scholarly journals Childhood Family Living Arrangements and Blood Pressure in Black Men

Hypertension ◽  
2014 ◽  
Vol 63 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Debbie S. Barrington ◽  
Adebowale A. Adeyemo ◽  
Charles N. Rotimi
Keyword(s):  
Blood Pressure ◽  
Black Men ◽  
Living Arrangements ◽  
Family Living

Abstract 21: Telemedicine And The Barbershop Model Of Hypertension Care For Black Men

Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Ciantel A Blyler ◽  
Mohamad Rashid ◽  
Norma B Moy ◽  
Kayslee A Kemp ◽  
Florian Rader
Keyword(s):  
Blood Pressure ◽  
Los Angeles ◽  
Black Men ◽  
Medication Management ◽  
Cost Effective ◽  
Serious Adverse Events ◽  
Blood Pressure Study ◽  
Collaborative Practice Agreement ◽  
The Cost

Background: The Los Angeles Barbershop Blood Pressure Study (LABBPS) demonstrated both efficacy and sustainability of a new model of hypertension (HTN) care for non-Hispanic black men that links health promotion by barbers to medication management by specialty-trained pharmacists. Barriers to scaling the model include logistical inefficiencies that contribute to the cost of the intervention. Most notable was the amount of time pharmacists spent traveling between barbershops. To address this, we tested whether telemedicine (remote follow-up) could be substituted for in-person visits after blood pressure (BP) control was achieved. Methods: We enrolled 10 black male patrons with systolic BP ≥ 140 mm Hg in this proof-of-concept study in which barbers promoted follow-up with pharmacists who initially met each patron in the barbershop where they prescribed BP medication under a collaborative practice agreement with the patrons’ physician. Medications were titrated during bimonthly in-person visits to achieve a BP goal of ≤130/80 mmHg. Once BP goal was reached, monthly visits were done by videoconference while barbers assisted with BP checks. Final BP and safety outcomes were assessed at 12 months. Results: After exclusion of one participant who declined adherence, 9 patients completed the intervention. Baseline BP of 155 + 14 / 83 + 11 mmHg decreased by 29 + 13 / 8.9 + 15 mmHg (p<.0001), with eight participants (89%) achieving systolic control and seven (78%) diastolic control at 12 months. These new data are statistically indistinguishable from our previous LABBPS data (p=0.8 for both change in systolic BP and diastolic BP). Overall HTN control (≤ 130/80) was 67% (6 of 9), numerically greater than the 63% observed in LABBPS (p=N.S.). As intended, the mean number of in-person pharmacist visits per patron fell from 11 in LABBPS to 6.6 visits over 12 months. No treatment-related serious adverse events occurred. Cohort retention was 90%. Conclusions: Telemedicine represents a viable substitute for in-person visits, both improving pharmacist efficiency and reducing cost while preserving intervention potency. These findings are crucial for future broad-scale implementation efforts and development of cost-effective barbershop HTN management programs for black men.

Systolic Blood Pressure as a Novel Determinant of Nocturia in Non-Hispanic Black Men

2016 ◽  
Vol 10 ◽  
pp. e6 ◽  
Author(s):  
O.R. Mason ◽  
K. Lynch ◽  
M. Rashid ◽  
A. Reid ◽  
R.M. Elashoff ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Black Men

Compromised bioavailable IGF-1 of black men relates favourably to ambulatory blood pressure: The SABPA study

2014 ◽  
Vol 233 (1) ◽  
pp. 139-144 ◽  
Author(s):  
A.E. Schutte ◽  
R. Schutte ◽  
W. Smith ◽  
H.W. Huisman ◽  
C.M.C. Mels ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Black Men ◽  
Ambulatory Blood Pressure

scholarly journals Association of a CYP4A11 Variant and Blood Pressure in Black Men

2008 ◽  
Vol 19 (8) ◽  
pp. 1606-1612 ◽  
Author(s):  
James V. Gainer ◽  
Michael S. Lipkowitz ◽  
Chang Yu ◽  
Michael R. Waterman ◽  
Elliott P. Dawson ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Black Men

scholarly journals Living Arrangements of Young Adults in Europe

2015 ◽  
Vol 40 (4) ◽  
Author(s):  
Katrin Schwanitz ◽  
Clara H. Mulder
Keyword(s):  
Young Adults ◽  
Living Arrangements ◽  
Linear Models ◽  
Extended Family ◽  
European Countries ◽  
Time Variability ◽  
North West ◽  
Family Living ◽  
Log Linear ◽  
Cross National

Comparative research suggests that there are great cross-national and cross-temporal differences in living arrangements of young adults aged 18-34 in Europe. In this paper, we examine young adults’ living arrangements (1) across several European countries and different national contexts, and (2) by taking into account cross-time variability. In doing so, we pay careful attention to a comprehensive conceptualisation of living arrangements (including extended and non-family living arrangements). The aim of this paper is to deepen our understanding of family structure and household arrangements in Europe by examining and mapping the cross-national and cross-temporal variety of young adults’ living arrangements. For our analysis we use data from the Integrated Public Use Microdata Series International (IPUMSi) for the census rounds 1980, 1990, and 2000 for eight European countries (Austria, France, Greece, Hungary, Ireland, Portugal, Romania, and Switzerland). We employ log-linear models to ascertain the influence of individual and contextual factors on living arrangements. The analyses lend further support to a North/West – South/East divide in living arrangements and general gender differentials in extended family living. Other interesting results are the heterogeneity in the living arrangements of single mothers across geographic areas, and the upward trend of extended household living for young men and women between 1980 and 2000.

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