AJPH
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via ISI Web of Science (3)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kegler, M. C.
Right arrow Articles by Malcoe, L. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kegler, M. C.
Right arrow Articles by Malcoe, L. H.
Related Collections
Right arrow Other Child and Adolescent Health
Right arrow Community Health
Right arrow Lead
Right arrow Health Education
Right arrow Native Americans
October 2004, Vol 94, No. 10 | American Journal of Public Health 1730-1735
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Results From a Lay Health Advisor Intervention to Prevent Lead Poisoning Among Rural Native American Children

Michelle Crozier Kegler, DrPH, MPH and Lorraine Halinka Malcoe, PhD, MPH

Michelle Crozier Kegler is with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Ga. Lorraine Halinka Malcoe is with the Masters in Public Health Program and the Department of Family and Community Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM. At the time of the baseline data collection (1997), both authors were with the College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Okla.

Correspondence: Requests for reprints should be sent to Lorraine Halinka Malcoe, PhD, Masters in Public Health Program, MSC09 5060, 1 University of New Mexico, Albuquerque, NM 87131–0001 (e-mail: lhmalcoe{at}salud.unm.edu).

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.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2004 by the American Public Health Association