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Research ArticleResearch Letter

Primary Care Provider Understanding of Hair Care Maintenance as a Barrier to Physical Activity in African American Women

Sophia O. Tolliver, Jennifer L. Hefner, Starling D. Tolliver and Leon McDougle
The Journal of the American Board of Family Medicine November 2019, 32 (6) 944-947; DOI: https://doi.org/10.3122/jabfm.2019.06.190168
Sophia O. Tolliver
From The Ohio State University Wexner Medical Center Department of Family Medicine, The Ohio State University College of Medicine, Columbus (SOT, JLH, SDT, LM); The Division of Healthcare Management and Policy, College of Public Health, The Ohio State University, Columbus (JLH).
MD, MPH
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Jennifer L. Hefner
From The Ohio State University Wexner Medical Center Department of Family Medicine, The Ohio State University College of Medicine, Columbus (SOT, JLH, SDT, LM); The Division of Healthcare Management and Policy, College of Public Health, The Ohio State University, Columbus (JLH).
PhD, MPH
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Starling D. Tolliver
From The Ohio State University Wexner Medical Center Department of Family Medicine, The Ohio State University College of Medicine, Columbus (SOT, JLH, SDT, LM); The Division of Healthcare Management and Policy, College of Public Health, The Ohio State University, Columbus (JLH).
MS4
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Leon McDougle
From The Ohio State University Wexner Medical Center Department of Family Medicine, The Ohio State University College of Medicine, Columbus (SOT, JLH, SDT, LM); The Division of Healthcare Management and Policy, College of Public Health, The Ohio State University, Columbus (JLH).
MD, MPH
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    Table 1.

    Responses to a Survey of Primary Care Provider Perceptions of Hair Care Maintenance as a Barrier to Increased Physical Activity in African American Women

    Question and Response Category (Total N = 62)Response, N (%)
    Respondent level of training/profession
        PGY-17 (12)
        PGY-27 (12)
        PGY-35 (8)
        Attending/faculty31 (52)
        NP10 (17)
    Respondent ethnicity
        Caucasian40 (65)
        Black/African American10 (16)
        African0 (0)
        Hispanic/Latino0 (0)
        Other9 (14)
        Prefer not to answer3 (5)
    Percent of patients who are AA women
        15% or less17 (29)
        16% to 30%17 (29)
        Greater than 30%24 (42)
    How often do you discuss strategies to increase physical activity/exercise with your AA female patients?
        Never1 (2)
        Seldom2 (3)
        Sometimes19 (30)
        Often40 (65)
    How often have you commented on hairstyling and hair maintenance in your discussion regarding increasing physical activity/exercise with AA women?
        Never47 (76)
        Some of the time12 (19)
        Most of the time3 (5)
        All of the time0 (0)
    Which of the following are moderate or major barriers between AA women and the pursuit to increase activity/exercise?
    Moderate/Major Barrier
        Mood/Mental health49 (80)
        Location of gyms48 (78)
        Education level35 (57)
        Transportation27 (45)
        Cost of hair maintenance22 (38)
        Scalp perspiration18 (30)
    Discussing hair maintenance strategies with AA women may help to increase their frequency of physical activity/exercise.
        Agree19 (31)
        Somewhat agree18 (29)
        Neutral19 (31)
        Somewhat disagree4 (6)
        Disagree2 (3)
    I feel comfortable discussing haircare maintenance strategies with AA females.
        Agree14 (23)
        Somewhat agree7 (11)
        Neutral4 (6)
        Somewhat disagree12 (19)
        Disagree24 (40)
    • NP, Nurse Practitioner. PGY, postgraduate year; AA, African American.

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The Journal of the American Board of Family     Medicine: 32 (6)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 6
November-December 2019
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Primary Care Provider Understanding of Hair Care Maintenance as a Barrier to Physical Activity in African American Women
Sophia O. Tolliver, Jennifer L. Hefner, Starling D. Tolliver, Leon McDougle
The Journal of the American Board of Family Medicine Nov 2019, 32 (6) 944-947; DOI: 10.3122/jabfm.2019.06.190168

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Primary Care Provider Understanding of Hair Care Maintenance as a Barrier to Physical Activity in African American Women
Sophia O. Tolliver, Jennifer L. Hefner, Starling D. Tolliver, Leon McDougle
The Journal of the American Board of Family Medicine Nov 2019, 32 (6) 944-947; DOI: 10.3122/jabfm.2019.06.190168
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