RAND Corporation, 1776 Main St., Santa Monica, CA, 90401, USA.
Los Angeles Metropolitan Churches, Los Angeles, CA, 90011, USA.
J Racial Ethn Health Disparities. 2019 Apr;6(2):254-264. doi: 10.1007/s40615-018-0520-z. Epub 2018 Aug 17.
Faith and public health partnerships offer promise to addressing health disparities, but examples that incorporate African-Americans and Latino congregations are lacking. Here we present results from developing a multi-ethnic, multi-denominational faith and public health partnership to address health disparities through community-based participatory research (CBPR), focusing on several key issues: (1) the multi-layered governance structure and activities to establish the partnership and identify initial health priority (obesity), (2) characteristics of the congregations recruited to partnership (n = 66), and (3) the lessons learned from participating congregations' past work on obesity that informed the development of a multi-level, multi-component, church-based intervention. Having diverse staff with deep ties in the faith community, both among researchers and the primary community partner agency, was key to recruiting African-American and Latino churches. Involvement by local health department and community health clinic personnel provided technical expertise and support regarding health data and clinical resources. Selecting a health issue-obesity-that affected all subgroups (e.g., African-Americans and Latinos, women and men, children and adults) garnered high enthusiasm among partners, as did including some innovative aspects such as a text/e-mail messaging component and a community mapping exercise to identify issues for advocacy. Funding that allowed for an extensive community engagement and planning process was key to successfully implementing a CBPR approach. Building partnerships through which multiple CBPR initiatives can be done offers efficiencies and sustainability in terms of programmatic activities, though long-term infrastructure grants, institutional support, and non-research funding from local foundations and health systems are likely needed.
信仰和公共卫生伙伴关系为解决健康差距提供了希望,但缺乏将非裔美国人和拉丁裔会众纳入其中的例子。在这里,我们展示了通过基于社区的参与式研究 (CBPR) 建立多族裔、多教派信仰和公共卫生伙伴关系以解决健康差距的结果,重点关注几个关键问题:(1) 建立伙伴关系和确定初始健康优先事项(肥胖)的多层次治理结构和活动,(2) 招募参与伙伴关系的会众的特征(n=66),以及 (3) 从参与会众过去在肥胖问题上的工作中吸取的经验教训,这些经验教训为制定多层次、多组成部分、基于教堂的干预措施提供了信息。拥有深厚宗教社区联系的多元化工作人员,无论是在研究人员和主要社区合作伙伴机构中,都是招募非裔美国人和拉丁裔教堂的关键。当地卫生部门和社区卫生诊所人员的参与提供了有关健康数据和临床资源的技术专业知识和支持。选择影响所有亚组(例如非裔美国人和拉丁裔、女性和男性、儿童和成年人)的健康问题 - 肥胖症 - 引起了合作伙伴的高度热情,包括一些创新方面,如文本/电子邮件消息传递组件和社区绘图练习,以确定宣传的问题。允许进行广泛社区参与和规划过程的资金是成功实施 CBPR 方法的关键。通过建立合作伙伴关系,可以开展多个 CBPR 计划,在计划活动方面具有效率和可持续性,尽管可能需要长期基础设施赠款、机构支持以及来自当地基金会和卫生系统的非研究资金。