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.
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.
Authors: T D Koepsell; E H Wagner; A C Cheadle; D L Patrick; D C Martin; P H Diehr; E B Perrin; A R Kristal; C H Allan-Andrilla; L J Dey Journal: Annu Rev Public Health Date: 1992 Impact factor: 21.981
Authors: Dara Ford Schlueter; Winifred Wilkins Thompson; Tamara A Mason; Makeeta Rayton; Kimberly Jacob Arriola Journal: J Cancer Educ Date: 2010-12 Impact factor: 2.037