Encyclopedia of Behavioral Medicine

2013 Edition
| Editors: Marc D. Gellman, J. Rick Turner


  • Amelie RamirezEmail author
  • Barbara Turner
Reference work entry
DOI: https://doi.org/10.1007/978-1-4419-1005-9_209



Promotoras (or promotoras de salud) are female community health workers who provide a variety of services in their role as liaison between underserved Hispanics and traditional health care services. Their male counterparts are promotores, although it is less common to have men serve in this role. These terms translate to “promoters” of health, in this case among Hispanics who have historically experienced challenges accessing health care services and deficiencies in outcomes of care. These individuals are either volunteers or employees of the local health care system or other entities administering community interventions. They typically live in the community or neighborhood that they serve and thus can better communicate and...

This is a preview of subscription content, log in to check access.

References and Readings

  1. Balcazar, H. G., Byrd, T. L., Ortiz, M., Tondapu, S. R., & Chavez, M. (2009). A randomized community intervention to improve hypertension control among Mexican Americans: Using the promotoras de salud community outreach model. Journal of Health Care for the Poor and Underserved, 20(4), 1079–1094.PubMedCrossRefGoogle Scholar
  2. Boothroyd, R. I., & Fisher, E. B. (2010). Peers for progress: Promoting peer support for health around the world. Family Practice, 27(Suppl. 1), i62–i68.PubMedCrossRefGoogle Scholar
  3. Centers for Disease Control and Prevention (2011). Community health workers/Promotores de Salud: Critical connections in communities. Accessed online from http://www.cdc.gov/diabetes/projects/comm.htm
  4. Doull, M., O’Connor, A. M., Welch, V., Tugwell, P., Wells, G. A. (2008). Peer support strategies for improving the health and well-being of individuals with chronic diseases (Protocol). Copyright © 2008 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd.Google Scholar
  5. Family Strengthening Policy Center. (2006). Community health workers: Closing gaps in families’ health resources (Policy Brief No. 14). Accessed online from http://www.nydic.org/fspc/practice/documents/Brief14.pdf
  6. Hill, M. N., Bone, L. R., & Butz, A. M. (1996). Enhancing the role of community health workers in research. Image, 28, 221–226.Google Scholar
  7. Kumar, P. (2007). Providing the providers – Remedying Africa’s shortage of health care workers. The New England Journal of Medicine, 356, 2564–2567.PubMedCrossRefGoogle Scholar
  8. Nichols, D. C., Berrios, C., & Samar, H. (2005). Texas’ community health workforce: from state health promotion policy to community-level practice. Preventing Chronic Disease, 2(Special Issue), A13. Published online 2005 October 15.PubMedGoogle Scholar
  9. O’Brien, M. J., Halbert, C. H., Bixby, R., Pimentel, S., & Shea, J. A. (2010). Community health worker intervention to decrease cervical cancer disparities in Hispanic women. Journal of General Internal Medicine, 25(11), 1186–1192. Epub 2010 July 7.PubMedCrossRefGoogle Scholar
  10. Patient Protection and Affordable Care Act, PL111-148, § 5101, 5102, 5313, 5403, and 3509 (2010).Google Scholar
  11. Rosenthal, E. L., Brownstein, J. N., Rush, C. H., Hirsch, G. R., Willaert, A. M., Scott, J. R., et al. (2010). Community health workers: Part of the solution. Health Affairs, 29(7), 1338–1342.PubMedCrossRefGoogle Scholar
  12. U.S. Census Bureau News, U.S. Department of Commerce. (2010, July 15). Facts for Features CB10-FF.17. Accessed online from http://www.census.gov/newsroom/releases/pdf/cb10ff-17_hispanic.pdf
  13. U.S. Department of Health and Human Services Health Resources and Services Administration. (2007, March). Community health workers national workforce study. Accessed online from http://bhpr.hrsa.gov/healthworkforce/chw/default.htm#preface
  14. Vargas, R. B., & Cunningham, W. E. (2006). Evolving trends in medical care-coordination for patients with HIV and AIDS. Current HIV/AIDS Reports, 3(4), 149–153.PubMedCrossRefGoogle Scholar
  15. Viswanathan, M., Kraschnewski, J., Nishikawa, B., Morgan, L. C., Thieda, P., Honeycutt, A., et al. (2009). Outcomes of community health worker interventions (Evidence Report/Technology Assessment No. 181, Prepared by the RTI International-University of North Carolina Evidence-based Practice Center under Contract No. 290 2007 10056 I, AHRQ Publication No. 09-E014). Rockville, MD: Agency for Healthcare Research and Quality.Google Scholar

Copyright information

© Springer Science+Business Media, New York 2013

Authors and Affiliations

  1. 1.Department of Epidemiology & BiostatisticsThe University of Texas Health Science Center at San AntonioSan AntonioUSA
  2. 2.The University of Texas Health Science Center at San AntonioSan AntonioUSA