背景:虽然在理发店成功地开展了黑人男性的健康促进工作,重点主要是结果,而不是产生结果的过程。在设计和实施未来改善黑人健康的努力时,可以利用对过程的理解。
目的:本研究的目的是:(i)了解理发店的健康相关支持的同伴来源,以及(ii)了解理发店在促进黑人健康中的作用。
方法:七个焦点小组在主要由黑人使用的理发店进行。每个焦点组持续45至60分钟。使用主题方法,每个焦点组由两名编码员使用从归纳和演绎方法导出的码本独立编码.结果得到了社区咨询委员会成员的确认。
结果:出现了三个主题:(i)理发店与健康相关的支持的动态和坦率的交流;(ii)提供鼓励和增加动力的与健康相关的量身定制的交流形式;(iii)理发店的支持性环境的特征,促进与健康相关的交流。
结论:本研究的结果为寻求改善黑人健康的公共卫生工作提供了潜在途径。那些对设计和实施这些努力感兴趣的人可以通过识别和利用理发店与健康相关的对话的独特动态,为黑人制定量身定制的计划。
对于许多黑人来说,理发店不仅仅是理发的地方。理发店是社区中心,已经变成了安全的地方,可以进行有关健康的艰难对话。我们研究的目的是了解黑人如何在理发店交流健康。为了实现这一目标,我们在真正的专家-黑人中进行了焦点小组。我们问他们:(i)黑人如何在理发店就健康进行交流?(ii)黑人在理发店就健康进行了哪些交流?(iii)理发店如何促进这些对话?这些人表示,理发店是黑人可以通过角色建模公开,动态地相互提供健康支持的地方,智慧的传递,被动的见证他们说,他们关于健康的对话通常是无判断的,并且可以提供鼓励和动力。最后,他们说,理发店的支持气氛促进了这些类型的对话。尽管理发店几代人一直是黑人健康相关支持的来源,这项研究的结果可以被那些制定健康促进计划(与理发店合作)的人用来促进黑人男性的健康。
BACKGROUND: While successful health promotion efforts among Black men have been implemented at barbershops, the focus has largely been on outcomes as opposed to the processes by which outcomes are produced. An understanding of processes can be leveraged in the design and implementation of future efforts to improve the health of Black men.
OBJECTIVE: The objectives of the present study were to: (i) understand peer-derived sources of health-related support at the barbershop and (ii) understand the role of the
barbershop in promoting health among Black men.
METHODS: Seven focus groups were conducted at barbershops used predominately by Black men. Each focus group lasted between 45 and 60 min. Using a thematic approach, each focus group was independently coded by two coders using a codebook derived from an inductive and deductive approach. The results were confirmed with members of the community advisory board.
RESULTS: Three themes emerged: (i) dynamic and candid exchange of health-related support at the barbershop; (ii) tailored forms of health-related and judgment-free communication that provide encouragement and increase motivation; and (iii) characteristics of a supportive environment at the barbershop that facilitate health-related communication.
CONCLUSIONS: The findings of the present study offer a potential pathway for public health efforts seeking to improve health among Black men. Those interested in designing and implementing these efforts can create tailored programs for Black men by recognizing and leveraging the unique dynamics of health-related conversations at the barbershop.
For many Black men, barbershops are more than just a place for a haircut. Barbershops are community hubs that have transformed into safe places for difficult conversations about health. The goal of our study was to understand how Black men communicate about health at the
barbershop. To address this goal, we conducted focus groups among the true experts—Black men. We asked them: (i) how do Black men communicate about health at the
barbershop? (ii) what do Black men communicate about health at the
barbershop? and (iii) what about the
barbershop facilitates these conversations? These men indicated that barbershops are a place where Black men can openly and dynamically provide health support to one another through role modeling, passing of wisdom, and passive testimonials. They said their conversations about health are often judgment-free and tailored to provide encouragement and motivation. Finally, they said that the supportive atmosphere of the barbershop facilitates these types of conversations. Although barbershops have been sources of health-related support for Black men for generations, the findings from this study can be used by those developing health promotion programs (in partnership with barbershops) to promote health among Black men.