A participatory action research pilot study of urban health disparities using rapid assessment response and evaluation

David Richard Brown, Agueda Hernández, Gilbert Saint-Jean, Siân Evans, Ida Tafari, Luther G. Brewster, Michel J. Celestin, Carlos Gómez-Estefan, Fernando Regalado, Siri Akal, Barry Nierenberg, Elaine D. Kauschinger, Robert Schwartz, J. Bryan Page

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Healthy People 2010 made it a priority to eliminate health disparities. We used a rapid assessment response and evaluation (RARE) to launch a program of participatory action research focused on health disparities in an urban, disadvantaged Black community serviced by a major south Florida health center. We formed partnerships with community members, identified local health disparities, and guided interventions targeting health disparities. We describe the RARE structure used to triangulate data sources and guide intervention plans as well as findings and conclusions drawn from scientific literature and epidemiological, historic, planning, clinical, and ethnographic data. Disenfranchisement and socioeconomic deprivation emerged as the principal determinants of local health disparities and the most appropriate targets for intervention.

Original languageEnglish (US)
Pages (from-to)28-38
Number of pages11
JournalAmerican journal of public health
Volume98
Issue number1
DOIs
StatePublished - 2008

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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