National Institutes of Health, National Center on Minority Health and Health Disparities, 6707 Democracy Boulevard, Suite 800, Bethesda, MD 20892-5465, USA.
Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S19-24. doi: 10.2105/AJPH.2009.189167. Epub 2010 Feb 10.
Translational, transdisciplinary, and transformational research stands to become a paradigm-shifting mantra for research in health disparities. A windfall of research discoveries using these 3 approaches has increased our understanding of the health disparities in racial, ethnic, and low socioeconomic status groups. These distinct but related research spheres possess unique environments, which, when integrated, can lead to innovation in health disparities science. In this article, we review these approaches and propose integrating them to advance health disparities research through a change in philosophical position and an increased emphasis on community engagement. We argue that a balanced combination of these research approaches is needed to inform evidence-based practice, social action, and effective policy change to improve health in disparity communities.
转化(translational)、跨学科(transdisciplinary)和变革(transformation)研究有望成为解决健康不平等问题的研究范式转变的口头禅。使用这 3 种方法的研究发现如雨后春笋般涌现,增加了我们对种族、族裔和社会经济地位较低群体健康不平等的理解。这些不同但相关的研究领域具有独特的环境,当它们整合在一起时,可以为健康不平等科学带来创新。在本文中,我们回顾了这些方法,并提出通过改变哲学立场和加强社区参与来整合它们,以推进健康不平等研究。我们认为,需要平衡地结合这些研究方法,为循证实践、社会行动和有效的政策变革提供信息,以改善不平等社区的健康状况。