Institute for
Health Equity and Social Justice Research
PROJECTS

current and past projects

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Research Projects


Not All In: Race, Immigration, and Healthcare Exclusion In the Age of Obamacare

Despite progressive policy strides in health care reform, immigrant communities continue to experience stark disparities across the United States. In Not All In, Tiffany D. Joseph exposes the insidious contradiction of Massachusetts’ advanced health care system and the exclusionary experiences of its immigrant communities.

Joseph illustrates how patients’ race, ethnicity, and legal status determine their access to health coverage and care services, revealing a disturbing paradox where policy advances and individual experiences drastically diverge. Examining Boston’s Brazilian, Dominican, and Salvadoran communities, this book provides an exhaustive analysis spanning nearly a decade to highlight the profound impacts of the Affordable Care Act and subsequent policy shifts on these marginalized groups.

Not All In is a critical examination of the systemic barriers that perpetuate health care disparities. Joseph challenges readers to confront the uncomfortable truths about racialized legal status and its profound implications on health care access. This essential book illuminates the complexities of policy implementation and advocates for more inclusive reforms that genuinely cater to all. Urging policymakers, health care providers, and activists to rethink strategies that bridge the gap between legislation and life, this book reminds us that in the realm of health care, being progressive is not synonymous with inclusivity.

Contact Tiffany Joseph ([email protected]) to learn more.


Understanding immigrants’ cardiovascular disease care utilization: An epidemiological and system dynamics approach

This project will use epidemiology, system dynamics, and community-engaged methods to understand how individual and multiple components of the sociopolitical environment affect Black and Latinx immigrants’ CVD preventive care utilization. 

Additional information about the project can be found on NIH Reporter
Contact Danielle Crookes ([email protected]) to learn more.


HIV Prevention in Ghana

The goal of this study is to identify preferences for long-acting injectable pre-exposure prophylaxis among populations at increased risk of HIV exposure.

Contact Jimah Tamara ([email protected]) to learn more.


Evaluation of the school-based Healthy Relationships Project for primary prevention of child sexual abuse among children pre-K through 5th grade

The Healthy Relationships Project© developed by Prevent Child Abuse Vermont (PCAVT), is a primary prevention intervention that is deployed within school systems to prevent child sexual abuse. The curricula consist of trainings for school staff, six weeks of classroom lessons delivered by either teachers or trainers from outside, and caregiver workshops.


The Biology of Trauma and Resilience Initiative

This initiative seeks to understand the mechanisms by which trauma, occurring over the life course, but especially in childhood, “gets under the skin” of patients and shapes how they think, feel, and behave, often for the remainder of their lives.


Domestic Violence COVID-19 Rapid Response

COVID-19 significantly exacerbated conditions that can lead to intimate partner abuse. The NuLawLab worked with the School of Law’s Domestic Violence Institute (DVI) to create a service to respond to reported increases in domestic violence during the pandemic. Their goal was to provide survivors of intimate partner abuse in Boston with:

  1. Remote law student assistance consistent with law clinic operations
  2. A novel, secure means of video-documenting client information and evidence using an app
  3. Digitally automated court form generation and filing
  4. Multiple channels that the survivors could use to learn about the DVI service and contact the clinic safely and securely
  5. Support following the legal consult, which included finding a safe shelter and helping survivors devise action plans to follow after they leave the shelter.

Contact Kim Miso ([email protected]) to learn more.


Early Childhood Mental Health: Children’s Mental Health Initiative (ECMH: Boston CMHI)

Early Childhood Mental Health: Children’s Mental Health Initiative (ECMH: Boston CMHI) is a program led by the Boston Public Health Commission that supports young children’s social and emotional development, particularly those involved with Healthy Baby/Healthy Child or Boston Healthy Start home visiting programs, as well as families in the foster care system. Originally funded as the ECMH FIRST Project, the initiative received an additional four years of funding from SAMHSA to expand services to children in home visiting programs while continuing services for families in foster care. This expansion prompted the program’s name change to ECMH: Boston CMHI.

Services are delivered through Children’s Services of Roxbury, with referrals from both the Massachusetts Department of Children and Families and BPHC’s Healthy Start Systems. The evaluation study, conducted by researchers from the Institute for Health Equity and Social Justice Research at Northeastern University, follows the same research questions and methods as ECMH FIRST. Families’ medical records are shared with consent, and a subset of caregivers participates in program satisfaction surveys and interviews.

The overarching goals of ECMH: Boston CMHI are to improve access to culturally competent, evidence-based behavioral health services for children ages 0-48 months, and to expand promising elements of the program to broader child welfare, home visiting, and behavioral health initiatives statewide.

Contact Beth Molnar ([email protected]) to learn more.


Gambling Disorder Study

Recent policy changes and new digital gambling products have led to a rapid increase in rates of sports betting, raising questions about whether these trends will increase disparities in people’s experiences with gambling disorder (GD). With the assistance of Health Equity Interns, we are addressing these gaps by considering how people discuss topics related to GD on two popular recreational sports betting forums on Reddit. Using methods from machine learning, text analysis, and network analysis, we are analyzing a sample of nearly 150,000 comments from 2012 to 2024 that mention key terms related to GD. Findings will carry the potential to inform practitioners’ understandings of how online recreational sports betting forums can both assist and inhibit people’s efforts to seek help for GD.

Contact Cassie McMillan ([email protected]) to learn more.



Preparing to Establish an Overdose Prevention Center: Exploring the Perspectives of HIV and Substance Use Service Providers and People Who Use Drugs in Worcester, Massachusetts

The study has three aims:

1. Obtain the City’s plans for OPC implementation and evaluation, and identify the decision makers and other multilevel community stakeholders who may be involved in that process,

2. Assess HIV and substance use service providers’ perspectives on HIV and substance use patterns and services, contextual factors that will influence the implementation of overdose prevention centers, and service providers’ readiness to establish overdose prevention centers in Worcester,

3. Explore HIV and substance-related risks, overdose experiences, contextual factors that will influence the implementation of overdose prevention centers, facilitators and barriers for using overdose prevention centers, and recommendations for services at overdose prevention centers, including HIV programming, among people who use drugs in Worcester

Contact Cali Collin ([email protected]) to learn more.


Robert Wood Johnson Foundation Human Services and State Government Alignment Project

The Robert Wood Johnson Foundation is supporting Northeastern University in exploring the intersection of health and human services to enhance whole-person care for vulnerable groups. Their efforts are part of a broader goal to foster a Culture of Health, which emphasizes creating healthier environments and ensuring access to comprehensive medical, economic, and social support services, with a robust human services sector being crucial for these objectives.


Sticking Stigma: Affect, Performance, and the Movement of Social Norms

This book project examines the cultural technologies of power artists and cultural producers employ to manipulate stigma and its resulting affects in performance projects oriented towards the alleviation of social inequalities. This includes performances explicitly and implicitly working to reduce stigma experienced by marginalized communities as well as performances working to stigmatize behaviors aligned with facets of oppressive hegemonic power.

Contact Dani Snyder-Young ([email protected]) to learn more.


From Addiction to Aggression: The Spillover Effects of Opioid Policies on Intimate Partner Violence

Substance abuse is a major risk factor for intimate partner violence (IPV). We investigate how a key supply-side intervention – the abuse-deterrent reformulation of a widely-diverted opioid, OxyContin – affected IPV. Our results indicate counties with greater baseline rates of prescription opioid usage experienced relatively larger declines in IPV after OxyContin’s reformulation. The reformulation reduced IPV only in states with smaller illicit drug markets, while states with larger illicit drug markets experienced increased heroin-involved IPV due to substitution towards illicit opioids. Our results underscore the importance of identifying populations at high risk of substitution to illicit opioids and moderating this risk with evidence-based policies.

Contact Bilge Erten ([email protected]) to learn more.


Preventing Depression of Chinese American Adolescents through Mobile Health Application

The project aims to address a critical research gap and important public health problem. Chinese American adolescents (CAAs) are at elevated risk for mental health concerns, including depression and suicidal ideation. This public health issue is compounded by the cultural barriers to mental health care experienced by Chinese Americans.


WE PLAY

WE PLAY stands for Wellness Enhancing Physical Activity for Young Children. This course is designed to provide early childhood educators with tools and support to facilitate active play with preschool children. WE PLAY offers strategies for incorporating physically active play into preschool, including adaptations for children with autism spectrum disorder.



Capacity Building for Community-Led Research

Contact Samantha Garbers ([email protected]) to learn more.


Health at All Scales: Innovating a Multi-modal Rural Healthcare System

In partnership with a nonprofit clinic in Knox County, Maine, our interdisciplinary team (from Bouvé and CAMD) is working to identify, design, prototype, and evaluate innovative models of rural community-based care, including mobile health units and organizational and funding models, through a participatory research approach.

Contact Katherine Simmonds ([email protected]) or Sara Carr ([email protected]) to learn more.


Salus Populi: Educating the Judiciary about the Social Determinants of Health

Salus Populi: Educating the Judiciary about the Social Determinants of Health is a project in collaboration with the Center for Health Policy and Law at Northeastern University School of Law and the Institute for Health Equity and Social Justice Research at Northeastern University that seeks to provide guidance and training to judges on the impact of the law on the social determinants of health.



Social Media Use and Eating Disorder Risk at the Intersections of Gender and Autism

This study investigates the role of digital media in eating disorder (ED) development and recovery for autistic individuals, focused on addressing high autism rates among those with EDs and the potential negative impact of social media (SM) on body image concerns and EDs for adolescent girls and young women.

Contact Meryl Alper ([email protected]) or Rachel Rodgers ([email protected]) to learn more.


Addressing Racial Equity: Case Studies of County-Based Health & Human Services Innovation

Funded by the Robert Wood Johnson Foundation, this high-level case study provides insight into three local efforts to address racial and other health equity concerns through service alignment and cross-sector collaborations. 


Youth Advisory Board

The YAB (Youth Advisory Board) is a group of 10 adolescents from the Boston area who share a common goal of addressing health inequity. The YAB meets on a monthly basis to identify relevant health issues, provide feedback, critique CHANGE Lab research initiatives, and facilitate youth-focused research. The CHANGE Lab youth advisory board seeks to create an empowering space that harnesses the perspectives, lived experiences, and imagination that youth possess to help address pediatric health disparities in innovate ways.  Our YAB has met monthly since Summer of 2025 engaging in activities around understanding inequities, including communities in engaged research, utilizing Photo Voice to highlight community strengths and inequities, and communicating about Public Health topics through Art, Stories, Letters, and Poetry.


Knox Clinic Mobile Health Unit Redesign

The goal of this project is to identify, design, prototype, and evaluate innovative models of rural, community-based care through a community-based participatory research approach. The project scope includes environmental and service design for facilities and mobile healthcare units, communication strategies, organizational and funding models, and evaluating the impact of these interventions.



Public Health Workforce Education

Dr. Shan Mohammed’s work is focused on the public health workforce education through the Association of Schools and Programs of Public Health (ASPPH). Dr. Mohammed served as co-chair of an expert panel that created a report entitled Transformative Approaches to Teaching and Learning. Their current work is now disseminating this work and beginning to evaluate how schools and programs in public health are utilizing the report.

Contact Shan Mohammed ([email protected]) to learn more.



Reimagining Social Work Internships to Focus on Equity: An Exploration of Field Director Practices

National, mixed methods, exploratory study to examine social work practicum education faculty’s perspectives on the state of paid internship/placements available within their CSWE-accredited institutions. This study also explores practicum education faculty’s perception of unpaid internships/placements as an equity and social justice barrier to social work education.

Contact Cali Collin ([email protected]) to learn more.



Workforce Policy and Rural-Urban Disparities in Health Outcomes

This project examines how state-level nurse practitioner scope-of-practice policies and healthcare workforce availability are associated with rural-urban disparities in major population health outcomes, including dementia prevalence, dementia mortality, stroke mortality, and HIV-related mortality in the United States. Using national mortality, claims, and population-based datasets linked with county-level provider supply and socioeconomic characteristics, the study evaluates whether workforce policy environments correspond to geographic differences in health outcomes. The goal is to generate policy-relevant evidence on how workforce regulations intersect with place-based health inequities.



Patient Voices from an Advance Care Planning Intervention and Optimizing Care for Serious Illness

This NIA-funded mixed-methods study examines audio recordings from educational visits in an RCT that aimed to assist home-bound patients to understand their options among care approaches at the end of life. We will study the perspectives expressed by an ethnically and clinically diverse set of over 130 patients with serious illness. We will then connect themes from these visit conversations to subsequent patient decision-making and service use. Our goal is stronger insight into patients’ priorities and decision processes – and to center these for improved patient-provider communication, tools, and training.