- Global Cancer Incidence and Screening
- Health disparities and outcomes
- Cannabis and Cannabinoid Research
- Cancer Risks and Factors
- Smoking Behavior and Cessation
- Nutritional Studies and Diet
- Food Security and Health in Diverse Populations
- Diet, Metabolism, and Disease
- Acute Lymphoblastic Leukemia research
- Urban Transport and Accessibility
- Cardiovascular Health and Risk Factors
- Colorectal Cancer Screening and Detection
- Economic and Financial Impacts of Cancer
- Obesity, Physical Activity, Diet
- Bipolar Disorder and Treatment
- BRCA gene mutations in cancer
- Racial and Ethnic Identity Research
- Homelessness and Social Issues
- Childhood Cancer Survivors' Quality of Life
- Acute Myeloid Leukemia Research
- Urban Green Space and Health
- Urban, Neighborhood, and Segregation Studies
- Cancer survivorship and care
- Migration, Health and Trauma
- COVID-19 and healthcare impacts
The Ohio State University
2012-2025
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
2013-2024
Mercy University Hospital
2023
Tata Memorial Hospital
2023
Ohio University
2022-2023
Rutgers, The State University of New Jersey
2018-2021
Rutgers Cancer Institute of New Jersey
2019
University of Washington
2014-2016
Fred Hutch Cancer Center
2016
Neurobehavioral Systems
2014-2015
Historical structural racism may be associated with racial, ethnic, and geographic disparities in breast cancer outcomes, but few studies have investigated these potential relationships.To test associations among historical mortgage lending discrimination (using 1930s Home Owners' Loan Corporation [HOLC] redlining data), race ethnicity, tumor clinicopathologic features, survival women recently diagnosed cancer.This cohort study used a population-based, state registry to analyze...
Abstract Background: The disproportionate burden of more aggressive breast cancer subtypes among African American/Black women may stem from multilevel determinants. However, data are limited regarding the impacts neighborhood social environmental characteristics Black women. Methods: We evaluated association between neighborhood-level socioeconomic status (nSES) and in Women's Circle Health Follow-up Study, which included 1,220 diagnosed 2005 to 2017 with invasive cancer. nSES at diagnosis...
Abstract As leaders with the American Society of Preventive Oncology (ASPO) Cancer Health Disparities Special Interest Group, we describe role structural racism in perpetuating cancer health inequity historically, and potential implications COVID-19 exacerbating effects on patients seeking screening, diagnostic care, treatment, survivorship support. a strategy to reduce inequities United States, provide following calls action for researchers help alleviate burden racism: (i) identify name...
PURPOSE Adverse neighborhood contextual factors may affect breast cancer outcomes through environmental, psychosocial, and biological pathways. The objective of this study is to examine the relationship between allostatic load (AL), opportunity, all-cause mortality among patients with cancer. METHODS Women age 18 years older newly diagnosed stage I-III who received surgical treatment January 1, 2012, December 31, 2020, at a National Cancer Institute Comprehensive Center were identified....
Abstract Background Clinical trial participation at Comprehensive Cancer Centers (CCC) is inequitable for minoritized racial and ethnic groups with acute leukemia. CCCs care a high proportion of adults It unclear if inequities are due to CCC access, post-access enrollment, or both. Methods We conducted retrospective cohort study leukemia (2010-2019) residing within Massachusetts, the designated catchment area Dana-Farber/Harvard Center (DF/HCC). Individuals were categorized as non-Hispanic...
Abstract Background: Few studies have empirically tested the association of allostatic load (AL) with breast cancer clinicopathology. The aim this study was to examine AL, measured using relevant biomarkers recorded in medical records before diagnosis, unfavorable tumor clinicopathologic features among Black women. Methods: In a sample 409 women nonmetastatic who are enrolled Women's Circle Health Follow-Up Study, we estimated prediagnostic AL two measures: measure 1 [lipid...
The COVID-19 pandemic involved business closures (e.g., gyms), social distancing policies, and prolonged stressful situations that may have impacted engagement in health behaviors. Our study assessed changes cancer-related behaviors during the pandemic, specifically physical activity, fruit/vegetable intake, smoking/tobacco use, alcohol consumption. Eight cancer centers administered mailed/web-based/telephone surveys between June 2020 March 2021. Surveys demographics, perceptions on...
Abstract Background: Observed neighborhood disinvestment is a chronic social determinant that understudied in relation to cancer outcomes. This study investigated associations between disinvestment, stage at diagnosis, and breast cancer-specific survival time. Methods: Individual-level data included 844 women, diagnosed 2013-2019, from the Women’s Circle of Health Follow-up Study, population-based cohort survivors self-identifying as Black or African American. Neighborhood was virtual audit...
Abstract Background Racial discrimination has been associated with decreased health‐related quality of life (QOL) in the general population; however, its impact on QOL cancer survivors is unclear. This study aims to examine how experiences (EOD) breast and whether these associations vary by individual‐ structural‐level factors. Methods The association EOD assessed at baseline (∼12 months post‐diagnosis) was Women’s Circle Health Follow‐up Study, a population‐based longitudinal cohort Black...
Abstract Purpose: Racial discrimination disproportionately affects Black individuals and is associated with adverse mental physical health outcomes. also exhibit higher levels of systemic inflammation compared to other racial ethnic groups, which may contribute disparities in cancer outcomes comorbid conditions. Despite this, the relationship between inflammatory biomarkers survivors remains understudied. This study examines association experiences biomarker a cohort breast survivors....
Importance Racial and ethnic disparities in uterine cancer survival are well-documented; however, limited data exist regarding the interplay of geography, diversity, race ethnicity disparities. Objective To examine associations with cancer–specific according to geographic region regional diversity. Design, Setting, Participants This retrospective cohort study included patients diagnosed from 2000 2019, 17 Surveillance, Epidemiology, End Results registries, grouped by US location ranked...
Background Glioma rates vary by demographic factors and geo-political boundaries this variation suggests higher glioma in groups of socioeconomic position. The primary goal analysis is to investigate the relationship between county position using U.S. Surveillance Epidemiology End Results (SEER) data. Methods Cases were individuals 25+ years diagnosed with 2000 2006 residing within SEER-17 catchment area. County-, sex-, race-, age-specific created order individual-level associations...
Symptoms such as pain, nausea, and anxiety are common in individuals with cancer. Treatment of these issues is often challenging. Cannabis products may be helpful reducing the severity symptoms. While some studies include data on prevalence cannabis use among patients cancer, detailed remain limited, none have reported cannabidiol (CBD) this population. Adult cancer attending eight clinics at a large, NCI-designated Comprehensive Cancer Center completed detailed, cannabis-focused...
Abstract Background National studies reporting the prevalence of cannabis use have focused on individuals with a history cancer without distinction by their treatment status, which can impact symptom burden. While pain is primary motivation to in cancer, magnitude its association remains understudied. Methods We examined and management among 5523 respondents Behavioral Risk Factor Surveillance System history. Survey-weighted proportions respondents’ are reported, stratified status....
Appalachia is a geographic region with existing cancer disparities, yet little known about its burden of HPV-related cancers outside cervical cancer. We assessed the in three Appalachian states and made comparisons to non-Appalachian regions. examined 1996-2008 registry data for Ohio, Kentucky, West Virginia Surveillance, Epidemiology End Results (SEER) 9 program. For each gender, we calculated age-adjusted incidence rates per 100,000 population type (cervical, vaginal, vulvar, penile, anal...
PURPOSE: Black women are disproportionately burdened by comorbidities and breast cancer. The complexities of coordinating care for multiple health conditions can lead to adverse consequences. Care coordination may be exacerbated when is received outside the same system, defined as fragmentation. We examine types practice setting primary cancer assess MATERIALS AND METHODS: analyzed data from a prospective cohort diagnosed with in New Jersey who also had prior diagnosis diabetes and/or...
The effect of neighborhood and healthcare access factors on cancer outcomes among patients enrolled in navigator programs is not clearly understood. This study assessed associations between: (i) diagnostic time to resolution (TTR) (ii) geographic TTR following an abnormal breast or cervical screening test women participating the Ohio Patient Navigator Research Program (OPNRP).
The objective of this study was to assess breast cancer incidence and mortality rates by molecular subtype for cases diagnosed in New Jersey. Data on all primary, histologically confirmed, invasive cancers among women between January 1, 2008 December 31, 2013 were retrieved from the Jersey State Cancer Registry. Age-adjusted calculated each subtype, ageandrace/ethnicity. Logistic regression models, Cox proportional hazards Kaplan Meier curves used describe relative risks incidence,...