Funded Initiatives and Collaborations

Morehouse School of Medicine Prevention Research Center 

The Morehouse School of Medicine Prevention Research Center is one of a networks of 26 academic research centers funded by the Centers for Disease Control and Prevention (CDC). The theme of the PRC is: Risk Reduction and Early Detection in African American and Other Minority Community-Coalitions for Prevention Research. This center’s research infrastructure is designed to conduct multi-interdisciplinary community-based research initiatives, train community-based researchers and public health practitioners, demonstrate the value of community coalitions in conducting research and communicate and disseminate research findings and public health information widely to advance public health practice and improve health outcomes in communities. The Center’s core research project is entitled: Project Take Charge. The proposed research is a collaborative effort between Minority Serving Institutions (MSIs) and their surrounding communities to address the burdens of HIV/AIDS, STIs and Substance Use among African American young adults ages 18-24. Take Charge seeks to these health conditions among young adults by implementing evidence-based practices (EBPs including HIV testing, condom distribution, educational workshops) at four MSIs in Georgia - Clark Atlanta University, Morehouse College, Atlanta Metropolitan State College and Albany State University. MSIs, particularly Historically Black Colleges and Universities, can serve as important collaborators with public health institutions to address the high rates of HIV in their surrounding communities.


A Multi-Level Community Based Approach to PrEP Uptake for African American Women 

The goal of this project is to utilize a community-based participatory research (CBPR) approach to increase PrEP uptake through the adaptation of the Healthy Love (HL) intervention. The Healthy Love intervention will be adapted to include information on PrEP and will be delivered by peer navigators trained as community health workers (CHWs). The proposed study will be carried out by researchers and community members with expertise in community engagement, sexual health interventions, and research with African American women. We hypothesize that implementing Healthy Love + PrEP (HL + PrEP), a culturally appropriate intervention for Black women will result in 1) increased PrEP utilization, increased HIV testing and increased condom use and 2) increased service utilization, linkage, engagement, and retention in care. Specifically, we seek to achieve the following aims: AIM 1: Utilize a CBPR approach to adapt an evidence-based sexual health intervention for African American women, ages 18 and up, at high risk for HIV in Georgia and Kentucky to include lessons on PrEP. We will conduct focus groups and in-depth interviews with community stakeholders, including African American women and staff from community-based organizations to adapt the Healthy Love intervention. Aim 2: To implement and evaluate the CBPR adapted intervention for adult African American women in Georgia and Kentucky. We propose to implement a two-arm, randomized controlled trial with 144 Black women (72 in Georgia and 72 in Kentucky) to compare: 1) HL + PrEP which includes information on PrEP and peer navigation services and 2) HL only. We will test the following hypotheses: Hypothesis 1: Women enrolled in the HL + PrEP will demonstrate increased PrEP utilization, increased HIV testing and increased condom use. Hypothesis 2: Women enrolled in the HL + PrEP arm will demonstrate increased service utilization, linkage, engagement, and retention in care. 

Advancing Health Literacy Program to Enhance Equitable Community Responses to COVID-19

The Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19 project will implement evidence-based, culturally-tailored health literacy strategies to enhance the rates of COVID-19 testing, contact tracing, mitigation measures, vaccine confidence, and the cross-cutting urgency of behavioral health literacy and access to related services among racial and ethnic minority populations and other socially vulnerable populations in Fulton County, Georgia. The program will partner with Morehouse School of Medicine for quality improvement activities and program evaluation.

The Health Literacy program will address personal and organizational health literacy through culturally appropriate strategies that include:

  • Formation of a Community Coalition Board (CCB) led by a non-governmental, community-based organization.
  • Implementation of a primary and behavioral health integration strategy to address the current needs resulting from COVID-19 as well as pre-existing and future needs in minority and socially vulnerable populations.
  • Deployment of a mobile unit in minority and underserved neighborhoods connect and build rapport with residents; mitigate distrust issues surrounding the medical community; address stigma related to behavioral health; provide education, information, linkages to services; empower individuals to recognize signs and symptoms of physical and emotional health needs; provide information and linkages related to COVID-19.
  • Creation of a team of six Outreach Workers who will become experts on the underserved and minority populations in their district and receive culturally specific training.
  • Recruit Resident Workers who speak the languages of the communities served to canvas hard to reach neighborhoods through door-to-door engagement to provide education and information related to COVID-19.
  • Use of an Organizational Health Literacy Initiative for primary and behavioral health providers that includes train-the-trainer, evidenced-based teach backs, toolkits/discussion guides, and plain language materials in order to align with the Healthy People 2030 objectives related to provider/patient communication.
  • Implementation of a dynamic online culturally responsive HUB as a resource for utilizing the evidence-based model of community care coordination that focuses on addressing social determinants of health.
  • Hosting community events with topics related to COVID-19 and behavioral health.
  • Conducting a culturally and linguistically sensitive visibility and outreach campaign.

African American Child and Family Research Center 

The primary mission of the Center will be to provide national leadership and excellence in community-engaged research to better serve African American children and families. The Center will focus broadly on child development (Early Head Start and Head Start), childcare assistance, social and economic mobility (Temporary Assistance for Needy Families (TANF) and Social Services Research Demonstration programs), and healthy relationships, including fatherhood and supportive family relationships (Healthy Marriage & Responsible Fatherhood). A key part of the Center’s mission is also to support and advance the research community by providing tools and resources, supporting emerging scholars, and communicating research to help programs and policies better serve African American children and families.


Centers for Disease Control and Prevention Undergraduate Student Programs (CUPS) Student Coordinating Center 

The CUPS program prepares a diverse body of students to consider public health as a career to ensure a future where the American public benefits from a more diverse and better trained public health workforce. A core area of study and practice during the internship is related to the health needs of U.S. minority and other populations who often are underserved and underrepresented in the field. During their internships, students work in a variety of public health settings including community organizations, health departments, university-based programs, and federal agencies. Students display a variety of skills and knowledge including a focus on epidemiology, fundamentals of public health, minority health and health disparities, working with special populations, and biostatistics and statistical software. The MSM PRC collaborates with Morehouse College to leads the Students Coordinative Center. The SCC aims to 1) identify and document emerging best practices in student internship placement, 2) enhance and facilitate the process of grantee program implementation, monitoring, and tracking and 3) support the exposure and entry of underrepresented minorities to public health and biomedical science careers. Evaluation will provide program technical assistance, training, leadership and monitoring to assess the extent to which the program has attained established goals and objectives through processes that can be replicated and sustained over time. 


Center for Translational Research in Health Disparities 

The goal of this project is to build on and expand established research capacity and infrastructure through rapid translation of health disparities research (e.g., cancer, stroke, infectious diseases, cardiometabolic disease, reproductive health) into practical solutions, and build multidisciplinary expertise (e.g., biomedical, clinical, and behavioral), focused on health disparities. MSM PRC affiliated faculty and staff lead the community engagement core for this Center.


Connect Implementation

Connect is an evidence-based, manualized, ten-week parent education and support training model developed in Canada to improve parent-child relationship quality and reduce youth behavior problems. It uses an attachment-based, trauma-informed approach that incorporates effective engagement strategies with experiential learning and skill development. The Annie E Casey Foundation (AECF) is partnering with Fathers Incorporated to implement Connect with African American fathers of adolescents. MSM PRC is supporting the implementation of this intervention through process evaluation and community-based participatory approaches.

Garnering Effective Outreach and Research in Georgia for Impact Alliance Community Engagement Alliance Against COVID-19 Disparities (Georgia CEAL) 

The COVID-19 pandemic has revealed striking morbidity and mortality disparities among racial and ethnic minority communities, and populations who are medically and socially vulnerable to COVID-19 exposure and infection. This has underscored the urgency for multipronged, and community-engaged strategies to reduce these inequities. Disparities are amplified by community mistrust and misinformation, and policy-influenced on mitigation behaviors. Georgia CEAL will leverage and capitalize upon existing community partners, leaders, and knowledge holders, community resources, and local service delivery settings to enhance education, awareness, access, and inclusion of underserved communities in research and outreach designed to advance the prevention and treatment of COVID-19 and reduce disease disparities. The overall goal of Georgia CEAL is to understand factors that contribute to the disproportionate burden of COVID-19 in underserved communities and establish effective, community-engaged research and outreach response.


Georgia Center for Diabetes Translation Research (renewal)

The vision of the Georgia Center for Diabetes Translation Research (GCDTR) is to promote translation and healthy equity research to impact practice, programs, and policy. Over its first 4 years (GY 1-4), the GCDTR has substantially leveraged institutional commitments, expanded investigator capacity, promoted junior investigators and their career trajectories, research base, and collaboration, and shared expertise in the Southeast. Building on these successes, the GCDTR will embrace a comprehensive approach of addressing all populations that disproportionately experience diabetes and its complications based on their: 1) demographic characteristics (e.g., gender, race/ethnicity/culture, sexual orientation, socioeconomic status), 2) position over the lifespan (e.g., youth, pregnant, elderly), 3) geographic location (e.g., rural, urban), and 4) associated comorbidities (e.g., cardiovascular disease, depression, HIV, COVID-19). We will strive for equity and intentionally operationalize this through: (a) An overarching vision, philosophy, and leadership structure (e.g., Associate Directors for Equity) embracing an inclusive and active approach to advance equity across the afore-mentioned groups as an aspirational goal; (b) A core dedicated to applying design and evaluation methods to reduce disparities in diabetes prevention, access to care, and healthcare quality with a patient-centered focus across healthcare systems; (c) A core dedicated to socioecological and behavioral science approaches to promote equity at the population and community level; and (d) A core dedicated to customization of technologies to support systems, clinicians, and individuals to address equity in translating diabetes prevention and management in communities and clinics. GCDTR will continue to leverage expertise, resources, and project platforms across all of our partner institutions (Emory University [EUV], Georgia Tech [GT], and the Morehouse School of Medicine [MSM]) and other local and regional institutions (e.g., Georgia State University, the University of Florida, the University of Miami, and the University of Tennessee Health Science Center). 


Georgia IMPROVE on Maternal Health, Structural Racism and Discrimination, and COVID-19 

This project will investigate the role of county level measures of structural racism on the health of women of childbearing age. 

Georgia Peers for Equity Against COVID-19 and for Health (GA PEACH)

Georgia Peers for Equity Against COVID-19 and for Health (GA PEACH) focuses increasing vaccine confidence and uptake in African American/Black and Latinx young adults in Georgia (ages 18-24) on college campuses and in the community. A community-engaged approach will be used to develop and implement a culturally appropriate health communication intervention to inform and educate about the COVID-19 vaccine through addressing mistrust, using appropriate mass and social media platforms and peer leadership. Peer (18 – 24 years old) and Community Champions will design and implement intervention activities.

This project will capitalize on Morehouse School of Medicine’s leadership in state and national initiatives designed to address COVID-19 in disproportionately affected communities and leverage existing partnerships with academic institutions, community-based organizations (CBO), state and local health departments, and dissemination partners. GA PEACH is partnering with four Historically Black Colleges and Minority Serving Institutions (Dalton State College, Fort Valley State University, Georgia State University, and Savannah State University) and two CBO partners (The Latino Community Fund and the Georgia Campaign for Adolescent Power & Potential (GCAAP). 

The program activities will: 1) Use data collected to develop communication campaigns and strategies for young adults. 2) Use data collected to assist academic and CBO partners in developing vaccination confidence and uptake efforts. 3) Use data collected to inform state and local health departments engagement with young adults central to audience tailored vaccine uptake strategies. 4) Creation of a Community Coalition Board (CCB) led by Peer Champions (young adults, in majority), and including Community Champions and Georgia PEACH faculty/staff.

Impact of Community Health Worker Home Deployment on COVID-19 Vaccine Confidence and Uptake  

This proposed 1-year project will implement and evaluate a brief Community Health Worker (CHW) intervention through the Albany Area Primary Health Care, a rural Federally Qualified Health Center. The primary goal of this study is to maximize effective outreach, education, and communication through CHWs in order to facilitate improved diabetes self-care and COVID-19 vaccine confidence and uptake in underserved and vulnerable communities. CHWs will be deployed to the homes of adults with increased risk of morbidity and mortality (i.e., African Americans or Latinos with uncontrolled diabetes or prediabetes). 

Kessler Foundation-Morehouse School of Medicine Collaboration

The MSM PRC is one of institutional centers working on the Kessler Foundation Phase 1 activities. The MSM PRC component consists of two phases. Phase 1 includes the conduct a systematic review and quantitative meta-analysis of the existing peer-reviewed and grey literature to identify and characterize studies related to perceptions of, attitudes towards, knowledge of and experiences with medicinal cannabis by health disparity populations (characterized by geography, sexual orientation/identify, socioeconomic status, among others) 65 years and over with respect to treatment of clinical indications. The study will also evaluate interventions and identify barriers and facilitators to access these medicinal cannabis interventions. The findings will inform the development of a central repository of the literature that will be synthesized through white papers, reports, and peer review publications. It will serve as global evidence-base to inform medicinal cannabis research and evaluation related to cannabis and older adults (particularly those from health disparity population. Phase 2 will strategically engage health disparity populations through focus groups and key informant interviews. The purpose of this phase will be to identify perceptions, attitudes and recommendations to best position implementation approaches of the Center and funded research studies in addition to other components of the MSM Kessler Foundation.


Maternal Health Community Implementation Program 

Establish a regional advisory board in GA and SC to advise the implementation of pre pregnancy counseling for women and men at 3 clinical and 3 community sites in GA & SC. Conduct a needs assessment and pilot test the implementation of pre pregnancy counseling. 

Peer Prevention Navigation for Black Youth and Young Adults

Morehouse School of Medicine, ANIZ, Inc, and Odyssey Family Counseling Center will collaborate to implement a comprehensive culturally appropriate approach to provide HIV and Viral testing, and prevention navigation services. The priority populations include youth and young adults between 16 and 24 (men, women, LGBTQ) in Fulton County, GA. Navigation services will be provided for those diagnosed with HIV and/or a substance misuse disorder. MSM PRC faculty and staff lead or support this effort.

Project Dads in Nutrition Education (DINE)

Project DINE is a collaboration between Morehouse School of Medicine Prevention Research Center, Georgia Department of Public Health Division of Maternal and Child Health, Special Supplemental Nutrition Program for Women, Children, and Infants, and the University of Georgia Cooperative Extension. This project examines if modifications to Healthy Start, an existing evidence-informed interventions for maternal mortality and morbidity, significantly improves health outcomes for pregnant Black mothers in Georgia. The overall goals of Project DINE are to expand and strengthen statewide partnerships to decrease maternal mortality and morbidity by 1) improving maternal nutritional and health outcomes; 2) increasing rates of breastfeeding initiation; and 3) increasing father involvement in maternal and child health.


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Project PEACH (Rapid Acceleration of Diagnostics – Underserved Populations (RADx-UP)

Project PEACH is a collaboration between Morehouse School of Medicine, Emory University and Georgia Institute of Technology. The overarching goal of the RADx-UP initiative is to understand the factors associated with disparities in COVID-19 morbidity and mortality and to lay the foundation to reduce disparities for those underserved and vulnerable populations who are disproportionately affected by, have the highest infection rates of, and/or are most at risk for complications or poor outcomes from the COVID-19 pandemic. The community facing name for RADx-UP is Project PEACH (Promoting Engagement and COVID-19 testing for Health).


Project PEACH2 (Rapid Acceleration of Diagnostics – Underserved Populations (RADx-UP)

Project PEACH2 is a continuing collaboration between Morehouse School of Medicine, Emory University and Georgia Institute of Technology. Project PEACH2 seeks to build on the knowledge and linkages formed in Phase 1 of Project PEACH and leverage the existing collaborations between Project PEACH and Georgia CEAL, to design and evaluate a community-based, adaptive home-based COVID-19 testing program with behavioral nudges delivered via mobile phone texts to increase uptake of COVID-19 testing and prevention behaviors among individuals affected by diabetes (with diabetes, at risk for diabetes, or caring for someone with diabetes).


The Georgia Clinical and Translational Science Alliance Community Engagement 

The Georgia Clinical & Translational Science Alliance (Georgia CTSA) is an inter-institutional magnet that concentrates basic, translational, and clinical research investigators, community clinicians, professional societies, and industry collaborators in dynamic clinical and translational research projects. Emory engaged three of its close academic partners - Morehouse School of Medicine (MSM), Georgia Institute of Technology (Georgia Tech), and the University of Georgia (UGA) - to form the Georgia CTSA. The Georgia CTSA Community Engagement (led by MSM PRC) supports community-university research partnerships, obtains community input into university research, and increases health research in community settings that is responsive to the health needs of the community. It connects existing academic community research programs, transforms research from a scientist-subject interaction to an equitable partnership, and trains investigators in principles of community-based participatory research. The CE aims to support community-university research partnerships, to facilitate community input into university research, and to increase health research in community settings that is both responsive and relevant to the health needs of the community. The CE is governed by a Steering Board as a coordinating administrative structure. This governing body ensures that research findings and related innovations are translated to practice. We strive to overcome historical trends that imped translation to the community when research, community, and agency experts do not work together as equal partners and as a single body with established rules guiding roles and functions. Dr. Henry Akintobi leads the Georgia CTSA Community Engagement Program. 


The National COVID-19 Resiliency Network (NCRN): Mitigating the Impact of COVID-19 on Vulnerable Populations 

To mitigate the impact of COVID-19 on racial and ethnic minority, rural, and socially vulnerable populations The NCRN COVID-19 national dissemination platform will consist of six foundational areas in which the network will: 1) Identify and engage vulnerable communities through local, state, and national partners. 2) Nurture existing and develop new partnerships to address the COVID-19 pandemic and ensure the NCRN is an active information dissemination network with whom to collaborate; 3) Partner with vulnerable communities and national, state, local, and government organizations to provide and disseminate culturally and linguistically appropriate information throughout states, territories, and tribes; 4) Use technology to link members of the priority vulnerable communities to community health workers, COVID-19 healthcare and social services, including testing, vaccinations, behavioral health counseling, and links to primary care practices; 5) Monitor and evaluate the success of the services and measure outcomes using process improvement methods to improve the quality of the overall program. The initiative is designed to work with community-based organizations across the nation to deliver education and information on resources to help fight the pandemic. The information network will strengthen efforts to link communities to COVID-19 testing, healthcare and social services and to best share and implement effective response, recovery and resilience strategies. MSM PRC affiliated faculty lead or advise efforts related to community engagement, community health worker leadership or health communication for this effort.


Toolkit to Guide Academic Researchers in Effective Community Engagement in Human Genome Research 

The goal of the project is to partner with the National Institutes of Health National Human Genome Research Institute (NIH-NHGRI), local, state and national community leaders to develop and disseminate a tool kit designed by community residents and leaders for researchers guide effective engagement of community residents and patients in human genome research.


Young Adult (18-24) Community Mental Health Workers Vaccine Hesitancy, Uptake and Community Engagement 

In an effort to examine and decrease COVID-19 vaccination hesitancy among the Haitian American immigrant population, and to decrease mental health disparities among underserved youth, our team proposes to culturally adapt, implement, and conduct a preliminary validation of a youth (18- 24) led health and mental health education campaign to address COVID-19 related psychosocial stressors. Our central hypothesis is that through participation in this program, young adults become active agents in the development of positive health outcomes for themselves, their families, and community. Participation in HSYACHW will encourage healthy behaviors and better health outcomes, while helping to mitigate the adverse emotional effects of COVID-19 and vaccine hesitancy among underserved young adults. Our objective is to utilize social ecological public health theory and Community-based Participatory approach to examine the sociodemographic factors involved in motivating young adults to develop strategies for influencing health outcomes at the individual, family, and community levels. This work also aims to foster the development and sustainability of positive health behaviors among medically underserved youth, their families and communities. This is a RCMI Supplemental project is to adapt and evaluate this approach. The specific aims are: 1) To adapt the High School & Young Adult Community Health Worker Training program for use with young adult refugee and Immigrant populations (ages 18-24) of Haitian descent; 2) To implement and validate the success of the adapted HSYACHW within the target population to vaccine hesitancy and uptake and improved mental health.

Past Initiatives and Collaborations

Core Research Project: HIV/AIDS Prevention Program for Youth

The Morehouse School of Medicine Prevention Research Center is one of a network of 26 academic research centers funded by the Centers for Disease Control and Prevention. The PRC theme is "Risk Reduction and Early Detection in African American and Other Minority Community-Coalitions for Prevention Research." This center’s research infrastructure is designed to conduct multi-interdisciplinary community-based research initiatives, train community-based researchers and public health practitioners, demonstrate the value of community coalitions in conducting research, and communicate and disseminate research findings and public health information widely to advance public health practice and improve health outcomes in communities.

The center’s core research project, "A Multi-Method Approach to STI and HIV/AIDS Prevention among Urban Minority Youth," will implement a STI and HIV/AIDS prevention intervention with 384 youths ages 14-18, residing the Neighborhood Planning Units serviced by the Prevention Research Center. It also aims to address evidence gaps in the intervention research and analysis, such as the effects of gender, the effectiveness of multi-component interventions, and the effectiveness of including parents in intervention efforts. Tabia Henry Akintobi, PhD, MPH, is principal investigator, Rhonda Holliday, PhD, is core research project principal investigator and LaShawn Hoffman is Community Coalition board chair.

Georgia Center for Diabetes Translational Research

The diabetes epidemic in the United States (US) has evolved considerably over the last quarter century. Though the evidence base for diabetes prevention and management has grown, major gaps persist: 1) The proportion of people with undiagnosed diabetes and pre-diabetes has not improved; 2) Engagement in prevention is exceedingly low; and 3) Young adults and disenfranchised populations with diabetes fare poorly in terms of control.

To address these trends in Georgia, where disparities in diabetes outcomes are particularly apparent, Emory University, the Georgia Institute of Technology, and Morehouse School of Medicine collaboratively established the Georgia Center for Diabetes Translation Research (GCDTR), funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK - P30DK111024) and inter‐institutional partners. Learn more about the GCDTR.

Morehouse School of Medicine Racial and Ethnic Approaches to Health Initiative: Transforming Metropolitan Atlanta Communities through Prevention, Primary Care Linkages and Policy Change Resources for Healthy Living, Cardiovascular Disease and Diabetes

This comprehensive implementation grant partners the MSM Prevention Research Center with the Satcher Health Leadership Institute, Georgia State University and the National Center for Primary Care. It will employ an evidence‐based and culturally tailored model that bridges community and clinical connections, and employs tailored policy, systems and environmental change. Strategies will be designed to improve access to quality healthcare and reduce risk factors for diabetes and cardiovascular disease among vulnerable adult African Americans. MSM REACH HI will accomplish this through a community‐based participatory approach that connects residents to care through community health workers, enlists the clinical leadership of federally qualified health centers, improves behavioral health and chronic disease management, engages community leaders, and improves health outcomes.

Tabia Henry Akintobi, PhD, MPH, PRC director, is principal investigator and Kisha Holden, PhD, MSCR, SHLI deputy director, is co-principal investigator. This project is funded by the Centers for Disease Control and Prevention.

NPU- V Community Safety Pilot Needs Assessment 

MSM PRC partnered with Annie E Casey Foundation to implement a needs assessment through a community-based participatory approach to determine the feasibility of evaluating a community-based (NPU V) violence prevention pilot project which consisted of healing circles, community trauma response network, and cure violence models. MSM PRC also established a community resident advisory committee to implement the needs assessment. 

Partnerships to Improve Community Health

PICH is a 3-year initiative that supports implementation of evidence-based strategies to improve the health of communities and reduce the prevalence of chronic disease. PICH builds on a body of knowledge developed through previously funded Centers for Disease Control and Prevention programs and encourages collaborations with a multi-sectoral coalition to implement sustainable changes in communities where people live, learn, work, and play.

The purpose of the program evaluation, funded through the Fulton County Department of Health and Wellness, is to assess the implementation of evidence- and practice-based strategies to address tobacco use and exposure, poor nutrition, physical inactivity, lack of access to chronic disease prevention, and risk reduction and management in Fulton County.


Special Interest Project: Adapting Evidence-Based Epilepsy Self-Management Programs for Blacks in Georgia

Epilepsy self-management can improve treatment outcomes and overall quality of life for people with epilepsy. Using a community-engaged approach—including an Epilepsy Community Advisory Board, focus groups and interviews with community stakeholders—this project proposes to replicate the use of Project UPLIFT among African Americans, and to disseminate three CDC Managing Epilepsy Well Network products (i.e., Project UPLIFT, Self-Management Instrument, & WebEase) in Atlanta and around Georgia. The research goals are to promote the adoption and replication of self-management programs in underserved communities, and to understand the features that facilitate dissemination, replication, and adoption of these programs among people with epilepsy. Rakale C. Quarells, PhD, (MSM) is principal investigator and Nancy Thompson, PhD, (Emory University) is co-principal investigator. This special interest project is funded by the Centers for Disease Control and Prevention.