First page of a journal article about redlining

In 2021, the Center's collaborative work generated more than 60 publications in widely read journals and timely books.

(Core team members are listed in bold. CHI Center adjunct and secondary faculty are listed in italics. )

Strengthening Community Health and Equity

Population-Level Disparities in COVID-19: Measuring the Independent Association of the Proportion of Black Population on COVID-19 Cases and Deaths in US Counties. Journal of Public Health Management and Practice. Anne H. Gaglioti, Chaohua Li, Megan D. Douglas, Peter Baltrus, et al

Neighborhood-Level Redlining and Lending Bias Are Associated with Breast Cancer Mortality in A Large and Diverse Metropolitan Area. Cancer Epidemiology, Biomarkers & Prevention. Lindsay J. Collin, Anne H. Gaglioti, Kristen M. Beyer, Yuhong Zhou, et al.

Measuring State-Level Racial Inequity in Severe Maternal Morbidity in the Medicaid Population . Maternal and Child Health Journal. Tyler Barreto, Chaohua Li, Yoon-Kyung Chung, Yalda Jabbarpour, Peter Baltrus, Anne Gaglioti

Racial and Ethnic Disparities in H1N1 Vaccine Uptake in Medicaid: Lessons Learned for a COVID-19 Vaccine Rollout . Preventive Medicine ReportsChaohua Li, Megan Douglas, Rabab Zahidi…Anne Gaglioti

Variation in Reporting of the Race and Ethnicity of COVID-19 Cases and Deaths Across US States: April 12, 2020, and November 9, 2020. American Journal of Public Health. Megan D. Douglas, Ebony Respress, Anne H. Gaglioti, et al

Percentage of Black Population and Primary Care Shortage Areas Associated with Higher COVID-19 Case and Death Rates in Georgia Counties. Southern Medical Journal. Peter T. Baltrus, Megan Douglas, Chaohua Li…Anne H. Gaglioti

Structural Racism and Risk of SARS-CoV-2 in Pregnancy: A Local Population Analysis. EClinicalMedicine. Rachel Pope, Prakash Ganesh, Jill Miracle, Romona Brazile, Honor Wolfe, Johnie Rose, Kurt C. Stange, Terry Allan, Heidi Gullett

Knowledge, Perceptions, and Preferred Information Sources Related to COVID-19 Among Central Pennsylvania Adults Early in the Pandemic: A Mixed Methods Cross-Sectional Survey. Annals of Family Medicine. Lauren Jodi Van Scoy, Erin L. Miller, Bethany Snyder, Emily Wasserman, et al

The impact of COVID-19-related changes in media consumption on public knowledge: results of a cross-sectional survey of Pennsylvania adults. Current Medical Research and Opinion. Surav Man Sakya, Lauren J. Van Scoy, John C. Garman, Erin L. Miller, Bethany Snyder, et al

Public Anxiety and Distrust Due to Perceived Politicization and Media Sensationalism During Early COVID-19 Media Messaging. Journal of Communication in Healthcare. Lauren J. Van Scoy, Bethany Snyder, Erin L. Miller, Olubukola Toyobo, et al

Lower Intent to Comply with COVID-19 Public Health Recommendations Correlates to Higher Disease Burden in Following 30 Days. Southern Medical Journal. Robert P. Lennon, Aleksandra E. Zgierska, Erin L. Miller, Bethany Snyder, et al

First page of a journal article about community transmission of COVID-19

Characterization of Community-Wide Transmission of SARS-Cov-2 in Congregate Living Settings and Local Public Health-Coordinated Response During the Initial Phase of the COVID-19 Pandemic. Influenza and Other Respiratory Viruses. Pauline D. Terebuh, Amina J. Egwiekhor, Heidi L. Gullett, Adeola O. Fakolade, Jill E. Miracle, Prakash R. Ganesh, Johnie Rose, Kurt C. Stange, et al

Self-reported influenza and influenza-like symptoms in US adults age 18–64 between September 1, 2019 and April 15, 2020. Journal of Clinical Virology. Robert P. Lennon, Erin L. Miller, Bethany Snyder, Lauren Jodi Van Scoy

Individual and Neighborhood Influences on the Relationship between Waist Circumference and Coronary Heart Disease in the REasons for Geographic and Racial Differences in Stroke Study. Preventing Chronic Disease [In press]. Anne Gaglioti, D. Rivers, Joanna Bryan Ringel, Suzanne Judd, Monika M Safford


Systems Approaches to Challenging Problems

First page of a journal article about obesity and COVID-19

Obesity, Biased Mental Models, and Stigma in the Context of the Obesity COVID-19 Syndemic. National Academy of Medicine Commentary. Peter S. Hovmand, Nicolaas P. Pronk, Theodore K. Kyle, Joseph Nadglowski, et al.

Application of systems dynamics and group model building to identify barriers and facilitators to acute care delivery in a resource limited setting. BMC Health Services Research. Fiona Muttalib, Ellis Ballard, Josephine Langton…Peter Hovmand, et al

Defining and Intervening on Cumulative Environmental Neurodevelopmental Risks: Introducing a Complex Systems Approach. Environmental Health. Perspectives. Devon C. Payne-Sturges, Deborah A. Cory-Slechta, Robin C. Puett…Peter S. Hovmand

A feedback view of behavioral distortions from perceived public service gaps at ‘street-level’ policy implementation:  The case of unintended outcomes in public schools. Systems Research and Behavioral Science. Carmine Bianchi, Robinson Salazar Rua

From causal loop diagrams to future scenarios: Using the cross-impact balance method to augment understanding of urban health in Latin America. Social Science & Medicine. Ivana Stankov, Andres Felipe Useche, Jose D Meisel…Peter Hovmand, et al

Using cause-effect graphs to elicit expert knowledge for cross-impact balance analysis. MethodsX. Ivana Stankov, Andres F Useche, Jose D Meisel…Peter Hovmand, et al


Advancing Primary Health Care for the Public Good

Revitalizing the U.S. Primary Care Infrastructure. The New England Journal of Medicine. Kevin Grumbach, Thomas Bodenheimer, Deborah Cohen, Robert L Phillips, Kurt C Stange, John M Westfall

What a Pandemic Reveals about the Implementation of High-Quality Primary Care.  Report in support of the National Academy of Medicine Consensus Report on Implementing High Quality Primary Care. National Academy of Medicine. Kurt Stange

First page of a journal article about 3 simples rules for primary care

Simple Rules That Guide Generalist and Specialist Care. Family Medicine. Rebecca S. Etz, William L. Miller, Kurt C. Stange

Measuring Primary Care Across 35 OECD Countries. Annals of Family Medicine. Stephen J. Zyzanski, Martha M. Gonzalez, Jonathan P. O’Neal, Rebecca S. Etz, Sarah R. Reves, Kurt C. Stange

Cultural And Structural Features of Zero-Burnout Primary Care Practices. Health Affairs. Samuel T. Edwards, Miguel Marino, Leif I. Solberg, Laura Damschroder, Kurt C. Stange, et al

Changing Reasons for Visiting Primary Care Over a 35-Year Period. Journal of the American Board of Family Medicine. Wyatt P. Bensken, Weichuan Dong, Heidi Gullett, Rebecca S. Etz, Kurt C. Stange

Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond. Journal of the American Board of Family Medicine. John M. Westfall, Winston Liaw, Kim Griswold, Kurt StangeHeidi Gullett, James C. Puffer, Robin S. Gotler

Integrating Behavioral Health and Primary Care (IBH-PC) to Improve Patient-Centered Outcomes in Adults with Multiple Chronic Medical and Behavioral Health Conditions: Study Protocol for a Pragmatic Cluster-Randomized Control Trial. Trials. Abigail M Crocker, Rodger Kessler, Constance van Eeghen…Kurt C. Stange, et al


Advancing Cancer Prevention and Control

Phenotype Discovery and Geographic Disparities of Late-Stage Breast Cancer Diagnosis across U.S. Counties: A Machine Learning Approach. Cancer Epidemiology, Biomarkers & Prevention. Weichuan Dong, Wyatt P Bensken, Uriel Kim, Johnie Rose, Nathan A Berger, Siran M Koroukian

First page of a journal article about Medicaid expansion for breast cancer patients

Medicaid Expansion is Key in Mitigating Surgical Disparities in Low Income Breast Cancer Patients. Annals of Surgical Oncology. Samilia Obeng-Gyasi, Johnie Rose, Siran Koroukian

Barriers to Follow-Up Colonoscopy After Positive FIT or Multitarget Stool DNA Testing. Journal of the American Board of Family Medicine. Gregory S. Cooper, Ashley Grimes, James Werner, Shufen Cao, Pingfu Fu, Kurt C. Stange

Excess Cancer Prevalence in Men with HIV: A Nationwide Analysis of Medicaid Data. Cancer [In press]. Siran Koroukian, Guangjin Zhou, Suparna Navale, Nicholas K Schiltz, Uriel Kim, Johnie Rose, et al

Medicaid Expansion Associated with Reduction in Geospatial Breast Cancer Stage at Diagnosis Disparities. Public Health Management and Practice [In press]. Weichuan Dong, Johnie Rose, Uriel Kim, Gregory S Cooper, J. Tsui, Siran M Koroukian


Understanding and Improving Health and Health Care

Gut-microbiota-microglia-brain interactions in Alzheimer’s disease: knowledge-based, multi-dimensional characterization. Alzheimer's Research & Therapy. QuanQiu Wang, Pamela B. Davis, Xin Qi, et al.

COVID-19 and dementia: analyses of risk, disparity and outcomes from electronic health records in the US. Alzheimer’s & Dementia. QuanQiu Wang, Pamela B. Davis, Mark E. Gurney, Rong Xu

Gastrointestinal Bleeding in SARS-CoV-2 Infection. Medical Science Case Reports. Adeola O. Fakolade, Jill E. Miracle, Heidi Gullett, Pauline Terebuh, Amina J. Egwiekhor, Johnie Rose, Prakash R. Ganesh, Kurt C. Stange

ICD-10 Z-Code Health-Related Social Needs and Increased Healthcare Utilization. American Journal of Preventive Medicine. Wyatt P. Bensken, Philip M. Alberti, Kurt C. Stange, Martha Sajatovic, Siran M. Koroukian

COVID-19 in Pregnancy: Occupations with Higher Density of Population Exposure Associated with More Severe Disease. Journal of Occupational and Environmental Medicine. Jill E Miracle, Prakash R. Ganesh, Johnie Rose, Pauline Terebuh, Kurt C. Stange, Honor Wolfe, Andrea Szabo, Heidi Gullett, Rachel Pope

Healthcare Utilization and Patient and Provider Experience with a Home Visit Program for Patients Discharged from the Hospital at High Risk for Readmission. Healthcare. Anita D. Misra-Hebert, Michael B. Rothberg, Jacqueline Fox, Xinge Ji…Kurt C. Stange

First page of a journal article about risk of COVID-19 for vaccinated patients with substance use disorder

Increased risk for COVID-19 breakthrough infection in fully vaccinated patients with substance use disorders in the United States between December, 2020 and August, 2021. World Psychiatry. Lindsey Wang, QuanQiu Wang, Pamela B. Davis, Nora D.  Volkow, Rong Xu

Beyond multimorbidity: What can we learn from complexity science? Journal of Evaluation in Clinical Practice. Joachim P. Sturmberg, Linn O. Getz, Kurt C. Stange, Ross E.G. Upshur, Stewart W. Mercer

Life expectancy and mortality in 363 cities of Latin America. Nature Medicine. Usama Bilal, Philipp Hessel, Carolina Perez-Ferrer…and the SALURBAL group [Peter Hovmand]

Increasing life expectancy in cystic fibrosis: Advances and challenges. Pediatric Pulmonology. Kimberly A. McBennett, Pamela B. Davis, Michael W. Konstan

Potential long-term effect of tumor necrosis factor inhibitors on dementia risk: A propensity score matched retrospective cohort study in US veterans. Alzheimer’s & Dementia. Chunlei Zheng, Nathanael R. Fillmore…Pamela B. Davis, Nhan Do, Rong Xu

Nonmetropolitan COVID‐19 incidence and mortality rates surpassed metropolitan rates within the first 24 weeks of the pandemic declaration: United States, March 1–October 18, 2020. The Journal of Rural Health. Kevin A. Matthews, Fred Ullrich, Anne H. Gaglioti, Susan Dugan, May S. Chen, Diane M. Hall

Gynecologic care of women with chronic pelvic pain after sexual trauma: Patient perspectives and care preferences. American Journal of Obstetrics & Gynecology. W.T. Ross, Bethany Snyder, H. Peyrot-Stuckey, J. McCall-Hosenfeld, et al.

Perceptions of Diseases of Despair by Members of Rural and Urban High-Prevalence Communities: A Qualitative Study. JAMA Network Open. Daniel R. George, Bethany Snyder, Lauren J. Van Scoy, et al

Knowledge, Perceptions, and Preferred Information Sources Related to COVID-19 Among Healthcare Workers: Results of a Cross Sectional Survey. American Journal of Health Promotion. Shyama Sathianathan, Lauren J. Van Scoy, Surav Man Sakya, Erin Miller, Bethany Snyder, et al.

Cardiovascular disease preventive services delivery rates among smaller primary care practices – Findings from EvidenceNOW. American Journal of Preventive Medicine [In press]. Miguel Marino, Leif Solberg, Rachel Springer…Kurt C. Stange, et al.

Factors Driving Resistance to Clinical Decision Support: Finding Inspiration in Radiology 3.0. Journal of the American College of Radiology [In press]. M.A. Bruno, J.S. Fotos, M. Pitot…B.L. Snyder, et al.


Developing Research Methods and Tools

First page of a journal article about computational modeling

Modeling Epidemic Spread Among Commuting Population Using Transport Schemes. Mathematics. Daniela Calvetti, Alexander P. Hoover, Johnie Rose, Erkki Somersalo

Bayesian particle filter algorithm for learning epidemic dynamics. Inverse Problems. Daniela Calvetti, Alexander P. Hoover, Johnie Rose, Erkki Somersalo

Role of Broadly-engaged Team Science in the Inclusion of Minority Populations as Research Participants and in All Roles on Research Teams.  In: Broadly Engaged Team Science in Clinical and Translational Research [In press]. Pamela B. Davis, Harry P. Selker

Developing and testing an automated qualitative assistant (AQUA) to support qualitative analysis. Family Medicine and Community Health. Robert P. Lennon, Robbie Fraleigh, Lauren J. Van Scoy…Bethany L Snyder, et al.

Creation of a Longitudinal Legal Data Set to Support Legal Epidemiology Studies of Mental Health Insurance Legislation. Psychiatric Services. Megan D. Douglas, Samantha Bent Weber, Claire Bass, Chaohua Li, Anne H. Gaglioti, et al.

Shared Language for Shared Work In Population Health. Annals of Family MedicineCJ Peek, John M. Westfall, Kurt C. Stange, Winston Liaw, et al.

Identifying Patient Strengths Instruments and Examining Their Relevance for Chronic Disease Management: A Systematic Review. Preventing Chronic DiseaseDeshira D. Wallace, Ruchir N. Karmali, Christine Kim, Ann Marie White, Kurt C. Stange, et al.


Medical Education and Training

The power of interdependence: Linking health systems, communities, and health professions educational programs to better meet the needs of patients and populations. Medical Teacher. Richard N. Van Eck, Heidi L. Gullett, Sara M. Lamb, Helene J. Krouse, et al.

Using Kern’s 6-Step Approach to Integrate Health Systems Science Curricula into Medical Education. Academic Medicine. Mamta K. Singh, Heidi L. Gullett, Patricia A. Thomas

First page of a journal article about medical students as system navigators

Early Medical Students’ Experiences as System Navigators: Results of a Qualitative Study. Journal of General Internal Medicine. Kelli Qua, Heidi Gullett, Amy Wilson-Delfosse, Patricia Thomas, Mamta Singh

The Need for a Broad-based Introduction to Radiation Science within U.S. Medical Schools’ Educational Curriculum. Radiology. Martha S. Linet, Pamela B. Davis, James A. Brink