The impact of a Promotora on increasing routine chronic disease prevention among women aged 40 and older at the US-Mexico border
The impact of a Promotora on increasing routine chronic disease prevention among women aged 40 and older at the US-Mexico border
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DOI：
10.1177/1090198104266004
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发表时间：
2004-08-01
影响因子：
4.2
通讯作者：
Giuliano, AR
中科院分区：
文献类型：
--
作者：
Hunter, JB;de Zapien, JG;Giuliano, AR
一项随机对照干预测试了社区卫生工作者（CHW）项目在提高居住在美墨边境农村地区无保险的西班牙裔妇女年度预防性检查依从性方面的有效性。1999-2000年期间，对40岁及以上的妇女进行了住户调查。邀请未接受常规综合预防保健的无保险妇女参加免费的综合临床检查。初步测试的参与者有资格参加CHW（促进者）干预。妇女被随机分为两个干预组。一只手臂收到一张明信片，提醒他们每年进行一次预防性检查，另一只手臂收到一张明信片，提醒他们进行一次促销活动。与仅使用明信片提醒的患者相比，接受促发干预与筛查率增加35%相关（风险比[RR] = 1.35, 95%可信区间为0.95-1.92）。使用宣传来提高常规筛查检查的依从性是达到这一女性人群的有效策略。
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 postcard 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.