Engaging Men as Promotores de Salud: Perceptions of Community Health Workers Among Latino Men in North Carolina

Villa-Torres, Laura; Fleming, Paul J.; Barrington, Clare

doi:10.1007/s10900-014-9915-x

Cited by 15 publications

(16 citation statements)

References 30 publications

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“…We identified barriers to men's participation in community health worker programmes, including immigration status and perceptions of being marginalised in their community (Villa‐Torres et al . ). The research presented in this paper sought to explore in depth how important themes from this previous research influenced Latino men's overall health.…”

Section: Methodsmentioning

confidence: 97%

“…In our previous research in this region, we found that Latinos are dispersed without a clear geographic centre and that Latino men described their social networks as mostly small, isolated and lacking community leadership (Villa‐Torres et al . ). While Orange County, NC has not adopted an anti‐immigrant stance that other NC counties have (Idilbi , Gill et al .…”

Section: Methodsmentioning

confidence: 97%

See 1 more Smart Citation

Marginalisation, discrimination and the health of Latino immigrant day labourers in a central North Carolina community

Fleming

Villa-Torres

Taboada

et al. 2016

Health Soc Care Community

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The morbidity and mortality of Latino immigrants in the United States (US) stem from a complex mix of policy, culture, discrimination, and economics. Immigrants working as day labourers may be particularly vulnerable to the negative influences of these social factors due to limited access to social, financial, and legal resources. We aimed to understand how the health of male Latino day labourers in North Carolina, US is influenced by their experiences interacting with their community and perceptions of their social environment. To respond to our research questions, we conducted three focus groups (n=9, n =10, n=10) and a photovoice project (n=5) with Latino male immigrants between October 2013 and March 2014. We conducted a thematic analysis of transcripts from the discussions in the focus groups and the group of Photovoice participants. We found that men's health and well-being were primarily shaped by their experiences and feelings of discrimination and marginalization. We identified three main links between discrimination/marginalization and poor health: (1) dangerous work resulted in workplace injuries or illnesses, (2) unsteady employment caused stress, anxiety and insufficient funds for health care, and (3) exclusionary policies and treatment resulted in limited healthcare accessibility. Health promotion with Latino immigrant men in new settlement areas could benefit from community-building activities, addressing discrimination, augmenting the reach of formal health care, and building upon the informal mechanisms that immigrants rely on to meet their health needs. Reforms to immigration and labour policies are also essential to addressing these structural barriers to health for these men.

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Section: Methodsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 97%

Marginalisation, discrimination and the health of Latino immigrant day labourers in a central North Carolina community

Fleming

Villa-Torres

Taboada

et al. 2016

Health Soc Care Community

Self Cite

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“…In education, titles include peer educators (Conner, Gum, Johnson, Cadet, & Brown, ; Nettles & Belton, ), lay educators (Jo et al., ; Mandalia, Stone, Davies, Khunti, & Carey, ) and co‐educators (Coelho, Pooler, & Lloyd, ; Purcell & Wooten, ). In social care, common titles include community health workers, lay health advisors and promotores (Balcazar et al., ; Olsson, Lau, Lifvergren, & Chakhunashvili, ; Perez et al., ; Sun et al., ; Villa‐Torres, Fleming, & Barrington, ).…”

Section: Introductionmentioning

confidence: 99%

Partnering with insiders: A review of peer models across community-engaged research, education and social care

Vaughn

Whetstone

Boards

et al. 2018

Health Soc Care Community

103

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Within community-engaged research, education and social care, peer models that partner with local "insiders" are increasingly common. Peer models are composed of insider "lay" community members who often share similarities or background with a project's target population. Peers are not academically trained, but work alongside researchers and professionals to carry out specific tasks within a project, or in the truest sense of partnership, peers collaborate throughout the project from start to finish as an equal member of the team. Although peer models are used widely, the literature lacks consistency and clarity. This systematic review of literature used a qualitative thematic synthesis to examine and report how, where and why peer models have been used in research, education and social care. We examined the language and titles used to describe the peers, details of their involvement in community-engaged projects, the setting, content/topic of study, level of engagement and related benefits/outcomes of such models. Focusing on the last 10 years, we conducted a comprehensive literature search twice between September 2016 and June 2017. The search resulted in 814 articles which were assessed for eligibility. Overall, 251 articles met our inclusion criteria and were categorised into three categories: empirical (n = 115); process/descriptive (n = 93); and "about" peers (n = 43). Findings suggest that there is a wide variety of peers, titles and terminology associated with peer models. There is inconsistency in how these models are used and implemented in research studies and projects. The majority of articles used an employment peer model, while only a handful involved peers in all phases of the project. The results of this literature review contribute to understanding the use, development and evolution of peer models. We highlight potential benefits of peer models for peers, their communities and community-engaged work, and we offer recommendations for future implementation of peer models.

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“…However, men have rarely been involved as LHAs (Eng et al, 2009; Rhodes et al, 2007, 2009; Villa-Torres, Fleming, & Barrington, 2014). …”

Section: Introductionmentioning

confidence: 99%

Latino Sexual and Gender Identity Minorities Promoting Sexual Health Within Their Social Networks

Sun

García

Mann

et al. 2014

Health Promotion Practice

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The HOLA intervention was a lay health advisor intervention designed to reduce the disproportionate HIV burden borne by Latino sexual and gender identity minorities (gay, bisexual, and other men who have sex with men, and transgender persons) living in the United States. Process evaluation data were collected for over a year of intervention implementation from 11 trained Latino male and transgender lay health advisors (Navegantes) to document the activities each Navegante conducted to promote condom use and HIV testing among his or her 8 social network members enrolled in the study. Over 13 months, the Navegantes reported conducting 1,820 activities. The most common activity was condom distribution. Navegantes had extensive reach beyond their enrolled social network members, and they engaged in health promotion activities beyond social network members enrolled in the study. There were significant differences between the types of activities conducted by Navegantes depending on who was present. Results suggest that lay health advisor interventions reach large number of at-risk community members and may benefit populations disproportionately impacted by HIV.

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Engaging Men as Promotores de Salud: Perceptions of Community Health Workers Among Latino Men in North Carolina

Cited by 15 publications

References 30 publications

Marginalisation, discrimination and the health of Latino immigrant day labourers in a central North Carolina community

Marginalisation, discrimination and the health of Latino immigrant day labourers in a central North Carolina community

Partnering with insiders: A review of peer models across community-engaged research, education and social care

Latino Sexual and Gender Identity Minorities Promoting Sexual Health Within Their Social Networks

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