FC2ブログ

Doctor G 3 のメディカル・ポプリ

地域医療とプライマリケア、総合診療などに関係したネット上のニュースを記録。医学教育、研修、卒後キャリア、一般診療の話題、政策、そしてたまたまG3が関心を持ったものまで。ときどき海外のニュースも。

米国、床屋での血圧測定が啓発に効果的 (Arch Intern Med)


http://www.nytimes.com/2010/11/02/health/research/02awareness.html?ref=health
Awareness: Blood Pressure Check With That Haircut?
By RONI CARYN RABIN
Published: October 29, 2010

Barber shops often serve as a pipeline for health information in African-American communities. Now, a study reports a striking success: when barbers checked their male patrons’ blood pressure on every visit, the men were far more likely to see a doctor and get high blood pressure under control. (There was also a financial incentive: a free haircut for those who returned with a prescription.)
The study, published on Monday in Archives of Internal Medicine, was conducted at 17 black-owned barber shops in Dallas County, Tex., over the course of two years, ending in 2008.
Eight shops distributed pamphlets to customers found to have high blood pressure at the start of the study; nine went much further, offering blood pressure checks and urging hypertensive customers to see a doctor.
By the end of the study, more than half of both groups had their blood pressure under control. But the gain was more impressive among those whose barbers checked them at each haircut: 53 percent, from 33 percent at the start of the study, compared with 51 percent, from 40 percent, for those who received pamphlets.
Most customers were regulars who came in every two to four weeks, said the study’s lead author, Dr. Ronald G. Victor, now of Cedars-Sinai Heart Institute. “That sure puts the issue on top of your radar screen,” he said.
-------
Archives of Internal Medicineの論文によると、ダラス地区黒人居住区の床屋で、血圧測定し、高血圧とわかった人が処方箋を持って次に床屋にきたら理髪料を無料にするというプログラムで成功を納めたとのこと。
Effectiveness of a Barber-Based Intervention for Improving Hypertension Control in Black Men: The BARBER-1 Study: A Cluster Randomized Trial.
Victor RG, Ravenell JE, Freeman A, Leonard D, Bhat DG, Shafiq M, Knowles P, Storm JS, Adhikari E, Bibbins-Domingo K, Coxson PG, Pletcher MJ, Hannan P, Haley RW.
Arch Intern Med. 2010 Oct 25. [Epub ahead of print]PMID: 20975012 [PubMed - as supplied by publisher]

  1. 2010/10/31(日) 05:13:34|
  2. 未分類