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Social Determinants of Health

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Social Determinants of Health <[log in to unmask]>
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Tue, 2 Aug 2005 12:27:22 -0400
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Social Determinants of Health <[log in to unmask]>
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Linda Green <[log in to unmask]>
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>Announcing the publication of Methods in Community-Based Participatory
>Research 
>for Health Edited by Barbara A. Israel DrPH, Eugenia Eng DrPH, Amy J.
>Schulz 
>PhD, Edith A. Parker DrPH
>
>Written by distinguished experts 

Let's just flag the phrase 'distinguished experts'  for a moment
in light of the claims being made about equal partnerships below.
With the respect due those who have developed CBPR and are 
promoting it so that community based organizations can get into 
line with the requirements of new evidentiary regimes (including
program and outcomes evaluation), I noticed that the principles 
and practices that inform community based participatory research 
are essentially those of community psychology. Given that, I wonder 
about the strength of the argument that CBPR is truly community 
based? I find it very difficult given my exposure to the practices
of knowledge production in the field of psychology to see the field
as capable of leading anything truly grassroots. When I inquired of 
those online recently about the history of usage of the term citizen 
engagement, someone (forgive me for forgetting for the moment 
who that was) responded with a  comparison with the participatory 
approach that is credited to Paolo Freire. However, I want to point
out that from my point of view, it is a significant political leap from 
CBPR to the work of Freire. This was an extremely generous
comparison I think. 

For those who weren't aware of the origins of CBPR in community
psychology, take a look at the book  Community Psychology: Linking
Individuals and communities. Dalton, J.H. (2001). Stamford, Conn.
Wadsworth Publishing.  

>in the field, this book shows how researchers, 
>practitioners, and community partners can work together to establish and 
>maintain equitable partnerships 

why are we so sure these are equitable partnerships? I think 
that assertion may need some reality testing. My experience is 
you don't have to dig very deep to hear how this isn't quite a fit 
on the community side of these partnerships. I suspect we need to 
have a closer look at how the role and power of universities and 
academics in knowledge production are being reasserted and 
redefined by the machinery of evidence based policy making. 

>using a community-based participatory research 
>(CBPR) approach to increase knowledge and improve health and well-being
>of the 
>communities involved. What distinguishes CBPR from other approaches to
>research 
>is the active engagement of all partners in the process. This book
>provides a 
>comprehensive and thorough presentation of CBPR study designs, specific
>data 
>collection and analysis methods, and innovative partnership structures
>and 
>process methods. This book informs students, practitioners, researchers,
>and 
>community members about methods and applications needed to conduct CBPR
>in the 
>widest range of research areas?including social determinants of health,
>health 
>disparities, health promotion, community interventions, disease
>management, 
>health services, and environmental health.

just a few observations. Linda
>

____________________________
Linda Green, OISE/UT
Counselling for Community Settings
[log in to unmask]

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