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Ethical Considerations for Conducting Health Disparities Research in Community Health Centers

A Social-Ecological Perspective

Bibliographic Data

ID11028252
AuthorsCarla Boutin-Foster (Carla Boutin-Foster, Ebony Scott, Rosio Ramos, and Anna Rodriguez are with the Division of Clinical Epidemiology and Evaluative Sciences, Weill Cornell Medical Center, New York, NY. Jennifer Melendez, Balavenkatesh Kanna, and Walid Michelen are with the Lincoln Center for Clinical and Community Research, Lincoln Hospital/Generations Plus Northern Manhattan Network, New York City Health and Hospitals Corporation, Bronx, NY.), Carla Boutin‐Foster (0000-0002-8811-1607, Lincoln Medical Center), Ebony Scott (Carla Boutin-Foster, Ebony Scott, Rosio Ramos, and Anna Rodriguez are with the Division of Clinical Epidemiology and Evaluative Sciences, Weill Cornell Medical Center, New York, NY. Jennifer Melendez, Balavenkatesh Kanna, and Walid Michelen are with the Lincoln Center for Clinical and Community Research, Lincoln Hospital/Generations Plus Northern Manhattan Network, New York City Health and Hospitals Corporation, Bronx, NY.), Jennifer Melendez (Carla Boutin-Foster, Ebony Scott, Rosio Ramos, and Anna Rodriguez are with the Division of Clinical Epidemiology and Evaluative Sciences, Weill Cornell Medical Center, New York, NY. Jennifer Melendez, Balavenkatesh Kanna, and Walid Michelen are with the Lincoln Center for Clinical and Community Research, Lincoln Hospital/Generations Plus Northern Manhattan Network, New York City Health and Hospitals Corporation, Bronx, NY.), Anna Rodríguez (0000-0001-6244-5417, Carla Boutin-Foster, Ebony Scott, Rosio Ramos, and Anna Rodriguez are with the Division of Clinical Epidemiology and Evaluative Sciences, Weill Cornell Medical Center, New York, NY. Jennifer Melendez, Balavenkatesh Kanna, and Walid Michelen are with the Lincoln Center for Clinical and Community Research, Lincoln Hospital/Generations Plus Northern Manhattan Network, New York City Health and Hospitals Corporation, Bronx, NY.), Rosio Ramos (0000-0003-2872-6316, Carla Boutin-Foster, Ebony Scott, Rosio Ramos, and Anna Rodriguez are with the Division of Clinical Epidemiology and Evaluative Sciences, Weill Cornell Medical Center, New York, NY. Jennifer Melendez, Balavenkatesh Kanna, and Walid Michelen are with the Lincoln Center for Clinical and Community Research, Lincoln Hospital/Generations Plus Northern Manhattan Network, New York City Health and Hospitals Corporation, Bronx, NY.), Balavenkatesh Kanna (Carla Boutin-Foster, Ebony Scott, Rosio Ramos, and Anna Rodriguez are with the Division of Clinical Epidemiology and Evaluative Sciences, Weill Cornell Medical Center, New York, NY. Jennifer Melendez, Balavenkatesh Kanna, and Walid Michelen are with the Lincoln Center for Clinical and Community Research, Lincoln Hospital/Generations Plus Northern Manhattan Network, New York City Health and Hospitals Corporation, Bronx, NY.), Walid Michelen (Carla Boutin-Foster, Ebony Scott, Rosio Ramos, and Anna Rodriguez are with the Division of Clinical Epidemiology and Evaluative Sciences, Weill Cornell Medical Center, New York, NY. Jennifer Melendez, Balavenkatesh Kanna, and Walid Michelen are with the Lincoln Center for Clinical and Community Research, Lincoln Hospital/Generations Plus Northern Manhattan Network, New York City Health and Hospitals Corporation, Bronx, NY.)
Year2013
Volume103
Issue12
Pages2179-2184
Publication date2013-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2013.301599
PMID24134347
PMCIDPMC3828987
OpenAlexW2057312035
LanguageEN
Citations received3
References cited27

Community health centers (CHCs) provide optimal research settings. They serve a high-risk, medically underserved population in the greatest need of intervention. Low socioeconomic status renders this population particularly vulnerable to research misconduct. Traditional principles of research ethics are often applied to participants only. The social-ecological model offers a comprehensive framework for applying these principles across multiple levels (participants, providers, organizations, communities, and policy). Our experience with the Trial Using Motivational Interviewing, Positive Affect and Self-Affirmation in African-Americans with Hypertension, a randomized trial conducted in CHCs, led us to propose a new platform for discussing research ethics; examine the social, community, and political factors surrounding research conducted in CHCs; and recommend how future research should be conducted in such settings

Community health · Community-based participatory research · Environmental health · Health equity · Participatory action research · Perspective (graphical) · Population · Population health · Psychiatry · Public health · Research ethics · Socioeconomic status · Sociology · Ethics in Clinical Research · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Gerontology

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  • Qualitative Study of Knowledge, Perception, and Behavior Related to Hypertension and Cardiovascular Disease Risk Reduction Among Hypertensive African-Americans in Urban Inner City of South Bronx, New York

    Open Access•Maria Espejo, María M Sánchez Espejo et al.•Journal of Racial and Ethnic…•2019

  • Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

    Aram V Chobanian, George L Bakris et al.•Hypertension•2003

  • How Can We Increase Translation of Research into Practice? Types of Evidence Needed

    Russell E Glasgow, Karen M Emmons•Annual Review of Public Health•2007

  • The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure The JNC 7 Report

    Aram V Chobanian•JAMA•2003

  • An Ecological Perspective on Health Promotion Programs

    Open Access•Kenneth R McLeroy, Daniel L Bibeau et al.•Health Education Quarterly•1988

  • Module Three

    Open Access•Jason P Lott•Developing World Bioethics•2005

  • Human Subjects Protections in Community-Engaged Research

    Open Access•Lainie Friedman Ross, Allan Loup et al.•Journal of Empirical Research on…•2010

  • Ethical Challenges for the "Outside" Researcher in Community-Based Participatory Research

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Unique citing works3
Citations per year0,43
Citation span2019 - 2022 (4)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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