by Melissa Healy via latimes.com
When a customer opens the well-worn door to Eric Muhammad‘s barbershop in Inglewood, he’ll be looking to relax in the comfort and camaraderie of a neighborhood meeting place and maybe to take a little off the top or sides. If that visitor is among the close to 40% of African American men with high blood pressure, he might also get a little taken off the top of that vital health reading.
New research suggests that shops like Muhammad’s A New You Barber and Beauty Salon might be just the place to rescue African American men from an epidemic that has ravaged their ranks: uncontrolled hypertension.
The study found that when a group of African American men with untreated high blood pressure got a screening and a friendly nudge from their barber, as well as a visit to the shop from a pharmacist, close to two-thirds of the men brought their blood pressure into a healthy range. Their systolic blood pressure — the top-line number that measures the pressure in your vessels when the heart beats — fell by an average of 27 points. In addition, their diastolic blood pressure — the bottom number that measures pressure on the vessels’ walls between heart beats — fell by an average of nearly 15 points.
The 132 men who got a barbershop visit from a pharmacist were almost six times more likely to bring their blood pressure under control than were those who just got a barber’s advice to eat better, exercise more and see a doctor. Fewer than 12% of the 171 men in the latter group brought their blood pressure under control. (Their average reductions in systolic and diastolic blood pressure readings were too small to be considered statistically significant.)
The clinical trial was conducted from February 2015 to July 2017 in 52 black-owned barber shops across Los Angeles County. Two pharmacists specially trained to treat high blood pressure shuttled across a 450-square-mile area bringing advice and an array of medications to the study’s participants. “Bringing rigorous medicine directly to men in a barbershop, and making it so convenient for them, really made a difference,” said Dr. Ronald G. Victor, who led the new study.
“We had hoped for maybe a seven-point difference” between the two groups in their systolic blood pressure, the one that is considered a better predictor of heart attack and stroke risk, Victor said. “But this was a really big difference” — the kind that “could make an impact on a national level” if the initiative were scaled up, he said. “We were really ecstatic.”
The trial results were published in the New England Journal of Medicine and presented Monday at the American College of Cardiology‘s annual meeting. Victor said that the inclusion of two pharmacists — a white woman and a woman of color, each of whom turned in similar results — was the “secret special sauce” that appeared to bring participants’ blood pressure in check. But skilled as these pharmacists were, Victor said they might not have gained the trust and influence they eventually enjoyed if they had not been welcomed into barbershops and introduced by their trusted proprietors.
“I can’t emphasize enough how much the barbers’ buy-in made all the difference,” said Victor, the associate director of Cedars-Sinai’s Smidt Heart Institute. The African American shop owners who participated in the study had been in business an average of 17 to 18 years, and the men they enrolled had typically been coming to their shops for more than a decade, typically once every two weeks.
Muhammad was among the first to sign on to the study. The proprietor of his shop for 18 years, Muhammad helped recruit nearly half of the other barbers who participated in the trial. At the busy corner of La Brea and Florence avenues, Muhammad presides over a “refuge” whose door is open “whether you’re a doctor or a gang member.” For a lot of people, he said, “just being here is a blessing.” Muhammad said he has always considered himself a potential agent of health promotion. But “it certainly surprised me for a doctor to come up with that idea,” he said.
Victor said that his own hypertension had been diagnosed by a barber during a training session for an earlier version of this study in Texas. When Victor protested that he must have been momentarily tense while getting tested, the barber gently admonished him. “If you can’t relax in my barber chair, Doc, you’ve got a problem,” the stylist told him. “Now if you’re gonna talk the talk, you gotta walk the walk.”
Close to 40% of African American men have high blood pressure, a higher rate than any other ethnic group. And about one-third of those men — compared with 43% of white men and almost 50% of black women — have brought their hypertension under control with medication. This exacts a breathtaking toll among African American men in terms of death and disability. Their high rates of heart attack and stroke largely explain the 3.4-year difference in the life expectancy between blacks and whites in the United States.
Victor was optimistic that barbershops could help close that gap. “These are magical places,” he said. “They’re a window into some of the most positive aspects of black men’s social lives: loyalty, friendship, inclusiveness. There are dads bringing their sons in, customers who have come to the same place since they were children. These men were not in the clinic, that’s for sure.”
In African American communities, “we can map the places of black barbers right there alongside black ministers” as agents of trust and authority, said Vassar College history professor Quincy T. Mills.
Prospective patients might ordinarily view physicians and pharmacists with a suspicion borne of years of systemic abuses, Mills said. But in the familiar environment of their barbershop, “I suspect the men were comforted that these interactions were happening in a crowd of people, giving them space to ask others, to push back.”
Mills, the author of “Cutting Along the Color Line: Black Barbers and Barber Shops in America,” said that a man’s health is not a subject that routinely comes up while he is in the chair. But a barber’s position of leadership, his association with personal care and the connections he forges over time with his customers may allow him to stretch the bounds of what is permissible.
“That level of trust in the barber is the first critical piece here,” he said.
Source: http://www.latimes.com/science/sciencenow/la-sci-sn-barber-blood-pressure-20180312-story.html
Posts published in “Health & Fitness”
by Ashleigh Atwell via blavity.com
A jury awarded Ellen Harris, a nurse in Honolulu, Hawaii, over $3.8 million in damages after she claimed her employer ignored her reports of racial harassment, according to a press release from Harris’ lawyer.
Harris, who is black, worked in the Medical Intensive Care Unit at The Queen’s Medical Center from 2006 to 2011. During her time there, she reported a “potentially fatal event” involving another nurse who was allegedly harassing her.
When she told officials about the incident, her supervisor told her to write a statement; which she did. The day after she turned in her statement, she found a note in her work mailbox that read “LAZY *SS N*GGER B*TCH.”
Harris made another report and mentioned that the nurse who was harassing her was also acting “erratic,” and may have been under the influence. That nurse later resigned after the supervisor discovered she had been stealing “tremendous” amounts of fentanyl, a highly addictive narcotic. Harris’ supervisor and the hospital’s human resources director investigated the matter, and concluded that the note wasn’t threatening, but rather “a comment on Harris’ work ethic and communication skills.”
It took seven weeks for the investigators to interview two parties related to the note, and on Christmas Eve 2011, the night after the second person was interviewed, Harris found a picture of a noose taped to her locker. The incident was reported to Honolulu Police and investigated as terror threat.
Harris, who worked the night shift, requested a security escort to her car, additional security in the MICU, the results of any investigations and an apology. The HR department denied her security escort because the incidents didn’t occur in the parking lot.
She filed a lawsuit in 2013. Five years later, after a five week trial, Harris got her day in court. The jury declared that Harris was entitled to $630,000 in general damages and $3.2 million in punitive damages. Harris was happy with the decision and expressed that her safety, along with that of her patients, was important to her.
“I am so grateful to this jury for hearing my case and understood this is wrong. No one should be degraded or threatened like this,” Harris said. “I was only trying to make sure my patients were safe and received critical care they needed. After I found the noose on my locker, I did not think my patients or I were safe. Nurses depended on each other in the MICU. I was afraid something would happen to one of my patients or me after receiving this threat of violence.”
Source: https://blavity.com/nurse-that-received-note-reading-lazy-ss-ngger-picture-of-a-noose-awarded-over-38-million-in-damages?utm_content=bufferfc805&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer
by Dan Managan via cnbc.com
Final open enrollment numbers for the Obamacare federal marketplace were surprisingly strong, with 8.8 million customers selecting a plan by the sign-up deadline, officials said Thursday.’
In the final week of enrollment, 4.1 million people signed up on Healthcare.gov, with 1 million of those being new customers, according to snapshot figures published by the Center for Medicare and Medicaid Services on Thursday.
CMS said, however, that these figures are not final because they do not include those who signed up after midnight Friday, Eastern Time. These numbers also do not account for people who were in line to enroll and left their callback number.
The high level of demand came despite fears that an enrollment season cut in half and a sharp reduction in outreach budgets would depress the number of sign-ups. The sign-up season, the first full one under the Trump administration, ran from Nov. 1 through last Friday — but many customers were unaware of the deadline.
The number of people who enrolled in the plans sold on Healthcare.gov, the federal marketplace that serves 39 states, was just about 400,000 fewer than the number that signed up during the prior enrollment season.
In the final week of enrollment, 4.1 million people signed up on Healthcare.gov, with 1 million of those being new customers, according to snapshot figures published by the Center for Medicare and Medicaid Services on Thursday.
CMS said, however, that these figures are not final because they do not include those who signed up after midnight Friday, Eastern Time. These numbers also do not account for people who were in line to enroll and left their callback number.
The high level of demand came despite fears that an enrollment season cut in half and a sharp reduction in outreach budgets would depress the number of sign-ups. The sign-up season, the first full one under the Trump administration, ran from Nov. 1 through last Friday — but many customers were unaware of the deadline.
The number of people who enrolled in the plans sold on Healthcare.gov, the federal marketplace that serves 39 states, was just about 400,000 fewer than the number that signed up during the prior enrollment season.
Exchange open enrollment for 2018 coverage ended w/ approx 8.8M people enrolling in coverage. Great job to the @CMSGov team for the work you did to make this the smoothest experience for consumers to date. We take pride in providing great customer service.
— Administrator Seema Verma (@SeemaCMS) December 21, 2017
Lori Lodes, co-founder of the Get America Covered campaign, said these enrollment numbers are “huge.” She said the sign-up totals from the final week of enrollment were “likely the biggest in the history of the marketplaces.” Lodes, who served as a top health care official in the Obama administration, said these figures are an “incredible indicator of just how much people want quality, affordable coverage.”
“No wonder the administration scuttled their plans to release the enrollment numbers yesterday. Despite [President Donald] Trump declaring Obamacare dead just yesterday and all of his administration’s efforts to undermine enrollment this year, we saw record demand and enrollments,” she said.
Larry Levitt, senior vice president of special initiatives at the Kaiser Family Foundation, tweeted that he was “very surprised” that enrollment was only down slightly year over year. “That didn’t seem possible with a 90% reduction in outreach, an enrollment period cut in half, and a constant refrain that the program is dead,” Levitt said on Twitter.
There is now a chance that the final enrollment tally for all of the United States could match or exceed the 12.2 million people who signed up throughout the country in the last sign-up period.
Nine state-run Obamacare marketplaces are still selling individual health plans that take effect in 2018. Officials at a number of those exchanges have reported higher enrollment this season than last season. Washington state’s Obamacare marketplace said enrollment so far this year is 35 percent higher than the same time period last year. California’s exchange, the nation’s largest state-run marketplace, said sign-ups are 10 percent higher.
Also, people in a number of Healthcare.gov states — including all of Florida, Georgia, South Carolina and more than 50 counties in Texas — are still allowed to enroll in Obamacare plans because of a waiver given to those affected by hurricanes this year.
Kyira “Kira” Dixon Johnson and her husband Charles seemed to have it all: a healthy baby boy, flourishing entrepreneurial careers, and vibrant health. Which is why no one could have predicted that 24 hours after welcoming their second son into the world, Kyira would be dead.
The Johnsons represent an alarming reality that’s only recently gained attention in the national media: African-American women are dying in childbirth at 3-4 times the rate of their white counterparts. When I first read the statistics, I was stunned. “This isn’t the 19th century!” Yet facts prove otherwise.
For a recent Essence article, Meaghan Winter wrote:
“In some rural counties and dense cities alike, the racial disparity in maternal deaths is jaw-dropping: Chickasaw County, Mississippi, for instance, has a maternal death rate for women of color that’s higher than Rwanda’s. In New York City, Black women are 12 times more likely than White women to die of pregnancy-related causes—and the disparity has more than doubled in recent years.”
While experts agree that the causes are multi-faceted, and include factors such as diet, poor pre- and post-natal care, existing high-risk conditions (like hypertension and diabetes) and lack of access to properly trained medical staff, by far the most troubling thing I heard was this comment from Darline Turner, an Austin-based physician’s assistant and certified doula:
“This goes across socio-economic status. Even a high achieving Ph.D. – who is a six to seven figure earner – still has worse birth outcomes than a white woman without a high school education who is smoking,” she said during a phone interview.
“How is this possible?” I wondered.
Darline explained that the “issue no one wants to talk about” is the experience of chronic mental, physical and emotional stress experienced by black women living in modern America, and its negative impact on birth outcomes. (For more thoughts on this topic from Darline Turner, click here.)
Disturbed by the seeming nonchalance at what should be declared a national health emergency, she began the Healing Hands Doula project, a grassroots effort aimed at supporting healthy pregnancies and births for women of color in Texas.
Her belief that “we’ve got to return to community” is borne out by scientific studies from a variety of fields. “We know that loneliness is a major factor in disease.” According to her, a mom who isn’t connected to a strong and vital community offering robust emotional and medical support is more susceptible to complications.
The good news is, with proper care, the statistics can be reversed. This fact is demonstrated by Jennie Joseph of Common Sense Childbirth, a prenatal clinic, birthing center, and school of midwifery in Florida where she applies her holistic maternity care model. The results are astoundingly positive and are changing the status quo. By making a difference, Joseph is not only increasing the well being of the families she serves, but also her own. To learn more about her and her mission, visit her website here: http://www.commonsensechildbirth.org. (Additional resources can be found via Sister Song, Center for Reproductive Rights, BlackMamasMatter and The Afiya Center.)
The kind of purpose-driven work that birth professionals like Turner and Joseph are doing on behalf of women of color falls into the category of purposeful contribution. Over the past few years, research has shown that when you answer the “call” to do good for others, you actually strengthen your immune system.
What about those who lack a sense of purpose? They develop genetic patterns equivalent to people under constant stress. (This correlation between chronic stress and purpose is based on studies done at UCLA, The University of North Carolina and in the work of Dr. Mario Martinez.) The only cure for what ails the purposeless is to give meaningfully.
The kind of purpose-driven work that birth professionals like Turner and Joseph are doing on behalf of women of color falls into the category of purposeful contribution. Over the past few years, research has shown that when you answer the “call” to do good for others, you actually strengthen your immune system.
What about those who lack a sense of purpose? They develop genetic patterns equivalent to people under constant stress. (This correlation between chronic stress and purpose is based on studies done at UCLA, The University of North Carolina and in the work of Dr. Mario Martinez.) The only cure for what ails the purposeless is to give meaningfully.
via jbhe.com
Cornelius Adewale, a doctoral student in the School of the Environment at Washington State University, has been selected to received the Bullitt Environmental Prize from the Bullitt Foundation. The prize, which comes with a $100,000 grant for continued research, is awarded to individuals who have “extraordinary potential to come powerful and effective leaders in the environmental movement.”
A native of Nigeria, Adewale’s research focuses on improving the environmental impact of agriculture. He hopes to develop methods to reduce chemical fertilizers but produce more food.
“Without food in their bellies, people have no time for anything else,” said Denis Hayes, CEO of the Bullitt Foundation. “Cornelius is working at the leading edge of research to find ways to produce more food, even as we fight climate change and dramatically reduce the use of pesticides.”
“I am trying to change the way we farm,” said Adewale.
Source: https://www.jbhe.com/2017/11/washington-state-university-scholar-to-be-awarded-the-bullitt-environmental-prize/
Julie Zeilinger via mtv.com
Viola Davis has never been afraid to speak out for what’s right — from issues like sexual assault to the lack of diversity in the entertainment industry, and beyond. Now Davis is using her star power to focus on another worthy cause: childhood hunger.
As the Ambassador for the Hunger Is campaign, “The How to Get Away With Murder” star has spearheaded a campaign that has raised more than $20 million since 2014 to help provide meals to children all over the country who normally do not have enough to eat.
“The continued success of this program is not only exciting but it’s a sign of the strength our communities possess to bring about positive change,” Davis said in a press release. “Too many children go without breakfast in this country, and it’s all of our duty to work toward fixing that problem.”
A huge number of American children struggle with hunger every day. In fact, 1 out of every 6 children in America live in a household without consistent access to adequate food and 3 out of 4 K-8 teachers say they regularly see students come to school hungry, according to the Hunger Is campaign.
1 OUT OF EVERY 6 CHILDREN IN AMERICA LIVE IN A HOUSEHOLD WITHOUT CONSISTENT ACCESS TO ADEQUATE FOOD
Providing these hungry kids with even just a daily breakfast can make a huge difference. For example, students who regularly start the day with a healthy breakfast have an average 17.5% increase in standardized math scores, according to Hunger Is.
Everyone can play a part in helping this worthy cause. You can get involved by finding volunteer opportunities in your community.
“I’m honored to lend my voice to this important conversation,” Davis said. “My gratitude goes out to everyone who continues to donate and help spread awareness of childhood hunger in America.”
Source: http://www.mtv.com/news/3046008/viola-davis-childhood-hunger/
by Taryn Finley via huffingtonpost.com
Michael Jordan is donating $7 million to build two medical facilities to serve at-risk and underserved communities in Charlotte. The Hornets owner’s donation will fund the Novant Health Michael Jordan Family Clinics, expected to open late 2020.
The facilities will provide affordable access to primary and preventive care ― including behavioral health, physical therapy, social work, oral health and family planning ― to those with little-to-no health care. “Through my years of working with Novant Health, I have been impressed with their approach and their commitment to the community,” Jordan, who was raised in Wilmington and attended UNC-Chapel Hill, said in a press release. “It is my hope that these clinics will help provide a brighter and healthier future for the children and families they serve.”
Estee Portnoy, a spokeswoman for Jordan, told the Charlotte Observer that he was largely motivated to contribute after a 2014 study found that compared to other big cities in the country, Charlotte’s poor children have the worst chance of making it out of poverty. Over five years, the two clinics are projected to serve nearly 35,000 underserved children and adults, according to the press release.
“This gift will transform the lives of thousands of families and children living in poverty-stricken communities,” Carl Armato, president and CEO of Novant Health, told the Associated Press. “We are thankful to Michael for his generosity. The gift will remove barriers to high-quality health care in some of the most vulnerable communities.”
ESPN reports that this is the former NBA star’s largest philanthropic gift ever. In 2016, Jordan gave $5 million to the National Museum of African American History and Culture; he also pledged $1 million to the NAACP Legal Defense Fund and the Institute for Community-Police Relations to help “build trust and respect between communities and law enforcement.”
Source: Michael Jordan Donates $7 Million To Build Medical Clinics In Charlotte | HuffPost
by via nbcnews.com
Health care disparities among blacks and Latinos compared to whites have narrowed because of the Affordable Care Act, also known as Obamacare, according to a study published by The Commonwealth Fund Thursday. The report found that the number of blacks and Latinos without health care coverage dropped during the first two years of the ACA’s coverage expansion.
From 2013 and 2015, the uninsured rate among blacks between ages 19-64 dropped 9 percent, and dropped 12 percent among uninsured Latinos ages 19-64, the study showed. The rate of uninsured whites dropped 5 percent. The disparity among uninsured blacks and whites also narrowed by 4 percent and among Latinos and whites narrowed 7 percent.
Dr. Pamela Riley, vice president of The Commonwealth Fund’s Delivery System Reform and a coauthor of the report, said although the study shows progress in health coverage for everyone, blacks and Latinos are still more likely than whites to not get the medical care they need. “If we are going to reduce these disparities, we must continue to focus on policies like expanding eligibility for Medicaid that will address our health care system’s historic inequities,” Riley said in a statement.
The analysis also found the number of uninsured Latino adults dropped 14 percent in states that expanded Medicaid coverage compared to 11 percent in states that did not. The number of uninsured black adults meanwhile fell 9 percent in states both with and without Medicaid expansion. And because of the decline in the number of uninsured, the number of adults ages 18 and older who reported skipping health care when they needed it because of high costs also declined.
After Senate Republicans failed to “repeal and replace” the current health care law, uncertainty looms around Obamacare’s future once Congress returns to Washington from recess. The Commonwealth Fund’s President Dr. David Blumenthal said improving the ACA will continue to help minorities get access to health care.
To read full article, go to: Health Disparities Narrowed for Blacks, Latinos Under Obamacare, Study Shows – NBC News
by Dennis McLellan via latimes.com
Dick Gregory, who became the first black stand-up comic to break the color barrier in major nightclubs in the early 1960s, a decade in which he satirized segregation and race relations in his act and launched his lifetime commitment to civil rights and other social justice issues, died Saturday. He was 84.
His death was confirmed on his official social media accounts by his family. “It is with enormous sadness that the Gregory family confirms that their father, comedic legend and civil rights activist Mr. Dick Gregory departed this earth tonight in Washington, DC.,” his son Christian Gregory wrote. Even before the confirmation from the family, Rev. Jesse Jackson, a longtime friend of Gregory’s, had memorialized him in a tweet: “He taught us how to laugh. He taught us how to fight. He taught us how to live. Dick Gregory was committed to justice. I miss him already.”
In a life that began in poverty in St. Louis during the Depression, the former Southern Illinois University track star became known as an author, lecturer, nutrition guru and self-described agitator who marched, ran and fasted to call attention to issues ranging from police brutality to world famine. An invitation from civil rights leader Medgar Evers to speak at voter registration rallies in Jackson, Miss., in 1962 launched Gregory into what he called “the civil rights fight.” He was frequently arrested for his activities in the ’60s, and once spent five days in jail in Birmingham, Ala. after joining demonstrators in 1963 at the request of the Rev. Martin Luther King Jr.
Gregory, who was shot in the leg while trying to help defuse the Watts riots in 1965, made a failed run for mayor of Chicago as a write-in candidate in 1967. A year later, he ran for president as a write-in candidate for the Freedom and Peace Party, a splinter group of the Peace and Freedom Party. Hunter S. Thompson was one of his most vocal supporters.
In the late ’60s, Gregory began going on 40-day fasts to protest the Vietnam War. In 1980, impatient with President Carter’s handling of the Iranian hostage crisis, he flew to Iran and began a fast, had a “ceremonial visit” with revolutionary leader Ayatollah Ruhollah Khomeini and met with the revolutionary students inside the embassy. After four and a half months in Iran, his weight down to 106 pounds, he returned home.
But before Dick Gregory the activist, there was Dick Gregory the groundbreaking comedian. He was a struggling 28-year-old stand-up comic in Chicago who had launched his career in small black clubs when he received a life-changing, last-minute phone call from his agent in January 1961: The prestigious Playboy Club in Chicago needed someone to fill in for comedian Irwin Corey on Sunday night. Gregory was so broke he had to borrow a quarter from his landlord for bus fare downtown. Never mind that his audience turned out to be a convention of white frozen-food-industry executives from the South.
“Good evening, ladies and gentlemen,” Gregory said, coolly eyeing the audience. “I understand there are a good many Southerners in the room tonight. I know the South very well. I spent 20 years there one night. …“Last time I was down South, I walked into this restaurant, and this white waitress came up to me and said: ‘We don’t serve colored people here.’ I said: ‘That’s all right, I don’t eat colored people. Bring me a whole fried chicken.’ ”Despite having to deal with what he later described as “dirty, little, insulting statements” from some members of the audience, the heckling soon stopped as Gregory won them over with his provocatively funny but nonbelligerent satirical humor.
“Segregation is not all bad,” he said on stage. “Have you ever heard of a wreck where the people on the back of the bus got hurt?” What was supposed to be a 55-minute show, Gregory later recalled, went on for about an hour and 40 minutes. And by the time he walked off stage, the audience gave him a thundering ovation. He did so well, he was booked at the club for two weeks and then held over for several more.
To read full article, go to: Dick Gregory, who rose from poverty to become a groundbreaking comedian and civil rights activist, dies at 84 – LA Times