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Using Community-Based Participatory Approaches to Mobilize Communities for Policy Change

Wynn, Theresa A. PhD; Taylor-Jones, Monica M. PhD, MPH; Johnson, Rhoda E. PhD; Bostick, Pamela B. BS; Fouad, Mona MD

Family & Community Health:
doi: 10.1097/FCH.0b013e318202ee72
Racial and Ethnic Approaches to Community Health (REACH): Translating Processes of Change and Attributing Improved Health Outcomes to Social Determinants of Health Programs: Original Article

The Racial and Ethnic Approaches to Community Health (REACH) Alabama Breast and Cervical Cancer Coalition used community-based participatory research principles to address breast and cervical cancer disparities among Alabama's most vulnerable African American communities. With funding from the Centers for Disease Control and Prevention, the Alabama Breast and Cervical Cancer Coalition implemented a multilevel action plan, which entailed disseminating evidence-based strategies to community organizations interested in addressing cancer and other health disparities. Based on the Alabama Breast and Cervical Cancer Coalition's technical assistance on advocacy, an independent, community-led coalition was formed. This article uses a case study approach to document the steps taken by this empowered coalition to mobilize their community to impact cancer disparities using community-based participatory research principles as a tool to change tobacco and breast and cervical cancer legislation.

Author Information

Division of Preventive Medicine, University of Alabama at Birmingham School of Medicine (Drs Wynn, Fouad), University of Alabama (Dr Johnson), Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (Dr Taylor-Jones); and American Cancer Society, Mid-South Division (Ms Bostick).

Correspondence: Theresa Wynn, PhD, Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Medical Towers Bldg, 1717 11th Ave S, Ste 516A, Birmingham, AL 35294-4410 (

Partial funding for this project was made possible by the Robert Wood Johnson Foundation. Federal funds were not used to support any policy initiatives described in this article.

The findings and conclusions in this report are those of the authors and do not necessarily reflect the official position of the Centers for Disease Control and Prevention.

The authors thank the members of the Smoking Cessation Coalition for their effort and dedication. Special appreciation is extended to Veronica Hall, Sydney Smith, Michael Holtz, our American Cancer Society and Breast and Cervical Cancer Early Detection Program partners and volunteers, and the citizens of Tuscaloosa, Alabama.

Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved