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Cheryl R. Merzel, DrPH

The author is with the Center for Applied Public Health, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY.

Correspondence: Requests for reprints should be sent to Cheryl Merzel, DrPH, Mailman School of Public Health, Columbia University, 722 W 168th St, New York, NY 10032 (e-mail: cm449@columbia.edu).

	Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

I appreciate Kuller’s comments, which give me an opportunity to further elucidate several points that are key to understanding contemporary community-based health promotion. The programs reviewed in our article are based on a model of populationwide primary prevention, implemented through a variety of psychosocial strategies targeting multiple health behaviors and conducted on several levels.^1,2 In contrast, the interventions cited by Kuller employed clinical therapies for the purpose of prophylaxis or to treat identified cases. They were not designed to address the goal of population-level behavior change across all levels of risk. Thus, establishing the effectiveness of community-based health promotion programs . . . [Full Text]