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5. Association of inflammation-related exposures and ovarian cancer survival in a multi-site cohort study of Black women

Author

Johnson, Courtney E., Alberg, Anthony J., Bandera, Elisa V., Peres, Lauren C., Akonde, Maxwell, Collin, Lindsay J., Cote, Michele L., Hastert, Theresa A., Hébert, James R., Peters, Edward S., Qin, Bonnie, Terry, Paul, Schwartz, Ann G., Bondy, Melissa, Epstein, Michael P., Mandle, Hannah B., Marks, Jeffrey R., Lawson, Andrew B., and Schildkraut, Joellen M.

Published
2023
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7. Survival of epithelial ovarian cancer in Black women: a society to cell approach in the African American cancer epidemiology study (AACES)

Author

Schildkraut, Joellen M., Johnson, Courtney, Dempsey, Lauren F., Qin, Bo, Terry, Paul, Akonde, Maxwell, Peters, Edward S., Mandle, Hannah, Cote, Michele L., Peres, Lauren, Moorman, Patricia, Schwartz, Ann G., Epstein, Michael, Marks, Jeffrey, Bondy, Melissa, Lawson, Andrew B., Alberg, Anthony J., and Bandera, Elisa V.

Published
2023
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8. Comorbid conditions and survival among Black women with ovarian cancer.

Author

Richards, Alicia R., Johnson, Courtney E., Montalvo, Nachalie Ramos, Alberg, Anthony J., Bandera, Elisa V., Bondy, Melissa, Collin, Lindsay J., Cote, Michele L., Hastert, Theresa A., Haller, Kristin, Khanna, Namita, Marks, Jeffrey R., Peters, Edward S., Qin, Bo, Staples, Jeanine, Terry, Paul D., Lawson, Andrew, Schildkraut, Joellen M., and Peres, Lauren C.

Subjects
TYPE 2 diabetes, OVARIAN epithelial cancer, PROPORTIONAL hazards models, PROGNOSIS, OVARIAN cancer
Abstract

Background: Black women with epithelial ovarian cancer (EOC) have worse survival and a higher burden of comorbid conditions compared with other racial groups. This study examines the association of comorbid conditions and medication use for these conditions with survival among Black women with EOC. Methods: In a prospective study of 592 Black women with EOC, the Charlson comorbidity index (CCI) based on self‐reported data, three cardiometabolic comorbidities (type 2 diabetes, hypertension, and hyperlipidemia), and medication use for each cardiometabolic comorbidity were evaluated. Cox proportional hazards regression models were used to examine the association of comorbid conditions and related medication use with all‐cause mortality while adjusting for relevant covariates overall and by histotype (high‐grade serous [HGS]/carcinosarcoma vs. non‐HGS/carcinosarcoma) and stage (I/II vs. III/IV). Results: A CCI of ≥2 was observed in 42% of the cohort, and 21%, 67%, and 34% of women had a history of type 2 diabetes, hypertension, and hyperlipidemia, respectively. After adjusting for prognostic factors, a CCI ≥2 (vs. 0; hazard ratio [HR], 1.33; 95% confidence interval [CI], 1.04–1.71) and type 2 diabetes (HR, 1.42; 95% CI, 1.10–1.84) were associated with an increased risk of mortality. The increased risk of mortality for type 2 diabetes was present specifically among women with HGS/carcinosarcoma (HR, 1.47; 95% CI, 1.10–1.97) and among women with stage III/IV disease (HR, 1.47; 95% CI, 1.10–1.98). The authors did not find evidence that hypertension, hyperlipidemia, or medication use for the cardiometabolic comorbidities meaningfully impacted survival. Conclusion: Comorbid conditions, especially type 2 diabetes, had a significant adverse impact on survival among Black women with EOC. In a population‐based study of Black women with ovarian cancer, a higher Charlson comorbidity index based on self‐reported data and type 2 diabetes were associated with an increased risk of mortality, but no association was observed for hypertension or hyperlipidemia. Medication use for comorbid conditions did not meaningfully impact survival in this patient population. [ABSTRACT FROM AUTHOR]

Published
2025
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9. Value of Peer Mentorship for Equity in Higher Education Leadership: A School of Public Health Focus with Implications for All Academic Administrators

Author

Friedman, Daniela B., Yelton, Brooks, Corwin, Sara J., Hardin, James W., Ingram, Lucy A., Torres-McGehee, Toni M., and Alberg, Anthony J.

Abstract

Diverse representation in higher education leadership is critical to the Academy's mission of teaching, research, and service. As academic leadership positions are rarely occupied by faculty from underrepresented gender and minoritized groups, inclusive mentorship practices are necessary to equip and support administrators of diverse backgrounds and identities. In this qualitative study, administrators from a school of public health in the southeastern United States present findings from an electronic survey exploring experiences with peer mentorship as it relates to leadership and training. Open-ended responses are compared with peer mentorship literature. Thematic analysis demonstrated peer mentorship is specifically beneficial for: (1) sharing knowledge and improving navigation; (2) cultivating change with respect and inclusivity; and (3) inspiring motivation and balance to prevent burnout. This study demonstrates the value of peer mentorship models for co-development of successful leadership qualities and for addressing administrative pressures through inclusive practices that promote diversity and improve equity.

Published
2021
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10. Smokeless Tobacco Use and Prevalence of Cardiovascular Disease Among Males in the Population Assessment of Tobacco and Health (PATH) Study, Waves 1–4

Author

Nahhas, Georges J., Cummings, K. Michael, Halenar, Michael J., Sharma, Eva, Alberg, Anthony J., Hatuskami, Dorothy, Bansal-Travers, Maansi, Hyland, Andrew, Gaalema, Diann E., Morris, Pamela B., Duffy, Kara, Chang, Joanne T., Lagaud, Guy, Vivar, Juan C., Marshall, Daniela, Blanco, Carlos, and Taylor, Kristie A.

Published
2022
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13. Factors Associated with Head and Neck Cancer Postoperative Radiotherapy Delays: A Systematic Review and Meta‐analysis.

Author

Duckett, Kelsey A., Kassir, Mohamed Faisal, Nguyen, Shaun A., Brennan, Emily A., Chera, Bhisham S., Sterba, Katherine R., Halbert, Chanita Hughes, Hill, Elizabeth G., McCay, Jessica, Puram, Sidharth V., Jackson, Ryan S., Sandulache, Vlad C., Kahmke, Russel, Osazuwa‐Peters, Nosayaba, Ramadan, Salma, Nussenbaum, Brian, Alberg, Anthony J., and Graboyes, Evan M.

Abstract

Objective: Initiating postoperative radiotherapy (PORT) within 6 weeks of surgery for head and neck squamous cell carcinoma (HNSCC) is included in the National Comprehensive Cancer Network Clincal Practice Guidelines and is a Commission on Cancer quality metric. Factors associated with delays in starting PORT have not been systematically described nor synthesized. Data Sources: PubMed, Scopus, and CINAHL. Review Methods: We included studies describing demographic characteristics, clinical factors, or social determinants of health associated with PORT delay (>6 weeks) in patients with HNSCC treated in the United States after 2003. Meta‐analysis of odds ratios (ORs) was performed on nonoverlapping datasets. Results: Of 716 unique abstracts reviewed, 21 studies were included in the systematic review and 15 in the meta‐analysis. Study sample size ranged from 19 to 60,776 patients. In the meta‐analysis, factors associated with PORT delay included black race (OR, 1.46, 95% confidence interval [CI]: 1.28‐1.67), Hispanic ethnicity (OR, 1.37, 95% CI, 1.17‐1.60), Medicaid or no health insurance (OR, 2.01, 95% CI, 1.90‐2.13), lower income (OR, 1.38, 95% CI, 1.20‐1.59), postoperative admission >7 days (OR, 2.92, 95% CI, 2.31‐3.67), and 30‐day hospital readmission (OR, 1.37, 95% CI, 1.29‐1.47). Conclusion: Patients at greatest risk for a delay in initiating guideline‐adherent PORT include those who are from minoritized communities, of lower socioeconomic status, and experience postoperative challenges. These findings provide the foundational evidence needed to deliver targeted interventions to enhance equity and quality in HNSCC care delivery. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Prediagnostic Proinflammatory Dietary Potential Is Associated with All-Cause Mortality among African-American Women with High-Grade Serous Ovarian Carcinoma

Author

Peres, Lauren C, Hebert, James R, Qin, Bo, Guertin, Kristin A, Bandera, Elisa V, Shivappa, Nitin, Camacho, Tareq F, Chyn, Deanna, Alberg, Anthony J, Barnholtz-Sloan, Jill S, Bondy, Melissa L, Cote, Michele L, Funkhouser, Ellen, Moorman, Patricia G, Peters, Edward S, Schwartz, Ann G, Terry, Paul D, and Schildkraut, Joellen M

Published
2019
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21. Development and Evaluation of a Navigation-Based, Multilevel Intervention to Improve the Delivery of Timely, Guideline-Adherent Adjuvant Therapy for Patients With Head and Neck Cancer

Author

Graboyes, Evan M., Sterba, Katherine R., Li, Hong, Warren, Graham W., Alberg, Anthony J., Calhoun, Elizabeth A., Nussenbaum, Brian, McCay, Jessica, Marsh, Courtney H., Osazuwa-Peters, Nosayaba, Neskey, David M., Kaczmar, John M., Sharma, Anand K., Harper, Jennifer, Day, Terry A., and Hughes-Halbert, Chanita

Published
2021
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25. Tubal ligation and ovarian cancer risk in African American women

Author

McNamara, Chrissy, Abbott, Sarah E., Bandera, Elisa V., Qin, Bo, Peres, Lauren C., Camacho, Fabian, Moorman, Patricia G., Alberg, Anthony J., Barnholtz-Sloan, Jill S., Bondy, Melissa, Cote, Michele L., Funkhouser, Ellen, Peters, Edward S., Schwartz, Ann G., Schildkraut, Joellen M., and Terry, Paul

Published
2017

26. Cigarette smoking and the association with serous ovarian cancer in African American women : African American Cancer Epidemiology Study (AACES)

Author

Kelemen, Linda E., Abbott, Sarah, Qin, Bo, Peres, Lauren Cole, Moorman, Patricia G., Wallace, Kristin, Bandera, Elisa V., Barnholtz-Sloan, Jill S., Bondy, Melissa, Cartmell, Kathleen, Cote, Michele L., Funkhouser, Ellen, Paddock, Lisa E., Peters, Edward S., Schwartz, Ann G., Terry, Paul, Alberg, Anthony J., and Schildkraut, Joellen M.

Published
2017

30. Neighborhood-Level Disadvantage and Delayed Adjuvant Therapy in Head and Neck Cancer.

Author

Graboyes, Evan M., Cagle, Joshua Lee, Ramadan, Salma, Prasad, Kavita, Yan, Flora, Pearce, John, Mazul, Angela L., Anoma, Jean-Sebastien, Hill, Elizabeth G., Chera, Bhisham S., Puram, Sidharth V., Jackson, Ryan, Sandulache, Vlad C., Tam, Samantha, Topf, Michael C., Kahmke, Russel, Osazuwa-Peters, Nosayaba, Nussenbaum, Brian, Alberg, Anthony J., and Sterba, Katherine R.

Published
2024
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37. Delays Starting Postoperative Radiotherapy Among Head and Neck Cancer Patients: A Systematic Review and Meta‐analysis.

Author

Duckett, Kelsey A., Kassir, Mohamed Faisal, Nguyen, Shaun A., Brennan, Emily A., Chera, Bhishamjit S., Sterba, Katherine R., Hughes Halbert, Chanita, Hill, Elizabeth G., McCay, Jessica, Puram, Sidharth V., Sandulache, Vlad C., Kahmke, Russel, Ramadan, Salma, Nussenbaum, Brian, Alberg, Anthony J., and Graboyes, Evan M.

Abstract

Objective: Initiating postoperative radiotherapy (PORT) within 6 weeks (42 days) of surgery is the first and only Commission on Cancer (CoC) approved quality metric for head and neck squamous cell carcinoma (HNSCC). No study has systematically reviewed nor synthesized the literature to establish national benchmarks for delays in starting PORT. Data Sources: Following Preferred Reporting Items for Systematic Reviews and Meta‐analyses guidelines, we performed a systematic review of PubMed, Scopus, and CINAHL. Review Methods: Studies that described time‐to‐PORT or PORT delays in patients with HNSCC treated in the United States after 2003 were included. Meta‐analysis of proportions and continuous measures was performed on nonoverlapping datasets to examine the pooled frequency of PORT delays and time‐to‐PORT. Results: Thirty‐six studies were included in the systematic review and 14 in the meta‐analysis. Most studies utilized single‐institution (n = 17; 47.2%) or cancer registry (n = 16; 44.4%) data. Twenty‐five studies (69.4%) defined PORT delay as >6 weeks after surgery (the definition utilized by the CoC and National Comprehensive Cancer Network Guidelines), whereas 4 (11.1%) defined PORT delay as a time interval other than >6 weeks, and 7 (19.4%) characterized time‐to‐PORT without defining delay. Meta‐analysis revealed that 48.6% (95% confidence interval [CI], 41.4‐55.9) of patients started PORT > 6 weeks after surgery. Median and mean time‐to‐PORT were 45.8 (95% CI, 42.4‐51.4 days) and 47.4 days (95% CI, 43.4‐51.4 days), respectively. Conclusion: Delays in initiating guideline‐adherent PORT occur in approximately half of patients with HNSCC. These meta‐analytic data can be used to set national benchmarks and assess progress in reducing delays. [ABSTRACT FROM AUTHOR]

Published
2024
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38. Carotenoids, retinol, tocopherols, and prostate cancer risk: pooled analysis of 15 studies

Author

Key, Timothy J, Appleby, Paul N, Travis, Ruth C, Albanes, Demetrius, Alberg, Anthony J, Barricarte, Aurelio, Black, Amanda, Boeing, Heiner, Bueno-de-Mesquita, H Bas, Chan, June M, Chen, Chu, Cook, Michael B, Donovan, Jenny L, Galan, Pilar, Gilbert, Rebecca, Giles, Graham G, Giovannucci, Edward, Goodman, Gary E, Goodman, Phyllis J, Gunter, Marc J, Hamdy, Freddie C, Heliövaara, Markku, Helzlsouer, Kathy J, Henderson, Brian E, Hercberg, Serge, Hoffman-Bolton, Judy, Hoover, Robert N, Johansson, Mattias, Khaw, Kay-Tee, King, Irena B, Knekt, Paul, Kolonel, Laurence N, Le Marchand, Loic, Männistö, Satu, Martin, Richard M, Meyer, Haakon E, Mondul, Alison M, Moy, Kristin A, Neal, David E, Neuhouser, Marian L, Palli, Domenico, Platz, Elizabeth A, Pouchieu, Camille, Rissanen, Harri, Schenk, Jeannette M, Severi, Gianluca, Stampfer, Meir J, Tjønneland, Anne, Touvier, Mathilde, Trichopoulou, Antonia, Weinstein, Stephanie J, Ziegler, Regina G, Zhou, Cindy Ke, and Allen, Naomi E

Published
2015
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41. Targetable Immune Regulatory Molecule Expression in High-Grade Serous Ovarian Carcinomas in African American Women: A Study of PD-L1 and IDO in 112 Cases From the African American Cancer Epidemiology Study (AACES)

Author

Mills, Anne M., Peres, Lauren C., Meiss, Alice, Ring, Kari L., Modesitt, Susan C., Abbott, Sarah E., Alberg, Anthony J., Bandera, Elisa V., Barnholtz-Sloan, Jill, Bondy, Melissa L., Cote, Michele L., Funkhouser, Ellen, Moorman, Patricia G., Peters, Edward S., Schwartz, Ann G., Terry, Paul D., Wallace, Kristin, and Schildkraut, Joellen M.

Published
2019
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43. The Association between Mediated Deprivation and Ovarian Cancer Survival among African American Women.

Author

Lawson, Andrew B., Kim, Joanne, Johnson, Courtney, Ratnapradipa, Kendra L., Alberg, Anthony J., Akonde, Maxwell, Hastert, Theresa, Bandera, Elisa V., Terry, Paul, Mandle, Hannah, Cote, Michele L., Bondy, Melissa, Marks, Jeffrey, Peres, Lauren C., Schildkraut, Joellen, and Peters, Edward S.

Subjects
CANCER patient psychology, EVALUATION of medical care, SURVIVAL, STRUCTURAL equation modeling, OVARIAN tumors, PSYCHOLOGY of women, SOCIAL classes, RESEARCH funding, STATISTICAL models, AFRICAN Americans
Abstract

Simple Summary: Deprivation indices (DIs), constructed from area-level socio-economic indicators, allow to assess the acknowledged relationship between socio-economic status and health outcomes. Their role in adjusting for deprivation has not been evaluated within a mediation analysis of ovarian cancer survival. In this paper, we present a Bayesian SEM approach to causal mediation for direct and indirect effects of DIs in the context of a cohort of African American women with ovarian cancer. Background: Deprivation indices are often used to adjust for socio-economic disparities in health studies. Their role has been partially evaluated for certain population-level cancer outcomes, but examination of their role in ovarian cancer is limited. In this study, we evaluated a range of well-recognized deprivation indices in relation to cancer survival in a cohort of self-identified Black women diagnosed with ovarian cancer. This study aimed to determine if clinical or diagnostic characteristics lie on a mediating pathway between socioeconomic status (SES) and deprivation and ovarian cancer survival in a minority population that experiences worse survival from ovarian cancer. Methods: We used mediation analysis to look at the direct and indirect causal effects of deprivation indices with main mediators of the SEER stage at diagnosis and residual disease. The analysis employed Bayesian structural equation models with variable selection. We applied a joint Bayesian structural model for the mediator, including a Weibull mixed model for the vital outcome with deprivation as exposure. We selected modifiers via a Monte Carlo model selection procedure. Results: The results suggest that high SES-related indices, such as Yost, Kolak urbanicity (URB), mobility (MOB) and SES dimensions, and concentrated disadvantage index (CDI), all have a significant impact on improved survival. In contrast, area deprivation index (ADI)/Singh, and area level poverty (POV) did not have a major impact. In some cases, the indirect effects have very wide credible intervals, so the total effect is not well estimated despite the estimation of the direct effect. Conclusions: First, it is clear that commonly used indices such as Yost, or CDI both significantly impact the survival experience of Black women diagnosed with epithelial ovarian cancer. In addition, the Kolak dimension indices (URB, MOB, mixed immigrant: MICA and SES) also demonstrate a significant association, depending on the mediator. Mediation effects differ according to the mediator chosen. [ABSTRACT FROM AUTHOR]

Published
2023
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46. The Joint Influence of Parental Modeling and Positive Parental Concern on Cigarette Smoking in Middle and High School Students

Author

Kalesan, Bindu, Stine, Joan, and Alberg, Anthony J.

Abstract

The purpose of the study was to examine the interaction between parental smoking status and parental attitudes, as measured by positive parental concern, on the risk of adolescent cigarette smoking. Parental smoking and parental concern about smoking were measured in a cross-sectional study of 37,244 students, a random sample of Maryland middle and high school students, who were current or never smokers. Parental concern was classified into 3 levels: strict, moderate, and minimal. The likelihood of youths being current smokers was positively associated with both parental smoking (both versus neither parent smokes: odds ratio [OR] 3.4, 95% confidence interval [CI] 3.1-3.7) and parental concern about smoking (minimal versus strict concern: OR 2.3, 95% CI 2.1-2.4). Youths with parents who did not smoke and with strict concern had the lowest likelihood of smoking. In comparison to this group, after adjustment for other social influences the likelihood of being a current smoker was more than 5 times greater among boys (OR 5.8, 95% CI 4.5-7.4) and girls (OR 5.2, 95% CI 4.1-6.5) whose parents both smoked and were minimally concerned about smoking. Current smoking in youths was independently associated with both parental smoking and less parental concern. When these 2 factors were jointly considered, the prevalence of current smoking in youths increased both with exposure to parental modeling and reduced parental concern about smoking. The results indicate that minimal parental concern about smoking worsens the risk due to parental modeling. Parental modeling and parental attitudes act synergistically to exacerbate the likelihood of smoking.

Published
2006
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