Behringer, and Friedell discuss health disparities in Appalachia. The areas considered to be a part of Appalachia have high rates of cancer. The highest rates are seen in cervical cancer, heart disease and premature mortality. Behringer and Friedell utilize studies that were done to gain a better of cancer issues in Appalachia mostly by obtaining information from individuals living in these areas. The authors of the studies utilized by Behringer and Friedell had managed to gain a comprehensive understanding of the relationship that exists between people’s health, their behaviors and their environment. In this article tobacco use and cancer, other chronic diseases, the way religion plays a role in decisions made by individuals living in Appalachian areas across the United States, the lack of appropriate healthcare services and especially cancer treatment facilities are all discussed by utilizing various studies and articles from other authors. Also the role the environment plays on the health of individuals living in these areas and the lack of communication between people and healthcare workers is discussed. Behringer and Friedell mention toward the end that geography, the health care systems, and cultural issues tremendously affect cancer rates in the Appalachians.