ArticleJournal of primary care & community health2015
Cultural competence and perceptions of community health workers' effectiveness for reducing health care disparities.
Article in Journal of primary care & community health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Acceptability of community health worker and peer supported interventions for ethnic minorities with type 2 diabetes: a qualitative systematic review.Frontiers in clinical diabetes and healthcare · 2024Pooled it
- Article
- A Qualitative Review of Community Health Workers' Training, Supervision, and Service Delivery Needs.Administration and policy in mental health · 2025Article
- Review
- Improving health equity through health care systems research.Health services research · 2023Article
- Providing culturally responsive care in a pediatric setting: are our trainees ready?BMC medical education · 2023Article
- African Immigrant Women's Maternal Health Experiences in Clarkston, Georgia: A Qualitative Study.Women's health reports (New Rochelle, N.Y.) · 2023Article
- Addressing Hispanic Obesity Disparities Using a Community Health Worker Model Grounded in Motivational Interviewing.American journal of health promotion : AJHP · 2022Article
- Brazil's Community Health Workers Practicing Narrative Medicine: Patients' Perspectives.Journal of general internal medicine · 2021Article
- The challenge of cultural competence in the workplace: perspectives of healthcare providers.BMC health services research · 2019Article
- A Multigenerational Strategy to Transform Health Education into Community Action.Progress in community health partnerships : research, education, and action · 2018Article
- Strategies to Improve the Integration of Community Health Workers Into Health Care Teams: "A Little Fish in a Big Pond".Preventing chronic disease · 2015Article
- Transdisciplinary cardiovascular and cancer health disparities training: experiences of the centers for population health and health disparities.American journal of public health · 2015Article
- The Covid Impact to Public Healthcare Utilization Among Urban Low-Income Subsidized Community in Klang Valley Malaysia.Health services research and managerial epidemiologyArticle
- Cultural Competence in the Public Health System: A Cross-Sectional Study in the Northern Metropolitan Area of Barcelona.Journal of primary care & community healthArticle
- Mechanisms for Community Health Worker Action on Patient-, Institutional-, and Community-Level Barriers to Primary Care in a Safety-Net Setting.The Journal of ambulatory care managementArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
introductionCommunity health worker (CHW) interventions improve health outcomes of patients from underserved communities, but health professionals' perceptions of their effectiveness may impede integration of CHWs into health care delivery systems. Whether health professionals' attitudes and skills, such as those related to cultural competence, influence perceptions of CHWs, is unknown.
methodsA questionnaire was administered to providers and clinical staff from 6 primary care practices in Maryland from April to December 2011. We quantified the associations of self-reported cultural competence and preparedness with attitudes toward the effectiveness of CHWs using logistic regression adjusting for respondent age, race, gender, provider/staff status, and years at the practice.
resultsWe contacted 200 providers and staff, and 119 (60%) participated. Those reporting more cultural motivation had higher odds of perceiving CHWs as helpful for reducing health care disparities (odds ratio [OR] = 9.66, 95% confidence interval [CI] = 3.48-28.80). Those reporting more frequent culturally competent behaviors also had higher odds of believing CHWs would help reduce health disparities (OR = 3.58, 95% CI = 1.61-7.92). Attitudes toward power and assimilation were not associated with perceptions of CHWs. Cultural preparedness was associated with perceived utility of CHWs in reducing health care disparities (OR = 2.33, 95% CI = 1.21-4.51).
conclusionsProviders and staff with greater cultural competence and preparedness have more positive expectations of CHW interventions to reduce healthcare disparities. Cultural competency training may complement the use of CHWs and support their effective integration into primary care clinics that are seeking to reduce disparities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.