• I am a social behavioral scientist whose independent research focuses on using population health methodologies to explore how social determinants, particularly neighborhood level determinants, influence cardiometabolic abnormalities and disparities. Utilizing my training in applied epidemiologic methods, data management/analysis, and outcomes research, I am specifically interested in integrating clinical, social determinant and health behavior data to inform the prevention of cardiometabolic disease to reduce health disparities among socially vulnerable, low SES populations. This includes incorporating SDoH data into risk prediction models to aide in stratifying populations based on both social and clinical parameters as well as exploring how social risks cluster within individuals. The end goal is to use this information to inform clinical care and intervention targets. I am currently pursuing multiple cardiometabolic-related studies that include (1) evaluating adding SDoH measures to a validated diabetes risk prediction model to improve risk stratification; (2) examining associations between clinical markers, individual and neighborhood level SDoH and major cardiovascular events; (3) conducting a mixed methods study in emerging Latino communities to examine the influence of community-level factors and of the COVID-19 pandemic on diabetes-related behaviors; and (4) using patient reported electronic medical record (EMR) data to examine social risk clusters associated with diabetes and obesity.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2023 Perspective: Acknowledging a Hierarchy of Social Needs in Diabetes Clinical Care and PreventionDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy.  16:161-166. 2023
    2022 Assessing Hispanic/Latino and Non-Hispanic White Social Determinants of Obesity Among a Community Sample of Residents in the Rural Southeast US 2022
    2022 The Mediating Role of Self-Efficacy in the Association Between Diabetes Education and Support and Self-Care ManagementHealth Education and Behavior.  49:689-696. 2022
    2022 Associations between cardiometabolic disease severity, social determinants of health (SDoH), and poor COVID-19 outcomesObesity.  30:1483-1494. 2022
    2022 Race Versus Social Determinants of Health in COVID-19 Hospitalization PredictionAmerican Journal of Preventive Medicine.  63:S103-S108. 2022
    2022 Forgoing needed medical care among long-term survivors of childhood cancer: racial/ethnic-insurance disparitiesJournal of Cancer Survivorship.  16:677-687. 2022
    2022 Neighborhood Socioeconomic Environment and Risk of Type 2 Diabetes: Associations and Mediation Through Food Environment Pathways in Three Independent Study SamplesDiabetes reviews (Alexandria, Va.).  45:798-810. 2022
    2022 Concordance between self-reported sleep and actigraphy-assessed sleep in adult survivors of childhood cancer: the impact of psychological and neurocognitive late effectsSupportive Care in Cancer.  30:1159-1168. 2022
    2022 A randomized double-blind placebo-controlled trial of the effectiveness of melatonin on neurocognition and sleep in survivors of childhood cancerPediatric Blood and Cancer.  69. 2022
    2021 Cardiac remodeling after anthracycline and radiotherapy exposure in adult survivors of childhood cancer: A report from the St Jude Lifetime Cohort StudyCancer.  127:4646-4655. 2021
    2021 Physiologic Frailty and Neurocognitive Decline Among Young-Adult Childhood Cancer Survivors: A Prospective Study From the St Jude Lifetime CohortJournal of Clinical Oncology.  39:3485-3495. 2021
    2021 The Association of Mitochondrial Copy Number With Sarcopenia in Adult Survivors of Childhood Cancer 2021
    2021 Progression of Frailty in Survivors of Childhood Cancer: A St. Jude Lifetime Cohort Report 2021
    2021 The COVID-19 pandemic and weight management: Effective behaviors and pandemic-specific risk factorsObesity Research and Clinical Practice.  15:518-521. 2021
    2021 The daily self-weighing for obesity management in primary care study: Rationale, design and methodologyContemporary Clinical Trials.  107. 2021
    2021 Cardiac biomarkers and association with subsequent cardiomyopathy and mortality among adult survivors of childhood cancer: A report from the St. Jude Lifetime CohortCancer.  127:458-466. 2021
    2021 Cohort Profile: The St. Jude Lifetime Cohort Study (SJLIFE) for paediatric cancer survivorsInternational Journal of Epidemiology.  50:39-40I. 2021
    2020 Area based stratified random sampling using geospatial technology in a community-based surveyBMC Public Health.  20. 2020
    2020 Generalizability of “GWAS Hits” in Clinical Populations: Lessons from Childhood Cancer SurvivorsAmerican Journal of Human Genetics.  107:636-653. 2020
    2020 Protein Supplementation and Resistance Training in Childhood Cancer SurvivorsMedicine and Science in Sports and Exercise.  52:2069-2077. 2020
    2020 Psychosexual Functioning of Female Childhood Cancer Survivors: A Report From the St. Jude Lifetime Cohort Study 2020
    2020 Body composition, metabolic health, and functional impairment among adults treated for abdominal and pelvic tumors during childhoodCancer Epidemiology, Biomarkers and Prevention.  29:1750-1758. 2020
    2020 The 6-minute walk test is a good predictor of cardiorespiratory fitness in childhood cancer survivors when access to comprehensive testing is limitedInternational Journal of Cancer.  147:847-855. 2020
    2020 Neighborhood effect and obesity in adult survivors of pediatric cancer: A report from the St. Jude lifetime cohort studyInternational Journal of Cancer.  147:338-349. 2020
    2020 Cardiac autonomic dysfunction in survivors of childhood acute lymphoblastic leukemia: The St. Jude Lifetime Cohort StudyPediatric Blood and Cancer.  67. 2020
    2020 Shortened Leukocyte Telomere Length Associates with an Increased Prevalence of Chronic Health Conditions among Survivors of Childhood Cancer: A Report from the St. Jude Lifetime CohortClinical Cancer Research.  26:2362-2371. 2020
    2020 Diabetes mellitus among adult survivors of childhood acute lymphoblastic leukemia: A report from the St. Jude Lifetime Cohort StudyCancer.  126:870-878. 2020
    2020 Generalizability of “GWAS hits” in clinical populations: Lessons from childhood cancer survivors 2020
    2020 Physical fitness and neurocognitive outcomes in adult survivors of childhood acute lymphoblastic leukemia: A report from the St. Jude Lifetime cohortCancer.  126:640-648. 2020
    2020 Insomnia and neurocognitive functioning in adult survivors of childhood cancerJNCI Cancer Spectrum.  4. 2020
    2019 Physical fitness in survivors of childhood Hodgkin lymphoma: A report from the St. Jude Lifetime CohortPediatric Blood and Cancer.  66. 2019
    2019 Serum Alanine Aminotransferase Elevations in Survivors of Childhood Cancer: A Report From the St. Jude Lifetime Cohort StudyHepatology.  69:94-106. 2019
    2019 Subsequent breast cancer in female childhood cancer survivors in the St Jude Lifetime Cohort Study (SJLIFE)Journal of Clinical Oncology.  37:1647-1656. 2019
    2018 Influence of fitness on health status among survivors of acute lymphoblastic leukemiaPediatric Blood and Cancer.  65. 2018
    2018 Body Composition and Mortality in Mexican American Adults: Results from the National Health and Nutrition Examination SurveyObesity.  26:1372-1380. 2018
    2018 Peripheral neuropathy, sensory processing, and balance in survivors of acute lymphoblastic leukemiaJournal of Clinical Oncology.  36:2315-2322. 2018
    2018 Randomized web-based physical activity intervention in adolescent survivors of childhood cancerPediatric Blood and Cancer.  65. 2018
    2018 Clinical impact of sedentary behaviors in adult survivors of acute lymphoblastic leukemia: A report from the St. Jude Lifetime Cohort studyCancer.  124:1036-1043. 2018
    2018 Factors influencing risk-based care of the childhood cancer survivor in the 21st centuryCA: A Cancer Journal for Clinicians.  68:133-152. 2018
    2018 Fingernail and toenail clippings as a non-invasive measure of chronic cortisol levels in adult cancer survivorsCancer Causes and Control.  29:185-191. 2018
    2017 The cumulative burden of surviving childhood cancer: an initial report from the St Jude Lifetime Cohort Study (SJLIFE) 2017
    2017 Association of consistently suboptimal quality of life with consistently poor asthma control in children with asthma 2017
    2017 Frailty and quality of life in adult survivors of childhood cancer. 2017
    2017 Maximum lifetime body mass index and mortality in Mexican American adults: The national health and nutrition examination survey III (1988-1994) and NHANES 1999-2010 2017
    2016 Dietary protein intake and lean muscle mass in survivors of childhood acute lymphoblastic leukemia: Report from the St. Jude Lifetime Cohort StudyPhysical Therapy.  96:1029-1038. 2016
    2016 Effect of low-magnitude, high-frequency mechanical stimulation on BMD among young childhood cancer survivors a randomized clinical trialJAMA Oncology.  2:908-914. 2016
    2016 Known-groups validity of the Patient-Reported Outcomes Measurement Information System (PROMIS®) in adolescents and young adults with special healthcare needsQuality of Life Research.  25:1815-1823. 2016
    2016 Responsiveness to Change in PROMIS® Measures among Children with Asthma: A Report from the PROMIS® Pediatric Asthma StudyValue in Health.  19:192-201. 2016
    2015 Energy balance and fitness in adult survivors of childhood acute lymphoblastic leukemiaBlood.  125:3411-3419. 2015
    2014 Risky sexual behavior in adolescent survivors of childhood cancer: A report from the childhood cancer survivor studyHealth Psychology.  33:868-877. 2014
    2012 Risky health behavior among adolescents in the childhood cancer survivor study cohortJournal of Pediatric Psychology.  37:634-646. 2012
    2010 Physical performance limitations among adult survivors of childhood brain tumorsCancer.  116:3034-3044. 2010

    Research Overview

  • Social determinants of cardiometabolic outcomes
    Cardiometabolic risk prediction and stratification
  • Education And Training

  • Doctor of Philosophy, University of Alabama at Birmingham 2015
  • Master of Public Health in Public Health Education and Promotion, University of Memphis 2005
  • Bachelor's Degree in Psychology, University of Alabama at Birmingham 1998
  • Full Name

  • Carrie Howell