This comprehensive survey of the changes in Kentucky's population and economy furnishes graphic evidence of the value of demographic data to all who must plan health programs and offers an example to Kentucky and to other states and areas.

Kentucky has more cancer diagnoses and cancer-related deaths than any other state in the nation, and most of these cases are concentrated in the fifty-four counties that constitute the Appalachian region of the commonwealth. These high rankings can be attributed to factors such as elevated smoking rates, unhealthy eating habits, lower levels of education, and limited access to health care. What is lost in the statistics is just how life-changing cancer can be—something that editors Nathan L. Vanderford, Lauren Hudson, and Chris Prichard have endeavored to address. The Cancer Crisis in Appalachia features essays written by a group of twenty high school and five undergraduate students, all of whom are residents of Kentucky's Appalachian region and are participants in the University of Kentucky Markey Cancer Center's Appalachian Career Training in Oncology (ACTION) program, which is funded by the National Cancer Institute's Youth Enjoy Science Program. These authentic and candid student essays detail the effects of cancer diagnoses and deaths on individuals, families, friends, and communities, and proclaim these cases as more than nameless statistics. The authors shed light on personal cancer stories in hopes of inspiring readers to avoid cancer-risk behaviors, get involved with cancer-prevention initiatives, give generously, and uplift cancer patients and their loved ones.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.