Published online October 27, 2009
PEDIATRICS Vol. 124 Supplement November 2009, pp. S237-S245 (doi:10.1542/peds.2009-1100L)
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SUPPLEMENT ARTICLE


Community Engagement and its Impact on Child Health Disparities: Building Blocks, Examples, and Resources

Eduardo R. Ochoa, Jr, MDa and Creshelle Nash, MD, MPHb

a Department of Pediatrics, University of Arkansas for Medical Sciences
b Arkansas Minority Health Commission, University of Arkansas for Medical Sciences, Little Rock, Arkansas

National attention to racial and ethnic health disparities has increased over the last decades, but marked improvements in minority health, especially among children, have been slow to emerge. A life-course perspective with sustained community engagement takes into account root causes of poor health in minority and low-income communities. This perspective involves a variety of primary care, public health, and academic stakeholders. A life-course perspective holds great promise for having a positive impact on health inequities. In this article we provide background information on available tools and resources for engaging with communities. We also offer examples of community-primary care provider interventions that have had a positive impact on racial and ethnic health disparities. Common elements of these projects are described; additional local and national resources are listed; and future research needs, specifically in communities around issues that are relevant to children, are articulated. Examples throughout the history of pediatrics show the potential to eliminate racial and ethnic health disparities not only for children but also for all populations across the life course.

Key Words: child health disparities • community engagement • child advocacy • community-based public health

Abbreviations: CDC—Centers for Disease Control and Prevention • AAP—American Academy of Pediatrics • CBO—community-based organization • AMHC—Arkansas Minority Health Commission • REACH—Racial and Ethnic Approaches to Community Health

Accepted Jul 20, 2009.


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