D.3.2. Research Subproject 2: Barbers Against Prostate Cancer (Pi: Luque, Co-I Vest, Co-I Markossian, Consultant Gwede). In this project, we seek to further refine and test a multi-component, culturally appropriate prostate cancer educational intervention in a community trial for low-income, rural African American men in southern Georgia to reduce disparities in access to information on prostate cancer screening. The proposed research is innovative because we are testing the efficacy of this multi-component intervention in rural areas using barber health advisors to increase Informed decision making for prostate cancer screening in African American men. The central hypothesis of Research Subproject 2 is that a multi-component, community-based intervention delivered by trained barber health advisors targeted to rural, low-income, African American men will be more effective in facilitating informed decision making for prostate cancer screening when compared to an information-only (e.g., pamphlets) comparison condition. The barber health advisors will also act as bridges to the health care system for men without regular health care providers. Our long-term goal is to reduce disparities in prostate cancer among African American men living in the rural, southern US. The proposal's rationale stems from the contention that interventions using trained barber health advisors are culturally appropriate and feasible strategies for disseminating prostate cancer information to African American men in the US South, as has been shown in Luque's previous pilot studies. Because of health care access barriers for low-income African American men, trained barber health advisors who link individuals with the health care system are needed to successfully increase informed decision making for prostate cancer screening.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Exploratory Grants (P20)
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Special Emphasis Panel (ZMD1-RN (01))
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Georgia Southern University
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Warren, Jacob C; Smalley, K Bryant; Barefoot, K Nikki (2017) Recent Alcohol, Tobacco, and Substance Use Variations between Rural and Urban Middle and High School Students. J Child Adolesc Subst Abuse 26:60-65
Warren, Jacob C; Smalley, K Bryant; Barefoot, K Nikki (2017) Discrepancy in Motivation for Weight Loss and Exercise in Rural Patients. Am J Health Behav 41:803-809
Smalley, K Bryant; Warren, Jacob C; Morrissey, B David (2017) Discrepancy between Actual and Perceived Weight Status in Rural Patients: Variations by Race and Gender. J Health Care Poor Underserved 28:514-527
Luque, John S; Ross, Levi; Gwede, Clement K (2016) Prostate Cancer Education in African American Barbershops: Baseline Client Survey Results and Differences in Decisional Conflict and Stage of Decision Making. Am J Mens Health 10:533-536
Warren, Jacob; Smalley, Bryant; Barefoot, Nikki (2016) Higher Motivation for Weight Loss in African American than Caucasian Rural Patients with Hypertension and/or Diabetes. Ethn Dis 26:77-84
Smalley, K Bryant; Warren, Jacob C; Barefoot, K Nikki (2016) Connection between Depression and Inability to Fill Prescriptions in Rural FQHC Patients with Chronic Disease. Rural Ment Health 40:113-123
Meyrueix, Laetitia; Durham, Gabriel; Miller, Jasmine et al. (2015) Association between Depression and Aggression in Rural Women. J Health Dispar Res Pract 8:136-144
Warren, Jacob C; Smalley, K Bryant; Barefoot, K Nikki (2015) Perceived ease of access to alcohol, tobacco and other substances in rural and urban US students. Rural Remote Health 15:3397
Luque, John S; Roy, Siddhartha; Tarasenko, Yelena N et al. (2015) Feasibility Study of Engaging Barbershops for Prostate Cancer Education in Rural African-American Communities. J Cancer Educ 30:623-8