. Livingood, W. C., Allegrante, J. P., Airhihenbuwa, C. O., et al. (2011). Applied social and behavioral science to address complex health problems. American Journal of Preventive Medicine, 41(5), 525–531.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was partially supported by a training grant from the National Cancer Institute (NCI) at the NIH (R25 CA090314; Paul Jacobsen, Principal Investigator). The article’s contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Cancer Institute.

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Authors and Affiliations

  1. Jiann-Ping Hsu College of Public Health, Georgia Southern University, P.O. Box 8015, Statesboro, GA, 30460-8015, USA

    John S. Luque & Levi Ross

  2. Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA

    Clement K. Gwede

  3. Department of Oncologic Sciences, College of Medicine, University of South Florida, Tampa, FL, USA

    Clement K. Gwede

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  1. John S. Luque
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  2. Levi Ross
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  3. Clement K. Gwede
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Correspondence to John S. Luque.

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Luque, J.S., Ross, L. & Gwede, C.K. Qualitative Systematic Review of Barber-Administered Health Education, Promotion, Screening and Outreach Programs in African-American Communities. J Community Health 39, 181–190 (2014). https://doi.org/10.1007/s10900-013-9744-3

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  • DOI: https://doi.org/10.1007/s10900-013-9744-3

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