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Pizarro D, Richards NK, Coots S, Crockett E, Morley CP, Levandowski BA. Community-Based Participatory Research: Incorporating the Integral Voice of Community in Study Design. PATIENT-PATIENT CENTERED OUTCOMES RESEARCH 2019; 12:661-663. [PMID: 30806967 DOI: 10.1007/s40271-019-00359-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Desirree Pizarro
- Department of Family Medicine, State University of New York Upstate Medical University, Syracuse, NY, USA
| | - Nicole K Richards
- Department of Family Medicine, State University of New York Upstate Medical University, Syracuse, NY, USA
| | - Susan Coots
- Family Planning Service of Onondaga County, Syracuse, NY, USA
| | | | - Christopher P Morley
- Departments of Public Health and Preventive Medicine and Family Medicine, State University of New York Upstate Medical University, Syracuse, NY, USA
| | - Brooke A Levandowski
- Department of Family Medicine, State University of New York Upstate Medical University, Syracuse, NY, USA.
- Department of Obstetrics and Gynecology, University of Rochester Medical School, 601 Elmwood Avenue, Box 668, Rochester, NY, 14642, USA.
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2
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Diehr AJ, McDaniel JT. Lack of community-oriented policing practices partially mediates the relationship between racial residential segregation and "black-on-black" homicide rates. Prev Med 2018; 112:179-184. [PMID: 29727636 DOI: 10.1016/j.ypmed.2018.04.032] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Revised: 04/19/2018] [Accepted: 04/28/2018] [Indexed: 11/19/2022]
Abstract
Although black-white racial residential segregation in the US has continued to decline, blacks still experience greater levels of segregation than other racial groups. The present study examined whether a lack of community policing practices in 2012 mediated the relationship between racial segregation in 2010 and intraracial (i.e., "black-onblack") homicides in 2013. We collected incorporated-place-level secondary data from several sources and performed mediation analysis to test relationships among variables. Consistent with previous research, higher levels of segregation were associated with higher intraracial homicide rates; however, the effect was mediated by lack of community policing efforts. Specifically, our findings suggest that lack of community policing practices might explain 13% of the relationship between black-white residential segregation and intraracial homicide. Given the history and complexity of racial residential segregation in the US, one immediate measure by which policymakers might improve health in segregated places is the implementation and expansion of community policing initiatives.
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Affiliation(s)
- Aaron J Diehr
- Southern Illinois University, Department of Public Health & Recreation Professions, 475 Clocktower Drive, MC 4632, Carbondale, IL 62901, United States.
| | - Justin T McDaniel
- Southern Illinois University, Department of Public Health & Recreation Professions, 475 Clocktower Drive, MC 4632, Carbondale, IL 62901, United States.
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3
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Community-Based Prevention Programs in the War on Drugs: Findings from the “Fighting Back” Demonstration. JOURNAL OF DRUG ISSUES 2016. [DOI: 10.1177/002204260603600202] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Illegal drug use remains one of the United States' most serious health problems, and the “War on Drugs” continues without an end in sight. Antidrug programs, which offer the potential to reduce substance abuse problems, are a component of efforts to deal with the problem, but they operate absent adequate scientific analysis. Although policy has shifted from a focus on supply control to one that includes prevention and treatment, research and theory lag behind program implementation. Thus, for example, community-based programs designed to change norms and systems of substance use have been widely promoted despite the lack of data to support their use. The present paper summarizes findings from an evaluation of a large national demonstration program, “Fighting Back.” Results of the evaluation of broad-based community initiatives in a dozen communities show that the programs failed to reduce rates of substance use and associated harms. These findings, along with other evidence, place reliance on community-based programs at odds with public rhetoric. To deal more effectively with substance abuse, there is a need to move from “grading” programs to understanding why and how interventions function.
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4
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Ma GX, Toubbeh JI, Su X, Edwards RL. ATECAR: An Asian American Community-Based Participatory Research Model on Tobacco and Cancer Control. Health Promot Pract 2016; 5:382-94. [PMID: 15358911 DOI: 10.1177/1524839903260146] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In the past few decades, community-based participatory research, which underscores the indispensable role of the community in all phases of the research process, has been recognized as a viable approach to working constructively with communities to achieve mutually beneficial goals. This article presents a history of the Asian Tobacco Education, Cancer Awareness and Research’s pioneering efforts in conducting community-based participatory research among Asian Americans in the Delaware Valley region of Pennsylvania and New Jersey. Information about project background, target populations, and the rationale for the conduct of community-based participatory research in American communities is provided. It also delineates the manner in which the principles of community-based participatory research were applied as guides for the development of partnership infrastructures, research programs, and the challenges and barriers that were encountered. Facilitating factors in partnership building, and implications of employing this model in this ethnically and racially diverse population, are further discussed.
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Affiliation(s)
- Grace X Ma
- Department of Public Health, Center for Asian Health, Temple University, Philadelphia, Pennsylvania 19122, USA.
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5
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Fortune T, Wright E, Juzang I, Bull S. Recruitment, enrollment and retention of young black men for HIV prevention research: experiences from The 411 for Safe Text project. Contemp Clin Trials 2010; 31:151-6. [PMID: 20035899 PMCID: PMC2837344 DOI: 10.1016/j.cct.2009.12.004] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2009] [Revised: 12/01/2009] [Accepted: 12/11/2009] [Indexed: 11/24/2022]
Abstract
OBJECTIVE There is abundant evidence of the HIV crisis in the black community, yet African Americans-and African American men in particular-are consistently under-represented in research on HIV prevention. The purpose of this paper is to describe the methods used to recruit and retain young black men in Philadelphia for an HIV prevention intervention. METHODS We formed a partnership between community members, Media Education Entertainment (MEE) Productions, Inc., and academic researchers of the Colorado School of Public Health (CSPH). Recognizing the core principles of community-based participatory research (CBPR), face-to-face recruitment was first conducted by MEE with the assistance of their community partners; subsequent enrollment and data collection were conducted over the telephone by staff in Colorado. RESULTS We enrolled 58% of the young black men recruited, retained 77% of the young men for a follow-up survey at three months, and 65% of the initial enrollees were retained for the six-month follow-up survey. Enrollment staff in Colorado reported initial challenges because of time elapse between recruitment and enrollment as well as participants' unfamiliarity with the enrollment staff. Subsequently, MEE recruitment staff emphasized the telephone area code and specific names of Colorado enrollment staff who would call. CONCLUSION Our results demonstrate the importance of the community-academic partnership formed and adherence to the principles of CBPR in carrying out this work. Despite challenges in recruitment of racially and ethnically diverse participants for research, we successfully recruited, enrolled, and retained young black men in an HIV prevention program.
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Affiliation(s)
- Thierry Fortune
- MEE Productions, Inc., 340 North 12th Street, Suite 200, Philadelphia, PA 19107, USA
| | - Erin Wright
- Colorado School of Public Health, University of Colorado Denver, Campus Box B-119, Aurora CO 80045, USA
| | - Ivan Juzang
- MEE Productions, Inc., 340 North 12th Street, Suite 200, Philadelphia, PA 19107, USA
| | - Sheana Bull
- Colorado School of Public Health, University of Colorado Denver, Campus Box B-119, Aurora CO 80045, USA
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Applying community-based participatory research methods to improve maternal and child health in Karachi, Pakistan. Nurs Outlook 2010; 57:204-9. [PMID: 19631062 DOI: 10.1016/j.outlook.2009.01.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2008] [Indexed: 11/23/2022]
Abstract
To achieve health for all, the development of partnerships between community residents and researchers is essential. Community-based participatory research (CBPR) engages community members, uses local knowledge in the understanding of health problems and the design of interventions, and invests community members in the processes and products of research. CBPR pivots on an iterative process of open communication, mutual respect, and power sharing to build community capacity to sustain effective health interventions. This article describes how the tenets of CBPR were applied by a multidisciplinary, international research team of maternal-child health specialists toward better health for women and children in multilingual, multiethnic, low socioeconomic communities in Karachi, Pakistan.
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Scammell MK, Senier L, Darrah-Okike J, Brown P, Santos S. Tangible evidence, trust and power: public perceptions of community environmental health studies. Soc Sci Med 2009; 68:143-53. [PMID: 18995942 PMCID: PMC2657232 DOI: 10.1016/j.socscimed.2008.10.002] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2007] [Indexed: 10/21/2022]
Abstract
Communities with environmental health concerns in the USA frequently request studies from their local or state departments of public health. This paper presents findings from three focus groups conducted in communities north of Boston that have been the subject of two different environmental health studies. The focus groups were designed to elicit residents' perceptions of environmental health, and of the particular studies conducted in their communities. In all focus groups, participants had difficulty accepting the findings of health studies that contradicted their own experiences of environmental exposures and illness. Our results suggest that lay knowledge, informed in varying degrees by the experience of what we term "tangible evidence," creates a lens through which communities interpret a health study's findings. The differences in reliance on tangible evidence were related to participants' sense of trust in public officials, and the institutions responsible for conducting health studies. Participants from the wealthier, predominantly white communities discussed trust in study design and methodologies used. In contrast, participants from the lower-income, higher-minority communities assessed health studies with reference to their trust (or lack thereof) in study sponsors and public health institutions. Participants' experience of tangible evidence, trust or distrust in health agencies and research institutions, and a sense of relative community power, influence how they assess the findings of environmental health studies and may have implications for pubic health.
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Affiliation(s)
- Madeleine Kangsen Scammell
- Boston University School of Public Health, Department of Environmental Health, 715 Albany St. T4W, Boston, MA 02118, USA.
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Aboelela SW, Larson E, Bakken S, Carrasquillo O, Formicola A, Glied SA, Haas J, Gebbie KM. Defining interdisciplinary research: conclusions from a critical review of the literature. Health Serv Res 2007; 42:329-46. [PMID: 17355595 PMCID: PMC1955232 DOI: 10.1111/j.1475-6773.2006.00621.x] [Citation(s) in RCA: 297] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To summarize findings from a systematic exploration of existing literature and views regarding interdisciplinarity, to discuss themes and components of such work, and to propose a theoretically based definition of interdisciplinary research. DATA SOURCES/STUDY SETTING Two major data sources were used: interviews with researchers from various disciplines, and a systematic review of the education, business, and health care literature from January 1980 through January 2005. STUDY DESIGN Systematic review of literature, one-on-one interviews, field test (survey). DATA COLLECTION/EXTRACTION METHODS We reviewed 14 definitions of interdisciplinarity, the characteristics of 42 interdisciplinary research publications from multiple fields of study, and 14 researcher interviews to arrive at a preliminary definition of interdisciplinary research. That definition was then field tested by 12 individuals with interdisciplinary research experience, and their responses incorporated into the definition of interdisciplinary research proposed in this paper. PRINCIPAL FINDINGS Three key definitional characteristics were identified: the qualitative mode of research (and its theoretical underpinnings), existence of a continuum of synthesis among disciplines, and the desired outcome of the interdisciplinary research. CONCLUSION Existing literature from several fields did not provide a definition for interdisciplinary research of sufficient specificity to facilitate activities such as identification of the competencies, structure, and resources needed for health care and health policy research. This analysis led to the proposed definition, which is designed to aid decision makers in funding agencies/program committees and researchers to identify and take full advantage the interdisciplinary approach, and to serve as a basis for competency-based formalized training to provide researchers with interdisciplinary skills.
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Affiliation(s)
- Sally W Aboelela
- Columbia University School of Nursing, 630 W 168th St. New York, NY 10032, USA
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9
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Israel BA, Krieger J, Vlahov D, Ciske S, Foley M, Fortin P, Guzman JR, Lichtenstein R, McGranaghan R, Palermo AG, Tang G. Challenges and facilitating factors in sustaining community-based participatory research partnerships: lessons learned from the Detroit, New York City and Seattle Urban Research Centers. J Urban Health 2006; 83:1022-40. [PMID: 17139552 PMCID: PMC3261295 DOI: 10.1007/s11524-006-9110-1] [Citation(s) in RCA: 190] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
In order to address the social, physical and economic determinants of urban health, researchers, public health practitioners, and community members have turned to more comprehensive and participatory approaches to research and interventions. One such approach, community-based participatory research (CBPR) in public health, has received considerable attention over the past decade, and numerous publications have described theoretical underpinnings, values, principles and practice. Issues related to the long-term sustainability of partnerships and activities have received limited attention. The purpose of this article is to examine the experiences and lessons learned from three Urban Research Centers (URCs) in Detroit, New York City, and Seattle, which were initially established in 1995 with core support from the Centers for Disease Control and Prevention (CDC). The experience of these Centers after core funding ceased in 2003 provides a case study to identify the challenges and facilitating factors for sustaining partnerships. We examine three broad dimensions of CBPR partnerships that we consider important for sustainability: (1) sustaining relationships and commitments among the partners involved; (2) sustaining the knowledge, capacity and values generated from the partnership; and (3) sustaining funding, staff, programs, policy changes and the partnership itself. We discuss the challenges faced by the URCs in sustaining these dimensions and the strategies used to overcome these challenges. Based on these experiences, we offer recommendations for: strategies that partnerships may find useful in sustaining their CBPR efforts; ways in which a Center mechanism can be useful for promoting sustainability; and considerations for funders of CBPR to increase sustainability.
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Affiliation(s)
| | - James Krieger
- Epidemiology, Planning and Evaluation Unit, Public Health—Seattle & King County, Seattle, WA USA
| | - David Vlahov
- Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY USA
| | - Sandra Ciske
- Epidemiology, Planning and Evaluation Unit, Public Health—Seattle & King County, Seattle, WA USA
| | - Mary Foley
- Department of Community and Preventive Medicine, Mt. Sinai Medical School, New York, NY USA
| | - Princess Fortin
- City Research Scientist, New York City Department of Health, New York, NY USA
| | | | | | | | - Ann-gel Palermo
- Center for Multicultural and Community Affairs, Mount Sinai School of Medicine, New York, NY USA
| | - Gary Tang
- Aging and Adult Services Company, Asian Counseling and Referral Services, Seattle, WA USA
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10
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Glasgow RE, Marcus AC, Bull SS, Wilson KM. Disseminating effective cancer screening interventions. Cancer 2004; 101:1239-50. [PMID: 15316911 DOI: 10.1002/cncr.20509] [Citation(s) in RCA: 108] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
A large gap exists between the results of research concerning efficacious cancer screening programs and the programs delivered in practice. In this article, the authors discuss issues in, barriers to, and lessons learned regarding the dissemination of interventions. They summarize previous reviews, exemplary studies, and theories regarding the diffusion and dissemination of cancer screening interventions. Six lessons learned address the involvement of key stakeholders, factors influencing diffusion, the need for different types of efficacy and effectiveness studies with greater attention to external validity, replication, the use of theoretical and evaluation models, and the importance of policy infrastructure. In this article, the authors make recommendations for future research and practice, including improving the understanding of the intervention process and changing the types of grants funded and review criteria used. Also needed are an enhanced infrastructure, including policies to support dissemination, and the involvement of researchers, health care administrators, clinicians, and funding organizations in dissemination if the gap between research and practice in cancer screening is to be reduced.
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Affiliation(s)
- Russell E Glasgow
- Clinical Research Unit, Kaiser Permanente Colorado, Denver, Colorado 80237-8066, USA.
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11
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Lewis TC, Robins TG, Joseph CLM, Parker EA, Israel BA, Rowe Z, Edgren KK, Salinas MA, Martinez ME, Brown RW. Identification of gaps in the diagnosis and treatment of childhood asthma using a community-based participatory research approach. J Urban Health 2004; 81:472-88. [PMID: 15273269 PMCID: PMC3455945 DOI: 10.1093/jurban/jth131] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
The goal of this investigation was to use a community-based participatory research approach to develop, pilot test, and administer an asthma screening questionnaire to identify children with asthma and asthma symptoms in a community setting. This study was conducted as the recruitment effort for Community Action Against Asthma, a randomized trial of a household intervention to reduce exposure to environmental triggers of asthma and was not designed as a classic prevalence study. An asthma screening questionnaire was mailed and/or hand delivered to parents of 9,627 children, aged 5 to 11 years, in two geographic areas of Detroit, Michigan, with predominantly African American and Hispanic populations. Additional questionnaires were distributed via community networking. Measurements included parent report of their child's frequency of respiratory symptoms, presence of physician diagnosis of asthma, and frequency of doctor-prescribed asthma medication usage. Among the 3,067 completed questionnaires, 1,570 (51.2% of returned surveys, 16.3% of eligible population) were consistent with asthma of any severity and 398 (12.9% of returned surveys, 4.1% of eligible population) met criteria for moderate-to-severe asthma. Among those meeting criteria for moderate-to-severe asthma, over 30% had not been diagnosed by a physician, over one half were not taking daily asthma medication, and one quarter had not taken any physician-prescribed asthma medication in the past year. Screening surveys conducted within the context of a community-based participatory research partnership can identify large numbers of children with undiagnosed and/or undertreated moderate-to-severe asthma. These children are likely to benefit from interventions to reduce morbidity and improve quality of life.
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Affiliation(s)
- Toby C Lewis
- Department of Pediatrics and Communicable Diseases, University of Michigan School of Medicine, Ann Arbor, MI, USA.
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12
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Anderson LA, Cornell CE. Prevention research in women's health: studies from the field--introduction. HEALTH EDUCATION & BEHAVIOR 2004; 31:12S-17S. [PMID: 15296688 DOI: 10.1177/1090198104266001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Lynda A Anderson
- Prevention Research Centers Program Office (K-30), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
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13
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van Olphen J, Freudenberg N. Harlem service providers' perceptions of the impact of municipal policies on their clients with substance use problems. J Urban Health 2004; 81:222-31. [PMID: 15136656 PMCID: PMC3456445 DOI: 10.1093/jurban/jth109] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Substance abuse is a significant health and social problem in many low-income urban communities. Finding appropriate help for drug users has been identified as a significant barrier to reducing the harm from drug abuse. This report presents findings from a survey of service providers in the Central and East Harlem communities, New York City, conducted in 2000 to identify policy obstacles that impeded clients' attempts to overcome substance use and related problems. Policies can affect substance users by making access to drug treatment more difficult or by imposing unrealistic expectations on substance users for eligibility for benefit programs. Respondents to the survey were asked to rate 30 specific policies as harmful or helpful to their clients and to assess how the policies acted as barriers or facilitators to getting services and reducing drug use. Eleven policies in the areas of drug treatment, corrections, and Medicaid were rated as harmful to their clients by more than 50% of the respondents. We discuss the implications of these and other findings for drug users' ability to seek and receive help for their problems.
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Affiliation(s)
- Juliana van Olphen
- San Francisco State University, Department of Health Education, CA 94132, USA.
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14
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Oakes JM. The (mis)estimation of neighborhood effects: causal inference for a practicable social epidemiology. Soc Sci Med 2004; 58:1929-52. [PMID: 15020009 DOI: 10.1016/j.socscimed.2003.08.004] [Citation(s) in RCA: 439] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The resurgence of interest in the effect of neighborhood contexts on health outcomes, motivated by advances in social epidemiology, multilevel theories and sophisticated statistical models, too often fails to confront the enormous methodological problems associated with causal inference. This paper employs the counterfactual causal framework to illuminate fundamental obstacles in the identification, explanation, and usefulness of multilevel neighborhood effect studies. We show that identifying useful independent neighborhood effect parameters, as currently conceptualized with observational data, to be impossible. Along with the development of a dependency-based methodology and theories of social interaction, randomized community trials are advocated as a superior research strategy, one that may help social epidemiology answer the causal questions necessary for remediating disparities and otherwise improving the public's health.
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Affiliation(s)
- J Michael Oakes
- Division of Epidemiology and Population Research Center, University of Minnesota, 1300 South 2nd Street, Minneapolis, MN 55454, USA.
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15
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McAllister CL, Green BL, Terry MA, Herman V, Mulvey L. Parents, practitioners, and researchers: community-based participatory research with early head start. Am J Public Health 2003; 93:1672-9. [PMID: 14534219 PMCID: PMC1448031 DOI: 10.2105/ajph.93.10.1672] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Community-based participatory research (CBPR) is an approach to research and evaluation that is receiving increased attention in the field of public health. Our report discusses the application of this approach to research and evaluation with an Early Head Start (EHS) program in Pittsburgh, Pa. Our primary purpose is to illustrate the key elements that contributed to effective collaboration among researchers, EHS practitioners, and parents of EHS children in the conduct of the study. The focus is not on research findings but on research process. Our goal is to make the practices of CBPR visible and explicit so they can be analyzed, further developed, and effectively applied to a range of public health issues in a diversity of community contexts.
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Affiliation(s)
- Carol L McAllister
- Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, PA 15261, USA.
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16
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Metzler MM, Higgins DL, Beeker CG, Freudenberg N, Lantz PM, Senturia KD, Eisinger AA, Viruell-Fuentes EA, Gheisar B, Palermo AG, Softley D. Addressing urban health in Detroit, New York City, and Seattle through community-based participatory research partnerships. Am J Public Health 2003; 93:803-11. [PMID: 12721148 PMCID: PMC1447843 DOI: 10.2105/ajph.93.5.803] [Citation(s) in RCA: 109] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE This study describes key activities integral to the development of 3 community-based participatory research (CBPR) partnerships. METHODS We compared findings from individual case studies conducted at 3 urban research centers (URCs) to identify crosscutting adaptations of a CBPR approach in the first 4 years of the partnerships' development. RESULTS Activities critical in partnership development include sharing decision-making, defining principles of collaboration, establishing research priorities, and securing funding. Intermediate outcomes were sustained CBPR partnerships, trust within the partnerships, public health research programs, and increased capacity to conduct CBPR. Challenges included the time needed for meaningful collaboration, concerns regarding sustainable funding, and issues related to institutional racism. CONCLUSIONS The URC experiences suggest that CBPR can be successfully implemented in diverse settings.
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Affiliation(s)
- Marilyn M Metzler
- Centers for Disease Control and Prevention, Mail Stop K67, 4770 Buford Highway NE, Atlanta, GA 30341-3717, USA.
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Higgins DL, Metzler M. Implementing community-based participatory research centers in diverse urban settings. J Urban Health 2001; 78:488-94. [PMID: 11564851 PMCID: PMC3455913 DOI: 10.1093/jurban/78.3.488] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- D L Higgins
- The Centers for Disease Control and Prevention/Seattle Partners for Healthy Communities, Public Health-Seattle and King County-EPE, 999 Third Avenue, Seattle, WA 98104, USA.
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