Abstract
Community resources (parks, recreational facilities) provide opportunities for health promotion, but little is known about how to promote utilization of these resources and their impact on cardiovascular disease risk (CVD). This cohort study evaluated the impact of an intervention called Mi Corazon Mi Comunidad (MiCMiC), which consisted of promoting use of community physical activity and nutrition resources by Promotoras de Salud/Community Health Workers. Participants were assessed at baseline and following the 4-month intervention. Attendance records were objectively collected to assess utilization of intervention programing. A total of five consecutive cohorts were recruited between 2009 and 2013. Participants were mostly females (86.0%), on average 46.6 years old, and 81% were low in acculturation. Participants who completed follow-up (n = 413) showed significant improvements in reported health behaviors and body composition. Higher attendance significantly predicted greater improvements. The baseline to 4-month change for the highest vs. the lowest attendance quartiles were for weight (-5.2 vs. +0.01 lbs, p < 0.001), waist circumference (-1.20 vs. -0.56 inches, p = 0.047), hip circumference (-1.13 vs. -0.41 inches, p < 0.001); hours of exercise/week (+3.87 vs. +0.81 hours, p < 0.001), proportion of participants eating five servings of fruits and vegetables/day (+54.7 vs. 14.7%, p < 0.001). Following the Promotora-led MiCMiC intervention, substantial improvements in health behaviors and modest improvements in cardiovascular risk factors were found. Greater utilization of community resources was associated with more favorable changes. This study provided preliminary evidence for the effectiveness of Promotora-led interventions for promoting use of existing community resources in CVD risk reduction.
Highlights
From 2000 to 2010, the Mexican-American population in the U.S increased rapidly from 20.6 million to 31.8 million and in 2010 represented an estimated 63% of the total U.S Hispanic population [1]
Community resources provide opportunities for health promotion, but little is known about how to promote utilization of these resources and their impact on cardiovascular disease risk (CVD). This cohort study evaluated the impact of an intervention called Mi Corazon Mi Comunidad (MiCMiC), which consisted of promoting use of community physical activity and nutrition resources by Promotoras de Salud/Community Health Workers
This study provided preliminary evidence for the effectiveness of Promotora-led interventions for promoting use of existing community resources in CVD risk reduction
Summary
From 2000 to 2010, the Mexican-American population in the U.S increased rapidly from 20.6 million to 31.8 million and in 2010 represented an estimated 63% of the total U.S Hispanic population [1]. Addressing the health care needs of the Hispanic border population presents unique challenges, given the bilingual, bi-national environment, the limited resources of the population [2], and the high risk for cardiovascular and metabolic conditions [3,4,5]. To address cardiovascular risk factors among Mexican-American border residents, several programs have been developed such as the health promotion curriculum called Salud Para Su Corazon (SPSC; for the health of your heart) [6,7,8]. SPSC is aimed at Mexican-Americans and utilizes Community Health Workers/’Promotores de Salud’ [9, 10] to function as links between health care providers and community members for outreach and curriculum delivery. Community resources (parks, recreational facilities) provide opportunities for health promotion, but little is known about how to promote utilization of these resources and their impact on cardiovascular disease risk (CVD)
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