Hill Barry C, Black David R, Shields Cleveland G
1 Purdue University, West Lafayette, IN, USA.
2 Center for Healthcare Policy and Research, UC Davis, Sacramento, CA, USA.
Am J Mens Health. 2017 Jan;11(1):116-125. doi: 10.1177/1557988316632979. Epub 2016 Jun 22.
The purpose of this article is to identify characteristics of Black barbershop clients and barbers in an urban Midwestern city participating in a health promotion program called Affecting Cancer Together (ACT) that are associated with client knowledge about prostate cancer. Statistical analyses examined client and barber characteristics for their potential association with client prostate cancer knowledge, while controlling for ACT variables. Study findings suggested clients who are married (β = 0.99; confidence interval [CI] = 0.38, 1.59; p < .01) and have higher levels of education (β = 0.34; CI = 0.01, 0.67; p = .04) may be more likely to know more about prostate cancer. Barbers with at least "some college" education may be more effective in increasing client knowledge (β = 0.85; CI = 0.05, 1.64; p = .04). Trained peer-helper programs may consider prioritizing limited educational resources for barbers with at least some college education and incorporating the social support of spouses for making informed decisions. Considering the potential of barbershop programs to reach Black men about a serious racially disproportionate health issue, ameliorating adoption, implementation, effectiveness, and sustainment are an important public health priority for underserved populations.
本文旨在确定美国中西部一个城市参与名为“共同对抗癌症”（ACT）的健康促进项目的黑人理发店顾客和理发师的特征，这些特征与顾客对前列腺癌的了解相关。统计分析检验了顾客和理发师的特征与顾客前列腺癌知识之间的潜在关联，同时控制ACT变量。研究结果表明，已婚顾客（β = 0.99；置信区间[CI] = 0.38, 1.59；p < .01）和受教育程度较高的顾客（β = 0.34；CI = 0.01, 0.67；p = .04）可能更有可能对前列腺癌有更多了解。至少拥有“大专学历”的理发师在增加顾客知识方面可能更有效（β = 0.85；CI = 0.05, 1.64；p = .04）。经过培训的同伴帮助项目可能会考虑优先为至少拥有大专学历的理发师提供有限的教育资源，并纳入配偶的社会支持以帮助做出明智决策。鉴于理发店项目在向黑人男性宣传一个严重的种族差异健康问题方面的潜力，改善采用、实施、效果和持续性是服务不足人群的重要公共卫生优先事项。
