Jiann-Ping Hsu College of Public Health, Georgia Southern University, P.O. Box 8015, Statesboro, GA, 30460-8015, USA,
J Community Health. 2014 Feb;39(1):181-90. doi: 10.1007/s10900-013-9744-3.
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.
理发店被描绘为一个文化上合适的场所，可以为黑人男性提供健康信息和预防保健筛查，以克服制度和社会文化障碍。本综述的目的是综合基于理发店的健康项目的同行评议文献，为研究人员和实践者提供经验教训。进行了文献检索以确定用于综述的文章。纳入标准规定，研究必须基于美国，并报告有关理发师评估其参与可行性或招募进行健康教育/筛查外展或研究活动的研究。文献检索从同行评议出版物中产生了 901 个独特的书目记录。在排除不符合纳入标准的文章后，有 35 篇文章进行全文审查。最终的文章样本包括 16 篇文章进行完整的抽象，以评估研究的特征、理发师的角色和培训、目标结果、有效性和主要发现。所有基于理发店的研究都针对城市环境中的黑人男性。常见的研究设计包括横断面研究、可行性研究、需求评估和一次性案例研究。理发师进行的干预主要针对前列腺癌和高血压，理发师提供健康教育、筛查和转介至医疗保健。非干预研究主要集中在调查或采访理发师，以评估未来干预的可行性。理发店是传播健康教育材料的文化上合适的场所，无论是印刷材料还是媒体格式。理发店也是培训理发师进行教育和筛查的可接受场所。在接受培训的理发师的研究中，他们对各种健康状况的了解显著增加，并且知识的提高随着时间的推移而持续。他们还能够提高顾客的知识和促进积极的健康行为，但这些结果是可变的，并且没有得到一致记录。
