Black men’s awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysis

Abstract Introduction Peripheral artery disease (PAD) disproportionately burdens Black Americans, particularly Black men. Despite the significant prevalence and high rate of associated morbidity and mortality, awareness of and treatment initiation for PAD remains low in this demographic group. Given...

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Main Authors: Tyler Coy, Ellen Brinza, Sarah DeLozier, Heather L. Gornik, Allison R. Webel, Christopher T. Longenecker, Khendi T. White Solaru
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14648-x
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author Tyler Coy
Ellen Brinza
Sarah DeLozier
Heather L. Gornik
Allison R. Webel
Christopher T. Longenecker
Khendi T. White Solaru
author_facet Tyler Coy
Ellen Brinza
Sarah DeLozier
Heather L. Gornik
Allison R. Webel
Christopher T. Longenecker
Khendi T. White Solaru
author_sort Tyler Coy
collection DOAJ
description Abstract Introduction Peripheral artery disease (PAD) disproportionately burdens Black Americans, particularly Black men. Despite the significant prevalence and high rate of associated morbidity and mortality, awareness of and treatment initiation for PAD remains low in this demographic group. Given the well-established social cohesion among barbershops frequently attended by Black men, barbershops may be ideal settings for health screening and education to improve awareness, early detection, and treatment initiation of PAD among Black men. Methods A qualitative study involving 1:1 participant interviews in Cleveland, Ohio assessed perspectives of Black men about barbershop-based screening and education about PAD. Inductive thematic analysis was performed to derive themes directly from the data to reflect perceived PAD awareness and acceptability of screening in a barbershop setting. Results Twenty-eight African American/Black, non-Hispanic men completed a qualitative interview for this analysis. Mean age was 59.3 ± 11.2 years and 93% of participants resided in socioeconomically disadvantaged zip codes. Several themes emerged indicating increased awareness of PAD and acceptability of barbershop-based screenings for PAD, advocacy for systemic changes to improve the health of the community, and a desire among participants to increase knowledge about cardiovascular disease. Conclusions Participants were overwhelmingly accepting of PAD screenings and reported increased awareness of PAD and propensity to seek healthcare due to engagement in the study. Participants provided insight into barriers and facilitators of health and healthcare-seeking behavior, as well as into the community and the barbershop as an institution. Additional research is needed to explore the perspectives of additional stakeholders and to translate community-based screenings into treatment initiation.
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spelling doaj.art-902a5e3e17664d7aa58dcc16d38e72f92023-01-08T12:22:27ZengBMCBMC Public Health1471-24582023-01-0123111110.1186/s12889-022-14648-xBlack men’s awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysisTyler Coy0Ellen Brinza1Sarah DeLozier2Heather L. Gornik3Allison R. Webel4Christopher T. Longenecker5Khendi T. White Solaru6Division of Cardiovascular Medicine and Harrington Heart and Vascular Institute, University HospitalsDepartment of Medicine, Case Western Reserve UniversityClinical Research Center, University HospitalsDivision of Cardiovascular Medicine and Harrington Heart and Vascular Institute, University HospitalsUniversity of Washington School of NursingDivision of Cardiovascular Medicine and Harrington Heart and Vascular Institute, University HospitalsDivision of Cardiovascular Medicine and Harrington Heart and Vascular Institute, University HospitalsAbstract Introduction Peripheral artery disease (PAD) disproportionately burdens Black Americans, particularly Black men. Despite the significant prevalence and high rate of associated morbidity and mortality, awareness of and treatment initiation for PAD remains low in this demographic group. Given the well-established social cohesion among barbershops frequently attended by Black men, barbershops may be ideal settings for health screening and education to improve awareness, early detection, and treatment initiation of PAD among Black men. Methods A qualitative study involving 1:1 participant interviews in Cleveland, Ohio assessed perspectives of Black men about barbershop-based screening and education about PAD. Inductive thematic analysis was performed to derive themes directly from the data to reflect perceived PAD awareness and acceptability of screening in a barbershop setting. Results Twenty-eight African American/Black, non-Hispanic men completed a qualitative interview for this analysis. Mean age was 59.3 ± 11.2 years and 93% of participants resided in socioeconomically disadvantaged zip codes. Several themes emerged indicating increased awareness of PAD and acceptability of barbershop-based screenings for PAD, advocacy for systemic changes to improve the health of the community, and a desire among participants to increase knowledge about cardiovascular disease. Conclusions Participants were overwhelmingly accepting of PAD screenings and reported increased awareness of PAD and propensity to seek healthcare due to engagement in the study. Participants provided insight into barriers and facilitators of health and healthcare-seeking behavior, as well as into the community and the barbershop as an institution. Additional research is needed to explore the perspectives of additional stakeholders and to translate community-based screenings into treatment initiation.https://doi.org/10.1186/s12889-022-14648-xPeripheral artery diseaseHypertensionCardiovascular diseaseSocial determinants of healthRaceRacism
spellingShingle Tyler Coy
Ellen Brinza
Sarah DeLozier
Heather L. Gornik
Allison R. Webel
Christopher T. Longenecker
Khendi T. White Solaru
Black men’s awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysis
BMC Public Health
Peripheral artery disease
Hypertension
Cardiovascular disease
Social determinants of health
Race
Racism
title Black men’s awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysis
title_full Black men’s awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysis
title_fullStr Black men’s awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysis
title_full_unstemmed Black men’s awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysis
title_short Black men’s awareness of peripheral artery disease and acceptability of screening in barbershops: a qualitative analysis
title_sort black men s awareness of peripheral artery disease and acceptability of screening in barbershops a qualitative analysis
topic Peripheral artery disease
Hypertension
Cardiovascular disease
Social determinants of health
Race
Racism
url https://doi.org/10.1186/s12889-022-14648-x
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