Faculty

faculty photo
Frederick J. Zimmerman
Associate Professor
The University of Washington's Health Services Department is an excellent place for the kind of rigorous, interdisciplinary work that is essential to solving the major health-related challenges facing the U.S. and other countries in the years to come.
PhD  
University of Wisconsin, 1994
Economics
MS  
University of Wisconsin, 1989
Economics
BA  
University of Notre Dame, 1985
Economics
Associate Professor, Pediatrics

Department of Health Services Program Affiliations:
  -  PhD program in Health Services
  -  Maternal and Child Health Track, (MPH program)

Dr. Zimmerman is an internationally recognized expert in the role of early television exposure on children's mental health and developmental outcomes. His research has demonstrated an effect of television viewing before age 3 on subsequent attentional problems and on poor reading and math ability at school entry. His research has also found an association between early viewing and a variety of aggressive and anti-social behaviors. These adverse effects are specific to the types of content children watch. Dr. Zimmerman's other research interests include the determinants of parental help-seeking for their children's mental health problems. Dr. Zimmerman was awarded the Distinguished Mentor Award by the School of Public Health and Community Medicine in 2005.

Contact Information
University of Washington
Child Health Institute
Box:  354920
Seattle, WA 98195-4920
(voice)  206-616-9392     (fax)  206-616-4623
fzimmer@u.washington.edu
Teaching Interests
Econometrics, statistical methods, mentoring student projects in international health and maternal and child health.
  • HSERV 524
    Advanced Health Services Research Methods II
Research Interests
Effects of early television veiwing on children's mental health and development, health dimensions of economic decision-making, population health disparities
Projects
Child Health Institute
The Child Health Institute (CHI) is one of the few research centers in the United States devoted exclusively to the study of health care delivery for children. CHI is dedicated to improving the health of vulnerable children through the rigorous evaluation of the quality of children's healthcare and through developing innovative, technologically advanced methods of health care delivery. Research projects completed at CHI have been featured in local and national media including CNN, NBC, ABC, CBS, NPR, BBC, USA Today, the Toronto Globe & Mail, The Guardian, as well as many local news outlets.
http://www.childhealthinstitute.org/
Disparities in Depression Incidence and Treatment
An inverse relationship between income and depression incidence has long been observed in specific contexts. This research tests for racial, gender, and income-related disparities in the incidence of depression in the U.S. population. In addition, the research tests for disparities in the treatment of depression conditional on depression symptomology. The analysis uses a rich, national longitudinal dataset, and employs two-stage, instrumental-variable statistical methods to control for reverse causality between symptom levels and treatment.
Children and Television
Dr. Zimmerman pursues and active research agenda with Dr. Dimitri Christakis, MD, on the effects of early television viewing on children. They have shown that early television viewing is associated with an increased risk of subsequently
  • developing attention-deficit hyperactivity disorder (ADHD)
  • exhibiting bullying behavior
  • performing poorly in school
  • becoming more resistant to parental requests to turn off the TV
Drs. Zimmerman and Christakis written a book on this subject, published by Rodale Press.
http://www.maketvwork.com
External Funding (sampling of current and past involvement)
Internet Based Patient-centered Asthma Management System
National Institutes of Health
PI:   Christakis           Dates:    07/2006 - 06/2010
This randomized controlled trial seeks to develop and test an evidence-based, interactive internet program's ability to improve the quality of care for young children with asthma.

The Economics of Mental Health Disparities
National Institutes of Health
PI:   Zimmerman           Dates:    12/2002 - 05/2008
This research proposes to explore the causality of the positive association between socio-economic status and good mental health.

Parent Initiated Prevention Program
Center for Scientific Review (NIH)
PI:   Christakis           Dates:    09/2002 - 09/2006
The primary goal of this project is to study the effectiveness of a Parent-Initiated Prevention Program (PIPP) in changing primary providers delivery of preventive care as well as parental preventive behaviors.

Using Handheld Technology to Reduce Errors in ADHD Care
AHRQ - Agency for Healthcare Research and Quality
PI:   Lozano           Dates:    09/2001 - 08/2005
The major goal of this study is to achieve sustainable reductions in medical errors in the treatment of attention-deficit/hyperactivity disorder (ADHD), through the use of real-time point-of-care hand held computers.

Maternal and Child Health Public Health Training
Health Resources Services Administration
PI:   Huebner           Dates:    07/2000 - 06/2005
The MCH Training program exists to educate future leaders and assist current leaders to solve MCH problems, conduct applied research, and collaborate with community and government partners to improve the health and well being of women, infants, children, and adolescents.

A University-Practitioner Partnership: Building Rigor into Reproductive Health Applied Research
Program for Appropriate Technology in Health
PI:   Gloyd           Dates:    05/2001 - 04/2005
The goals of the PATH-collaborative partnership are aimed at improving the likelihood that the results of reproductive health research in developing countries will ultimately influence health policy and practice.

(CAMS) Randomized Trial of Computerized Asthma Management System
National Heart Lung and Blood Institute
PI:   Lozano           Dates:    08/2001 - 05/2004
This randomized controlled trial aims to improve quality of care for children with asthma through a real-time computerized intervention delivered at the point of care.

Pediatric EBM - Getting Evidence Used at the Point of Care
AHRQ - Agency for Healthcare Research and Quality
PI:   Davis           Dates:    09/2001 - 08/2003
To study the provision of evidence at the point of pediatric care, in order to increase the application of evidence-based medicine, to change physician behavior, and expedite the translation of research into clinical practice

Disparities in Depression Incidence and Treatment
National Institutes of Health
PI:   Zimmerman           Dates:    04/2001 - 03/2003
The major goal of this project is to explore racial, gender, and income-related disparities in the incidence and treatment of depression in the U.S. population.


Selected Publications

Zimmerman FJ, Christakis DA, Meltzoff AN. Media Viewing by Children Under 2 Years Old. Archives of Pediatrics and Adolescent Medicine. 2007 May; 161(5):473-479.

Bell JF, Zimmerman FJ, Almgren GA, Huebner CA, Mayer JS. Birth outcomes among urban African-American women: A multilevel analysis of the role of racial residential segregation. Social Science and Medicine 63 (12): 3030-3045 (December, 2006).

Zimmerman FJ. Agreeing on More than Chicken Soup: Intra-household Decision-Making and Treatment for Child Psychopathology. Review of Economics of the Household 4(3): 229-252. September, 2006.

Zimmerman FJ and Bell JF. Income Inequality and Physical and Mental Health: Testing Associations Consistent with Proposed Causal Pathways. Journal of Epidemiology and Community Health 60(6) 513-521 (June) 2006.

Zimmerman FJ and Katon W. Socioeconomic Status, Depression Disparities, and Financial Hardship: What Lies Behind the Income - Depression Relationship? Health Economics 14(12): 2005.

Christakis DA, Zimmerman FJ, DiGiuseppe DL, McCarty CA. Early Television Exposure and Subsequent Attentional Problems in Children. Pediatrics 2004 113(4).

Zimmerman FJ, Glew GM, Christakis DA, Katon W. Early Cognitive Stimulation, Television Watching, and Subsequent Bullying Among Grade-School Children. Archives of Pediatric and Adolescent Medicine. 2005 159(4):354-388.(April)

Zimmerman FJ. Social, Demographic and Economic Determinants of Disparities in Mental Health Specialty Utilization Among Children: Evidence from a National Sample. (forthcoming in Health Services Research).

Zimmerman FJ and Katon W. Socioeconomic Status, Depression Disparities, and Financial Hardship: What Lies Behind the Income - Depression Relationship? (forthcoming in Health Economics).

Zimmerman FJ, Christakis DA, Vander Stoep A. Tinker, Tailor, Soldier, Patient: Work Attributes and Depression Disparities. Social Science and Medicine 58(10): 1889-1901 (2004).

Dissertation, Thesis and Capstone Committees (recent graduates)
2007
Chair, thesis committee for Lonny Born
Neighborhood factors and depression: Association with adolescents' sexual behavior

2006
Member, dissertation committee for Stephen Bowman
Hospital characteristics associated with trauma outcomes

2006
Chair, thesis committee for Rebecca Calhoun
Parent perspectives on their young child's television viewing

2005
Chair, dissertation committee for Janice Bell
African American-White perinatal health disparities: The role of residential segregation.

2005
Chair, thesis committee for Gilbert Clarke
Evaluation of TeenSmart's web-based adolescent health promotion intervention Guatemala City, Guatemala and Jinotepe, Nicaragua

2004
Chair, thesis committee for Kerry Breit
Perceived social support: relation to adolescent depressive symptoms and externalizing behaviors

2004
Member, dissertation committee for Bert Stover
Validation and evaluation of a disability measure for upper extremity musculoskeletal disorder screening in the workplace and prognostic factors of long-term disability