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School of Public Health
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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


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

Alsayid M, Tlimat NM, Spigner C, Dimaano C. Perceptions of colorectal cancer screening in the Arab American community: a pilot study. Prim Health Care Res Dev. 2019 Jul 1;20:e90. doi: 10.1017/S1463423619000161.  PMID: 32799969    PMCID: PMC6609968
PubMed Central

Hagopian A, West KM, Ornelas IJ, Hart AN, Hagedorn J, Spigner C. Adopting an Anti-Racism Public Health Curriculum Competency: The University of Washington Experience. Public Health Rep. 2018 Jan 1:33354918774791. doi: 10.1177/0033354918774791. [Epub ahead of print]  PMID: 29847749    PMCID: PMC6055294
PubMed Central

Sanon MA, Spigner C, McCullagh MC. Transnationalism and Hypertension Self-Management Among Haitian Immigrants. J Transcult Nurs. 2016 Mar;27(2):147-56. doi: 10.1177/1043659614543476.  PMID: 25062700

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 Dec;29(4):728-34. doi: 10.1007/s13187-014-0646-6.  PMID: 24756545    PMCID: PMC4334440
PubMed Central

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 Nov-Dec;36(6):575-80. doi: 10.1016/j.genhosppsych.2014.07.013.  PMID: 25174762    PMCID: PMC4253651
PubMed Central

Chair, thesis committee for Fathiya Abdi
Perceived Racial/Ethnic Discrimination & Stress Among Black/African American Graduate Students On a Predominately White Campus

Chair, capstone for Wesley Loven
Exploring the feasibility of non-potable water reuse systems in Washington State: professional perspectives on need, safety, economic viability, and impact on existing water/sewer utilities

Chair, capstone for Jenny Paul
Department of Defense Transgender Policy: Exploring Barriers to Integration and Acceptance

Chair, thesis committee for Stephen Walston
A Policy Analysis of Balance Billing Legislation in Washington State

Chair, capstone for Elaine Albertson
Geographic access to behavioral health services after reentry from the Washington State juvenile justice system

Member, thesis committee for Muhammad Alsayid
Barriers to and Facilitators of Colorectal Cancer Screening in Arab Americans: A Qualitative Study

Chair, thesis committee for Kelsey Conrick
Homeless High Users of the Emergency Department: Understanding the Relationship Between Life Stress and Emergency Department Use

Chair, thesis committee for Nicole Davis Weaver
Barriers to Reporting Sexual Harassment and Violence for Migrant Women in Agriculture: Power dynamics, systemic subjugation and the intersection of poverty and vulnerability

Chair, thesis committee for Bert Kaempfe
Relationship between the family and community health care model in the Chilean public primary care, and patients' satisfaction on how they were treated in 2015; A nationwide study

Chair, thesis committee for Shih-Yin Lin
Process Evaluation of a Dementia-Friendly Communities Workshop

Member, thesis committee for Kristin Nash
Sexual and reproductive health information in Mulanje District, Malawi: Exploring perceptions of adolescent girls, their mothers and initiators

Member, thesis committee for Farah Sahoo
Determinants of HPV Vaccination Uptake Among Adolescent Males in Federally Qualified Healthcare Centers in the Seattle Area

Chair, thesis committee for Kathleen Salisbury
Medical provider perceptions of breastfeeding women who use recreational marijuana

Chair, thesis committee for Lane Shish
Health Care Practitioners' Perceptions of a North Seattle Free Health Care Clinic

Chair, capstone for Zachary Williams
Project to diversity EMS workforce in Seattle/King County

Community-Based Evaluation of APOL1 Genetic Testing in African Americans
National Institutes of Health (NIH)
PI:   Mielcarek           Dates:    7/1/2015 - 6/30/2018

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.