Abstract
Purpose
To compare Haitian and Latino immigrant groups’ health knowledge pre and post intervention based on demographic and clinical measures and examine nutrition and physical activity self-efficacy.
Methods
A convenience sample of 156 Haitians, and 128 Latinos ≥ 18 years was recruited through flyers and word-of-mouth at faith/community-based organizations. Pre-post-health knowledge assessments consisting of 20 questions were from Florida Literacy Coalition Staying Healthy curriculum. Data on self-efficacy scores using validated scales, demographics, and clinical measures were collected.
Results
There were statistically significant improvements in post-knowledge scores for Haitians (p < .001) and Latinos (p < .001) respectively. The two groups differed in pre-knowledge scores(p < .001), post-knowledge scores (p < .001), and nutrition self-efficacy (p < .001). There was a significant association and medium to large effect of ethnicity with age, work status, level of education, age at immigration, health insurance, and measured blood pressure.
Discussion
Brief culturally tailored health presentations increased health knowledge in both groups. Persistent disparities in knowledge and self-efficacy highlight the need for targeted approaches addressing social contexts.
Translation to Health Education Practice
Understanding the existing differences in Latino and Haitian communities and leveraging faith-based and community partnerships to deliver tailored, accessible education can increase health literacy.