Clarence Spigner

Our earth is but a small star in the great universe. Yet of it we can make, if we choose, a planet unvexed by war, untroubled by hunger or fear, undivided by senseless distinctions of race, color, or theory

(Prayer read by President Franklin D. Roosevelt to the United Nations, June 14, 1942).
Professor, Health Services
Adjunct Professor, American Ethnic Studies
Adjunct Professor, Global Health


DrPH   University of California (Berkeley), 1987   (Behavioral Science)
MPH   University of California (Berkeley), 1982   (Behavioral Science)
AB   University of California (Berkeley), 1979   (Sociology)

Contact Info


office:   H-690D, Health Sciences Building

University of Washington
1959 NE Pacific Street
Seattle, WA 98195-7660

campus box:   357660
voice:   206-616-2948
fax:   206-543-3964


Clarence Spigner serves as Director of the MPH and MS Programs in Health Services. Spigner's teaching and research interests are in the health of disadvantage populations, race & ethnic relations, and the intersections of popular culture's influence. His primary and critical focus is in community based research and the inherent contradictions of race, gender, and structural inequalities within institutions of health and medicine. His research/publications include, but are not limited to; tobacco-related behavior, organ donation & transplantation, stress and coping strategies, and intra-ethnic tensions. He and wife Jennifer, daughter Surita, and son Ravi live in Seattle.

Tobacco-related behavior; racism as a stressor; social construction of 'race' vis-a-vis biological reductionism in health research and behavior; knowledge and opinions about organ donation among ethnic groups; program evaluation; popular culture

SciVal Experts Profile

  • HSERV 520   (eMPH)
    Methods in Applied Community Research
  • HSERV 590   (eMPH)
    Introduction to Health Promotion Planning and Evaluation
  • HSERV 590   (eMPH)
    Values and Ethics in Public Health
  • HSERV 590
    Qualitative Research Methods: An Introduction
  • HSERV 592
    Health Services Department Seminar
  • HSERV 592
    MPH Program Seminar

Kimura A, Sin MK, Spigner C, Tran A, Tu SP. Barriers and Facilitators to Colorectal Cancer Screening in Vietnamese Americans: A Qualitative Analysis. J Cancer Educ. 2014 Apr 24. [Epub ahead of print]  PMID: 24756545

Cerimele JM, Halperin AC, Spigner C, Ratzliff A, Katon WJ. Collaborative care psychiatrists' views on treating bipolar disorder in primary care: a qualitative study. Gen Hosp Psychiatry. 2014 Aug 7. pii: S0163-8343(14)00204-7. doi: 10.1016/j.genhosppsych.2014.07.013. [Epub ahead of print]  PMID: 25174762    PMCID: PMC4253651

Sanon MA, Spigner C, McCullagh MC. Transnationalism and Hypertension Self-Management Among Haitian Immigrants. J Transcult Nurs. 2014 Jul 25. pii: 1043659614543476. [Epub ahead of print]  PMID: 25062700

Lyles CR, Karter AJ, Young BA, Spigner C, Grembowski D, Schillinger D, Adler N. Provider factors and patient-reported healthcare discrimination in the Diabetes Study of California (DISTANCE). Patient Educ Couns. 2011 Dec;85(3):e216-24. Epub 2011 May 24.  PMID: 21605956    PMCID: PMC3178668

Lyles CR, Karter AJ, Young BA, Spigner C, Grembowski D, Schillinger D, Adler N. Patient-reported racial/ethnic healthcare provider discrimination and medication intensification in the Diabetes Study of Northern California (DISTANCE). J Gen Intern Med. 2011 Oct;26(10):1138-44. Epub 2011 May 6.  PMID: 21547610    PMCID: PMC3181298

Chair, thesis committee for Zandrea Harlin
Employer perceptions of employee wellness programs

Member, thesis committee for Amanda Kimura
Barriers and facilitators to colorectal cancer screening in Vietnamese Americans: A qualitative analysis

Chair, thesis committee for Fareeha Siddiqui
Management of chronic disease using healthcare information technology

Member, thesis committee for Mariko Toyoji
The effect of minority academic leadership on the culture centeredness of community based participatory research in public health

Chair, thesis committee for Jessica Coifman
Long-term effects of adolescent social support on young adult depression and suicide risk

Member, thesis committee for Isabel Dickson
The correlation between breastfeeding practices in Mongolia and geographical location of the mother and child in urban vs. rural settings

Chair, capstone for Samantha Dyess
Program evaluation of the Hepatitis Education Project: Effectiveness of hepatitis education in reducing risk behaviors among Washington's prison population

Chair, thesis committee for Celeste Chung
Qualitative program evaluation of Seattle Children's Patient Navigator Program

Chair, thesis committee for Karen Edwards
The correlation between hand-washing training and the incidence of school days missed

Member, thesis committee for Evan Sturtevant
Changes in productivity and coverage for outreach workers in Lesotho

Chair, thesis committee for Julie White
The influence of obesity on the expansion rate of small abdominal aortic aneurysms

Increasing Kidney Disease Awareness Network (IKAN)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
PI:   Mielcarek           Dates:    9/1/2011 - 8/31/2012

Impact of race-related Stress and Coping Patterns on Heart Disease

This project employs basically qualitative approaches to assess how African Americans who are already diagnosed with hypertension cope with the disease. In part, a bibliographic analysis of hypertension studies is underway under the informal hypothesis that how health providers/research view hypertension or high blood pressure can reflect how people with the disease are treated.

Process Evaluation of Community-based Approaches to Washington's Statewide Tobacco Prevention and Control Program

This comprehensive research and service program employs a community-based participatory approach in developing tobacco-related control and prevention strategies statewide. Priority groups, or communities, such as African Americans, Asian American, Pacific Islanders, Latino/Hispanic, Native Americans, LGBT (Lesbian, Gay, Bisexual and Transgendered), and low income whites. These groups operate in collaborative partnership with the State Department of Health and the Cross Cultural Health Care Program in formulating capacity building programs with built-in evaluative components to prevent and control tobacco-related behaviors.

Perceptions and Knowledge about Organ Donation Among African Americans and Asian Americans in Seattle, Washington

This community based research project is in collaboration with the Hope Heart Institute and employs qualitative and quantitative approaches to discerning opinions about the organ donation and tissue transplantation process among racial minority groups in Seattle.

Tobacco Cessation Among Asian American Men

In partnership with the International Community Health Services Clinic, this community-based research and evaluation project is designed to measure the efficacy of a clinic-based and culturally-specific tobacco cessation program that employs the Stages of Change Model (the Transtheoretical Model) of behavioral readiness.

Course Development: Lesbian, Gay, Bisexual & Transgendered Issues in Public Health

In collaboration with selected students and faculty within and external to the School of Public Health, developing a comprehensive course (or courses) that will address the historical, social, political, and epidemiological dimensions of LGBT issues in health.

Course Development: Race, Popular Film Imagery, and the Public's Health

In the process of developing freshman seminar courses which use images from popular film to help explain constructs and concepts of socio-political behavior and the relationship to public expectations health behavior.