Arkansas Department of Health, 4815 West Markham St, Little Rock, AR, 72205. Email:
Arkansas Department of Health, Little Rock, Arkansas.
Prev Chronic Dis. 2020 Dec 3;17:E153. doi: 10.5888/pcd17.200277.
The Office of Health Equity at the Arkansas Department of Health created the Arkansas Minority Barber & Beauty Shop Health Initiative (ARBBS) to address cardiovascular disease (CVD) among racial/ethnic minority populations. The objective of this study was to describe CVD-related screening results for ARBBS participants and their knowledge of CVD-related risk factors, signs, and symptoms before and immediately after participation in a screening event.
ARBBS screening events were held from February 2016 through June 2019 at barber and beauty shops in 14 counties in Arkansas. During each event, participants were screened for hypertension, high cholesterol, and diabetes; surveys on CVD-related knowledge were administered before (pretest) and after (posttest) screening. Onsite public health practitioners reviewed surveys and identified abnormal screening results. Participants with abnormal screening results were counseled and given a referral to follow up with a primary care physician, wellness center, or charitable clinic. The nurse coordinator followed up to confirm that a visit or appointment had been made and provide case-management services.
During the study period, 1,833 people were screened. The nurse coordinator followed up with 320 (55.7%) of 574 unique referrals. Of the 574 referrals, 418 (72.8%) were for hypertension, 156 (27.2%) for high cholesterol, and 120 (20.9%) for diabetes. The overall knowledge of risk factors and symptoms of heart attack and stroke increased significantly by 15.4 percentage points from pretest to posttest (from 76.9% to 92.3%; P < .001). The follow-up approach provided anecdotal information indicating that several participants discovered they had underlying medical conditions and were given medical or surgical interventions.
Through referrals and follow-ups, ARBBS participants gained greater knowledge of chronic disease prevention and risk factors. Additionally, this program screened for and identified people at risk for CVD.
阿肯色州卫生部健康公平办公室创建了阿肯色州少数族裔理发店健康倡议（ARBBS），以解决少数族裔人群的心血管疾病（CVD）问题。本研究的目的是描述 ARBBS 参与者的 CVD 相关筛查结果，以及他们在参加筛查活动前后对 CVD 相关风险因素、迹象和症状的了解。
ARBBS 筛查活动于 2016 年 2 月至 2019 年 6 月在阿肯色州 14 个县的理发店和美容院举行。在每次活动中，参与者接受高血压、高胆固醇和糖尿病筛查；在筛查前后（预测试和后测试）进行 CVD 相关知识调查。现场公共卫生从业者审查调查结果，并确定异常筛查结果。对有异常筛查结果的参与者进行咨询，并转介给初级保健医生、健康中心或慈善诊所进行随访。护士协调员跟进以确认已进行就诊或预约，并提供病例管理服务。
在研究期间，共有 1833 人接受了筛查。护士协调员跟进了 574 名唯一转介者中的 320 人（55.7%）。574 名转介者中，418 人（72.8%）为高血压，156 人（27.2%）为高胆固醇，120 人（20.9%）为糖尿病。从预测试到后测试，风险因素和心脏病发作及中风症状的总体知识增加了 15.4 个百分点，从 76.9%增加到 92.3%（P<.001）。通过转介和跟进，ARBBS 参与者对慢性病预防和风险因素有了更深入的了解。此外，该计划还筛查并确定了有 CVD 风险的人群。
通过转介和跟进，ARBBS 参与者对慢性病预防和风险因素有了更深入的了解。此外，该计划还筛查并确定了有 CVD 风险的人群。
