Community First Communication: Reversing Information Disparities to Achieve Environmental Justice.

We address how information developed and effectively communicated through community based participatory research (CBPR) can reverse long-standing information disparities, empower a community, and be an agent for sustained change. Substantial information and power disparities existed between the polluted community and both the pollution industry and governmental regulators. An environmental justice partnership between a local community organization, physicians, and university performed CBPR and then developed a novel communication strategy to address a series of information disparities around a local water pollution issue. The community established a set of principles to govern the communication of results as soon as they were determined to be scientifically valid, including informing study participants and the community before other interested parties. CBPR results combined with a community-first communication strategy reversed the preexisting information disparities. The novel communication flow reversed the preferential information flow to industry and government associated with the usual scientific publication process. The community was empowered, and industry and government agencies responded positively to study recommendations. The CBPR results together with community first communication led to adoption of both community-wide and individual solutions and provided powerful motivation for behavioral change by industry and residents.