Research
Interests
My research program sits at the intersection of statistical methodology and applied public-health research. Three overlapping strands:
Cancer disparities & early-onset colorectal cancer. A line of work I’ve been building since my EVMS days, extending through several intramural and extramural grants. I look at how neighborhood characteristics, environmental exposures, and structural barriers shape stage-at-diagnosis and treatment patterns — with particular attention to young-onset cases in underserved populations.
Machine learning in health outcomes. Over the past several years I’ve been applying machine-learning approaches to problems where classical regression struggles: high-dimensional predictors, complex interactions, and data quality issues typical of registry-based and population-based studies. Recent work applies these methods to colorectal cancer outcomes, breast cancer recurrence, and cancer risk prediction across socioeconomic gradients.
Methods for confounding & propensity scores. My doctoral work on propensity-score methods when association is measured by AUC remains active — in subsequent publications I’ve shown that naive propensity-score adjustment can bias the conditional AUC, a subtle but consequential finding for diagnostic-accuracy studies in observational data.
By the numbers: 20 peer-reviewed journal articles, 19 published abstracts, 54 conference presentations, 8 invited talks. PI on 9 awarded grants (~$114K) and Co-Investigator on 6 totaling $3.85M — roughly $3.97M in cumulative funded work.
Selected publications
APA format. Newest first. For the complete list, see the CV.
- (2024). Machine learning as a tool for early detection: A focus on late-stage colorectal cancer across socioeconomic spectrums. Cancers, 16(3), 540. doi:10.3390/cancers16030540
- (2024). Navigating new normals: Student perceptions, experiences, and mental health service utilization in post-pandemic academia. Education Sciences, 14(2), 125. doi:10.3390/educsci14020125
- (2023). Experiences with COVID-19 stress among Hispanic/Latino farmworkers. Journal of Agricultural Safety and Health, 29(3), 159–172. doi:10.13031/jash.15459
- (2023). Pregnancy intention and breastfeeding behaviors in Virginia: A secondary analysis of PRAMS data. Clinical Lactation, 14(2), 63–71. doi:10.1891/CL-2022-0024
- (2022). Politics, preparedness, or resources: Examining state responsiveness to the COVID-19 pandemic. Politics and the Life Sciences, 1–13. doi:10.1017/pls.2022.10
- (2022). Is age of menarche directly related to vitamin D levels? American Journal of Human Biology, e23731. doi:10.1002/ajhb.23731
- (2021). Racial disparities and treatment trends among young-onset colorectal cancer patients: An analysis of a hospital cancer registry. Cancer Epidemiology, 72, 101911. doi:10.1016/j.canep.2021.101911
- (2020). Predictors of biologic use and satisfaction among patients with psoriasis. Journal of Psoriasis and Psoriatic Arthritis, 5(3), 100–108. doi:10.1177/2475530320925553
- (2019). Controlling for confounding via propensity score methods can result in biased estimation of the conditional AUC: A simulation study. Pharmaceutical Statistics, 18(5), 568–582. doi:10.1002/pst.1948
- (2018). Structural barriers to comprehensive, coordinated HIV care: Geographic accessibility in the US South. AIDS Care, 30(11), 1459–1468. doi:10.1080/09540121.2018.1476656
Selected grants
As Principal Investigator:
- Knowledge, Attitude, and Perceived Barriers towards Breast Cancer Screening among Female African Immigrants — Johns Hopkins University, $15,000 (2025–2026). (Faculty Mentor with PhD candidate Rexford Anson-Dwamena.)
- Predicting Health Outcomes Among Cancer Patients in Virginia: A Population-Based Machine Learning Approach — ODU School of Public Health Initiatives Intramural Grant, $24,309 (2023–2024).
- Assessing Occupational Stress Among Lactation Consultants — ODU SPH Intramural Grant, $18,505 (2023–2024).
- Assessing the Impacts of the COVID-19 Pandemic on U.S. Hispanic/Latino Farmworkers — Johns Hopkins University, $9,500 (2021–2023).
As Co-Investigator:
- Targeting Brain Macrophage Reservoirs of SIV during HAART — NIH/NIMH (PI: Kim), $3,137,369 (2015–2018).
- Social and Spatial Determinants of Melanoma in Hispanics — NIH/NIMHD (PI: Harvey), $250,000 (2015–2017).
- The Hampton Roads Academic Health Collaboration — Chesapeake Health Department (PI: Kekeh), $10,000 (2024–2025).
Current projects
- Breast cancer recurrence prediction (ongoing): machine-learning approaches to population-based surveillance strategies. Presented at APHA 2025.
- Racial and ethnic disparities in breast cancer recurrence (ongoing): population-based cohort analysis, Virginia. Presented at APHA 2025.
- Cervical cancer screening uptake — All of Us Research Program analysis (Co-PI; submitted 2025).
Dissertation committee chair
Chairing dissertation committees in the PhD in Health Services Research program at ODU:
- Rexford Anson-Dwamena (2023–present)
- Mya Achike — Occupational Stress and Coping During a Public Health Emergency (defended 2024)
- Anne Dumadag — Mental Health Among the Asian American Population (2022–2024)
- Brenda Berumen-Flucker — Acculturative Stressors and Cultural Factors in Health and Safety of Hispanic/Latino Farmworkers (defended 2022)
Looking for the calculator? The open tools I built for teaching live at ztchi.hgaladima.com — free, no signup, no tracking, work shown.