Center for Population Health and Health Disparities, 2003-2010

Also known as

Breast Cancer Care in Chicago


To develop research initiatives that address cancer control and prevention questions with specific reference to those segments of the population that experience an unequal burden of cancer.


Funding for this center was renewed in 2010. See the most current information about this center.

This Center has four aims:

  1. To use the elements of the Berkman and Glass model to address the disparity that we have defined as the center’s theme, “The Apparent Disconnect between Rates of Screening and the Stage of Diagnosis of Breast Cancer by Race and Ethnicity”. The “disconnect” arises because African American women and Hispanic women increasingly report receiving mammography at rates equivalent to those reported by Caucasian women. Yet, African American and Hispanic women continue to experience higher breast cancer mortality rates compared to Caucasian women;
  2. To develop this model and the variables to the point where it can be tested with breast cancer and then eventually, be extended to other cancers where similar disparities exist;
  3. To develop the capacity to conduct multidisciplinary research that addresses the biological, behavioral, social and environmental factors that affect prognosis and outcome of cancer;
  4. To demonstrate through a sustainable partnership with one or more community-based organizations the use of theory-driven interventions which, if shown to be successful, can be integrated into the way in which cancer is detected and managed in the community.

Four projects and three cores comprise this Center. The cores -- the administrative and case ascertainment core (Core A); the survey methods core (Core B), and the statistical analysis and data management core (Core C) -- support four projects:

All studies have interdisciplinary teams and the questions asked by each study are interrelated and focus on the four levels of impact on breast cancer disparity from the community, to the interpersonal network to the individual and finally to the issues of access to care. All are multilevel and include social, behavioral and community level issues. 

Research Partner(s)

Access Community Health Network
American Cancer Society
Centro Comunitario Juan Diego
Chicago Department of Public Health
Greater Roseland District Health Council
Healthcare Consortium of Illinois
Illinois Department of Public Health
Illinois State Cancer Registry
John H. Stroger, Jr. Hospital of Cook County
Johns Hopkins University School of Public Health
Metropolitan Chicago Breast Cancer Task Force
Northeastern University
Ohio State University
RAND Corporation
Rush University Medical Center
Sinai Urban Health Institute
Tufts University
University of Michigan
University of Pennsylvania
University of Texas Medical Branch Galveston
Wayne State University Center for African Urban Health

Learn about the current stage of this research:

Center for Population Health and Health Disparities
Funding Agency

National Cancer Institute of the National Institutes of Health (Grant No. 1 P50 CA 106743)

Principal Investigator
Richard B. Warnecke, PhD

Richard E. Barrett, PhD
Michael L. Berbaum, PhD
Young Ik Cho, PhD
Serap Erdal, PhD
Carol Estwing Ferrans, PhD, RN, FAAN
Aida L. Giachello, PhD
Timothy P. Johnson, PhD
Clara Manfredi, PhD
Jennifer A. Parsons, MA
Garth H. Rauscher, PhD
Marilyn Willis, RN, MS
Yoosik Youm, PhD (Now at Yonsei University, South Korea)

Start date
End date
Total award
About this grant

This is a center grant, which supports four studies, three cores, and, with supplemental funding, three additional studies, including research by Vince Freeman. This center grant was renewed in 2010. For related research, see the Center of Excellence in Eliminating Disparities.

Related publications

See publications since July 2010. See all publications supported by this grant on this PubMed list

Gerber BS, Cho YI, Arozullah AM, Lee SY. Racial differences in medication adherence: a cross-sectional study of medicare enrollees. Am J Geriatr Pharmacother. 2010 Apr;8(2):136-45. [See abstract]

Rauscher GH, Ferrans CE, Kaiser K, Campbell RT, Calhoun E, Warnecke RB. Misconceptions about breast lumps and delayed medical presentation in urban breast cancer patients. Cancer Epidemiol Biomarkers Prev. 2010 Mar;19(3):640-7. [See abstract]

Campbell RT, Li X, Dolecek TA, Barrett RE, Weaver KE, Warnecke RB. Economic, racial and ethnic disparities in breast cancer in the US: Towards a more comprehensive model. Health Place. 2009 Sep;15(3):855-64. [See abstract]

Tarlov E, Zenk SN, Campbell RT, Warnecke RB, Block R. Characteristics of mammography facility locations and stage of breast cancer at diagnosis in Chicago. J Urban Health. 2009 Mar;86(2):196-213. [See abstract]

Artinian NT, Abrams J, Keteyian SJ, Franks MM, Franklin B, Pienta A, Tkatch R, Cuff L, Alexander P, Schwartz S. Correlates of depression at baseline among African Americans enrolled in cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2009 Jan-Feb;29(1):24-31.

Paskett ED, Reeves KW, McLaughlin JM, Katz ML, McAlearney AS, Ruffin MT, Halbert CH, Merete C, Davis F, Gehlert S. Recruitment of minority and underserved populations in the United States: the Centers for Population Health and Health Disparities experience. Contemp Clin Trials. 2008 Nov;29(6):847-61.

Rankin KM, Rauscher GH, McCarthy B, Erdal S, Lada P, Il'yasova D, Davis F. Comparing the reliability of responses to telephone-administered versus self-administered web-based surveys in a case-control study of adult malignant brain cancer. Cancer Epidemiol Biomarkers Prev. 2008 Oct;17(10):2639-46.

Warnecke RB, Oh A, Breen N, Gehlert S, Paskett E, Tucker KL, et al. Approaching health disparities from a population perspective: the National Institutes of Health Centers for Population Health and Health Disparities. Am J Public Health. 2008 Sep;98(9):1608-15. [See abstract]

Rauscher GH, Johnson TP, Cho YI, Walk JA. Accuracy of self-reported cancer screening histories: a meta-analysis. Cancer Epidemiol Biomarkers Prev. 2008 Apr;17(4):748-57. [See abstract]

Djuric Z, Bird CE, Furumoto-Dawson A, Rauscher GH, Ruffin MT 4th, Stowe RP, Tucker KL, Masi CM. Biomarkers of Psychological Stress in Health Disparities Research. Open Biomark J. 2008 Jan 1;1:7-19.

Barrett RE, Cho YI, Weaver KE, Ryu K, Campbell RT, Dolecek TA, et al. Neighborhood change and distant metastasis at diagnosis of breast cancer. Ann Epidemiol. 2008 Jan;18(1):43-47. [See abstract]

Artinian NT, Warnecke RB, Kelly KM, Weiner J, Lurie N, Flack JM, et al. Advancing the science of health disparities research. Ethn Dis. 2007 Summer;17(3):427-33.

Johnson TP, O'Rourke DP, Burris JE, Warnecke RB. An investigation of the effects of social desirability on the validity of self-reports of cancer screening behaviors. Med Care. 2005 Jun;43(6):565-573.

Vernon SW, Briss PA, Tiro JA, Warnecke RB. Some methodologic lessons learned from cancer screening research. Cancer. 2004 Sep 1;101(5 Suppl):1131-45.

Johnson TP, Cho YI, Holbrook AL, O'Rourke D, Warnecke RB, Chavez N. Cultural variability in the effects of question design features on respondent comprehension of health surveys. Ann Epidemiol. 2006 Sep;16(9):661-8. Epub 2006 Feb 10.

Zenk SN, Tarlov E, Sun J. Spatial equity in facilities providing low- or no-fee screening mammography in Chicago neighborhoods. J Urban Health. 2006 Mar;83(2):195-210.