Continuing work begun in 2003, this book analyzes changes in leading health indicators and disparity metrics in St. Louis City and County from 2000 to 2010.

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.

It is a great pleasure to offer this volume from Michael J. Nakkula, Karen C. Foster, Marc Mannes, and Shenita Bolstrom as the latest in the Search Institute Series on Developmentally Attentive Community and Society. Its importance to the series and this ?eld of inquiry and practice is readily evident in its title, Building Healthy Communities for Positive Youth Development. Since the early 1990s, Search Institute has invited and encouraged communities of all shapes and sizes to use its framework of Developmental Assets and principles of asset building to create strong, vibrant, and welcoming communities for children and youth. We have operated largely at the grassroots level, encouraging innovation and adaptation around a shared vision, rather than proposing a program or model for replication. We seek to learn as much from the communities as they learn from us. This book offers in-depth case studies of what happened in eight diverse c- munities that took up our invitation. In them, we see a wide array of strategies and approaches that, on the surface, seem to have little coherence. But, as Nakkula and colleagues found, underlying each of these distinct efforts was a deep commitment to transforming the social norms of community life to more effectively attend to young people’s healthy development throughout the ?rst two decades of life. There have been many ambitious efforts aimed at comprehensive community change on behalf of young people.