Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Subject: search.filters.subject.community-based participatory research

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Now showing 1 - 10 of 21
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    The Asian American Hepatitis B Program: Building a Coalition to Address Hepatitis B Health Disparities
    (2011) Trinh-Shevrin, Chau; Pollack, Henry J.; Tsang, Thomas; Park, Jihyun; Ramos, Mary Ruchel; Islam, Nadia; Wang, Su; Chun, Kay; Sim, Shao-Chee; Pong, Perry; Rey, Mariano Jose; Kwon, Simona C.
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    Strategies for Assessing Community Challenges and Strengths for Cancer Disparities Participatory Research and Outreach
    (2010) Gwede, C. K.; Menard, J. M.; Martinez-Tyson, D.; Lee, J.-H.; Vadaparampil, S. T.; Padhya, T. A.; Meade, C. D.
    Abstract available at publisher's web site.
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    Putting Promotion Into Practice: The African Americans Building a Legacy of Health Organizational Wellness Program
    (2006) Yancey, A. K.
    Abstract available at publisher's web site.
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    Understanding Social Capital and HIV Risk in Rural African American Communities
    (2011) Cené, Crystal W.; Akers, Aletha Y.; Lloyd, Stacey W.; Albritton, Tashuna; Powell Hammond, Wizdom; Corbie-Smith, Giselle
    Abstract available at publisher's web site.
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    Using Community-Based Participatory Research to Address Health Disparities
    (2006) Wallerstein, N. B.
    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.
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    Type 2 Diabetes Among Rural Hispanics in Washington State: Perspectives From Community Stakeholders
    (2010) Livaudais, J. C.; Thompson, B.; Islas, I.; Ibarra, G.; Godina, R.; Coronado, G. D.
    During February-March 2006, elicitation interviews were conducted with 23 community stakeholders in the Yakima Valley, Washington State, to examine concerns about diabetes and to obtain recommendations for how to address concerns among Hispanics in this rural community. Using a snowball approach, stakeholders were identified from organizations providing care and outreach for Hispanics with diabetes. Interviews were guided by a social ecology approach and were conducted as part of a larger parent study using principles of community-based participatory research. Audiotaped interviews were transcribed and then coded by three staff members who identified common themes independently before meeting to reach consensus. Stakeholders represented health care delivery or social service organizations, churches, or local radio stations. Diabetes was perceived as an important problem among community members, who often underwent delayed diagnosis of the disease. Lack of disease knowledge, access to appropriate information or services, health insurance, and personal responsibility were perceived as barriers. Stakeholders recommended using exiting organizations and businesses as intervention channels, promoting cultural sensitivity of health professionals and volunteers, creating and distributing appropriate information, and organizing activities to promote awareness and disease management. Recommendations have informed the design of community interventions to lessen the impact of diabetes in the Yakima Valley.
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    Use of community-based participatory research to disseminate baseline results from a cardiovascular disease randomized community trial for Mexican Americans living in a U.S.-Mexico border community.
    (2009) Balcazar, Hector; Rosenthal, Lee; De Heer, Hendrick; Aguirre, Melissa; Flores, Leticia; Vasquez, Esperanza; Duarte, Maria; Schulz, Leslie
    INTRODUCTION: This article describes the development of a community-based participatory research (CBPR) process conducted in the context of a randomized community health education trial utilizing community health workers (CHWs). OBJECTIVES: To present lessons learned from the utilization of CBPR methodology in a cardiovascular disease (CVD) prevention trial among Mexican American adults in a U.S.-Mexico border community and to disseminate the baseline results associated with risk factors for CVD and their associated demographic and psychosocial characteristics. METHODS: Participants were 328 Hispanic adults ages 30-75 with at least one risk factor for CVD (overweight, smoking, high cholesterol, diabetic or hypertensive), who were recruited through approaching households in randomly selected census tracts within a specified zip code area. RESULTS: CBPR methods were applied during the different stages of the research enterprise to support the development and implementation of the intervention trial aim at reducing cardiovascular risk factors for Mexican American adults. Data from baseline were used as an important component of dialogue with the community. DISCUSSION: CBPR proved to be a good learning process for all partners involved. The risk profile of the participants demonstrated the "epidemic" nature of CVD morbidity conditions associated with Mexican origin populations living in a U.S.-Mexico border community. The CBPR dialogue was instrumental as a process to help disseminate to the community the need for projects like the one described in this article
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    Groups Working to Address Minority Care Disparities
    (2011) Maki, Aisling
    Disparities in minority health continue to be a major health care issue in Memphis, but a determined group of health care, academic, government and faith-based entities is working diligently to address those disparities. The Consortium for Health Education, Economic Empowerment and Research is a health-equity research initiative housed at the University of Tennessee Health Science Center. Working to develop, share and implement research aimed at impacting minority health and reducing inequities, CHEER partners with LeMoyne-Owen College; Methodist Le Bonheur Healthcare; the Memphis and Shelby County Health Department; Memphis Housing Authority; First Baptist Church Lauderdale; and Mustard Seed Inc., a faith-based…
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    Combining community participatory research with a randomized clinical trial: The protecting the hood against tobacco (PHAT) smoking cessation study
    (2010) Froelicher, Erika Sivarajan; Doolan, Daniel; Yerger, Valerie B.; McGruder, Carol O.; Malone, Ruth E.
    BACKGROUND: This article describes the process and results of a smoking cessation intervention randomized clinical trial (RCT) that was conducted as a community-based participatory research project. This RCT tested whether outcomes are improved by adding social justice and tobacco industry targeting messages to a smoking cessation program conducted among African American adults within a low-income community in San Francisco, California. This study provides lessons for future similar research projects that focus on urban low-income populations. METHODS: Participants were randomly allocated to receive a smoking-cessation program (control group [CG]) or CG care plus tobacco industry and media (IAM) messages. Primary interventions were behavioral. At intake, participants reporting severe withdrawal or smoking > or = 25 cigarettes daily were offered free nicotine replacement therapy. Baseline data were from an in-person interview. Outcome measures included self-reported smoking status; validation of quitting was by salivary cotinine assays. RESULTS: Of 87 participants providing baseline data, 31% (27) did not join the RCT. Proportions quitting in the CG and IAM group were 11.5% and 13.6% at 6 months and 5.3% and 15.8% at 12 months, respectively. CONCLUSION: African Americans in underserved inner-city neighborhoods can be recruited into RCTs with community participatory approaches. Differences between the CG and IAM in proportions who quit were 2.1% and 10.5% at 6 and 12 months, respectively. More than 3 years with adequate funding, high staffing ratios, and intense outreach and follow-up schedules are needed to achieve recruitment and study goals.
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    Perspective: A Review of Improved Ethical Practices in Environmental and Public Health Research: Case Examples From Native Communities
    (2006) Quigley, D.
    This article presents a review of 14 case studies and articles of research ethics issues in the conduct of environmental and public health research with Native American and other indigenous populations. The purpose of this review is to highlight new practices in the ethical conduct of research with native community populations. The findings from this review can promote more dialogue and policy development on the issue of community protections in research. Formal guidelines exist in ethical codes for individual rights as human subjects, but there is a lack of development on community rights in the ethics of research. This review illustrates how communitybased participatory research practices can provide working guidelines that can overcome past research harms. More important, the compilations of guidelines offer tested field methods for improving the ethical conduct of research with native community populations.