Substance use in medical (HIV, cancer) and psychiatric (depression, serious mental illness) comorbidities; cannabis use for symptom management; serious illness communication
My research program seeks to: (1) understand the mechanisms that underlie health behavior among people at increased risk for poor health outcomes; (2) explore the role of health inequities on behavioral health among those with medical comorbidities; and (3) address adverse clinical outcomes including pain, mental health, neurocognition, and quality of life. This interdisciplinary research focuses on three areas: (1) the mechanisms and outcomes of and treatments for tobacco use among people with HIV (PWH); (2) cannabis use for symptom management among patients with cancer; and (3) increasing awareness of and access to mental health support in the Black community.
PWH smoke at higher rates than people without HIV and due to the widespread use of antiretroviral therapy, PWH actually lose more life years to tobacco use than to HIV. My research seeks to understand: (1) the mechanisms that underlie high smoking rates; (2) why existing treatments are less effective and relapse rates are higher among PWH; and (3) how HIV and smoking may act synergistically and ultimately lead to worse clinical outcomes including cancer and impaired immune function.
More patients with cancer are using cannabis to help manage symptoms related to cancer and our work seeks to understand how and why patients with cancer use cannabis. Specifically, we are studying whether cannabis may reduce opioid use for managing cancer-related pain and the benefits and harms of cannabis use among patients undergoing immunotherapy. We are also examining how inequities in access to cannabis may impact cancer-related outcomes.
Lastly, we are collaborating with a community-based organization, the National Witness Project (Dee Johnson, Director), to understand and address mental health service barriers in Buffalo’s Black community. Through this community-based participatory research we are developing a novel health communication outreach program tailored to strategies for reaching, educating, and guiding the community to mental health services.