Results from a lay health advisor intervention to ... Catalogue en ligne

Titre :	Results from a lay health advisor intervention to prevent lead poisoning among rural Native American children. (2004)
Auteurs :	Michelle CROZIER KEGLER ; Lorraine HALINKA MALCOE
Type de document :	Article
Dans :	American journal of public health (vol. 94, n° 10, 2004)
Pagination :	1730-1735
Langues:	Anglais
Mots-clés :	Saturnisme ; Prévention santé ; Milieu rural ; Enfant ; Homme ; Dépistage ; Etats Unis ; Amérique ; Amérique du Nord
Résumé :	[BDSP. Notice produite par INIST-CNRS q3R0x5N9. Diffusion soumise à autorisation]. Objectives : We tested the effectiveness of a community-based lay health advisor intervention for primary prevention of lead poisoning among Native American children who lived in a former mining area. Methods : We conducted cross-sectional population-based blood lead assessments of Native American and White children aged 1 to 6 years and in-person caregiver interviews before (n=331) and after (n=387) a 2-year intervention. Results : Mean childhood blood lead levels decreased and selected preventive behaviors improved for both Native American and White (comparison) communities. Several short-term outcomes also improved from pre-to postintervention, but only knowledge and hand-washing self-efficacy increased more among Native Americans than among Whites. Conclusions : Our findings provide limited support for the effectiveness of lay health advisor interventions as a primary lead poisoning prevention strategy for Native American communities.

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