- Global Cancer Incidence and Screening
- Cancer Risks and Factors
- Health disparities and outcomes
- Air Quality and Health Impacts
- Smoking Behavior and Cessation
- Cardiovascular Health and Risk Factors
- Nutritional Studies and Diet
- Air Quality Monitoring and Forecasting
- Colorectal Cancer Screening and Detection
- Racial and Ethnic Identity Research
- Vehicle emissions and performance
- Obesity, Physical Activity, Diet
- Economic and Financial Impacts of Cancer
- Health, Environment, Cognitive Aging
- Cancer survivorship and care
- Migration, Health and Trauma
- Liver Disease Diagnosis and Treatment
- Breast Cancer Treatment Studies
- Food Security and Health in Diverse Populations
- Urban Transport and Accessibility
- Noise Effects and Management
- COVID-19 and healthcare impacts
- Head and Neck Cancer Studies
- Prostate Cancer Diagnosis and Treatment
- Health Literacy and Information Accessibility
University of California, San Francisco
2014-2025
UCSF Helen Diller Family Comprehensive Cancer Center
2019-2025
California State University Los Angeles
2024
San Francisco State University
2024
Roots Community Health Center
2024
University of California, Davis
2024
UC Davis Comprehensive Cancer Center
2024
Cancer Prevention Institute of California
2012-2023
Stanford Cancer Institute
2015-2023
City College of San Francisco
2020-2023
Globally, in 2019, chronic obstructive pulmonary disease (COPD) was the third leading cause of death. While tobacco smoking is predominant risk factor, role long-term air pollution exposure increasing COPD remains unclear. Moreover, there are few studies that have been conducted racial and ethnic minoritized socioeconomically diverse populations, while accounting for history other known factors. To evaluate association ambient a multiethnic population California. Among 38,654 African...
Abstract While it is clear that self-reported racial/ethnic discrimination related to illness, there are challenges in measuring or unfair treatment. In the present study, we evaluate psychometric properties of a instrument across groups population-based sample, and test interpret findings from applying two different widely-used approaches asking about Even though found subset items tested tap into single underlying concept, also more likely report on aspects discrimination. Whether race...
Research is limited on the independent and joint effects of individual- neighborhood-level socioeconomic status (SES) breast cancer survival across different racial/ethnic groups.
Abstract Background: Asian Americans (AA) are the fastest growing U.S. population, and when properly distinguished by their ethnic origins, exhibit substantial heterogeneity in socioeconomic status, health behaviors, outcomes. Cancer is second leading cause of death United States, yet trends current patterns mortality burden cancer among AA groups have not been documented. Methods: We report age-adjusted rates, standardized ratios, modeled cancer-related following ethnicities: Indians,...
Previous studies using different exposure methods to assess air pollution and breast cancer risk among primarily whites have been inconclusive. Air pollutant exposures of particulate matter oxides nitrogen were estimated by kriging (NO x , NO 2 PM 10 2.5 ), land use regression (LUR, ) California Line Source Dispersion model (CALINE4, for 57,589 females from the Multiethnic Cohort, residing largely in Los Angeles County recruitment (1993–1996) through 2010. Cox proportional hazards models...
Although the contribution of air pollution to lung cancer risk is well characterized, few studies have been conducted in racially, ethnically, and socioeconomically diverse populations.
We used population-based survey data to estimate the prevalence of self-reported racism across racial/ethnic groups and evaluate association between cancer-related health behaviors.
Abstract Background: The role of comorbidities in survival patients with breast cancer has not been well studied, particularly non-white populations. Methods: We investigated the association specific mortality a multiethnic cohort 8,952 cases within California Breast Cancer Survivorship Consortium (CBCSC), which pooled questionnaire and registry data from five California-based studies. In total, 2,187 deaths (1,122 cancer) were observed through December 31, 2010. Using multivariable Cox...
Low dose CT (LDCT) for lung cancer screening is an evidence-based, guideline recommended, and Medicare approved test but uptake requires further study. We therefore conducted patient provider surveys to elucidate factors associated with utilization. Patients referred LDCT at academic medical center were questioned about their attitudes, knowledge, beliefs on screening. Adherent patients defined as those who met eligibility criteria completed a LDCT. Referring primary care providers within...
Importance Socioeconomic status may help delineate racial and ethnic inequities in mortality. Objective To investigate the joint associations of race, ethnicity, neighborhood individual socioeconomic with Design, Setting, Participants This prospective analysis used data from Multiethnic Cohort Study. A population-based sample participants recruited California (mainly Los Angeles County) Hawaii 1993 to 1996 was followed up until 2013. African American, European Japanese Latino Native Hawaiian...
Proponents of survey evaluation have long advocated the integration qualitative and quantitative methodologies, but this recommendation has rarely been practiced. We used both methods to evaluate "Everyday Discrimination" scale (EDS), which measures frequency various types discrimination, in a multi-ethnic population. Cognitive testing included 30 participants race/ethnic backgrounds identified items were redundant, unclear, or inconsistent (e.g., cognitive challenges quantifying acts...
Abstract Background: The incidence of colorectal cancer in the United States declined substantially over past 20 years, but evidence suggests that among younger adults (under 50 years at diagnosis), is increasing. However, data on age- and stage-specific trends across racial/ethnic groups are limited. Methods: All incident cases diagnosed from 1990 through 2014 aged older were obtained California Cancer Registry. Incidence rates (per 100,000), rate ratios, triannual percent changes estimated...
Given rising rates of breast cancer in parts Asia, immigrant Asian American women the United States may have higher than previously anticipated. This study examined risk among by nativity and percentage life lived States, accounting for established factors.
Although lung cancer incidence rates according to smoking status, sex, and detailed race/ethnicity have not been available, it is estimated that more than half of Asian American, Native Hawaiian, Pacific Islander (AANHPI) females with never smoked.
<p>Supplemental Figure 1. Age distributions from 2019 vs. 2021 American Community Survey (ACS) 2019-2021</p>
<p>Supplemental Table 1. Population counts per pandemic time period and absolute change in percentage of late-stage cancer diagnoses for Post-Shutdown #2 Post-Vaccine Rollout</p>
<div>AbstractBackground:<p>The COVID-19 pandemic and associated shutdowns disrupted healthcare access resulted in decreased cancer screenings. Cancer diagnosis delays have concerning downstream effects on late-stage cancer, especially for marginalized populations.</p>Methods:<p>The study population included 349,458 adults the California Registry diagnosed with between January 2019 December 2021, during which experienced two stay-at-home orders. We examined percentage...
363 Background: For men with clinically localized PCa, treatment selection guided by patient age, comorbidities, and tumor characteristics can offer improved outcomes. While informative, these observations remain difficult to translate into local, state, federal policy change eliminate health disparities for communities at greater risk. We sought examine how community SVI influences primary treatment, a key determinant of cancer outcomes, PCa treated primarily in setting. Methods: Men...