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Medicine 2021-06-14

Researchers model impact of blood pressure control programs at barbershops nationwide

Boston - Hypertension, or high blood pressure, kills more Americans than any other health condition. It is especially prevalent in Black Americans and is exacerbated by structural barriers to accessing high quality healthcare. In a 2018 randomized trial called the Los Angeles Barbershop Blood Pressure Study (LABBS), barbers were trained to screen their Black male patrons for hypertension and refer them to a pharmacist who visited the barbershop to counsel and treat individuals with high blood pressure. Participants in the barbershop-based, pharmacist-led program saw a 20-point drop in systolic (top number) blood pressure that they were able to sustain beyond the duration of the trial.

In a new paper published in the journal Circulation, researchers built a model to examine the potential impact of implementing similar blood pressure control programs at barbershops nationwide. The team found that such programs could reach one in three Black men with uncontrolled blood pressure nationally. Among men who participate, the program could avert 40 percent of major cardiovascular events like heart attacks or stroke.

The team also examined the economic constraints under which the program would have to be implemented in order to be considered cost-effective, and estimated that if barbershop-based programs could be delivered at a cost of roughly $1,500 per enrolled participant per year, it would be considered cost-effective by U.S. standards.

"Barbershop-based, pharmacist-led blood pressure control programs represent a novel and effective way to deliver hypertension care to Black men, who represent an underserved population that is disproportionately affected by the complications of uncontrolled hypertension," said lead author Dhruv S. Kazi, MD, MS, Associate Director of the END