The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border.

Jennifer B. Hunter; Jill Guernsey de Zapien; Mary Papenfuss; Maria Lourdes Fernandez; Joel Meister; Anna R. Giuliano

doi:10.1177/1090198104266004

The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border.

Jennifer B. Hunter, Jill Guernsey de Zapien, Mary Papenfuss, Maria Lourdes Fernandez, Joel Meister, Anna R. Giuliano

Public Health - Administration

Research output: Contribution to journal › Article › peer-review

90 Scopus citations

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.

Original language	English (US)
Pages (from-to)	18S-28S
Journal	Health education & behavior : the official publication of the Society for Public Health Education
Volume	31
Issue number	4 Suppl
DOIs	https://doi.org/10.1177/1090198104266004
State	Published - Aug 2004

ASJC Scopus subject areas

Arts and Humanities (miscellaneous)
Public Health, Environmental and Occupational Health

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10.1177/1090198104266004

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Hunter, J. B., de Zapien, J. G., Papenfuss, M., Fernandez, M. L., Meister, J., & Giuliano, A. R. (2004). The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border. Health education & behavior : the official publication of the Society for Public Health Education, 31(4 Suppl), 18S-28S. https://doi.org/10.1177/1090198104266004

The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border. / Hunter, Jennifer B.; de Zapien, Jill Guernsey; Papenfuss, Mary; Fernandez, Maria Lourdes; Meister, Joel; Giuliano, Anna R.

In: Health education & behavior : the official publication of the Society for Public Health Education, Vol. 31, No. 4 Suppl, 08.2004, p. 18S-28S.

Research output: Contribution to journal › Article › peer-review

Hunter, JB, de Zapien, JG, Papenfuss, M, Fernandez, ML, Meister, J & Giuliano, AR 2004, 'The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border.', Health education & behavior : the official publication of the Society for Public Health Education, vol. 31, no. 4 Suppl, pp. 18S-28S. https://doi.org/10.1177/1090198104266004

Hunter JB, de Zapien JG, Papenfuss M, Fernandez ML, Meister J, Giuliano AR. The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border. Health education & behavior : the official publication of the Society for Public Health Education. 2004 Aug;31(4 Suppl):18S-28S. https://doi.org/10.1177/1090198104266004

Hunter, Jennifer B. ; de Zapien, Jill Guernsey ; Papenfuss, Mary ; Fernandez, Maria Lourdes ; Meister, Joel ; Giuliano, Anna R. / The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border. In: Health education & behavior : the official publication of the Society for Public Health Education. 2004 ; Vol. 31, No. 4 Suppl. pp. 18S-28S.

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The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border.

Abstract

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