SPH banner image
Home arrow The School arrow Diversity arrow Health disparities research

Health disparities research Print

Department of Epidemiology
Department of Health Behavior and Health Education
Department of Health Policy and Management
Department of Maternal and Child Health
Department of Nutrition
Other


Department of Epidemiology

Robert Sandler, Professor

Project Title: Population Study of Rectal Cancer in Blacks and Whites

Description of Work: The primary goal of the proposed research is to examine possible exposure, susceptibility, and health care factors that might explain diverging incidence and mortality trends in blacks and whites.

Project Dates: July 11, 1996-June 30, 2008

Type of Grant: R01

Project Title: Prognostic and Predictive Factors in Outcome of Patients with Colorectal Cancer
Description of Work:
The specific aims of this study are: 1) To determine which patient, treatment and molecular characteristics of colon tumors are independent predictors of prognosis. 2) To determine interactions between tumor characteristics and treatment factors and the response to therapy. 3) To determine whether racial differences in tumor characteristics are responsible for the worse 5-year survival in colorectal cancer in blacks.
Project Dates: April 1, 2004-March 31, 2009
Type of Grant: P50

Anissa Vines, Research Assistant Professor

Project Title: Psychosocial Stress and the Risk of Uterine Fibroids
Description of Work:
African American women tend to be at a 2 to 9-fold higher risk of being diagnosed at a younger age and/or with larger more advanced fibroids than white women.  The objective of this application is to examine the association between measures of stress and the risk of fibroids among a randomly selected group of premenopausal women between the ages of 35 and 49 years.
Project Dates: September 11, 2006-August 31, 2008
Type of Grant: R03

Steve Wing, Associate Professor

Project Title: Community Health Effects of Industrial Hog Operations
Description of Work:
This project will provide new scientific data on exposures and human health effects of swine confined animal feeding operations (CAFOs) and increase the capacity of communities in eastern NC to improve public health conditions in an underdeveloped region of the United States.

Project Dates: September 30, 2001-July 31, 2008

Type of Grant: R01

 

Project Title: Local Health Impacts of Land Application of Sewage Sludge
Description of Work:
Approximately 16,000 municipal waste water treatment plants in the US produce over seven million tons (dry weight) of residual sludge each year; most is applied to agricultural lands as free fertilizer. This sludge, also known as biosolids, consists of sediments resulting from the treatment of waste water from homes, streets, schools, hospitals, and industries. Many affected communities are in low income, rural areas, making land application of sludge an environmental justice issue. Using CBPR methods developed in prior research on human exposure to hog waste, and building on community and research partnerships solidified at a recent participatory workshop, the current project will conduct an assessment of off-site migration of sludge constituents linked to an epidemiologic study of neighbors of sites permitted for land application of sludges.

Project Dates: September 12, 2007-July 31, 2012

Type of Grant: R01

(back to top)


Department of Health Behavior and Health Education

Eugenia Eng, Professor

Project Title: Greensboro Cancer Care and Racial Equity Study (CCARES): A CBPR Approach
Description of Work:
The "Greensboro Cancer Care and Racial Equity Study: A CBPR Approach" will investigate the complexities in the system of healthcare which may explain deviations from reasonable breast cancer care obtained by African American patients, as compared to White patients.
Project Dates: September 1, 2006-August 31, 2008
Type of Grant: R21

Project Title: The Black Church and CVD: Are We Our Brother's Keeper? 

Description of Work: The project seeks to investigate the burden of CVD outcomes for rural African American men in Orange County, NC by: (1) documenting the cultural tools of 26 rural Black churches' sacred role and their associations with the secular role of providing service to benefit men; (2) identifying and describing interruptions or deviations from the standard course of CVD screening and care, and perceived reasons from the points of view of men; and (3) comparing men's adherence to CVD care between an intervention and comparison church, before and after piloting a church- based Navigator protocol, which builds on elements of the church's sacred and secular roles, in partnership with a health department nurse.

Project Dates: September 1, 2007-May 31, 2009

Type of Grant: R21

Laura Linnan, Associate Professor

Project Title: Promoting CIS Among Black Men in Barbershops
Description of Work:
The proposed pilot study will utilize community-based participatory research methods to test barbershop-based intervention strategies that encourage Black men to call CIS' 1-800-4-CANCER for colorectal and prostate cancer information.
Project Dates: September 25, 2006-August 31, 2008
Type of Grant: R21

Project Title: Interventions to Control Obesity in Colleges
Description of Work:
In collaboration with the North Carolina Community College System, NC Blue Cross Blue Shield, and the State Teachers and Employee Medical Plan, the proposed five-year study will test two promising worksite-based weight loss interventions (Web-based Weight Loss Program and Incentive Payments) among 936 overweight/obese employees in 12 community college settings.
Project Dates: September 1, 2006-May 31, 2011
Type of Grant: R01

(back to top)



Department of Health Policy and Management

Peggye Dilworth-Anderson, Professor

Project Title: Closing the Gap on Minority Aging and Health Research
Description of Work:
The overall goal of this award is to develop a research and academic training structure on ethnic minority aging at the University of North Carolina.
Project Dates: September 1, 2004-August 31, 2009
Type of Grant: K07

Jessica Lee, Assistant Professor

Project Title:  Examination of Oral Health Literacy in Public Health Practice
Description of Work: The purpose of this project is to examine how a low dental literacy population interprets dental health prevention information, navigates the dental health system and whether participation in a large comprehensive public health program (WIC) can be effective in improving this process for pregnant women and their children and reduce health disparities.
Project Dates: August 1, 2007-July 31, 2012
Type of Grant: R01

Sally Stearns, Associate Professor

Project Title: Acute Coronary Syndrome Outcomes for Medicare Patients
Description of Work:
  One of the aims of this project is to determine if age, comorbidity presence, race and/or gender are associated with disparate outcomes within the selected treatment modality in Medicare ACS patients.

Project Dates: September 15, 2007-June 30, 2010

Type of Grant: R01

(back to top)



Department of Maternal and Child Health

Vijaya Hogan, Clinical Associate Professor

  

Project Title: Impact of Social Factors on the Effectiveness of a Preconceptional PTB Program

Description of Work:  The project’s immediate objective is to integrate social science and epidemiologic methods to understand effects of social exposures on vulnerable populations. The long-term objective is to reduce national rates of preterm birth and disparities by developing and applying this integrated knowledge to the design, implementation and evaluation of effective multi-level (behavioral, social and clinical) randomized controlled interventions.

Project Dates: August 14, 2007-June 30, 2012

Type of Grant: K01

Andrea Weathers, Assistant Professor

Project Title: N/A

Description of Work: For children of immigrants, Dr. Weathers’ cutting edge research publications are among the earliest reports of the effect of caretaker nativity on disparities in child health and access to care.  Her reports also reveal disparities in health access among children of immigrants by race and ethnicity.  Currently, she is preparing to conduct the first population-based, multi-state sample of migrant families in the U.S. with children.  Results from this study will provide information that has been needed for decades regarding factors associated with access to care for migrant workers and their children.

Project Dates: N/A

Type of Grant: Health Services Research Association (R40MC05470)

 

(back to top)

 



Department of Nutrition 

Alice Ammerman, Professor

Project Title: Primary Care and Communities Tackling Obesity in Kids
Description of Work:
The epidemic of childhood obesity and resulting health and economic consequences are now widely recognized.  Low income and minority children are at highest risk and contribute most to the economic burden.  This project will determine the proportion of providers who, when linked with local community leaders, state and local public health resources, models for change, and ongoing technical assistance, will report meaningful action steps toward community-based environmental and policy change supporting healthy eating and increased physical activity as measured by the ProgressSChecktracking system.
Project Dates: September 1, 2005-June 30, 2010
Type of Grant: R01

Barry Popkin, Professor

Project Title: Physical Environment Dynamics, Inequality and Obesity
Description of Work:
This study focuses on how numerous community characteristics interact with race/ethnicity and other key socioeconomic factors to affect physical activity, inactivity, and overweight status in American youths as they make the transition from adolescence to adulthood.

Project Dates: July 15, 2003-June 30, 2008

Type of Grant: R01

Project Title: Young Adult Environmental and Physical Activity Dynamics
Description of Work:
This longitudinal study will link contemporaneous geographic locations of respondents with physical environment variables and data from an exceptional dataset including quality physical activity data.  It will use four study years (1985, 1992, 1995, and 2001) of the Coronary Artery Risk Development in Young Adults Study [CARDIA], a longitudinal study of the antecedents and risk factors for cardiovascular disease in an ethnicity-, age- and sex-balanced cohort of 5,115 black and white young adults aged 18-30 years at baseline to examine relationships between environmental factors and physical activity.
Project Dates: September 17, 2004-August 31, 2009
Type of Grant: R01

Project Title: Diet, Activity, Obesity & The Built Environment Dynamics
Description of Work:
This proposed longitudinal study will link contemporaneous geographic locations of respondents with diet-related (e.g., food shopping and eating options) and activity-related (e.g., recreation, community design) built environment variables to data from an exceptional dataset including quality diet and physical activity data. A central issue is determining modifiable environment factors that may reduce ethnic and socioeconomic differentials in health status.
Project Dates: September 12, 2005-June 30, 2010
Type of Grant: R01

Project Title: Nutrition-Related NCD Prevention Training in China
Description of Work:
UNC and its collaborators are global leaders in health care financing in the developing world, and in the nutrition transition and an understanding of dynamic causes of the shift in diet, activity and body composition patterns.  With the assistance of the proposed training grant, UNC will be poised to help strengthen the research training related to macro policy research and implementation and related programmatic issues.  This proposed training proposal focuses on this training agenda in combination with Beijing University, in particular the new Health Economics Department, and the Chinese Center for Disease Control.
Project Dates: September 28, 2006-April 30, 2011
Type of Grant: D43

June Stevens, Chair and Distinguished Professor

Project Title: Development of a tool to measure food availability in the home
Description of Work:
Studies of the home food environment can increase our understanding of the causes of energy over-consumption and provide clues to help create effective obesity prevention programs. This study will recruit 80 families from a NIH-funded study that films African American mothers feeding infants in their homes and perform 3 home inventories (separated by at least 2 months). The work will result in improved methodology that can be used for direct assessment of the home food environment as well as provide a criterion method for the development of less resource intensive methods such as questionnaires.
Project Dates: July 1, 2006-June 30, 2008
Type of Grant: R21

Project Title: Trial of Activity for Adolescent Girls (TAAG)

Description of Work:  There is no question that the declines in physical activity that have been observed in American youth need to be reversed, and that this problem is most critical in girls.  This proposal is to establish a Coordinating Center for a multicenter study to test the hypothesis that a rnulticomponent school-based and community- linked intervention can prevent a decline in physical activity levels and cardiorespiratory fitness in middle school girls.

Project Dates: September 30, 2000-August 31, 2008

Type of Grant: U01

Jessie Satia, Assistant Professor

Project Title: Racial Differences in Lifestyle Modification in Men with Newly Diagnosed Prostate Cancer
Description of Work:
The primary objective of this Department of Defense funded study is to determine whether men diagnosed with prostate cancer make changes in dietary intake, physical activity, and use of dietary supplements, and the extent to which the changes differ by race (African Americans and Whites).  The long-term goal is to ascertain whether racial differences in these health behaviors may explain disparities in prostate cancer prognosis, i.e., higher mortality in African Americans.
Project Dates: August 1, 2004-July 31, 2008
Type of Grant: DoD Prostate Scholar Award (DAMD17-PC03-HDT)

(back to top)



Other

Barbara Rimer, Dean, School of Public Health

Project Title: Comprehensive Cancer Control Collaborative NC (4CNC)
Description of Work:
This grant supports the development of infrastructure to accelerate population level behavioral changes to eliminate unnecessary colorectal, breast and tobacco-related cancer deaths by developing and/or adapting CPC interventions, and adopting, replicating and implementing effective programs in communities.  UNC is one of eight grantees funded as part of the CDC/NCI Cancer Prevention and Control Research Network.
Project Dates: September 30, 2004-September 29, 2009
Type of Grant: U48

(back to top)

Last updated May 26, 2008
 

spacer
background image
Researcher Biosketches