Folic Acid Education for Hispanic Women: The Promotora de Salud Model

Flores, Alina L.; Isenburg, Jennifer; Hillard, Christina L.; deRosset, Leslie; Colen, Lisa; Bush, Troy; Mai, Cara T.

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Folic Acid Education for Hispanic Women: The Promotora de Salud Model

Jan 09 2017
By Flores, Alina L. ; Isenburg, Jennifer ; Hillard, Christina L. ; ...
Source: J Womens Health (Larchmt). 26(2):186-194

[PDF-136.97 KB]

English

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Details:

Alternative Title:

J Womens Health (Larchmt)
Personal Author:

Flores, Alina L. ; Isenburg, Jennifer ; Hillard, Christina L. ; deRosset, Leslie ; Colen, Lisa ; ... More +

Flores, Alina L. ; Isenburg, Jennifer ; Hillard, Christina L. ; deRosset, Leslie ; Colen, Lisa ; Bush, Troy ; Mai, Cara T. Less -
Description:

Background

Although rates of neural tube defects (NTDs) have declined in the United States since fortification, disparities still exist with Hispanic women having the highest risk of giving birth to a baby with a NTD. The Promotora de Salud model has been shown to be an effective tool for reaching Hispanics for a variety of health topics; however, literature on its effectiveness in folic acid interventions is limited.

Methods

An intervention using the Promotora de Salud model was implemented in four U.S. counties with large populations of Hispanic women. The study comprised: 1) a written pre-test survey to establish baseline levels of folic acid awareness, knowledge, and consumption; 2) a small group education intervention along with a 90-day supply of multivitamins; and 3) a post-intervention (post-test) assessment conducted four months following the intervention.

Results

Statistically significant differences in pre- and post-tests were observed for general awareness about folic acid and vitamins, and specific knowledge about the benefits of folic acid. Statistically significant changes were also seen in vitamin consumption and multivitamin consumption. Folic acid supplement consumption increased dramatically by the end of the study.

Conclusions

The Promotora de Salud model relies on interpersonal connections forged between promotoras and the communities they serve to help drive positive health behaviors. The findings underscore the positive impact that these interpersonal connections can have on increasing awareness, knowledge, and consumption of folic acid. Utilizing the Promotora de Salud model to reach targeted populations might help organizations successfully implement their programs in a culturally appropriate manner.
Subjects:

[+]

Adult Dietary Supplements Female Folic Acid Health Behavior Health Education Health Knowledge, Attitudes, Practice Health Promotion Hispanic Or Latino Humans Neural Tube Defects Preconception Care Pregnancy Vitamins
Source:

J Womens Health (Larchmt). 26(2):186-194
Pubmed ID:

28067585
Pubmed Central ID:

PMC5299051
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHS/United States
Place as Subject:

United States
Volume:

26
Issue:

2
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:8f4089d1419fd4b098a9b7f2d061f9600029720e8c0e74f8ee42e36c5cd1fba2
Download URL:

https://stacks.cdc.gov/view/cdc/44148/cdc_44148_DS1.pdf
File Type:

nihms832010.nxml

xml

More +