Fraser Marilyn, Brown Humberto, Homel Peter, Macchia Richard J, LaRosa Judie, Clare Richard, Davis-King Donna, Collins Pat, Samuel Tonya, Macalino Grace, Browne Ruth C
Arthur Ashe Institute for Urban Health, 450 Clarkson Ave, Rm 1-80C, Brooklyn, NY 11203, USA.
J Natl Med Assoc. 2009 Jul;101(7):690-7. doi: 10.1016/s0027-9684(15)30978-0.
The purpose of this study was to develop and test the efficacy of a prostate health curriculum designed to train African American and Afro Caribbean barbers to deliver prostate cancer control messages to their customers.
The curriculum was drafted from information obtained from needs assessment surveys administered to barbers and customers from various barbershops in Brooklyn, New York. Focus groups were conducted to further inform the curriculum, which was pilot tested in training sessions.
The high incidence of late-stage diagnosis prostate cancer in African Americans has often been attributed to lack of screening. In surveys administered to 92 customers and 19 barbers, only 26% of customers and 42% of barbers reported having some knowledge of the prostate-specific antigen (PSA) screening test. More than 90% of the barbers expressed a willingness to obtain prostate cancer information to specifically share with their customers, and 83% of customers expressed an interest in obtaining prostate cancer information and willingness to receive that information from their barbers. Following the pilot training, barber knowledge of prostate cancer increased significantly (p < .0001).
This pilot study suggests that there is a need for intervention programs that will raise awareness and increase prostate health knowledge and behavior in communities with elevated incidence of prostate cancer. The study further suggests that barbers are willing to use their leadership skills to educate and encourage their customers to engage in informed decision making.
本研究的目的是开发并测试一项前列腺健康课程的效果，该课程旨在培训非裔美国人和非洲加勒比裔理发师，以便他们向顾客传递前列腺癌防治信息。
该课程是根据对纽约布鲁克林各理发店的理发师和顾客进行需求评估调查所获得的信息起草的。开展了焦点小组讨论以进一步完善该课程，并在培训课程中进行了试点测试。
非裔美国人晚期前列腺癌的高发病率通常归因于筛查不足。在对92名顾客和19名理发师进行的调查中，只有26%的顾客和42%的理发师表示对前列腺特异性抗原（PSA）筛查测试有所了解。超过90%的理发师表示愿意获取前列腺癌信息以便专门与顾客分享，83%的顾客表示有兴趣获取前列腺癌信息并愿意从他们的理发师那里接收此类信息。经过试点培训后，理发师对前列腺癌的了解显著增加（p < .0001）。
这项试点研究表明，对于前列腺癌发病率较高的社区，需要开展干预项目来提高认识、增加前列腺健康知识并改变行为。该研究还表明，理发师愿意利用他们的领导技能来教育和鼓励顾客做出明智的决策。
