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Faculty Detail    
Name MONIKA M SAFFORD
 
Campus Address MT 643 Zip 4410
Phone 205-934-6883
E-mail msafford@uab.edu
Other websites
     


Faculty Appointment(s)
Appointment Type Department Division Rank
Primary  Medicine  Med - Preventive Medicine Professor
Secondary  Dept of Medical Education  Dept of Medical Education Associate Professor
Center  Arthritis & Musculoskeletal Diseases Center  Arthritis & Musculoskeletal Diseases Center Professor
Center  Center for Aging  COMPREHENSIVE CTR FOR HEALTHY AGING Professor
Center  General Clinical Research Center  Center for Outcomes & Effectiveness Res & Educ Professor
Center  Medicine  Comprehensive Diabetes Ctr Professor
Center  General Clinical Research Center  Ctr for Clinical & Translational Sci Professor
Center  Cell, Developmntl, & Integrative Biology  Ctr for Exercise Medicine Professor
Center  Medicine  Ctr Cardiovasc Bio Professor
Center  General Clinical Research Center  Minority Health & Research Center Professor
Center  Nutrition Sciences   Nutrition Obesity Res Ctr (NORC) Professor

Biographical Sketch 
AB, Dartmouth College, 1982.
MD, Cornell University Medical College, 1986.
Internship/Residency, Hospital of the University of Pennsylvania, 1989
Instructor in Medicine, Brown University, 1989-1991
Private Practice, 1991-1995
Assistant Professor of Medicine, University of Medicine and Dentistry of NJ, 1996-2003
Assistant Professor of Medicine, UAB, 2003-2007
Associate Professor of Medicine, UAB, 2007-2012
Professor of Medicine, UAB, 2012-present

I have two components to my research program. One is cardiovascular epidemiology in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study. I lead the ancillary study on coronary heart disease outcomes for REGARDS, funded by NHLBI. I also do observational research in other large databases with a focus on health disparities.

I also have a community-based intervention research program called Encourage. We have ongoing studies of community health worker-delivered interventions as a strategy to overcome barriers to optimizing health outcomes among individuals living with diabetes in the rural Alabama Black Belt.

Society Memberships
Organization Name Position Held Org Link
American Diabetes Association  Member   
American Heart Association Council on Epidemiology and Prevention  Member   
American Stroke Association  Member   
Society for General Internal Medicine  member   

Research/Clinical Interest
Title
REGARDS-MI study (cardiovascular epidemiology); Encourage program (community health worker delivered interventions to improve diabetes outcomes in the Alabama Black Belt)
Description
Eliminating health disparities in cardiometabolic disease outcomes.

Selected Publications 
Publication PUBMEDID
Barasch A, Safford MM, Dapkute-Marcus I, Fine DH. Efficacy of chlorhexidine gluconate rinse for treatment and prevention of oral candidiasis in HIV-infected children. Oral Surg Oral Med Oral Pathol Radiol Endod. 2004, Feb;97(2):204-7.    
Kim C, Williamson DF, Herman WH, Safford MM, Selby JV, Marrero DG, Curb JD, Thompson TJ, Narayan VK, Mangione CM. Referral Management and the care of patients with diabetes: The Translating Research into Action for Diabetes (TRIAD) Study. Am J Man Care 2004, Feb;10(2 Pt 2):137-43.   
Miller DR, Safford MM, Pogach LM. Who has diabetes? Best estimates of diabetes prevalence in the Veterans Health Administration based on computerized patient data. Diabetes Care, 2004 May;27(Supp. 2):B10-B21.   
Brown A, Gerzoff RB, Karter AJ, Gregg E, Safford M, Waitzfelder E, Beckles GL, Brusuelas R, Mangione CM. Health Behaviors and Quality of Care among Latinos with Diabetes in Managed Care: the Translating Research into Action for Diabetes (TRIAD) Study. Am J Pub Health, 2003 Oct;93(10):1694-8.   
Karter AJ, Stevens MR, Herman WH, Ettner S, Marrero D, Safford MM, Engelgau MM, Curb JD, Brown AF, and the TRIAD Study Group. Out-of-pocket costs and diabetes preventive services: The Translating Research Into Action for Diabetes (TRIAD) Study. Diabetes Care, 2003 Aug;26(8):2294-9.   
Wassertheil-Smoller S, Hendrix S, Limacher M, Heiss G, Kooperberg C, Baird A, Kotchen T, Curb JD, Black H, Rossouw JE, Aragaki A, Safford M, Stein E, Laowattana S, Mysiw WJ, MD; for the WHI Investigators. Effect of Estrogen Plus Progestin on Stroke in Postmenopausal Women. The Women's Health Initiative: A Randomized Trial. JAMA 2003; 289:2651-2662.   
Safford MM, Eaton L, Hawley G, Brimacombe M, Rajan M, Li H, Pogach L. Disparities in use of lipid lowering medications among people with diabetes. Arch Intern Med 2003;163:922-928.   
Howard BV, Criqui MH, Curb JD, Rodabough R, Safford MM, Santoro N, Wilson AC, Wylie-Rosett J. Risk factor clustering in the insulin resistance syndrome and its relationship to cardiovascular disease in postmenopausal white, black, hispanic, and Asian/Pacific Islander women. Metabolism. 2003 Mar;52(3):362-71.   
Barasch A, Safford MM. Diet medications and valvular heart disease: the current evidence. Spec Care Dentist. 2002 May-Jun;22(3):108-14.
 
 
The TRIAD Study Group. Translating Research into Action for Diabetes (TRIAD): A Multi-Center Study of Diabetes in Managed Care. Diabetes Care, 25(2):386-9, 2002. (Safford MM, one of 6 Principal Investigators)   
Shuldiner AR, Goldstein BJ, O’Keefe JH, Safford MM, Unger J. Controlling type 2 diabetes. Medical Crossfire, 3(6):32-43, 2001.   
Zhang Q, Safford M, Pogach L. Adjusting discrete measures of health service performance with an empirical bayes approach. American Statistical Association 2000 Proceedings of the Section on Statistics in Epidemiology and the Health Policy Statistics Section:91-96, 2001.   
Zhang Q, Safford M, Ottenweller J, Hawley G, Repke D, Burgess JF, Dhar S, Cheng H, Naito H, Pogach L. Performance status of health care facilities changes with case mix adjustment of HbA1c. Diabetes Care 23:919-927, 2000.   
Barasch A, Safford MM, Catalanotto F, Fine D, Varagiannis E, Katz RV. Oral soft tissue manifestations in HIV-positive vs. HIV-negative minority children: a two year observational study. J Ped Dent, 2000; 22(3):215-20.   
Barasch A, Safford M, Eisenberg E. Oral cancer and oral effects of anticancer therapy. Mt Sinai J Med. 1998 Oct-Nov;65(5-6):370-7.    
Barasch A, Safford MM. Management of oral pain in patients with malignant disease. Compend Contin Educ Dent. 1993; 11: 1376-83.   
Frickhofen N, Abkowitz JL, Safford MM, et al. Persistent B19 parvovirus infection in patients infected with Human Immunodeficiency Virus-1: A treatable cause of anemia in AIDS. Ann Int Med. 1990; 113(12): 926-33.   
MacGregor RR, Safford MM, Meir S. Effects of ethanol on functions required for the delivery of neutrophils to sites of inflammation. J Infec Dis. 1988; 157: 682-9.   

Keywords
Diabetes; disparities; cardiovascular disease