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This Article Full Text Full Text (PDF) Supplemental Information All Versions of this Article: AJPH.2006.091363v1 98/1/28    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via ISI Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Brown, D. R. Articles by Page, J. B. Search for Related Content PubMed PubMed Citation Articles by Brown, D. R. Articles by Page, J. B. Related Collections Epidemiology Other Health Service Delivery Other Race/Ethnicity Socioeconomic Factors Qualitative Research Urban Health

David Richard Brown, MD, Agueda Hernández, MD, Gilbert Saint-Jean, MD, PhD, MPH, Siân Evans, PhD, Ida Tafari, PhD, MPH, Luther G. Brewster, PhD, Michel J. Celestin, MA, Carlos Gómez-Estefan, PhD, Fernando Regalado, PsyD, Siri Akal, MD, Barry Nierenberg, PhD, Elaine D. Kauschinger, MSN, Robert Schwartz, MD and J. Bryan Page, PhD

At the time of the study, David Richard Brown, Agueda Hernández, Michel J. Celestin, Fernando Regalado, Siri Akal, Barry Nierenberg, and Robert Schwartz were with the Department of Family Medicine and Community Health, Miller School of Medicine, University of Miami, Miami, Fla. Gilbert Saint-Jean is with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Fla. Siân Evans is with the DuMonde Conservancy, Miami, Fla. Ida Tafari is with the Department of Sociology and Anthropology, and the African New World Studies program, Florida International University, Miami. Luther G. Brewster is with the Department of Health Promotion and Disease Prevention, Stempel School of Public Health, Florida International University, Miami. Carlos Gómez-Estefan is with the Tallahassee Veteran Affairs Outpatient Clinic, Tallahassee, Fla. Elaine D. Kauschinger is with the School of Nursing, University of Miami, Coral Gables, Fla. J. Bryan Page is with the Department of Anthropology, University of Miami, Coral Gables, Fla.

Correspondence: Requests for reprints should be sent to David Richard Brown, MD, Department of Family Medicine and Community Health, Leonard M. Miller School of Medicine, University of Miami, PO Box 016700, Miami, FL 33101 (e-mail: dbrown{at}med.miami.edu).

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.