Argues that culture change or modification of the social structure is necessary for effective health promotion because health behavior is closely tied to basic group structures and processes. Examines the health attitudes of Mormons, low income and minority groups, and developing Islamic nations, emphasizing attitudes towards education and women.…

The Chulupi Indians of Paraguay use a humorous tale containing an incest sequence to transmit information and approved social attitudes toward incest to members of their culture. Accounts of incestuous rape need to be included in United States prevention programs to deter this destructive form of child sexual abuse. (JDD)