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

doi:10.2105/AJPH.2006.091363

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A Participatory Action Research Pilot Study of Urban Health Disparities Using Rapid Assessment Response and Evaluation

Journal article

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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, …

American journal of public health (1971), Vol.98(1), pp.28-38

2008-01

DOI: https://doi.org/10.2105/AJPH.2006.091363

PMCID: PMC2156052

PMID: 18048802

Abstract

Health Policy and Ethics

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.

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.156 Healthcare Policy; 1.156.436 Self-Rated Health
Web Of Science research areas: Public, Environmental & Occupational Health
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Title: A Participatory Action Research Pilot Study of Urban Health Disparities Using Rapid Assessment Response and Evaluation
Creators: David Richard Brown - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Agueda Hernández - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Gilbert Saint-Jean - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Siân Evans - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Ida Tafari - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Luther G Brewster - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Michel J Celestin - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Carlos Gómez-Estefan - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Fernando Regalado - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Siri Akal - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Barry Nierenberg - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Elaine D Kauschinger - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Robert Schwartz - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
J. Bryan Page - At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla
Publication Details: American journal of public health (1971), Vol.98(1), pp.28-38
Publisher: American Public Health Association
Academic Unit: College of A&S; Division of Continuing & International Education (DCIE); UMMG Dept of Family Medicine & Community Health; A&S - Anthropology; DCIE - Office of Professional Advancement
Language: English
Resource Type: Journal article
PMID: 18048802
PMCID: PMC2156052
Record Identifier: 991031562826102976