Beckham Sheila, Bradley Stephen, Washburn Anuenue, Taumua Tusi
Waikiki Health Center, Honolulu, HI 96815, USA.
J Health Care Poor Underserved. 2008 May;19(2):416-27. doi: 10.1353/hpu.0.0012.
Although not widely utilized, community health workers (CHWs) have been shown to enhance diabetes education and management efforts among racial/ethnic minority populations.
To examine the effectiveness of CHWs on diabetes management among a population with primarily Native Hawaiian and Samoan ethnic minority participants with HbA1c greater than 10%.
Descriptive study comparing HbA1c readings of participants with diabetes with and without CHW intervention.
Of 116 eligible participants, 74% were either Native Hawaiian or Samoan.
The mean baseline HbA1c for all eligible participants was 10.9+/-0.8%. The 80 participants who completed CHW intervention had a 2.2+/-1.8% (p.<.01, compared with baseline) mean reduction in HbA1c, compared with a 0.2+/-1.5% reduction for those without CHW intervention.
Community health workers had a positive impact on diabetes management defined in terms of improved HbA1c amongst this predominantly Native Hawaiian and Samoan population.
尽管社区卫生工作者（CHWs）未得到广泛应用，但已证明他们能加强种族/族裔少数群体的糖尿病教育和管理工作。
在主要为夏威夷原住民和萨摩亚族少数群体且糖化血红蛋白（HbA1c）大于10%的人群中，研究社区卫生工作者对糖尿病管理的有效性。
描述性研究，比较接受和未接受社区卫生工作者干预的糖尿病患者的糖化血红蛋白读数。
在116名符合条件的参与者中，74%为夏威夷原住民或萨摩亚人。
所有符合条件参与者的平均基线糖化血红蛋白为10.9±0.8%。完成社区卫生工作者干预的80名参与者的糖化血红蛋白平均降低了2.2±1.8%（与基线相比，p<0.01），而未接受社区卫生工作者干预的参与者糖化血红蛋白降低了0.2±1.5%。
在这个主要为夏威夷原住民和萨摩亚人的人群中，社区卫生工作者对以糖化血红蛋白改善来定义的糖尿病管理产生了积极影响。
