National USA Foundation, Inc., Nashville, Tennessee.
School of Nursing, University of Minnesota, Minneapolis, Minnesota.
Am J Prev Med. 2018 Nov;55(5 Suppl 1):S49-S58. doi: 10.1016/j.amepre.2018.05.009.
This community-based participatory research pilot study explored multilevel perceptions and strategies for developing future faith-based organization blood pressure interventions for young black men.
Community partners recruited the sample through two, southeastern U.S. urban churches as potential intervention hubs; academic partners conducted phone interviews with church leader key informants, and three focus groups with black men aged 18-50 years. Qualitative content analysis helped generate themes from: key informant questions assessing organizational assets and capacities, and factors influencing participation; and focus group questions assessing lifestyle and self-management behaviors. Questions assessing themes on blood pressure intervention strategies were asked. Data were collected in 2016 and analyzed in 2016-2017.
The sample included 21 key informants and 19 young black men. Key informants' leadership experience averaged 16.6 (SD=12.1) years and 28.6% were male. Focus group participants were primarily single (55.6%), college educated (61.1%), and employed (77.8%). Mean blood pressure was 131.1 (SD=15.3)/79.5 (SD=11.2) mmHg, 33.3% self-reported having hypertension, 88.9% report a family history of hypertension, and 88.9% see a provider annually. For key informants, young black men lack understanding of hypertension despite available resources, and pastors are important role models and advocates. For focus group participants, hidden sodium and stressful, busy schedules impact lifestyle behaviors; and church support for busy schedules are important. Common strategies included incentive-laden, activity-integrated programs, and male social context (testimonials, peer mentoring, engagement outside of the church).
Findings and lessons learned will help design future community-based participatory research, faith-based organization-led blood pressure interventions relevant to young black men.
This article is part of a supplement entitled African American Men's Health: Research, Practice, and Policy Implications, which is sponsored by the National Institutes of Health.
本社区参与式研究试点研究探讨了多层次的看法和策略，以制定未来针对年轻黑人男性的基于信仰的组织血压干预措施。
社区合作伙伴通过美国东南部的两个城市教堂招募了样本，作为潜在的干预中心；学术合作伙伴通过电话采访了教会领袖关键知情人，并对 18-50 岁的黑人男性进行了三个焦点小组讨论。定性内容分析有助于从以下方面生成主题：评估组织资产和能力以及影响参与因素的关键知情人问题；以及评估生活方式和自我管理行为的焦点小组问题。询问了关于血压干预策略的主题问题。数据于 2016 年收集，并于 2016-2017 年进行了分析。
样本包括 21 名关键知情人和 19 名年轻黑人男性。关键知情人的领导经验平均为 16.6（SD=12.1）年，其中 28.6%为男性。焦点小组成员主要为单身（55.6%）、大学学历（61.1%）和就业（77.8%）。平均血压为 131.1（SD=15.3）/79.5（SD=11.2）mmHg，33.3%自我报告患有高血压，88.9%报告有高血压家族史，88.9%每年看一次医生。对于关键知情人，尽管有可用资源，但年轻黑人男性对高血压缺乏了解，牧师是重要的榜样和倡导者。对于焦点小组成员，隐藏的钠和紧张、忙碌的日程影响生活方式行为；教堂对忙碌日程的支持很重要。常见的策略包括有奖活动、活动集成计划以及男性社交环境（证言、同伴指导、在教堂外参与）。
研究结果和经验教训将有助于设计针对年轻黑人男性的基于社区参与式研究、基于信仰的组织主导的血压干预措施。
本文是由美国国立卫生研究院赞助的题为“非裔美国男性健康：研究、实践和政策影响”的补充文章的一部分。
