Israel Barbara A, Parker Edith A, Rowe Zachary, Salvatore Alicia, Minkler Meredith, López Jesús, Butz Arlene, Mosley Adrian, Coates Lucretia, Lambert George, Potito Paul A, Brenner Barbara, Rivera Maribel, Romero Harry, Thompson Beti, Coronado Gloria, Halstead Sandy
University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Environ Health Perspect. 2005 Oct;113(10):1463-71. doi: 10.1289/ehp.7675.
Over the past several decades there has been growing evidence of the increase in incidence rates, morbidity, and mortality for a number of health problems experienced by children. The causation and aggravation of these problems are complex and multifactorial. The burden of these health problems and environmental exposures is borne disproportionately by children from low-income communities and communities of color. Researchers and funding institutions have called for increased attention to the complex issues that affect the health of children living in marginalized communities--and communities more broadly--and have suggested greater community involvement in processes that shape research and intervention approaches, for example, through community-based participatory research (CBPR) partnerships among academic, health services, public health, and community-based organizations. Centers for Children's Environmental Health and Disease Prevention Research (Children's Centers) funded by the National Institute of Environmental Health Sciences and U.S. Environmental Protection Agency were required to include a CBPR project. The purpose of this article is to provide a definition and set of CBPR principles, to describe the rationale for and major benefits of using this approach, to draw on the experiences of six of the Children's Centers in using CBPR, and to provide lessons learned and recommendations for how to successfully establish and maintain CBPR partnerships aimed at enhancing our understanding and addressing the multiple determinants of children's health.
在过去几十年里，越来越多的证据表明，儿童所经历的一些健康问题的发病率、患病率和死亡率都在上升。这些问题的成因和加剧是复杂且多因素的。低收入社区和有色人种社区的儿童承受着这些健康问题和环境暴露的不成比例的负担。研究人员和资助机构呼吁更加关注影响边缘化社区以及更广泛社区儿童健康的复杂问题，并建议社区更多地参与塑造研究和干预方法的过程，例如，通过学术、卫生服务、公共卫生和社区组织之间基于社区的参与式研究（CBPR）伙伴关系。由美国国家环境卫生科学研究所和美国环境保护局资助的儿童环境卫生与疾病预防研究中心（儿童中心）被要求开展一个CBPR项目。本文的目的是提供CBPR的定义和一套原则，描述使用这种方法的基本原理和主要益处，借鉴六个儿童中心在使用CBPR方面的经验，并提供经验教训以及关于如何成功建立和维持旨在增进我们对儿童健康多种决定因素的理解并解决这些因素的CBPR伙伴关系的建议。
