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The primary Project LinCS research objective centered on identifying ways to make efforts such as large-scale efficacy trials and immunization programs as participatory as possible. HIV vaccine efficacy trials and, ultimately, immunization programs require national coordination across diverse communities. 17 Project LinCS (Linking Communities and Scientists) was undertaken to identify effective strategies for meeting these challenges. 9, 16 We are more likely to validate the effectiveness, or ineffectiveness, of collaborative models if we can identify core dimensions of community that have external validity across communities, are consistent with measures that have internal validity within diverse communities, and have predictive value for community-level health outcomes.Įfforts to develop and test HIV vaccines have highlighted social challenges that make community support, trust, and involvement critical for the long-term success of preventive HIV vaccines. 8, 11– 15 In particular, the lack of an accepted definition of community can result in different collaborators forming contradictory or incompatible assumptions about community and can undermine our ability to evaluate the contribution of community collaborations to achievement of public health objectives. 2– 9 Reviews of the effectiveness of collaborations for improving community health indicate that they can be effective 9– 11 but that there are many potential obstacles to realizing the benefits of a participatory approach in both public health research and programs. 1 Recognition of these facts has led to increased calls for community collaboration as an important strategy for successful public health research and programs. Community context has been identified as an important determinant of health outcomes. PUBLIC HEALTH PROGRAMS and policy are often defined at regional and national levels, but community is, literally, where prevention and intervention take place. These results parallel similar social science findings and confirm the viability of a common definition for participatory public health. Community was defined similarly but experienced differently by people with diverse backgrounds. The participants differed in the emphasis they placed on particular elements of the definition. Cluster analysis was used to identify similarities in the way community was described.Ī common definition of community emerged as a group of people with diverse characteristics who are linked by social ties, share common perspectives, and engage in joint action in geographical locations or settings. Verbatim responses to the question “What does the word community mean to you?” were analyzed. To identify strategies to support community collaboration in HIV vaccine trials, qualitative interviews were conducted with 25 African Americans in Durham, NC 26 gay men in San Francisco, Calif 25 injection drug users in Philadelphia, Pa and 42 HIV vaccine researchers across the United States. This study examined whether members of diverse US communities described community in similar ways.
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Increased emphasis on community collaboration indicates the need for consensus regarding the definition of community within public health.