Research to Improve Health
Cutting-edge research on the social and structural drivers of health.
To understand the drivers of population health, the systems around populations must be understood — as it is not individuals themselves, but the social and structural systems they encounter in their everyday lives that shape their health.
This is a paradigm shift from a single pathway toward how the entire system fits together to produce health inequities for a particular population. As such, this shift requires complex modeling and computational approaches, new tools and methods for the capture, integration and analysis of rich social data necessary to understand systemic influences on individual health.
Our Projects
Through numerous studies, our team has been at the forefront of understanding of the social and structural drivers of population health via measurement tools, modeling and analysis, and the transdisciplinary integration of scientists and community members.
Recent Publications
- McConnell EA, Birkett M "We Live in Different Chicagos": Racial/Ethnic Differences in the Neighborhood Affiliations of Young Men Who Have Sex with Men as Drivers of HIV Risk. AIDS Behav 2025 Sep;29(9):2764-2782. doi:10.1007/s10461-025-04734-7
- McConnell EA, Aleksyuk Y, Birkett M Structural factors shape racial differences in neighbourhood-level HIV risk environments for young men who have sex with men. Cult Health Sex 2025 Aug 27;:1-13. doi:10.1080/13691058.2025.2544776
- Min SH, Scroggins JK, Duncan DT, Garofalo R, Janulis PF, Kuhns L, Xiao F, Schnall R Identifying Hidden Barriers to PrEP Adherence Among Young Men Who Have Sex with Men: Application of Natural Language Processing. AIDS Behav 2025 Aug 19;. doi:10.1007/s10461-025-04863-z
- Mustanski B, Benbow N, Macapagal K, Li D, Madkins K, Saber R, Linas B, Smith JD, Brown CH, Munroe S et al. Comparing Implementation and Effectiveness Outcomes for Two Implementation Strategies of the Keep It Up! Digital HIV Prevention Program: A Type 3 Hybrid Effectiveness-Implementation Trial. AIDS Behav 2025 Aug 19;. doi:10.1007/s10461-025-04838-0
- Scott J, Money V, Ellis C, Hughes-Halbert C, Birkett MA, Magwood G Characterizing the influence of racism-related stress and pandemic-related changes in social connections on cardiovascular health: Study protocol and theoretical framework. PLoS One 2025;20(7):e0324839. pii:e0324839
- Schnall R, Radix A, Kuhns LM, Janulis P, Paredes C, Garofalo R Feasibility of the Adapted MyPEEPS Mobile App for HIV Prevention in Young Transgender Men. AIDS Educ Prev 2025 Jul;37(3):173-186. doi:10.1521/aeap.2025.37.3.173
- Janulis P, Phillips Ii G, Cascalheira C, Mustanski B, Wolff T, Birkett M Estimating Substance Use Homophily in the Sexual Network of a Large Cohort of Young Sexual and Gender Minorities Assigned Male at Birth. AIDS Behav 2025 Mar;29(3):933-938. doi:10.1007/s10461-024-04576-9
- Balogun M, Kuhns LM, Akanmu AS, Garofalo R, Badru T, Adekanmbi AF, Akinbami A, Agbaji O, David AN, Omigbodun O et al. Risk Factors for Viral Non-suppression Among Youth Living with HIV in Nigeria: Findings from the iCARE Nigeria Study. AIDS Behav 2025 Mar;29(3):848-857. doi:10.1007/s10461-024-04565-y
- Schnall R, Scherr TF, Kuhns LM, Janulis P, Jia H, Wood OR, Almodovar M, Garofalo R Efficacy of the mLab App: a randomized clinical trial for increasing HIV testing uptake using mobile technology. J Am Med Inform Assoc 2025 Feb 01;32(2):275-284. doi:10.1093/jamia/ocae261
- Taiwo BO, Kuhns LM, Agbaji O, David A, Akanmu S, Akinbami A, Omigbodun O, Adekanmbi F, Yiltok E, Ezemelue P et al. A Stepped-Wedge, Cluster-Randomized, Multisite Study of Text Messaging Plus Peer Navigation to Improve Adherence and Viral Suppression Among Youth on Antiretroviral Therapy. J Acquir Immune Defic Syndr 2025 Feb 01;98(2):176-184. doi:10.1097/QAI.0000000000003549
- Kozhumam A, Singh R, Agbaji O, Adetunji A, Taiwo B, Omigbodun O, Kuti K, David A, Akanmu S, Adekambi F et al. Attitudes toward scale-up of an Intensive Combination Approach to Rollback the Epidemic in Nigerian adolescents (iCARE) intervention for youth in Nigeria: results of a mixed methods early-implementation study. Implement Sci Commun 2025 Jan 08;6(1):6. pii:6
- Schnall R, Duncan DT, Kuhns LM, Janulis PF, Almodovar M, Wood OR, Xiao F, Veihman PR, Garofalo R Three limited interaction approaches to understanding the epidemiology of HIV among YMSM in the US. BMC Public Health 2024 Dec 18;24(1):3450. pii:3450
- Davoudpour S, Ruprecht MM, Xu J, Felt D, Boegner J, Lindeman P, Janulis P, Greene GJ, Johnson AK, Kern D et al. Networks of HIV Service Organisations: Changes Over Time and Implications for HIV Elimination. J Health Manag 2024 Nov;26(5):752-762. doi:10.1177/09720634241262160
- Risher K, Janulis P, McConnell E, Motley D, Serrano PA, Jackson JD, Brown A, Williams M, Mendez D, Phillips Ii G et al. Racial and Ethnic Differences in Mobile App Use for Meeting Sexual Partners Among Young Men Who Have Sex With Men and Young Transgender Women: Cross-Sectional Study. JMIR Public Health Surveill 2024 Sep 11;10:e54215. pii:e54215
- Ye J, Orji IA, Birkett MA, Hirschhorn LR, Walunas TL, Smith JD, Kandula NR, Shedul GL, Huffman MD, Ojji DB Community-Based Participatory Research and System Dynamics Modeling for Improving Retention in Hypertension Care. JAMA Netw Open 2024 Aug 01;7(8):e2430213. pii:e2430213
- Cordoba E, Garofalo R, Kuhns LM, Pearson C, Scott Batey D, Janulis P, Jia H, Bruce J, Hidalgo MA, Hirshfield S et al. Neighborhood-level characteristics as effect modifiers on the efficacy of the MyPEEPS mobile intervention in same-sex attracted adolescent men. Prev Med Rep 2024 Jun;42:102726. pii:102726
- Ye J, Sanuade OA, Hirschhorn LR, Walunas TL, Smith JD, Birkett MA, Baldridge AS, Ojji DB, Huffman MD Interventions and contextual factors to improve retention in care for patients with hypertension in primary care: Hermeneutic systematic review. Prev Med 2024 Mar;180:107880. doi:10.1016/j.ypmed.2024.107880
- Tang X, Schalet BD, Janulis P, Keruly JC, Moore RD, Milloy MJ, DeBeck K, Hayashi K, Javanbakht M, Kim S et al. Evaluating the agreement between different substance use recall periods in multiple HIV cohorts. Drug Alcohol Depend 2024 Jan 01;254:111043. doi:10.1016/j.drugalcdep.2023.111043
- Phillips Ii G, Rodriguez-Ortiz AE, Adewumi OM, Banner K, Adetunji A, Awolude OA, Olayinka OA, Simons LM, Hultquist JF, Ozer EA et al. Social/Sexual Networks of People Newly Diagnosed with HIV in Ibadan, Nigeria. AIDS Behav 2024 Jan;28(1):300-309. doi:10.1007/s10461-023-04200-2
- Cascalheira CJ, Pugh TH, Hong C, Birkett M, Macapagal K, Holloway IW Developing technology-based interventions for infectious diseases: ethical considerations for young sexual and gender minority people. Front Reprod Health 2023;5:1303218. pii:1303218
- Janulis P, Jenness SM, Risher K, Phillips G, Mustanski B, Birkett M Substance use and variation in sexual partnership rates among young MSM and young transgender women: Disaggregating between and within-person associations. Drug Alcohol Depend 2023 Nov 01;252:110968. doi:10.1016/j.drugalcdep.2023.110968
- Janulis P, Luo J, Tang X, Schalet BD Can severity of substance use be measured across drug classes? Estimating differential item functioning by drug class in two general measures of substance use severity. Drug Alcohol Depend 2023 Sep 01;250:110877. doi:10.1016/j.drugalcdep.2023.110877
- Masters MC, Rivera J, Calamari M, Wright K, Janulis P, Rusie L, Bannon J, Milne P, Galvin SR, Molina EG et al. Telemedicine and HIV Care Quality Measures During the COVID-19 Pandemic. J Acquir Immune Defic Syndr 2023 Sep 01;94(1):46-52. doi:10.1097/QAI.0000000000003238
- Janulis P, Goodreau SM, Morris M, Birkett M, Phillips G, Risher K, Mustanski B, Jenness SM Partnership types and coital frequency as predictors of gonorrhea and chlamydia among young MSM and young transgender women. Int J STD AIDS 2023 Sep;34(10):694-701. doi:10.1177/09564624231173728
- Janulis P, Phillips G, Melville J, Hogan B, Banner K, Mustanski B, Oser CB, Tillson M, Schneider J, Birkett M Network canvas: an open-source tool for capturing social and contact network data. Int J Epidemiol 2023 Aug 02;52(4):1286-1291. doi:10.1093/ije/dyad036
- Taiwo BO, Kuhns LM, Omigbodun O, Awolude O, Kuti KM, Adetunji A, Berzins B, Janulis P, Akanmu S, Agbaji O et al. A randomized stepped wedge trial of an intensive combination approach to roll back the HIV epidemic in Nigerian adolescents: iCARE Nigeria treatment support protocol. PLoS One 2023;18(7):e0274031. pii:e0274031
- Janulis P Life course differences in heavy episodic drinking behaviors across age, gender, and sexual identity in the United States. Addict Behav Rep 2023 Jun;17:100495. pii:100495
- Mustanski B, Saber R, Jones JP, Macapagal K, Benbow N, Li DH, Brown CH, Janulis P, Smith JD, Marsh E et al. Keep It Up! 3.0: Study protocol for a type III hybrid implementation-effectiveness cluster-randomized trial. Contemp Clin Trials 2023 Apr;127:107134. doi:10.1016/j.cct.2023.107134
- Kling KD, Janulis P, Demonbreun AR, Sancilio A, Berzins B, Krueger K, Achenbach C, Price R, Sullivan M, Caputo M et al. No difference in anti-spike antibody and surrogate viral neutralization following SARS-CoV-2 booster vaccination in persons with HIV compared to controls (CO-HIV Study). Front Immunol 2022;13:1048776. pii:1048776





