Bryant Kelsey B, Blyler C Adair, Fullilove Robert E
Division of General Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Hypertension Center of Excellence, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
J Gen Intern Med. 2020 Oct;35(10):3057-3059. doi: 10.1007/s11606-020-05764-8. Epub 2020 Mar 16.
Black men in the USA experience disproportionate cardiovascular disease mortality compared to their white counterparts, in part due to an excess of uncontrolled hypertension. A promising intervention to address these disparities involves the direct pharmacologic management of hypertension by clinical pharmacists in Black male patrons of barbershops, as demonstrated in the Los Angeles Barbershop Blood Pressure Study (LABBPS). Despite the observed reduction in systolic blood pressure of > 20 mmHg after 1 year, the feasibility of scaling up such an intervention to a regional or national platform remains uncertain. Here we explore the success of LABBPS in the context of prior barbershop interventions and theorize the most important aspects driving the observed reductions. We further make a case for prioritizing preventive care in nontraditional settings in an effort to reduce health disparities.
与美国白人男性相比，美国黑人男性心血管疾病死亡率过高，部分原因是高血压控制不佳。洛杉矶理发店血压研究（LABBPS）表明，一种有前景的解决这些差异的干预措施是由临床药剂师对理发店中的黑人男性顾客进行高血压直接药物管理。尽管观察到1年后收缩压降低了超过20 mmHg，但将这种干预措施扩大到区域或国家层面的可行性仍不确定。在此，我们在先前理发店干预措施的背景下探讨LABBPS的成功之处，并对导致观察到的血压降低的最重要因素进行理论分析。我们还进一步主张在非传统环境中优先提供预防性护理，以努力减少健康差异。
