Addressing urban health in Detroit, New York City, and Seattle through community-based participatory research partnerships.

OBJECTIVE This study describes key activities integral to the development of 3 community-based participatory research (CBPR) partnerships. METHODS We compared findings from individual case studies conducted at 3 urban research centers (URCs) to identify crosscutting adaptations of a CBPR approach in the first 4 years of the partnerships' development. RESULTS Activities critical in partnership development include sharing decision-making, defining principles of collaboration, establishing research priorities, and securing funding. Intermediate outcomes were sustained CBPR partnerships, trust within the partnerships, public health research programs, and increased capacity to conduct CBPR. Challenges included the time needed for meaningful collaboration, concerns regarding sustainable funding, and issues related to institutional racism. CONCLUSIONS The URC experiences suggest that CBPR can be successfully implemented in diverse settings.

[1]  W. Carman,et al.  Glucose tolerance during pregnancy and birth weight in a Hispanic population. , 1999, Obstetrics and gynecology.

[2]  J. Krieger,et al.  Increasing influenza and pneumococcal immunization rates: a randomized controlled study of a senior center-based intervention. , 2000, American journal of preventive medicine.

[3]  B. Israel,et al.  Review of community-based research: assessing partnership approaches to improve public health. , 1998, Annual review of public health.

[4]  J. Henne,et al.  The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: findings from 3 US cities. , 2001, American journal of public health.

[5]  L. Leviton,et al.  Preventing Halloween Arson in an Urban Setting: A Model for Multisectoral Planning and Community Participation , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[6]  V. Gamble Under the shadow of Tuskegee: African Americans and health care. , 1997, American journal of public health.

[7]  D. McCaffrey,et al.  Racial differences in functional status among elderly U.S. migrants from the South. , 1998, Social science & medicine.

[8]  C P Jones,et al.  Levels of racism: a theoretic framework and a gardener's tale. , 2000, American journal of public health.

[9]  A. Macaulay,et al.  Participatory research maximises community and lay involvement , 1999 .

[10]  A Allen,et al.  The Detroit Community-Academic Urban Research Center: development, implementation, and evaluation. , 2001, Journal of public health management and practice : JPHMP.

[11]  J. Martin,et al.  Impact of maternal nativity on the prevalence of diabetes during pregnancy among U.S. ethnic groups. , 1999, Diabetes care.

[12]  B. Israel,et al.  Conducting a participatory community-based survey for a community health intervention on Detroit's east side. , 1998, Journal of public health management and practice : JPHMP.

[13]  T. Matte,et al.  Medication use among children with asthma in East Harlem. , 2000, Pediatrics.

[14]  S. Galea,et al.  Needle Exchange Programs and Experience of Violence in an Inner City Neighborhood , 2001, Journal of acquired immune deficiency syndromes.

[15]  S. Galea,et al.  Health care utilization among young adult injection drug users in Harlem, New York. , 2001, Journal of substance abuse.

[16]  J. Lew,et al.  Disease progression in a cohort of infants with vertically acquired HIV infection observed from birth: the Women and Infants Transmission Study (WITS). , 1998, Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association.

[17]  J. Krieger,et al.  Cost-effectiveness of combined outreach for the pneumococcal and influenza vaccines. , 2001, Archives of internal medicine.

[18]  J. Jackson,et al.  Unfair treatment, neighborhood effects, and mental health in the Detroit metropolitan area. , 2000, Journal of health and social behavior.

[19]  J. Curran,et al.  Tuskegee: from science to conspiracy to metaphor. , 1999, The American journal of the medical sciences.

[20]  Hagey Rs The use and abuse of participatory action research. , 1997 .

[21]  K. Senturia,et al.  Researcher and Researched-Community Perspectives: Toward Bridging the Gap , 2001, Health education & behavior : the official publication of the Society for Public Health Education.

[22]  R. Yin Case Study Research: Design and Methods , 1984 .

[23]  N. Wallerstein,et al.  Introduction to Community Empowerment, Participatory Education, and Health , 1994, Health education quarterly.

[24]  D. Vlahov,et al.  Prevalence, incidence, and correlates of chlamydia and gonorrhea among young adult injection drug users. , 2001, Journal of substance abuse.

[25]  M. Patton Qualitative research & evaluation methods , 2002 .

[26]  P. Shepard,et al.  The adolescent years: an academic-community partnership in Harlem comes of age. , 2000, Journal of public health management and practice : JPHMP.

[27]  Andrea Cornwall,et al.  What is participatory research? , 1995, Social science & medicine.

[28]  T. S. Jones,et al.  Injection and syringe sharing among HIV-infected injection drug users: implications for prevention of HIV transmission. Supplement to HIV/AIDS Surveillance Group. , 1998, Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association.

[29]  P. Braveman,et al.  An approach to studying social disparities in health and health care. , 2004, American journal of public health.

[30]  A. Raj,et al.  Community empowerment paradigm drift and the primary prevention of HIV/AIDS. , 1998, Social science & medicine.

[31]  R. Lichtenstein,et al.  Disentangling Measures of Individual Perceptions of Community Social Dynamics: Results of a Community Survey , 2001, Health education & behavior : the official publication of the Society for Public Health Education.

[32]  B. Israel,et al.  Social inequalities, stressors and self reported health status among African American and white women in the Detroit metropolitan area. , 2000, Social science & medicine.

[33]  Allen Dearry,et al.  Community-based participatory research as a tool to advance environmental health sciences. , 2002, Environmental health perspectives.

[34]  B. Israel,et al.  Establishing LA VIDA: A Community-Based Partnership to Prevent Intimate Violence against Latina Women , 1999, Health education & behavior : the official publication of the Society for Public Health Education.

[35]  B. Israel,et al.  Conducting a Participatory Community-Based Survey: Collecting and Interpreting Data for a Community Health Intervention on Detroit's East Side. , 1999 .

[36]  B. Israel,et al.  Detroit's East Side Village Health Worker Partnership: Community-Based Lay Health Advisor Intervention in an Urban Area , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[37]  K. Senturia,et al.  Improving collaboration between researchers and communities. , 2000, Public health reports.

[38]  K. Senturia,et al.  Qualitative Process Evaluation of Urban Community Work: A Preliminary View , 2002, Health education & behavior : the official publication of the Society for Public Health Education.

[39]  Shawna L. Mercer,et al.  Can public health researchers and agencies reconcile the push from funding bodies and the pull from communities? , 2001, American journal of public health.

[40]  R. M. White Unraveling the Tuskegee Study of Untreated Syphilis. , 2000, Archives of internal medicine.

[41]  J Hatch,et al.  Community research: partnership in black communities. , 1993, American journal of preventive medicine.

[42]  E. Kieffer,et al.  Maternal obesity and glucose intolerance during pregnancy among Mexican-Americans. , 2000, Paediatric and perinatal epidemiology.

[43]  E. Diamandis,et al.  Circulating testosterone and prostate-specific antigen in nipple aspirate fluid and tissue are associated with breast cancer. , 2002, Environmental health perspectives.

[44]  J. Himes,et al.  Influence of diabetes during pregnancy on gestational age-specific newborn weight among US black and US white infants. , 1998, American journal of epidemiology.

[45]  M. Metzler,et al.  CDC Urban Research Centers: community-based participatory research to improve the health of urban communities. , 2001, Journal of women's health & gender-based medicine.

[46]  N. Freudenberg Community-Based Health Education for Urban Populations: An Overview , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[47]  D. Vlahov,et al.  Factors associated with prevalent hepatitis C: differences among young adult injection drug users in lower and upper Manhattan, New York City. , 2001, American journal of public health.

[48]  M. Klevens,et al.  Differences by ancestry in sociodemographics and risk behaviors among Latinos with AIDS. The Supplement to HIV and AIDS Surveillance Project Group. , 1997, Ethnicity & disease.

[49]  Edith A. Parker,et al.  Coalition building for prevention: lessons learned from the North Carolina Community-Based Public Health Initiative. , 1998, Journal of public health management and practice : JPHMP.

[50]  Jason Corburn,et al.  Combining community-based research and local knowledge to confront asthma and subsistence-fishing hazards in Greenpoint/Williamsburg, Brooklyn, New York. , 2001, Environmental health perspectives.

[51]  V. Gamble A legacy of distrust: African Americans and medical research. , 1993, American journal of preventive medicine.