Folic Acid Education for Hispanic Women: The Promotora de Salud Model.

Background: Although rates of neural tube defects (NTDs) have declined in the United States since fortification, disparities still exist with Hispanic women having the highest risk of giving birth to a baby with a NTD. The Promotora de Salud model using community lay health workers has been shown to be an effective tool for reaching Hispanics for a variety of health topics; however, literature on its effectiveness in folic acid interventions is limited.

Materials And Methods: An intervention using the Promotora de Salud model was implemented in four U.