Community-based Participatory Research Is Needed to Address Pulmonary Health Disparities
Community-based Participatory Research Is Needed to Address Pulmonary Health Disparities
复制标题
DOI：
10.1513/annalsats.201601-054ps
复制
发表时间：
2016-08-01
影响因子：
8.3
通讯作者：
Rosenthal, Marjorie S.
中科院分区：
文献类型：
--
作者：
Harris, Drew A.;Pensa, Mellisa A.;Rosenthal, Marjorie S.
在美国和世界范围内，肺部疾病的医疗管理结果的社会经济和种族差异仍然很常见。认识到这一点，美国胸科协会最近提出了促进呼吸健康公平的建议。通过参与弱势社区寻求合作解决方案，以改善健康差距，以社区为基础的参与性研究体现了美国胸科学会呼吸健康公平使命必不可少的概念。本评论的目的是提供一个以社区为基础的参与性研究的原则和应用这种方法来解决肺部疾病治疗结果的不公平的概述。以社区为基础的参与性研究旨在通过承认保健的社会和生态范例以及在研究过程的各个方面使社区成员与学术研究人员结成伙伴关系来减少健康差距。社区合作伙伴是唯一准备提供洞察当地文化，指导健康行为的情况下，和其他挑战，以改善自己的社区的健康。可持续的干预措施，无论是通过加强现有的社区资产或通过社区赋权和地方能力建设在整个研究过程中，是以社区为基础的参与性研究的成功至关重要。美国国立卫生研究院和其他资助机构提供资助机会，以支持旨在让社区成员参与研究过程的具体干预措施。在肺科医学中，基于社区的举措主要集中在改善儿科哮喘的预后。在成人哮喘和其他肺部疾病中使用基于社区的方法可能是减少肺部健康差异的理想方式。
Socioeconomic and racial disparities in the outcomes of medical management remain common across pulmonary diseases in the United States and worldwide. Acknowledging this, the American Thoracic Society recently put forth recommendations to advance respiratory health equity. Through engagement of vulnerable communities in search of collaborative solutions to improve health disparities, community-based participatory research embodies concepts essential to the American Thoracic Society mission for respiratory health equity. The purpose of this commentary is to provide an overview of the principles of community-based participatory research and the application of this approach to addressing inequity in the outcomes of treatment for lung disease. Community-based participatory research aims to decrease health disparities by recognizing the social and ecological paradigms of health care and by partnering community members with academic researchers in all aspects of the research process. Community partners are uniquely poised to offer insight into local culture, circumstances that guide health behaviors, and other challenges to improve their own community's health. Sustainable interventions, either through strengthening existing community assets or through community empowerment and local capacity building throughout the research process, are essential to the success of community-based participatory research. The National Institutes of Health and other funding agencies offer funding opportunities to support specific interventions aimed at engaging community members in the research process. In pulmonary medicine, community-based initiatives have focused primarily on improving pediatric asthma outcomes. Using a community-based approach in adult asthma and other pulmonary diseases could be an ideal manner in which to decrease pulmonary health disparities.