Glossary entry

English term or phrase:

community-based

English answer:

subjects recruited from general population

Added to glossary by Maksym Nevzorov
Jun 17, 2007 20:16
16 yrs ago
16 viewers *
English term

community-based

English Medical Medical (general) clinical studies
There is some uncertainty as to what is the definition of "community-based". Can someone help clarify this?

Some samples:
http://www.annals.org/cgi/content/abstract/143/11/785
http://www.nature.com/jea/journal/v14/n5/abs/7500337a.html

Responses

+8
12 mins
Selected

subjects recruited from general population

Community-based studies recruit subjects from the general population - usually a subgroup or "community" - rather than from a clinical/hospital population.

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Note added at 17 mins (2007-06-17 20:34:17 GMT)
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See here for excellent discussion on what constitutes a "community" in health intervention research:
http://epirev.oxfordjournals.org/cgi/reprint/24/1/72.pdf

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Note added at 9 hrs (2007-06-18 06:08:11 GMT)
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I am an epidemiologist by the way, so I do know what I'm talking about :-)

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Note added at 18 hrs (2007-06-18 14:28:47 GMT)
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A "community" can be any more or less geographically defined/confined group: a city, a country, a region, a particular part of a city, a population group with characteristics that make them part of a community (ethnicity, occupation, schoolchildren, etc). (Do read my link up there!) But the main point about commmunity-based studies is that the population being studied is NOT a clinical or hospital based group.
Peer comment(s):

agree Piotr Sawiec
12 mins
agree Elena Aleksandrova
58 mins
agree Michael Barnett : Yes. Although this is not stated explicitely in your ref, the term "community based" is usually used in contradistinction to "hospital based". http://www.cmaj.ca/cgi/content/full/167/9/997
2 hrs
Thanks Michael, especially for your supportive commet below :-)
agree Vicky Papaprodromou
7 hrs
agree kmtext
10 hrs
agree Pham Huu Phuoc
15 hrs
agree Alexandra Tussing
1 day 6 hrs
agree Alfa Trans (X)
3 days 21 hrs
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Dear Sue Levy, thank you for this very clear explanation and a wonderful link, which was something I was really looking for to clear my doubts. It is quite well demonstrated, that emphasizing of geographical boundaries in the definition of a "community-based" is not necessary, because it is just the most easy way to define a community, and therefore the most common, but it surely is not something that makes the "community-based studies" distinct from other studies. A hospital-based study, conducted within a single hospital, may very well fit Alexander's definition in terms of "participants come from the population of a particular city", but it will not be a community-based study, because it is a hospital-based one."
+4
1 hr

study subjects/participants come from the population of particular cities/regions.

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Note added at 1 day2 hrs (2007-06-18 23:13:23 GMT)
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Maxim, there are plenty of references supporting my interpretation, including the ones cited by Sue. I trust that you are a professional translator, perfectly capable of doing your research to confirm or contradict possible interpretations, whether you come up with those interpretations yourself or somebody else suggests them. Unless, of course, your just don't have time to do that. Then, please let me know, and I will be happy to look for references and provide them promptly, possibly with the help of a number of my associates, who are standing by.

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Note added at 1 day3 hrs (2007-06-18 23:57:34 GMT)
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No problem. Any time.
Note from asker:
Alexander, could you please give some links to provide evidence for the "cities/regions" part of your definition?
Sorry. I really didn't read the paper, which was referenced by Sue Levy, only glanced at it. Now I can see there are some good grounds for your answer there. Thank you for your time.
Peer comment(s):

agree Olga B
1 hr
Thanks, Olga!
agree Caroline Moreno : This answer is more specific (and more correct) than the previous. Based on the context in the two links given, I agree with Alexander.
8 hrs
Thanks, Caroline!
agree Darya Kozak
11 hrs
Thanks, Danissimo!
agree Alexandra Tussing
1 day 5 hrs
Thanks, Rusinterp.
Something went wrong...
1 day 7 hrs

Not for points - in support of Dr. Levy's answer.

I have seen this term 30 times/week for the past 20 years and as an epidemiologist, Sue must see it 300 times/wk. The nuance is always that the data is derived from the general population, not a clinical (hospital based) population. It has nothing to do with particular cities or regions.

Cataracts cause about 50% of world blindness. There is little likelihood of effective prevention becoming available in the next few years and so the only treatment will remain surgical. For many of the other major causes of world blindness, like trachoma, xerophthalmia and onchocerciasis, the remedy is community-based, not hospital-based, and requires prevention rather than treatment. The prevalence of blinding cataract will only increase as people live longer, so cataract will continue to be, by far, the most important treatable cause of blindness.
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