How barbershops can keep men healthy
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0:03 - 0:04What do you see?
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0:06 - 0:09Most of you see a barbershop,
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0:09 - 0:12but I see an opportunity:
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0:12 - 0:14an opportunity for health,
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0:14 - 0:17an opportunity for health equity.
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0:18 - 0:22For black men, the barbershop
is not just a place -
0:22 - 0:25where you get your hair cut
or your beard trimmed. -
0:25 - 0:27No, it's much more than that.
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0:28 - 0:32Historically, the barbershop
has been a safe haven for black men. -
0:33 - 0:37It's a place where we go for friendship,
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0:37 - 0:39solidarity and solace.
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0:40 - 0:44It's a place where we go
to get away from the stress -
0:44 - 0:47of the grind of work
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0:47 - 0:49and sometimes home life.
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0:50 - 0:52It's a place where we don't have to worry
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0:52 - 0:55about how we're being perceived
by the outside world. -
0:56 - 1:00It's a place where we don't
feel threatened, -
1:00 - 1:01or threatening.
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1:03 - 1:05It's a place of loyalty and trust.
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1:06 - 1:08For that reason,
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1:09 - 1:12it's one of the few places
where we can fearlessly be ourselves -
1:12 - 1:15and just ... talk.
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1:17 - 1:20The talk, the shop talk, the conversation,
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1:20 - 1:22that is the essence
of the black barbershop. -
1:23 - 1:26I can remember going to the barbershop
with my dad as a kid. -
1:27 - 1:31We went to Mr. Mike's barbershop
every other Saturday. -
1:32 - 1:35And like clockwork,
the same group of men would be there -
1:35 - 1:37every time we went,
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1:37 - 1:39either waiting on their favorite barber
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1:39 - 1:42or just soaking up the atmosphere.
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1:43 - 1:47I can remember the jovial greeting
that warmly welcomed us -
1:47 - 1:49every time we went.
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1:50 - 1:53"Hey Rev," they would say to my dad.
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1:54 - 1:57He's a local pastor,
and they treated him like a celebrity. -
1:58 - 2:00"Hey young fella, how you doing?"
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2:00 - 2:02they would say to me,
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2:02 - 2:04making me feel just as special.
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2:05 - 2:09I remember the range
of the conversations was immense. -
2:10 - 2:14The men would talk about politics
and sports and music -
2:15 - 2:19and world news, national news,
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2:19 - 2:20neighborhood news.
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2:21 - 2:23There was some talk about women
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2:24 - 2:27and what it was like to be
a black man in America. -
2:29 - 2:31But many times they also
talked about health. -
2:33 - 2:36The conversations about health
were lengthy and deep. -
2:37 - 2:41The men often recounted
their doctor's recommendations -
2:41 - 2:43to cut salt in their diet
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2:43 - 2:45or to eat less fried foods
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2:45 - 2:48or to stop smoking
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2:48 - 2:49or to reduce stress.
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2:50 - 2:53They talked about the different ways
you could reduce stress, -
2:53 - 2:56like simplifying one's love life --
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2:56 - 3:01(Laughter)
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3:01 - 3:04all ways to treat high blood pressure.
-
3:06 - 3:09There's a lot of talk about
high blood pressure in the barbershop. -
3:10 - 3:15That's because almost 40 percent
of black men have it. -
3:16 - 3:20That means that almost
every single black man -
3:20 - 3:22either has high blood pressure
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3:22 - 3:24or knows a black man who has it.
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3:26 - 3:29Sometimes, those conversations
in the barbershop -
3:29 - 3:32would be about what happens
when high blood pressure -
3:32 - 3:34is not adequately addressed.
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3:35 - 3:39"Say, did you hear about Jimmy?
He had a stroke." -
3:42 - 3:46"Did you hear about Eddie?
He died last week. -
3:46 - 3:48Massive heart attack.
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3:48 - 3:49He was 50."
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3:51 - 3:55More black men die from high blood
pressure than from anything else, -
3:55 - 3:59even though decades of medical wisdom
and science have demonstrated -
3:59 - 4:03that death from high blood pressure
can be prevented -
4:03 - 4:06with timely diagnosis
and appropriate treatment. -
4:07 - 4:11So why is high blood pressure
so differentially deadly for black men? -
4:12 - 4:16Because too often, high blood pressure
is either untreated -
4:16 - 4:19or under-treated in black men,
-
4:19 - 4:23in part because of our lower engagement
with the primary healthcare system. -
4:25 - 4:28Black men, in particular
those with high blood pressure, -
4:28 - 4:30are less likely to have
a primary care doctor -
4:30 - 4:32than other groups.
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4:32 - 4:33But why?
-
4:34 - 4:37Some of our earliest research
on black men's health -
4:38 - 4:42revealed that for many, the doctor's
office is associated with fear, -
4:43 - 4:45mistrust,
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4:45 - 4:47disrespect,
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4:47 - 4:49and unnecessary unpleasantness.
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4:51 - 4:55The doctor's office is only a place
that you go when you don't feel well. -
4:56 - 4:59And when you do go,
you might wait for hours -
4:59 - 5:02only to get the run-around
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5:02 - 5:06and to be evaluated by
a stoic figure in a white coat -
5:06 - 5:09who only has 10 minutes to give you
-
5:09 - 5:12and who doesn't value the talk.
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5:13 - 5:17So it's no wonder that some men
don't want to be bothered -
5:17 - 5:20and skip going to the doctor altogether,
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5:20 - 5:22especially if they feel fine.
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5:23 - 5:25But herein lies the problem.
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5:26 - 5:28You can feel just fine
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5:28 - 5:32while high blood pressure ravages
your most vital organs. -
5:35 - 5:38This is Denny Moe,
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5:38 - 5:41owner of Denny Moe's
Superstar Barbershop in Harlem. -
5:42 - 5:45I've been lucky enough to have Denny
as my barber for the last eight years. -
5:47 - 5:48He said to me once,
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5:48 - 5:50"Hey Doc, you know,
-
5:50 - 5:55lots of black men trust their barbers
more than they trust their doctors." -
5:56 - 5:58This was stunning to me,
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5:58 - 5:59at first,
-
6:00 - 6:02but not so much when you think about it.
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6:03 - 6:06Black men have been with their
current barbers -
6:06 - 6:08on average as long
as I've been with Denny, -
6:08 - 6:09about eight years.
-
6:10 - 6:14And black men see their barbers
about every two weeks. -
6:15 - 6:19Not only do you trust your barber
with your look and with your style, -
6:19 - 6:23but you also trust him with your secrets
and sometimes your life. -
6:25 - 6:29Denny, like many barbers,
is more than just an artist, -
6:29 - 6:31a businessman and confidant.
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6:32 - 6:37He's a leader and a passionate advocate
for the well-being of his community. -
6:39 - 6:42The very first time I walked
into Denny Moe's shop, -
6:42 - 6:43he wasn't just cutting hair.
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6:44 - 6:48He was also orchestrating
a voter registration drive -
6:48 - 6:52to give a voice to his customers
and his community. -
6:54 - 6:56With this kind of activism,
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6:57 - 7:01and community investment
that typifies the black barbershop, -
7:01 - 7:05of course the barbershop
is a perfect place -
7:05 - 7:09to talk about high blood pressure and
other health concerns in the community. -
7:10 - 7:14First, the barbershop is not
a medical setting, -
7:14 - 7:17and so it doesn't have
all the negative psychological baggage -
7:17 - 7:19that comes along with that.
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7:19 - 7:21When you're in a barbershop,
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7:22 - 7:25you're in your territory,
and you're among friends -
7:25 - 7:27who share your history,
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7:27 - 7:31your struggle and your health risks.
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7:31 - 7:35Second, because the barbershop
is a place of connection, -
7:35 - 7:38loyalty and trust,
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7:38 - 7:41it's a place where you're more open
to have a conversation about health -
7:41 - 7:43and especially about high blood pressure.
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7:44 - 7:46After all,
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7:46 - 7:50conversations about high blood pressure
have all the elements of great shop talk: -
7:51 - 7:54stress and high blood pressure,
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7:54 - 7:56food and high blood pressure,
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7:56 - 7:59relationships and high blood pressure,
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7:59 - 8:03and yes, what it's like
to be a black man in America -
8:03 - 8:04and high blood pressure.
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8:06 - 8:09But you can do more than just talk
about high blood pressure -
8:09 - 8:10in the barbershop.
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8:11 - 8:13You can concretely take action.
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8:14 - 8:19Here we have an opportunity to partner
with the Denny Moe's of the world -
8:19 - 8:23and empower communities
to address the health inequities -
8:23 - 8:24that uniquely affect it.
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8:25 - 8:29When high blood pressure screening
expanded from clinics and hospitals -
8:29 - 8:32to communities in the 1960s and '70s,
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8:32 - 8:35black physicians like
Dr. Eli Saunders in Baltimore -
8:35 - 8:38and Dr. Keith Ferdinand in New Orleans
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8:38 - 8:42were at the forefront of bringing
health promotion to community hubs -
8:42 - 8:43in urban black neighborhoods.
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8:44 - 8:49These pioneers paved the way
for my professional journey -
8:49 - 8:51with barbershops and health,
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8:51 - 8:54which began in Chicago in medical school.
-
8:55 - 8:59The very first research project
that I worked on as a medical student -
8:59 - 9:01was to help design
healthcare interventions -
9:01 - 9:04that would appeal to black men.
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9:05 - 9:08We conducted about a dozen focus groups
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9:08 - 9:11with a broad cross-section of black men,
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9:11 - 9:13and we learned that for them,
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9:13 - 9:18being healthy was as much about
being perceived as healthy -
9:18 - 9:20as it was about feeling healthy,
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9:20 - 9:24and that feeling good
went hand in hand with looking good. -
9:26 - 9:30This work led to the development
of Project Brotherhood, -
9:30 - 9:33a community clinic founded
by Dr. Eric Whitaker -
9:33 - 9:36that provided tailored
healthcare to black men. -
9:37 - 9:39Part of this tailored care
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9:39 - 9:42involved having a barber on the premises
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9:42 - 9:45to reward the men who came
for needed healthcare -
9:45 - 9:47with a free haircut,
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9:47 - 9:51to let the men know that we, too,
valued how they looked -
9:51 - 9:53as well as how they felt,
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9:53 - 9:57and that what was important to them
was also important to us. -
9:58 - 10:02But while there's only one
Project Brotherhood, -
10:02 - 10:05there are thousands of black barbershops
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10:05 - 10:09where the intersection of health
and haircuts can be cultivated. -
10:11 - 10:14The next stop on my journey
was Dallas, Texas, -
10:14 - 10:17where we learned that barbers
were not only willing -
10:17 - 10:21but fully able to roll up
their sleeves and participate -
10:21 - 10:27in delivering needed health services
to improve the health of their customers -
10:27 - 10:28and their community.
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10:29 - 10:32We teamed up with an amazing
cadre of black barbers -
10:32 - 10:35and taught them how
to measure blood pressure -
10:35 - 10:36and how to counsel their customers
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10:36 - 10:38and refer them to doctors
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10:38 - 10:40to help manage high blood pressure.
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10:41 - 10:43The barbers were not only willing to do it
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10:43 - 10:45but they were damn good at it.
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10:46 - 10:48Over a three-year period,
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10:48 - 10:51the barbers measured
thousands of blood pressures -
10:51 - 10:56resulting in hundreds of black men
being referred to doctors -
10:56 - 10:59for medical care
of their high blood pressure. -
10:59 - 11:02These barber-doctor partnerships
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11:02 - 11:07resulted in a 20 percent increase
in the number of men -
11:07 - 11:09who were able to achieve
target blood pressure levels -
11:09 - 11:12and a three-point drop, on average,
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11:12 - 11:14in the blood pressure of each participant.
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11:14 - 11:17If we were to extrapolate
that three point drop -
11:17 - 11:21to every single black man
with high blood pressure in America, -
11:21 - 11:27we would prevent 800 heart attacks,
500 strokes and 900 deaths -
11:27 - 11:29from high blood pressure
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11:29 - 11:31in just one year.
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11:33 - 11:37And our experience with barbershops
has been no different in New York City, -
11:37 - 11:39where my journey has currently led me.
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11:40 - 11:44With an incredible team
of diverse research assistants, -
11:44 - 11:47community health workers and volunteers,
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11:47 - 11:50we've been able to partner
with over 200 barbershops -
11:50 - 11:53and other trusted community venues
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11:53 - 11:56to reach over 7,000 older black men.
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11:57 - 11:59And we've offered high blood pressure
screening and counseling -
12:00 - 12:01to each and every one of them.
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12:02 - 12:03Thanks to Denny Moe
-
12:04 - 12:07and the myriad other barbers
and community leaders -
12:07 - 12:12who shared the vision of opportunity
and empowerment -
12:12 - 12:15to make a difference in their communities,
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12:15 - 12:18we've been able to not only
lower blood pressure -
12:18 - 12:19in our participants,
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12:19 - 12:23but we've also been able to impact
other health indicators. -
12:26 - 12:28So what do you see?
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12:30 - 12:31What is your barbershop?
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12:34 - 12:37Where is that place for you
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12:38 - 12:41where people who are affected
by a unique problem -
12:41 - 12:43can meet a unique solution?
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12:46 - 12:50When you find that place,
see the opportunity. -
12:51 - 12:52Thank you.
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12:52 - 12:55(Applause)
- Title:
- How barbershops can keep men healthy
- Speaker:
- Joseph Ravenell
- Description:
-
The barbershop can be a safe haven for black men, a place for honest conversation and trust -- and, as physician Joseph Ravenell suggests, a good place to bring up tough topics about health. He's turned his local barbershop into a place to talk about medical problems that statistically affect black men more often and more seriously, like high blood pressure. It's a new approach to problem-solving with broad applications. "What is your barbershop?" he asks. "Where is that place for you where people affected by a unique problem can meet a unique solution?"
- Video Language:
- English
- Team:
- closed TED
- Project:
- TEDTalks
- Duration:
- 13:08
Brian Greene edited English subtitles for How barbershops can keep men healthy | ||
Brian Greene approved English subtitles for How barbershops can keep men healthy | ||
Brian Greene accepted English subtitles for How barbershops can keep men healthy | ||
Brian Greene edited English subtitles for How barbershops can keep men healthy | ||
Brian Greene edited English subtitles for How barbershops can keep men healthy | ||
Joseph Geni edited English subtitles for How barbershops can keep men healthy | ||
Joseph Geni edited English subtitles for How barbershops can keep men healthy | ||
Amara Bot edited English subtitles for How barbershops can keep men healthy |