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Outcomes from a Male-to-Male Promotores Intervention in an Emerging Latino Community
P I Documet1, L Macia2, R Boyzo2
1Department of Behavioral and Community Health Sciences, University of Pittsburgh, Public Health Building, Room 6133, 130 DeSoto Street, Pittsburgh, PA, 15261, USA. pdocumet@pitt.edu.
Abstract:
Emerging Latino communities experience social isolation and lack services tailored to their culture. Few male-to-male promotores (community health workers in Spanish) interventions exist. This 6-month participatory study aimed to improve social support, healthcare access, depressive symptoms, and decrease alcohol consumption among Latino immigrant men. Promotores delivered non-directive social support to participants recruited from community venues. We analyzed baseline and 6-month questionnaires data (n = 89) using paired chi square tests. All participants were immigrants; 47% had not finished high school, 29% had depression symptoms, 35% reported past month binge drinking and 93% were uninsured. The intervention significantly improved having a usual source of care (24 to 43%), doctor's visits (41 to 62%) and dentist's visits (27 to 42%) in the past year. Other outcomes did not improve. Male promotores increased healthcare access among vulnerable Latino men. Addressing drinking behavior and depression may require longer interventions or specialized providers.
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