M any communities around the United States face exigent health problems that are unresponsive to single-solution programs or top-down strate-gies, resulting in the use of community-based participatory research (CBPR) as a framework to address them. 1 In this approach, community and academic partners come together to accomplish results that might be difficult or impossible to achieve alone; pooling resources, mobilizing each other's best talents, and diversifying approaches to problems to enhance interventions and improve outcomes. 2 Community–academic partnerships have demonstrated success in health promotion, illness prevention and disease management, 3,4 health education, 5 health screening, 6,7 and enhanced utilization of health services. 8,9 As " reciprocal inter ac-tional collaborations, " 10(p. 266) partnerships between University Abstract Background: Community–academic partnerships are an increasingly popular approach to addressing community health problems and engaging vulnerable populations in research. Despite these altruistic foci, however, partnerships often struggle with fundamental issues that thwart sustain-ability, effectiveness, and efficiency.
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