Founding Dean of School of Global Public Health
Professor of Public Health Policy and Management
For the last ten years, Dean Healton has devoted herself to building GPH’s academic, service, and research programs. The School has been accredited by CEPH, increased the size of its student body and research funding, recruited top faculty, added doctoral-level programs, and made diversity, equity and inclusion a priority.
Previously, as the founding President and CEO of Legacy, a leading organization dedicated to tobacco control, Dean Healton guided the national youth tobacco prevention campaign, which has been credited with reducing youth smoking prevalence to record lows, and launched programs for smoking cessation, public education, technical assistance, and a broad range of grant making.
Prior to joining Legacy, Dean Healton held numerous roles at Columbia University including Associate Dean of its Medical School, Assistant Vice President for the Health Sciences and Chairman of Sociomedical Sciences, and Associate Dean of the Mailman School of Public Health. She is an Emeritus Professor of Columbia University.
Dean Healton has authored over 120 peer-reviewed articles and has been awarded multiple grants in AIDS, tobacco control and higher education. She was the founding chair of the Public Health Practice Council of the Association of Schools of Public Health. As an active member of the public health community she has given presentations around the world and is a frequent contributor to national and local coverage of public health issues.
She holds a DrPH from Columbia University's School of Public Health (with distinction) and a Master’s in Public Administration from the Robert F. Wagner Graduate School of Public Service at NYU.
MPA, Health Policy and Planning, New York University, New York, NYDrPH, Sociomedical Sciences (with distinction), Columbia University, New York, NY
Public Health LawPublic Health PolicyTobacco Control
Barriers to Cervical Cancer Screening and Treatment in the Dominican Republic: Perspectives of Focus Group Participants in the Santo Domingo AreaLiebermann, E. J., VanDevanter, N., Shirazian, T., Frías Gúzman, N., Niles, M., Healton, C., & Ompad, D. (n.d.).
Journal titleJournal of Transcultural Nursing
Page(s)121-127AbstractIntroduction: Cervical cancer is the second leading cause of cancer death among women in the Dominican Republic, and high rates persist despite existing Pap smear screening programs. The purpose of this study was to explore Dominican women’s knowledge and attitudes regarding human papillomavirus (HPV) and cervical cancer, cervical cancer screening practices, and perceived barriers and facilitators to early detection of cervical cancer. Method: Six focus groups (N = 64) were conducted in Spanish in urban, suburban, and rural locations, in private and public school settings, community and workplace settings, in or near Santo Domingo, as part of a larger study on barriers and facilitators to HPV vaccine implementation. Audio recordings were transcribed verbatim and translated from Spanish to English. Qualitative data analysis used inductive and deductive approaches. Results: Knowledge regarding HPV and cervical cancer varied across groups, but all agreed there was significant stigma and fear regarding HPV. Most women reported having Pap screening at least yearly. Follow-up of abnormal Pap testing was less consistent, with cost and uncertainty about provider recommendations identified as barriers. Discussion: Broader examination of provider-level and health system barriers and facilitators to cervical cancer prevention in the Dominican Republic is essential, in order to inform interventions to improve the effectiveness of cervical cancer screening and treatment programs and reduce preventable deaths.
Parent-Level Barriers and Facilitators to HPV Vaccine Implementation in Santo Domingo, Dominican RepublicLiebermann, E., Devanter, N. V., Frías Gúzman, N., Ompad, D., Shirazian, T., & Healton, C. (n.d.).
Journal titleJournal of Community Health
Page(s)1061-1066AbstractCervical cancer is the second leading cause of cancer death for women in the Dominican Republic. Vaccination against human papillomavirus (HPV) could reduce mortality from cervical cancer globally by as much as 90%. The purpose of our study was to explore multi-level barriers and facilitators to implementation of a national HPV vaccine program in the Dominican Republic; this article focuses on parent-level barriers and facilitators. In this qualitative study, we conducted six focus groups (N = 64) with parents of school-age children in the Santo Domingo area of the Dominican Republic, representing diverse socioeconomic groups and geographic settings. Thematic content analysis, using inductive and deductive approaches, was done following transcription and translation of audio-recordings from focus group discussions. Among this group of parents in the Santo Domingo area, facilitators to vaccine uptake were favorable attitudes towards vaccines in general and concern about cervical cancer as a health issue. Barriers found were low to moderate knowledge of HPV and cervical cancer, especially in the rural and suburban groups, and cost and lack of public awareness of the vaccine. This study identified key barriers and facilitators to HPV vaccine implementation in the Dominican Republic. Health messaging, incorporating specialist providers as opinion leaders, will need to be tailored to broad audiences with varying levels of information and awareness, anticipating misinformation and concerns, and will need to emphasize HPV vaccine as a method to prevent cancer.
Racial/Ethnic Diversity in Academic Public Health: 20-Year Update
Evidence, alarm, and the debate over e-cigarettesFairchild, A., Healton, C., Curran, J., Abrams, D., & Bayer, R. (n.d.).
The tobacco master settlement agreement - Strategic lessons for addressing public health problems
Pedagogical Scholarship in Public Health: A Call for Cultivating Learning Communities to Support Evidence-Based EducationMerzel, C., Halkitis, P., & Healton, C. (n.d.).
Journal titlePublic Health Reports
Page(s)679-683AbstractPublic health education is experiencing record growth and transformation. The current emphasis on learning outcomes necessitates attention to creating and evaluating the best curricula and learning methods for helping public health students develop public health competencies. Schools and programs of public health would benefit from active engagement in pedagogical research and additional platforms to support dissemination and implementation of educational research findings. We reviewed current avenues for sharing public health educational research, curricula, and best teaching practices; we identified useful models from other health professions; and we offered suggestions for how the field of public health education can develop communities of learning devoted to supporting pedagogy. Our goal was to help advance an agenda of innovative evidence-based public health education, enabling schools and programs of public health to evaluate and measure success in meeting the current and future needs of the public health profession.
The US Cancer Moonshot initiative
Tobacco control: How are we doing?
Robbing Peter to Pay Paul with our Lives, HuffingtonHealton, C., & El-Mohandes, A. (n.d.).
Journal titleThe Huffington Post
To be ready for Ebola, hospitals need proper equipment, training and a planHealton, C., & Ogedegbe, O. (n.d.).
Journal titleThe Huffington Post
Tobacco control since the 1964 Surgeon General's Report: Reflecting back and looking forwardMulshine, J. L., & Healton, C. (n.d.).
Journal titleONCOLOGY (United States)
What would it really take to halt Ebola and prevent future epidemics?Healton, C., & Dickey, C. (n.d.).
Journal titleThe Huffington Post
Public attitudes regarding banning of cigarettes and regulation of nicotineConnolly, G. N., Behm, I., Healton, C. G., & Alpert, H. R. (n.d.).
Journal titleAmerican journal of public health
Page(s)e1-e2AbstractKnowledge of current public opinion is important as the Food and Drug Administration (FDA) applies the best scientific evidence available to tobacco product regulation. Based on a nationally representative survey of the US adult population, we report 43% support for banning of cigarettes, 65% for reducing nicotine, and 77% for reducing nicotine if such an action could cause fewer children to become addicted to cigarettes. The FDA should consider protecting children by removing all but nonaddictive cigarettes from the marketplace.
Who will deliver on the promise?Northridge, M., & Healton, C. (n.d.).
Journal titleAmerican journal of public health
Page(s)17-21AbstractThe Doctor of Public Health (DrPH) Core CompetencyModel aspires to rigorously train future leaders of public health practice to direct and advance societal efforts that address socially rooted causes of health and illness. Although there is no proven formula for success, 3 principles derived from practice may guide the way forward: (1) institutionalize mutual learning and reciprocity between schools of public health and public health agencies and organizations, (2) capitalize on the full resources of the larger university to enrich the educational experiences of DrPH candidates and public health leaders, and (3) globalize the search for model DrPH programs that may be adapted for US schools. Schools of public health must ensure that DrPH programs gain the status and resources needed to fulfill their societal mandate.
Depictions of tobacco use in 2007 broadcast television programming popular among US youthCullen, J., Sokol, N. A., Slawek, D., Allen, J. A., Vallone, D., & Healton, C. (n.d.).
Journal titleArchives of Pediatrics and Adolescent Medicine
Page(s)147-151AbstractObjectives: To determine the quantity of tobacco use in network television programming popular among US youth and to examine variation in tobacco depictions by TV Parental Guidelines system rating and television network. Design: A content analysis was conducted of broadcast network television programming popular among youth. Nielsen viewership rating data were used to identify a sample of top-rated television series for youth aged 12 to 17 years during the fall 2007 television season. Depictions of tobacco use per television episode were examined by TV Parental Guidelines rating and television network. χ2 testing was used to examine differences in proportions of tobacco depictions across television episode ratings and networks. Setting: Data collection and analysis were conducted at the American Legacy Foundation (now known as Legacy). Subjects: Broadcast television viewers in 2007. Main Outcome Measure: Tobacco use depictions on broadcast television were examined. Results: Forty percent of television episodes examined had at least 1 depiction of tobacco use. Of these depictions, 89% were of cigarettes. Among episodes rated TV-PG (ie, parental guidance suggested) (N=73), 50% showed 1 or more incidents of cigarette use, in contrast to 26% of TV-14 (ie, parents strongly cautioned) episodes. The percentage of episodes with any tobacco use depictions was highest on the FOX network (44%; n=32), followed closely by The CW (CBS-Warner Brothers) (41%; n=30). Conclusions: Substantial tobacco use was observed in television shows popular among youth. It is projected that almost 1 million youth were exposed to tobacco depictions through the programming examined. Tobacco use on television should be a cause for concern, particularly because of the high volume of television viewing among younger audiences.
The Tobacco Technical Assistance Consortium: a foundation-university partnership to reduce tobacco use.Healton, C., & Curran, J. W. (n.d.).
Journal titleHealth promotion practice
Tobacco and NIH: More than addiction
Tobacco: An equal-opportunity killer?
US attitudes about banning menthol in cigarettes: Results from a nationally representative surveyWinickoff, J. P., McMillen, R. C., Vallone, D. M., Pearson, J. L., Tanski, S. E., Dempsey, J. H., Healton, C., Klein, J. D., & Abrams, D. (n.d.).
Journal titleAmerican journal of public health
Page(s)1234-1236AbstractMenthol is a cigarette flavoring that makes smoking more appealing to smokers. The US Food and Drug Administration (FDA) has regulatory authority to ban mentholated cigarettes to reduce youth uptake and encourage adult cessation. Survey findings indicate that more than half of all Americans (56.1%) and of Blacks alone (68.0% in one sample and 75.8% in another) support banning menthol. Endorsement of a ban-especially by Blacks, who have the highest rates of menthol cigarette use-would support FDA action to ban menthol to protect the public's health.
Camel No. 9 cigarette-marketing campaign targeted young teenage girlsPierce, J. P., Messer, K., James, L. E., White, M. M., Kealey, S., Vallone, D. M., & Healton, C. G. (n.d.).
Page(s)619-626AbstractCONTEXT: The 1998 Master Settlement Agreement (MSA) restricted tobacco industry advertising practices that targeted teens. OBJECTIVE: To assess whether cigarette-advertising campaigns conducted after the MSA continue to influence smoking among adolescents. DESIGN, SETTING, AND PARTICIPANTS: Participants were a national longitudinal cohort of 1036 adolescents (baseline age: 10-13 years) enrolled in a parenting study. Between 2003 and 2008, 5 sequential telephone interviews were conducted, including the participants report of brand of "favorite" cigarette advertisement. The fifth interview was conducted after the start of RJ Reynolds' innovative "Camel No. 9" advertising campaign in 2007. Smoking outcome reported from the fifth survey. RESULTS: The response rate through the fifth survey was 71.8%. Teenagers who reported any favorite cigarette ad at baseline (mean age: 11.7 years) were 50% more likely to have smoked by the fifth interview (adjusted odds ratio: 1.5 [95% confidence interval: 1.0-2.3]). For boys, the proportion with a favorite ad was stable across all 5 surveys, as it was for girls across the first 4 surveys. However, after the start of the Camel No. 9 advertising campaign, the proportion of girls who reported a favorite ad increased by 10 percentage points, to 44%. The Camel brand accounted almost entirely for this increase, and the proportion of each gender that nominated the Marlboro brand remained relatively stable. CONCLUSIONS: After the MSA, adolescents continued to be responsive to cigarette advertising, and those who were responsive were more likely to start smoking. Recent RJ Reynolds advertising may be effectively targeting adolescent girls.
Home and workplace smoking bans in Italy, Ireland, Sweden, France and the Czech RepublicHeck, J. E., Stücker, I., Allwright, S., Gritz, E. R., Haglund, M., Healton, C. G., Kralikova, E., Sanchez Del Mazo, S., Tamang, E., Dresler, C. M., & Hashibe, M. (n.d.).
Journal titleEuropean Respiratory Journal
Page(s)969-979AbstractThe purpose of this study was to report predictors and prevalence of home and workplace smoking bans in five European countries. We conducted a population-based telephone survey of 4,977 females, ascertaining factors associated with smoking bans. Odds ratios and 95% confidence intervals were derived using unconditional logistic regression. A complete home smoking ban was reported by 59.5% of French, 63.5% of Irish, 61.3% of Italian, 74.4% of Czech and 87.0% of Swedish females. Home smoking bans were associated with younger age and being bothered by secondhand smoke, and among smokers, inversely associated with greater tobacco dependence. Among nonsmokers, bans were also related to believing smoking is harmful (OR 1.20, 95% CI 1.11-1.30) and having parents who smoke (OR 0.62, 95% CI 0.52-0.73). Workplace bans were reported by 92.6% of French, 96.5% of Irish, 77.9% of Italian, 79.1% of Czech and 88.1% of Swedish females. Workplace smoking bans were reported less often among those in technical positions (OR 0.64, 95% CI 0.50-0.82) and among skilled workers (OR 0.53, 95% CI 0.32-0.88) than among professional workers. Workplace smoking bans are in place for most workers in these countries. Having a home smoking ban was based on smoking behaviour, demographics, beliefs and personal preference. Copyright
Menthol Cigarettes are HarmfulHealton, C. (n.d.).
Journal titleThe Wall Street Journal
Misinformation about tobacco
Prohibiting menthol in tobacco products: A policy whose time has comeHealton, C. G., Beck, S. E., Cartwright, J., & Vallone, D. M. (n.d.).
The truth® Campaign: Using Countermarketing to Reduce Youth SmokingHealey, B. J., Zimmerman, R. S., & Healton, C. (n.d.). In The new world of health promotion (1–).
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