Abstract
Purpose of Review
The purpose of this review is to examine the impact and effectiveness of community interventions for controlling hypertension in African-Americans. The questions addressed are as follows: Which salient prior and current community efforts focus on African-Americans and are most effective in controlling hypertension and patient-related outcomes? How are these efforts implemented and possibly sustained?
Recent Findings
The integration of out-of-office blood pressure measurements, novel hypertension control centers (i.e., barbershops), and community health workers improve hypertension control and may reduce the excess hypertension-related complications in African-Americans. Several community-based interventions may assist effectiveness of clinical care teams, decrease care barriers, and improve adherence.
Summary
A multifaceted, tailored, multidisciplinary community-based approach may effectively reduce barriers to blood pressure control among African-Americans. Future research should evaluate the long-term benefits of community health workers, barbershops as control centers, and out-of-office blood pressure monitoring upon control and eventually on morbidity and mortality.
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Papers of particular interest, published recently, have been highlighted as: •• Of major importance
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This article is part of the Topical Collection on Implementation to Increase Blood Pressure Control: What Works?
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Nasser, S.A., Ferdinand, K.C. Community Outreach to African-Americans: Implementations for Controlling Hypertension. Curr Hypertens Rep 20, 33 (2018). https://doi.org/10.1007/s11906-018-0834-6
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DOI: https://doi.org/10.1007/s11906-018-0834-6