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AJPH First Look, published online ahead of print Nov 29, 2007
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American Journal of Public Health, 10.2105/AJPH.2006.091363

Health Policy and Ethics

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

David Richard Brown 1*, Agueda Hernández 2, Gilbert Saint-Jean 3, Siân Evans 4, Ida Tafari 4, Luther G. Brewster 4, Michel J. Celestin 5, Carlos Gómez-Estefan 6, Fernando Regalado 7, Siri Akal 5, Barry Nierenberg 5, Elaine D. Kauschinger 8, Robert Schwartz 5, J. Bryan Page 9

1 University of Miami Miller School of Medicine
2 Family Medicine & Community Health, Miller School of Medicine
3 Epidemiology and Public Health, Miller School of Medicine, University of Miami
4 Florida International University
5 Family Medicine and Community Health, Miller School of Medicine
6 Carlos Albizu University
7 Miami Dade College
8 University of Miami School of Nursing
9 Chair, Dept of Antrhopology, University of Miami

* To whom correspondence should be addressed. E-mail: dbrown{at}med.miami.edu.


  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.

Key Words: Epidemiology, Health Service Delivery, Race/Ethnicity, Socioeconomic Factors, Qualitative Research, Urban Health




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[Abstract] [Full Text] [PDF]


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