Outcomes from a Male-to-Male Promotores Intervention in an Emerging Latino Community

J Immigr Minor Health. 2020 Aug;22(4):717-726. doi: 10.1007/s10903-019-00939-w.

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.

Keywords: Emerging communities; Health care access; Latino immigrants; Men’s health.

MeSH terms

  • Acculturation
  • Adolescent
  • Adult
  • Alcoholism / therapy
  • Community Health Workers / organization & administration*
  • Community-Based Participatory Research
  • Cultural Competency
  • Depression / therapy
  • Emigrants and Immigrants
  • Health Promotion / organization & administration*
  • Health Services Accessibility / organization & administration*
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Language
  • Male
  • Medically Uninsured / statistics & numerical data
  • Middle Aged
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Social Support
  • Socioeconomic Factors
  • Young Adult