Using Community-Based Participatory Research to Address Health Disparities
Using Community-Based Participatory Research to Address Health Disparities
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DOI：
10.1177/1524839906289376
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发表时间：
2006-07-01
影响因子：
1.9
通讯作者：
Duran, Bonnie
中科院分区：
文献类型：
--
作者：
Wallerstein, Nina B.;Duran, Bonnie
基于社区的参与性研究（CBPR）在过去几十年中作为一种替代研究范式出现，它将教育和社会行动结合起来，以改善健康并减少健康差距。 CBPR 不仅仅是一套研究方法，它是一种研究方向，侧重于学术界和社区合作伙伴之间的关系，遵循共同学习、互惠互利和长期承诺的原则，并将社区理论、参与和实践融入到研究工作中。随着 CBPR 的成熟，人们已经认识到挑战研究关系相互性的紧张局势，包括权力、特权、参与、社区同意、种族和/或民族歧视以及研究在社会变革中的作用等问题。本文重点关注这些挑战，作为研究人员与社区关系的动态和不断变化的背景，提供了部落社区工作中这些悖论的例子，讨论了 CBPR 减少差异的证据，并建议转变学术界文化以加强合作研究关系。
Community-based participatory research (CBPR) has emerged in the past decades as an alternative research paradigm, which integrates education and social action to improve health and reduce health disparities. More than a set of research methods, CBPR is an orientation to research that focuses on relationships between academic and community partners, with principles of colearning, mutual benefit, and long-term commitment and incorporates community theories, participation, and practices into the research efforts. As CBPR matures, tensions have become recognized that challenge the mutuality of the research relationship, including issues of power, privilege, participation, community consent, racial and/or ethnic discrimination, and the role of research in social change. This article focuses on these challenges as a dynamic and ever-changing context of the researcher-community relationship, provides examples of these paradoxes from work in tribal communities, discusses the evidence that CBPR reduces disparities, and recommends transforming the culture of academia to strengthen collaborative research relationships.