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ERIC Number: EJ827982
Record Type: Journal
Publication Date: 2004
Pages: 11
Abstractor: As Provided
Reference Count: 36
ISSN: ISSN-1090-1981
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.
Health Education & Behavior, v31 n4 p18S-28S 2004
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. (Contains 2 tables.)
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A