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

M.C. Kegler and L.H. Malcoe

American Journal of Public Health, 2004, vol. 94, issue 10, 1730-1735

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.

Date: 2004
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2004:94:10:1730-1735_4

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