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This bookexamines ways in which cancer health disparities exist due to class and context inequities even in the most advanced society of the world. This volume, while articulating health disparities in the St. Louis, Missouri metropolitan area, including East St. Louis, Illinois, seeks to move beyond deficit models to focus on health equity. As cancer disparities continue to persist for low-income and women of color, the promotion and attainment of health equity becomes a matter of paramount importance. The volume demonstrates the importance of place and the historical inequity in socio-environmental settings that have contributed to marked health disparities. Through original research, this volume demonstrates that addressing the causes and contributors to women’s health disparities is a complex process that requires intervention from a socio-ecological framework, at micro-, meso-, and macro-levels of influence. The book highlights critical aspects of a practical multidimensional model of community engagement with important influences of the various levels of research, policy and practice. More pointedly, the authors support a new model of community engagement that focuses on individuals in their broader ecological context. In so doing, they seek to advance the art and science of community engagement and collaboration, while disavowing the ‘parachute’ model of research, policy and practice that reinforces and sustains the problems associated with the status quo. The bookconcludes with broader national policy considerations in the face of the erosion of the social safety net for America’s citizenry.
The study of LGBT aging is in its infancy. In the absence of federal data on this often hidden population, community groups and organizations from across the country have taken it upon themselves to understand and assess the needs of this first cohort to reach later life in a time of LGBT public consciousness. Eight papers are included in this compilation: three from the east coast (Boston, New York, and Washington, DC), four from the Midwest (Chicago, Bowling Green and surrounding areas, St. Louis, and the twin cities of Minneapolis/St. Paul), and one from the west coast (Palm Springs area). Together, these reports provide a community-based and regionally nuanced image of the strengths of, and the challenges faced by, older LGBT persons—local snapshots that together form a partial tapestry of LGBT aging in the U.S. They also serve as a source of lessons learned in the field—efforts that may be seen to parallel those undertaken by LGBT communities, then forming, during the 1980s and 1990s to address the growing health crisis of HIV/AIDS, a time when formal responses were slow and treatments still being developed. As such, the voice of the communities represented herein—the voices of these older adults—is clear, strong and apparent. This book was originally published as a special issue of the Journal of Homosexuality.