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

Details

• Alternative Title:
  J Womens Health (Larchmt)
• Personal Author:
  Flores, Alina L. ; Isenburg, Jennifer ; Hillard, Christina L. ; deRosset, Leslie ; Colen, Lisa ; Bush, Troy ; Mai, Cara T.
• 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

  More +
• 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:
  [PDF - 136.97 KB ]