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Results from a lay health advisor intervention to prevent lead poisoning among rural Native American children

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  • Kegler, M.C.
  • Malcoe, L.H.

Abstract

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.

Suggested Citation

  • Kegler, M.C. & Malcoe, L.H., 2004. "Results from a lay health advisor intervention to prevent lead poisoning among rural Native American children," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1730-1735.
    • Handle: RePEc:aph:ajpbhl:2004:94:10:1730-1735_4
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    Cited by:

    1. Margaret Cherney & Sarabeth Erdman & Madeline Kuon & Nicholas Shupin & Najeda Regis & Emma Fitzelle-Jones & Kylie Givler & Susan Baldrige & Harriet Okatch, 2021. "Insights into the Slow Uptake of Residential Lead Paint Remediation Funds: A Lancaster, Pennsylvania, Case Study," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
    2. Santini, Ziggi Ivan & Koyanagi, Ai & Tyrovolas, Stefanos & Haro, Josep M. & Fiori, Katherine L. & Uwakwa, Richard & Thiyagarajan, Jotheeswaran A. & Webber, Martin & Prince, Martin & Prina, A. Matthew, 2015. "Social network typologies and mortality risk among older people in China, India, and Latin America: A 10/66 Dementia Research Group population-based cohort study," Social Science & Medicine, Elsevier, vol. 147(C), pages 134-143.

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