Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

Browse

Subject: search.filters.subject.community health workers

Search Results

Now showing 1 - 3 of 3
  • No Thumbnail Available
    Item
    Use of Community Health Workers in Research With Ethnic Minority Women
    (2004) Andrews, Jeannette O.; Felton, Gwen; Wewers, Mary Ellen; Heath, Janie
    Abstract available at publisher's web site.
  • No Thumbnail Available
    Item
    Health Care Access Among Latinos: Implications for Social and Health Care Reforms
    (2010) Perez-Escamilla, R.
    According to the Institute of Medicine, health care access is defined as “the degree to which people are able to obtain appropriate care from the health care system in a timely manner.” Two key components of health care access are medical insurance and having access to a usual source of health care. Recent national data show that 34% of Latino individuals do not have health insurance and 27% do not have access to a usual source of health care. This article identifies barriers and solutions for improving health care access among Latino individuals.
  • No Thumbnail Available
    Item
    Effectiveness of a Community Health Worker Intervention Among African American and Latino Adults With Type 2 Diabetes: A Randomized Controlled Trial
    (2011) Spencer, M. S.; Rosland, A.-M.; Kieffer, E. C.; Sinco, B. R.; Valerio, M. A.; Palmisano, G.; Anderson, M.; Guzman, J. R.; Heisler, M.
    Objectives. We tested the effectiveness of a culturally tailored, behavioral theory-based community health worker intervention for improving glycemic control. Methods. We used a randomized, 6-month delayed control group design among 164 African American and Latino adult participants recruited from 2 health systems in Detroit, Michigan. Our study was guided by the principles of community-based participatory research. Hemoglobin A1c (HbA1c) level was the primary outcome measure. Using an empowerment-based approach, community health workers provided participants with diabetes self-management education and regular home visits, and accompanied them to a clinic visit during the 6-month intervention period. Results. Participants in the intervention group had a mean HbA1c value of 8.6% at baseline, which improved to a value of 7.8% at 6 months, for an adjusted change of -0.8 percentage points (P<.01). There was no change in mean HbA1c among the control group (8.5%). Intervention participants also had significantly greater improvements in self-reported diabetes understanding compared with the control group. Conclusions. This study contributes to the growing evidence for the effectiveness of community health workers and their role in multidisciplinary teams engaged in culturally appropriate health care delivery. (Am J Public Health. Published online ahead of print June 16, 2011: e1-e8. doi:10.2105/AJPH.2010.300106).