The Impact of a Promotora on Increasing Routine Chronic Disease Prevention among Women Aged 40 and Older at the U.S.-Mexico Border
- 1 August 2004
- journal article
- clinical trial
- Published by SAGE Publications in Health Education & Behavior
- Vol. 31 (4_suppl), 18S-28S
- https://doi.org/10.1177/1090198104266004
Abstract
A randomized controlled intervention tested the effectiveness of a community health worker (CHW) program in increasing compliance with annual preventive exams among uninsured Hispanic women living in a rural U.S.-Mexico border area. During 1999-2000, household surveys were administered to women aged 40 and older. Uninsured women not receiving routine comprehensive preventive care were invited to participate in a free comprehensive clinical exam. Participants in the initial exam were eligible to participate in the CHW (promotora) intervention. Women were randomized to one of two intervention arms. One arm received a post-card reminder for an annual preventive exam, the other a postcard reminder and follow-up visit by a promotora. Receiving the promotora intervention was associated with a 35% increase in rescreening over the postcard-only reminder (risk ratio [RR] = 1.35, 95% confidence interval 0.95-1.92). Using promotoras to increase compliance with routine screening exams is an effective strategy for reaching this female population.Keywords
This publication has 22 references indexed in Scilit:
- Community-Based Cancer Screening for Underserved Women: Design and Baseline Findings from the Breast and Cervical Cancer Intervention StudyPreventive Medicine, 2001
- Efficacy of patient letter reminders on cervical cancer screeningJournal of General Internal Medicine, 2001
- Effectiveness of Interventions to Improve Patient ComplianceMedical Care, 1998
- Lay Health Advisors: A Strategy for Getting the Word out about Breast CancerHealth Education & Behavior, 1997
- Effect of a Bicultural Community Health Worker on Completion of Diabetes Education in a Hispanic PopulationDiabetes Care, 1997
- Health Care Access Among Mexican Americans With Different Health Insurance CoverageJournal Of Health Care For The Poor and Underserved, 1996
- Using lay health workers: Case study of a community-based prenatal interventionJournal of Community Health, 1992
- Acculturation, access to care, and use of preventive services by Hispanics: findings from HHANES 1982-84.American Journal of Public Health, 1990
- Emergency department detection and follow-up of high blood pressure: Use and effectiveness of community health workersThe American Journal of Emergency Medicine, 1989
- The Determinants of Dropping Out of Care Among Hypertensive Patients Receiving a Behavioral InterventionMedical Care, 1983