In pursuit of equity: partnering to improve breast and prostate cancer outcomes among African Americans.

Autor: Enard KR; Department of Health Management & Policy, Saint Louis University, 3545 Lafayette Ave, Room 365, St. Louis, MO, 63104, USA. kimberly.enard@slu.edu., Nicks SE; Department of Social and Public Health, College of Health Sciences and Professions, Ohio University, Grover Center W356, 53 Richland Ave, Athens, OH, 45701, USA., Campbell BA; Helen Diller Family Comprehensive Cancer Center, Division of General Internal Medicine, University of California-San Francisco, 1450 3rd Street, Room HD-556, San Francisco, CA, 94143, USA., McClure SM; Department of Anthropology, University of Alabama, 15 ten Hoor Hall, PO Box 870210, Tuscaloosa, AL, 35475, USA.
Jazyk: angličtina
Zdroj: Cancer causes & control : CCC [Cancer Causes Control] 2021 May; Vol. 32 (5), pp. 473-482. Date of Electronic Publication: 2021 Mar 19.
DOI: 10.1007/s10552-021-01412-6
Abstrakt: Purpose: Community-based participatory research (CBPR) is a collaborative partnership approach that leverages the strengths of academic-community groups to address local problems. CBPR emphasizes equity (e.g., co-learning, power-sharing, participatory decision-making) among groups to achieve goals and promote sustainability. This study examines group dynamics, and their influence on achieving shared goals, within a CBPR-guided partnership established to improve breast and prostate cancer outcomes among underserved African American communities in St. Louis, Missouri.
Methods: We conducted in-person, semi-structured interviews with key academic and community informants and surveyed via email community collaborators involved in outreach activities. Interviews were audiotaped, transcribed, and independently coded by two authors using an iterative, open-coding process to identify major themes. Surveys were summarized using similar coding criteria for open-ended responses and descriptive statistics for discrete responses. Using a grounded theory approach, we summarized and compared themes from each data source to identify similarities and differences and triangulated results to generate overarching thematic findings.
Results: Participants described benefits from the partnership (funding; clinical, public health and evaluation expertise; training and networking opportunities) and found beneficial ways to leverage the partners' strengths in collaborating Participants expressed long-term commitment to sustaining the partnership and building capacity to address cancer disparities, but faced challenges related to power-sharing and participatory decision-making.
Conclusions: Using CBPR to address cancer disparities is an effective approach to capacity-building and achieving shared goals. By evaluating the structures and processes within CBPR collaborations through the lens of equity, partners may identify and address challenges that threaten long-term partnership sustainability.
Databáze: MEDLINE
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