Advancing system and policy changes for social and racial justice: comparing a Rural and Urban Community-Based Participatory Research Partnership in the U.S.
Advancing system and policy changes for social and racial justice: comparing a Rural and Urban Community-Based Participatory Research Partnership in the U.S.
复制标题
DOI：
10.1186/s12939-016-0509-3
复制
发表时间：
2017-02-21
影响因子：
4.8
通讯作者：
Wallerstein N
中科院分区：
文献类型：
--
作者：
Devia C;Baker EA;Sanchez-Youngman S;Barnidge E;Golub M;Motton F;Muhammad M;Ruddock C;Vicuña B;Wallerstein N
本文探讨了社会正义文献和实践的背景下，以社区为基础的参与性研究（CBPR）的作用。两个CBPR案例研究解决与2型糖尿病和心血管疾病相关的健康不平等问题，从一项评估有效学术-社区研究伙伴关系的国家跨站点研究中选出。一个CBPR伙伴关系与密苏里州农村的非裔美国人合作，另一个CBPR伙伴关系与纽约市南布朗克斯城市的非裔美国人和拉丁美洲人合作。数据收集包括半结构化的关键线人访谈和焦点小组。分析的重点是伙伴关系的背景/历史，以及它们利用多种以公正为导向的战略来实现系统和政策变革，以解决其社区健康的社会决定因素。社区背景和历史塑造了每个伙伴关系应对社会决定因素的战略。确定了两个伙伴关系使用的四种社会正义方法（身份/承认，程序，分配和结构正义）。这些社会正义方法被用来解决资源和权力结构分配不公平的根本原因，同时保持在科学研究框架内。CBPR可以将科学的作用与公民参与和政治参与联系起来，使社区成员能够成为将证据纳入其社会正义组织战略的政治代理人。
The paper examines the role of community-based participatory research (CBPR) within the context of social justice literature and practice. Two CBPR case studies addressing health inequities related to Type 2 Diabetes and Cardiovascular disease were selected from a national cross-site study assessing effective academic-community research partnerships. One CBPR partnership works with African Americans in rural Pemiscot County, Missouri and the other CBPR partnership works with African American and Latinos in urban South Bronx, New York City. Data collection included semi-structured key informant interviews and focus groups. Analysis focused on partnerships’ context/history and their use of multiple justice-oriented strategies to achieve systemic and policy changes in order to address social determinants of health in their communities. Community context and history shaped each partnership’s strategies to address social determinants. Four social justice approaches (identity/recognition, procedural, distributive, and structural justice) used by both partnerships were identified. These social justice approaches were employed to address underlying causes of inequitable distribution of resources and power structures, while remaining within a scientific research framework. CBPR can bridge the role of science with civic engagement and political participation, empowering community members to become political agents who integrate evidence into their social justice organizing strategies.