Community-Based Participatory Research: A Review of the Literature With Strategies for Community Engagement
Community-Based Participatory Research: A Review of the Literature With Strategies for Community Engagement
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DOI：
10.1097/dbp.0b013e3181b0ef14
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发表时间：
2009-08-01
影响因子：
2.4
通讯作者：
Wagenaar, Kimberly A.
中科院分区：
文献类型：
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作者：
Shalowitz, Madeleine U.;Isacco, Anthony;Wagenaar, Kimberly A.
联邦公共卫生战略计划《2000年和2010年健康人口》提议消除按社会因素分组的人口中的健康差距，这些社会因素对母亲、婴儿和儿童的健康产生负面影响。1特别是，与白人或中等收入家庭的婴儿和儿童相比，来自低收入和种族和少数民族家庭的婴儿和儿童在肥胖和早产、婴儿死亡率（包括婴儿猝死综合症）以及因哮喘引起的发病率和死亡率方面的比例更高。2-7尽管联邦政府在近20多年的研究和示范方面投入了大量资金，但这些地区儿童健康的总体统计数据显示，改善微不足道，有些问题甚至恶化了。为了重新定义解决社会上最棘手的健康问题的方法，以社区为基础的参与性研究（CBPR）已成为一个有希望的新方向。CBPR的创新之处在于，它在整个研究过程中充分利用了社区智慧和严谨的学术方法。8 .医疗保健研究和质量局在其关于CBPR的综合证据报告中，对CBPR给出了一个明确的定义：“一种合作研究方法，旨在确保和建立结构，使受研究问题影响的社区、组织代表和研究人员参与研究过程的各个方面，以通过采取行动，包括社会变革，改善健康和福祉。”本文的目的是回顾CBPR文献，并提供一个案例，说明我们使用CBPR作为指导框架，使社区成员参与学术-社区伙伴关系的初始策略。
Healthy People 2000 and 2010, the federal public health strategic plans, proposed to eliminate health disparities in populations grouped by social factors that negatively affect the health of mothers, infants, and children. 1 In particular, infants and children from low-income and racial and ethnic minority families have higher rates of obesity and preterm birth, infant mortality (including sudden infant death syndrome), and morbidity and mortality because of asthma, when compared with infants and children from white or middle-income families. 2–7 Despite a substantial investment by the federal government nearly more than 20 years of research and demonstration, aggregate statistics on children’s health in these areas show negligible improvement, indeed some problems have worsened.In an effort to reconceptualize the approach to society’s most intractable health problems, community-based participatory research (CBPR) has emerged as a promising new direction. The CBPR is innovative because it harnesses community wisdom in an equal partnership with academic methodological rigor throughout the research process. 8 The Agency for Healthcare Research and Quality, in its comprehensive evidence report of CBPR, offered one well-stated definition of CBPR as “a collaborative research approach that is designed to ensure and establish structures for participation by communities affected by the issues being studied, representatives of organizations, and researchers in all aspects of the research process to improve health and well-being through taking action, including social change.” 8 The purpose of this article is to review the CBPR literature and to provide a case example of the initial strategies that we used to engage community members in an academic-community partnership using CBPR as our guiding framework.