Reducing Alcohol Use among Black Men: Barbershop SBIRT

减少黑人饮酒：理发店 SBIRT

基本信息

批准号：
10436494
负责人：
Tiffany Francine Haynes
金额：
$ 64.65万
依托单位：
UNIV OF ARKANSAS FOR MED SCIS
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-24 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10436494
关键词：
Address African American Aftercare Alcohols Arkansas Barbering Beauty Caring Cessation of life Chronic Disease Clinical Communities Consolidated Framework for Implementation Research Consumption County Coupled Data Development Discrimination Disease Early Intervention Emergency Care Ethnic group Evaluation Evidence based intervention Exposure to Feedback Focus Groups Foundations Geography Goals Health Health Promotion Heavy Drinking Human Rights Hybrids Individual Instruction Insurance Coverage Intervention Knowledge Life Link Low income Malignant Neoplasms Measures Medical Mental Health Minority Modeling Morbidity - disease rate Outcome Poverty Primary Health Care Process Public Health Race Randomized Controlled Trials Reporting Research Research Project Grants Resources Risk Rural Rural Community Science Services Social Justice Social support Structure Substance abuse problem Testing Time TimeLine Training Translating Trust United States Waiting Lists alcohol risk barrier to care base binge drinking black men community setting cultural competence design disease disparity disparity reduction drinking effectiveness evaluation effectiveness implementation trial effectiveness testing evidence base experience health disparity high risk drinking implementation strategy improved men model design mortality mortality risk primary outcome racism reduced alcohol use research to practice rural area rural counties screening, brief intervention, referral, and treatment service intervention social social disadvantage social interventions social structure synergism usual care arm

项目摘要

SUMMARY – PROJECT 3 Unhealthy drinking is considered one of the top 10 public health concerns in the United States.1 Not only has heavy drinking been linked to poorer overall health, it is responsible for about 88,000 deaths and 2.5 million years of potential life lost in the United States each year.2 Men exposed to social disadvantage, such as Black men living in poverty, are more likely to consume more alcohol.3–5 Indeed, in Arkansas, a state with high rates of unhealthy drinking, Black men who make less than $35,000 are more likely to report heavy drinking (4 or more drinks a day) and consume more drinks when binge drinking.6 Further, the negative impacts of unhealthy drinking may be worse for Black men. Black men who report consuming large amounts of alcohol often experience more severe health outcomes and more negative social consequences when compared to other ethnic groups.7–11 Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based, multilevel, integrated, public health approach to the delivery of early intervention services for individuals at risk for risky drinking, and the timely referral to more intensive treatment for those who have substance abuse disorders.12–14 SBIRTs have been effectively implemented in both primary care and emergency care settings15. However, structural barriers to care (i.e., insurance status, culturally competent services, racism and discrimination, etc.) may impede Black men's access to evidence-based care for unhealthy drinking located in medical settings.16 Given the increased risk for mortality and morbidity associated with unhealthy drinking among Black men living in poverty, coupled with the more harmful health consequences of unhealthy drinking for Black men, improving equitable access to evidence-based care by implementing care into community settings that Black men are more likely to access is urgently needed. Thus, the goals of this proposed Hybrid Type 2 pragmatic effectiveness-implementation trial are to: 1) test the effectiveness of a previously developed, evidence-based SBIRT intervention (Barbershop Talk) for low income African American men; and 2) generate the scientific evidence needed to disseminate SBIRTs to “real world” settings. Data from this study will further our understanding on how to reduce the risk of alcohol attributable morbidity and mortality among Black men living in poverty. Data will also improve our understanding of strategies that can improve implementation of evidence-based care models in non-clinical settings; thus, extending the reach of evidence-based care to communities with the highest need.

摘要 - 项目3 不健康的饮酒被认为是美国十大公共卫生问题之一。1不仅有大量饮酒与整体健康状况较差有关，造成约88,000人死亡和250万每年在美国丧生的多年潜在生命。2男子接触社会灾难，例如黑人生活在贫困中的男性更有可能消耗更多的酒精。3-5的确在阿肯色州，一个率高的州不健康的饮酒，少于35,000美元的黑人更有可能报告大量饮酒（每天有4杯或更多饮料）并在暴饮暴食时食用更多饮料。6此外，负面影响对于黑人来说，不健康的饮酒可能会更糟。报告报告大量酒精的黑人与其他种族群体。7-11筛查，简短干预和对治疗（SBIRT）的转诊（SBIRT）是基于证据的，多级，综合的公共卫生方法，用于为处于危险的个人提供早期干预服务为了饮用风险，以及及时转介到那些滥用毒品的人在初级保健和急诊环境中有效地实施了12-14个SBIRT15。但是，护理的结构性障碍（即保险状况，具有文化胜任的服务，种族主义和歧视等）可能会阻碍黑人获得不健康饮酒的循证护理 16鉴于与不健康有关的死亡率和发病率的风险增加生活在贫困中的黑人中喝酒，再加上不健康的健康后果为黑人喝酒，通过将护理实施到社区中，改善公平获得基于证据的护理迫切需要黑人更有可能进入的设置。这是这个拟议的杂种2型实用有效性试验的目标是：1）测试先前开发的基于证据的SBIRT干预（理发店谈话）的有效性非裔美国人； 2）生成将SBIRT传播到“现实世界”所需的科学证据设置。这项研究的数据将进一步了解我们如何降低酒精风险的理解生活在贫困中的黑人的发病率和死亡率。数据还将提高我们对策略的理解这可以改善在非临床环境中基于证据的护理模型的实施；因此，扩展向具有最高需求的社区提供基于证据的护理。