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Book Reviews : Public Health Advocacy: Creating Community Change to Improve Health, D.G. Altman, F.E. Balcazar, S.B. Fawcett, T. Seekins, and J.Q. Young, Palo Alto, CA, Stanford Center for Research in Disease Prevention, 1994, 162 pp

Citizen involvement and advocacy are increasingly being seen as a necessary part of the solution to some of our most intractable public health problems (i.e., substance abuse, violence, teen pregnancy). Grassroots advocacy efforts are promoted as a way of leveraging limited resources, empowering local constituencies to make the institutions affecting them more accountable, and responding to decreasing support from federal and state governments.’ Empirical and anecdotal descriptions of the success of local efforts are beginning to appear, as well as analyses of the factors that contribute to coalitional and advocacy effectiveness. 2,3,4 However, the availability of materials that can actually be used by grassroots groups to build their capacity as community health activists has been much more limited. How exactly does one support grassroots groups in translating their commitment to community change into action? Is there a systematic way of building the capacity of grassroots advocates beyond luck and the &dquo;art&dquo; of experienced organizers? Public Health Advocacy addresses this gap by providing an overview of the