TY - JOUR
T1 - The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border.
AU - Hunter, Jennifer B.
AU - de Zapien, Jill Guernsey
AU - Papenfuss, Mary
AU - Fernandez, Maria Lourdes
AU - Meister, Joel
AU - Giuliano, Anna R.
PY - 2004/8
Y1 - 2004/8
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=16544367140&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=16544367140&partnerID=8YFLogxK
U2 - 10.1177/1090198104266004
DO - 10.1177/1090198104266004
M3 - Article
C2 - 15296689
AN - SCOPUS:16544367140
SN - 1090-1981
VL - 31
SP - 18S-28S
JO - Health education & behavior : the official publication of the Society for Public Health Education
JF - Health education & behavior : the official publication of the Society for Public Health Education
IS - 4 Suppl
ER -