Community engagement in children's environmental health research.
Community engagement strategies and skills can build trust and reduce historical mistrust between researchers, communities, and populations being studied, as well as contribute to the quality of study designs, methods, and dissemination of findings. This review paper discusses why community engagement is of increasing importance in children's environmental health research, describes models and the continuum of methods that are used, and discusses their challenges and benefits. Two case studies, representing different study designs and using different community engagement models and methods, and lessons learned from these cases, are described. Community engagement methods are best understood on a continuum based on the degree to which community members or representatives of community populations are involved in research planning, decision-making, and dissemination. Methods along this continuum include community consultation, community-based participatory research, and community consent to research. Community engagement knowledge and skills are especially important in the conduct of children's environmental health research, with its emphasis on reducing environmental risks at the community level, the increasing focus on genetics and gene-environment interactions, and the importance placed on translation of scientific results into behaviors and policies that protect the community. Across study designs, whether qualitative survey research, an observational epidemiology study, or a randomized intervention trial, understanding community interests, norms, and values is necessary to describe attitudes and behaviors of specific population groups, build evidence of cause and effect between environmental exposures and health, and demonstrate the effectiveness of interventions to reduce risks.
Mount Sinai School of Medicine, New York, NY, USA. barbara.brenner@mssm.edu
Barbara L
BL
Brenner
Melissa P
MP
Manice
D002648:Child; D002669:Child Welfare; D003256:Community Participation; D004782:Environmental Health; D006801:Humans; D012106:Research
Semin Reprod Med. 2009 Sep;27(5):391-402
19711249
Am J Public Health. 2001 Dec;91(12):1938-43
11726369
Ambul Pediatr. 2007 May-Jun;7(3):247-52
17512886
Am J Public Health. 2003 May;93(5):803-11
12721148
IRB. 1991 May-Jun;13(3):7-10
11651047
Am J Public Health. 1997 Dec;87(12):2049-51; discussion 2051-2
9431303
Am J Public Health. 2005 Jul;95(7):1123-7
15983268
Soc Sci Med. 1999 Jul;49(1):39-53
10414839
Science. 2000 Aug 18;289(5482):1142-4
10970227
Environ Health Perspect. 2005 Oct;113(10):1463-71
16203263
Circulation. 2009 May 19;119(19):2633-42
19451365
Environ Health Perspect. 2004 Mar;112(3):388-91
14998758
J Toxicol Environ Health B Crit Rev. 2008 May;11(5-6):373-517
18470797
J Urban Health. 2006 Jan;83(1):101-10
16736358
Environ Health Perspect. 2003 Oct;111(13):1649-53
14527845
Curr Opin Pediatr. 2008 Apr;20(2):184-90
18332716
Annu Rev Public Health. 2008;29:325-50
18173388
Pediatrics. 2010 Sep;126(3):e583-90
20696727
Res Theory Nurs Pract. 2010;24(1):64-73
20333913
J Toxicol Environ Health B Crit Rev. 2007 Jan-Mar;10(1-2):3-39
18074303
Environ Health Perspect. 2010 Apr;118(4):565-71
20106747
Environ Health Perspect. 2002 Apr;110 Suppl 2:155-9
11929724
BMJ. 1998 May 30;316(7145):1628
11645066
MMWR Recomm Rep. 2005 Dec 16;54(RR-15):49-55
16357824
Clin Transl Sci. 2010 Feb;3(1):19-22
20443949
N Engl J Med. 1992 Mar 19;326(12):830-3
1538731
Brain Res Dev Brain Res. 2001 Sep 23;130(1):83-9
11557096
Soc Work Health Care. 2002;35(1-2):359-75
12365749
Environ Health Perspect. 2007 May;115(5):792-8
17520070
Am J Public Health. 1996 May;86(5):678-83
8629719
Neurotoxicology. 2005 Aug;26(4):573-87
16112323
Environ Health Perspect. 2003 Dec;111(16):1855-60
14644657
Am J Public Health. 1996 May;86(5):668-73
8629717
Brain Res Bull. 1997;43(2):179-89
9222531
J Gen Intern Med. 2003 Jul;18(7):558-67
12848839
Brain Res Dev Brain Res. 2000 Jun 30;121(2):179-87
10876030
Annu Rev Public Health. 1998;19:173-202
9611617
Environ Health Perspect. 2010 Jul;118(7):1027-32
20194078
Am J Hum Genet. 1998 Sep;63(3):696-702
9718343
Hastings Cent Rep. 1992 Nov-Dec;22(6):32-5
1428846
Prog Community Health Partnersh. 2009 Spring;3(1):73-81
20208303
Public Health Rep. 2000 Mar-Jun;115(2-3):243-8
10968762