Andrew M. Subica and Brandon J. Brown are with the Department of Social Medicine, Population, and Public Health, Riverside School of Medicine, University of California, Riverside.
Am J Public Health. 2020 Feb;110(2):166-173. doi: 10.2105/AJPH.2019.305450. Epub 2019 Dec 19.
Health disparities adversely affect millions of people living in disadvantaged communities, resisting public health interventions that do not address the specific conditions, driving forces, or health problems in these communities. Drawing from the underutilized science of deliberative methods, we introduce the innovative citizens' panels for health equity approach-a novel methodology that engages public expertise and knowledge of community health needs, risks, and priorities to tailor public health research and interventions for greater relevance and impact on disadvantaged communities.By engaging affected residents and stakeholders in informed deliberation and decision-making about community health disparities, citizens' panels provide important guidance for (1) designing research studies to target the major health disparities affecting disadvantaged communities and (2) tailoring evidence-based interventions to the perspectives, practices, and preferences of disadvantaged residents.Employed as the primary methodology in 2 federally funded projects conducted in California and Arkansas between 2017 and 2019, citizens' panels offer a systematic method for obtaining rich community insight into health disparities, shaping community-informed solutions, and affording disadvantaged communities influence over public health decision-making to stimulate grassroots change and health equity.
健康不平等现象严重影响了生活在弱势社区的数百万人,这些社区抵制那些不解决其特定条件、驱动因素或健康问题的公共卫生干预措施。我们借鉴尚未得到充分利用的审议方法科学,提出了具有创新性的健康公平公民小组方法——一种新的方法,它利用公众的专业知识和对社区健康需求、风险和优先事项的了解,使公共卫生研究和干预措施更符合弱势社区的实际情况,产生更大的影响。通过让受影响的居民和利益攸关方参与关于社区健康不平等问题的知情审议和决策,公民小组为以下方面提供了重要指导:(1) 设计研究以针对影响弱势社区的主要健康不平等问题;(2) 根据弱势居民的观点、实践和偏好调整基于证据的干预措施。公民小组作为 2017 年至 2019 年在加利福尼亚州和阿肯色州开展的 2 个联邦资助项目中的主要方法,为深入了解健康不平等问题提供了一种系统的方法,形成了以社区为导向的解决方案,并使弱势社区能够对公共卫生决策产生影响,以激发基层变革和健康公平。