Hill Barry C, Black David R, Shields Cleveland G
1 Center for Healthcare Policy and Research, UC Davis, CA, USA.
2 Department of Health and Kinesiology, Purdue University, West Lafayette, IN, USA.
Am J Mens Health. 2017 Sep;11(5):1415-1425. doi: 10.1177/1557988315607958.
The purpose of this paper 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; 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中参与名为“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程度相关。统计分析在控制ACT变量的同时，研究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。研究结果表明，已婚顾客（β = 0.99；置信区间[0.38, 1.59]；p <.01）和受教育程度较高的顾客（β = 0.34；置信区间[0.01, 0.67]；p =.04）可能更了解前列腺癌。接受过至少“一些大学”教育的理发师在增加顾客知识方面可能更有效（β = 0.85；置信区间[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接受过一些大学教育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严重的种族健康差异问题方面的潜力，改善项目的采用、实施、效果和持续性是服务不足人群的一项重要公共卫生优先事项。
