UC Berkeley, Berkeley, CA, USA.
J Urban Health. 2010 Sep;87(5):796-812. doi: 10.1007/s11524-010-9490-0.
Community-based participatory research (CBPR) increasingly is seen as a potent tool for studying and addressing urban environmental health problems by linking place-based work with efforts to help effect policy-level change. This paper explores a successful CBPR and organizing effort, the Toxic Free Neighborhoods Campaign, in Old Town National City (OTNC), CA, United States, and its contributions to both local policy outcomes and changes in the broader policy environment, laying the groundwork for a Specific Plan to address a host of interlocking community concerns. After briefly describing the broader research of which the OTNC case study was a part, we provide background on the Environmental Health Coalition (EHC) partnership and the setting in which it took place, including the problems posed for residents in this light industrial/residential neighborhood. EHC's strong in-house research, and its training and active engagement of promotoras de salud (lay health promoters) as co-researchers and policy change advocates, are described. We explore in particular the translation of research findings as part of a policy advocacy campaign, interweaving challenges faced and success factors and multi-level outcomes to which these efforts contributed. The EHC partnership's experience then is compared with that of other policy-focused CBPR efforts in urban environmental health, emphasizing common success factors and challenges faced, as these may assist other partnerships wishing to pursue CBPR in urban communities.
社区参与式研究(CBPR)越来越被视为一种有力的工具,通过将基于地点的工作与帮助实现政策层面变革的努力联系起来,来研究和解决城市环境健康问题。本文探讨了美国加利福尼亚州旧城区国家城(OTNC)的一项成功的 CBPR 和组织工作——无毒社区运动,以及它对当地政策成果和更广泛政策环境变化的贡献,为解决一系列相互关联的社区问题奠定了基础。在简要描述了 OTNC 案例研究所属的更广泛的研究之后,我们提供了 EHC 合作伙伴关系及其所处背景的背景信息,包括该轻工业/住宅社区居民面临的问题。描述了 EHC 强大的内部研究,以及它培训和积极参与 promotoras de salud(社区卫生促进者)作为共同研究人员和政策变革倡导者的情况。我们特别探讨了将研究结果转化为政策宣传运动的一部分,交织了面临的挑战和成功因素以及这些努力促成的多层次成果。然后,将 EHC 合作伙伴关系的经验与城市环境健康领域其他以政策为重点的 CBPR 努力进行了比较,强调了共同的成功因素和面临的挑战,因为这些因素可能会帮助其他希望在城市社区中开展 CBPR 的合作伙伴。