Health Promotion Practice

 

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Health Promotion Practice, Vol. 7, No. 2, 174-179 (2006)
DOI: 10.1177/1524839905281306

Girl World: A Primary Prevention Program for Mexican American Girls

Patricia J. Kelly, PhD, MPH, RN, FNP

University of Missouri School of Nursing; UMKC/TMC Center of Excellence in Women's Health in Kansas City, Missouri

Tess J. Bobo, DO

Troop Medical Clinic at Fort Sam Houston, Texas

Kate McLachlan, MA, LDM, CPM

Shana Avery, BS

Martinez Street Women's Center; San Antonio, Texas

Sandra K. Burge, PhD

Department of Family & Community Medicine at the University of Texas Health Science Center at San Antonio in San Antonio, Texas

Theories about women's health have not traditionally been extended to include the healthy development of young women. This article applies a women's health perspective to the implementation and evaluation processes of a gender-specific primary prevention program that worked with 9-to 14-year-old Hispanic girls in a low-income community. Although community-based after-school programs can be an important venue for education and girls’ development, long-term effects are elusive to evaluate. The authors used ethnographic techniques to learn more about girls and their interactions with the program and to assess short-term program impact. Three themes were found: Program environment can contribute to girls’ expression and behavior, issues of struggling families can slide girls into early adulthood, and mentoring can benefit both girls and adult women. Community-based primary prevention programs, although an essential part of a social safety net available to low-income girls, provide researchers with a unique set of evaluation challenges.

Key Words: gender-specific programs • primary prevention • community-based programs • youth development


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