Community-based participatory research for health: advancing social and health equity

Community-based participatory research for health: advancing social and health equity
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基于社区的参与性健康研究:促进社会和健康公平

DOI:
10.1080/09650792.2018.1520135
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发表时间:
2018
影响因子:
1.2
通讯作者:
Tina Cook
Tina Cook
中科院分区:
--
文献类型:
--
作者:
Tina Cook

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这本及时的书是一个受欢迎的除了越来越多的文献参与性的研究方法及其影响。我们总是生活在充满挑战的时代,政治、社会和经济动荡的时代,过去十年也不例外。在第二版出版十年后,第三版的内容反映了在理解和应用参与式研究方法的过渡时期发生的一些巨大变化,以及解决社会内部和社会之间普遍存在的不平等和社会不公正的持续需求和全球挑战。这并不是说十年前所说的话与当今时代无关,而是有更多的话要说和反思,这本书做得非常沉着。通过来自不同文化和生活空间的一系列作者撰写的章节明确阐述和阐明,并解决不同的挑战,基于社区的替代性研究(CBPR)的基础实践被认为是民主化的必要性:创造权力的转变。这种权力转移特别与为行动创造知识有关。这本书的一个基本论点是,要使社会变革能够反映当前受压迫者的知识,他们必须在“他们--而不是“局外专家”--最了解的问题上“成为积极的伙伴(第12页)。知识民主所固有的是承认多种认识方式,特别是包括那些发现自己很少被倾听或实际上被排除在外的人。因此,这本书本质上是关于知识民主与CBPR作为制定一个民主的方法,以建立一个更公正的社会,作为社会变革的催化剂知道的方式。它反映了参与性研究形式的增长和更高的知名度,这些形式使更广泛的社区参与知识建设,并认识到其在促进建立在更公平基础上的社会变革方面的应用。这本书分为七个部分,每个部分都涉及到整个主题的不同元素,本书中记载了人们在多种环境中共同研究的工作,以应对一系列复杂的社会不公正现象。每一节进一步阐明了一个理论,概念或实践,并建立了故事。因此,虽然它们可以单独阅读,但它们不是独立的部分,而是为CBPR的发展论证和批评提供了素材。在“充满希望的实践”这个反复出现的标题下,来自地球仪的作者们慷慨地分享了他们从CBPR中学到的东西,他们使用的方法,他们制作的新工具,塑造他们方法的理论,以及从参与这种积极的共享学习方法的挑战和兴奋中发展出来的理论。他们提供了深入了解使用CBPR方法的理由,它是如何在实践中颁布的,以及什么可能会让人感到乐观。从CBPR的理论、历史和实践出发,明确了支撑这一研究方法的原则和价值。最重要的是解决不平等问题的雄心,不是作为外部专家,而是通过与内部和内部的研究来解决不平等问题。
This timely book is a welcome addition to the growing literature on participatory approaches to research and its impact. We always live in challenging times, times of political, social and economic upheaval, and the last decade has been no exception. Published a decade after the 2nd edition, the content of this 3rd edition reflects some of the great changes that have taken place in the interim time in relation to the understanding and application of participatory research approaches but also the continuing need, and global challenge, to address endemic inequality and social injustice found within and across societies. It is not that what was said a decade ago does not still have relevance to the current times but there is so much more to say and reflect upon, and this book does it with great aplomb. Clearly set out and illuminated through chapters written by an array of authors from different cultures and life spaces and addressing different challenges, the underpinning practice of Community Based Participatory Research (CBPR) is recognised as the need to democratise: to create shifts in power. This power shift is specifically in relation to knowledge creation for action. An essential argument of the book is that for social change to take place that reflects the knowledges of those who are currently oppressed, they have to be active partners in matters ‘about which they–not “outsider experts”–know most deeply’(p. 12). Inherent to knowledge democracy is the recognition of multiple ways of knowing, especially the inclusion of those who are find themselves seldom heard or indeed excluded. This book is essentially therefore about knowledge democracy with CBPR as the enactment of a democratic approach to building ways of knowing as a catalyst for social change for a more just society. It reflects the growth and increased visibility of forms of participatory research that engage wider communities in knowledge building and the recognition of its application in advancing social change built on more equitable foundations. Written in seven parts, with each part speaking to a different element of the overall theme, this book is populated by accounts of the work of people who have researched together in a multiplicity of settings in response to an array of complex social injustices. Each section further illuminates a theory, concept or practice and builds the story. As such, although they can be read individually, they are not stand-alone sections but feed into the developing argument for, and critique of, CBPR. Under the recurring title of ‘Promising Practices’, authors from around the globe generously share what they have learnt from the doing of CBPR, the methods they have used, the new tools they have crafted, the theories that have shaped their approach and theories that have developed from the challenges and excitements of being engaged in such an active approach to shared learning. They provide insights into the rationale for using the CBPR approach, how it has been enacted in practice and what might give cause for optimism. Beginning with the theory, history and practice of CBPR, the principles and values that underpin this research approach are made explicit. At the forefront is the ambition to address inequality, not as external experts, but through putting research to work with and within