Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

The upward economic flux of Pike County is having a dramatic impact on the traditional morals and values held by the established community. Drug availability has increased proportionately with improved highway systems, accessibility of money, and increasing numbers of youth with their own cars. Although 75% of the population live in isolated…

This handbook describes the roles that parents, tribal governments, law enforcement personnel, courts, schools, and health care and social service providers play in alcohol and substance abuse intervention and prevention in Indian communities. It explains the legal responsibilities each group has and actions community members should expect the…