Like the First Edition, this book serves as a guide to the science and art of community health promotion. The last decade of research and development has considerably advanced the science of achieving and maintaining health. In this new edition, international contributors share their experiences and expertise about diverse health promotion and point out areas needing adjustment in community implementation, both on an international and domestic level.

Case Illustration for Chapter 2: The FoCaS Project: Improving Breast and Cervical Cancer Screening among Low-Income Women
Case illustration for chapter 2: The FoCaS project: Improving breast and cervical cancer screening among low-income women
Electra D.Paskett
Cathy M.Tatum
RalphD'Agostino Jr.
JuliaRushing
RamonVelez

Breast and cervical cancer account for one third of new cancer cases and 18% of cancer deaths among women in the United States (Landis, Murray, Bolden, & Wingo, 1998). The impact of these cancers, as for most cancers, is greater among older, low-income, and minority women (Miller et al., 1993). These women tend to underuse screening tests (Cervical Cancer Control, 1991; National Cancer Institute Breast Cancer Screening Consortium, 1990; Weinberger et al., 1991) resulting in more late-stage cancers and poorer survival rates (Mandelblatt, Andrews, Kerner, Zauber, & Burnetta, 1991; ...

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