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May 2003, Vol 93, No. 5 | American Journal of Public Health 803-811
© 2003 American Public Health Association

RESEARCH AND PRACTICE

Addressing Urban Health in Detroit, New York City, and Seattle Through Community-Based Participatory Research Partnerships

Marilyn M. Metzler, RN, Donna L. Higgins, PhD, Carolyn G. Beeker, PhD, Nicholas Freudenberg, DrPH, Paula M. Lantz, PhD, Kirsten D. Senturia, PhD, Alison A. Eisinger, MSW, Edna A. Viruell-Fuentes, MPH, Bookda Gheisar, MSW, Ann-Gel Palermo, MPH and Donald Softley, PhD

Marilyn Metzler, Donna Higgins, and Carolyn Beeker are with the Centers for Disease Control and Prevention, Atlanta, Ga. Nicholas Freudenberg is with Hunter College, City University of New York. Paula Lantz and Edna Viruell-Fuentes are with the University of Michigan School of Public Health, Ann Arbor. Kirsten Senturia and Alison Eisinger are with Public Health–Seattle and King County, Seattle, Wash. At the time of the study, Bookda Gheisar was with the Cross Cultural Health Care Program in Seattle, Wash. Ann-Gel Palermo is with the Mount Sinai Medical Center in New York City, NY. Donald Softley is with the Pre-Birth Through Three Initiative in Detroit, Mich.

Correspondence: Requests for reprints should be sent to Marilyn Metzler, RN, Centers for Disease Control and Prevention, Mail Stop K-67, 4770 Buford Hwy, NE, Atlanta, GA 30341-3717 (e-mail: mmetzler{at}cdc.gov).

Objective. This study describes key activities integral to the development of 3 community-based participatory research (CBPR) partnerships.

Methods. We compared findings from individual case studies conducted at 3 urban research centers (URCs) to identify crosscutting adaptations of a CBPR approach in the first 4 years of the partnerships’ development.

Results. Activities critical in partnership development include sharing decisionmaking, defining principles of collaboration, establishing research priorities, and securing funding. Intermediate outcomes were sustained CBPR partnerships, trust within the partnerships, public health research programs, and increased capacity to conduct CBPR. Challenges included the time needed for meaningful collaboration, concerns regarding sustainable funding, and issues related to institutional racism.

Conclusions. The URC experiences suggest that CBPR can be successfully implemented in diverse settings.




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