The subject of how best to address the current and future health needs of older adult residents in this country's urban marginalized communities is one that has also received considerable attention in academic, policy, and practice arenas in the past decade. A variety of models have been put forth to achieve the goal of health in these communities but one of the most promising recommendations has been the use of health promotion as a vehicle for reaching and empowering communities of color in both rural and urban America. Older adult-led interventions, as addressed in various sections of this book, is one of the latest and most promising approaches towards health promotion that is grass-roots and community participatory based. Older adult-led health promotion represents an emerging field with tremendous implications for addressing the health needs of marginalized urban older adults in the United States and international.