Pamela C. Hull, Ph.D.

Associate Professor

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Faculty Appointments
Associate Professor of Medicine
Ph.D., Sociology, Vanderbilt University, Nashville, TennesseeM.A., Sociology, Vanderbilt University, Nashville, TennesseeB.A., Duke University, Durham, North Carolina
Office Address
Division of Epidemiology
2525 West End, Suite 800
Nashville, TN 37203
Research Description
Pamela Hull, Ph.D., is an Associate Professor in the Vanderbilt University School of Medicine in the Department of Medicine, Division of Epidemiology; Ingram Associate Professor of Cancer Research; and Associate Director of Community Outreach & Engagement for the Vanderbilt-Ingram Cancer Center. She has also served as the Vanderbilt Co-Leader for the Meharry-Vanderbilt-TSU Cancer Partnership since 2012. Dr Hull is a medical sociologist with expertise in the development, testing, and dissemination of behavioral interventions to promote cancer prevention behaviors. Her research specifically focuses on increasing HPV vaccine use, healthy eating, and physical activity, using implementation science and technology-based applications. Much of her work addresses health disparities among African American, Hispanic, and low-income populations, in collaboration with community partners. Dr. Hull has over 15 years of experience as an investigator conducting community-engaged research. She earned a Bachelor degree in Sociology from Duke University and a Masters and Ph.D. in Sociology from Vanderbilt University.


“Increasing HPV Vaccination In Community-Based Pediatric Practices” (Hull, PI)
1R01 CA207401, National Cancer Institute, 12/2016-11/2021
Our central goal is to identify the optimal approach to implementing an evidence-based intervention for the uptake and completion of HPV vaccine among adolescents receiving care in the community, guided by implementation science theory.
Aim 1. Determine the clinical effectiveness and cost-effectiveness of two modalities for delivering a multi-component intervention to increase HPV vaccination initiation and completion in community-based pediatric practices, namely in-person versus web-based modalities
Aim 2. Understand mechanisms of why the intervention may work better for some pediatric practices than others for improving HPV vaccination.

"Children Eating Well (CHEW) Smartphone Application for WIC Families" (Hull, PI)
2017-68001-26352, U.S. Department of Agriculture / AFRI, 4/2017-4/2022
This project focuses on childhood obesity prevention in low-income preschool children (ages 2-4), in collaboration with Tennessee State University Cooperative Extension and Tennessee's Supplemental Nutrition Program for Women, Infants, and Children (WIC). The goal is to adapt, disseminate, implement, and evaluate version 2.0 of the CHEW smartphone application designed to increase WIC family benefit redemption and improve diet quality and other obesity risk factors among preschool-aged children, while training the next generation of obesity researchers and professionals.

"Meharry-VICC-TSU Partners in Eliminating Cancer Disparities" (Moses, PI)
U54 CA163072, National Cancer Institute, 9/2016-8/2016
Role: Co-Leader of Cancer Outreach Core
The Meharry-Vanderbilt-TSU Cancer Partnership grant aims to enhance the cancer research capability, training, education and outreach activities at Meharry Medical College (MMC) and Tennessee State University (TSU) and to improve the effectiveness of these activities at VICC for benefiting minority populations. The purpose of the COC is to support the development and implementation of community-engaged research aimed at reducing cancer disparities.

"Implementation of School-Entry Policies for Human Papillomavirus Vaccination" (Cólon-López, PI)
R01 CA232743, National Cancer Institute, 12/2018 - 11/2023
Role: Co-Investigator
This study aims to examine geographic variation in the dissemination and implementation of HPV vaccine policies across US states and territories, and to study the implementation and outcomes of the new school-entry HPV policy in Puerto Rico in depth.

Research Keywords
Behavioral intervention, implementation science, HPV vaccine, nutrition, obesity, community-engaged research, disparities, technology
Cunningham-Erves J, Koyama T, Huang Y, Jones J, Wilkins CH, Harnack L, McAfee C, Hull PC. Providers' Perceptions of Parental Human Papillomavirus Vaccine Hesitancy: Cross-Sectional Study. JMIR Cancer. 2019 Jul 7/2/2019; 5(2): e13832. PMID: 31267976, PII: v5i2e13832, DOI: 10.2196/13832, ISSN: 2369-1999.

Elsamadicy EA, Schneiter MK, Hull PC, Khabele D. Human papillomavirus vaccination completion rates among gynecological providers: an institutional retrospective review. Hum Vaccin Immunother [print-electronic]. 2019 Jun 6/11/2019; 1-5. PMID: 31091165, DOI: 10.1080/21645515.2019.1619405, ISSN: 2164-554X.

Shing JZ, Hull PC, Zhu Y, Gargano JW, Markowitz LE, Cleveland AA, Pemmaraju M, Park IU, Whitney E, Mitchel EF, Griffin MR. Trends in anogenital wart incidence among Tennessee Medicaid enrollees, 2006-2014: The impact of human papillomavirus vaccination. Papillomavirus Res [print-electronic]. 2019 Jun; 7: 141-9. PMID: 30980966, PMCID: PMC6468146, PII: S2405-8521(19)30003-5, DOI: 10.1016/j.pvr.2019.04.007, ISSN: 2405-8521.

Weber SJ, Dawson D, Greene H, Hull PC. Mobile Phone Apps for Low-Income Participants in a Public Health Nutrition Program for Women, Infants, and Children (WIC): Review and Analysis of Features. JMIR Mhealth Uhealth. 2018 Nov 11/19/2018; 6(11): e12261. PMID: 30455172, PMCID: PMC6277824, PII: v6i11e12261, DOI: 10.2196/12261, ISSN: 2291-5222.

Shing JZ, Harris CR, Hull PC. Re: Human papillomavirus vaccine initiation in Asian Indians and Asian subpopulations: a case for examining disaggregated data in public health research [letter]. Public Health [print-electronic]. 2018 Jul; 160: 162-3. PMID: 29510864, PMCID: PMC6208128, PII: S0033-3506(18)30012-X, DOI: 10.1016/j.puhe.2018.01.009, ISSN: 1476-5616.

Odoh C, Sanderson M, Williams EA, Hull PC. Operationalizing outcome measures of human papillomavirus vaccination among adolescents. Public Health [print-electronic]. 2018 Jun; 159: 129-32. PMID: 29609838, PMCID: PMC5984163, PII: S0033-3506(18)30082-9, DOI: 10.1016/j.puhe.2018.02.022, ISSN: 1476-5616.

Patel K, Inman W, Gishe J, Johnson O, Brown E, Kanu M, Theriot R, Sanderson M, Hull P, Hargreaves M. A Community-Driven Intervention for Improving Biospecimen Donation in African American Communities. J Racial Ethn Health Disparities [print-electronic]. 2018 Feb; 5(1): 15-23. PMID: 28181200, PMCID: PMC5548654, PII: 10.1007/s40615-017-0336-2, DOI: 10.1007/s40615-017-0336-2, ISSN: 2196-8837.

Erves JC, Mayo-Gamble TL, Hull PC, Duke L, Miller ST. Erratum to: Adolescent Participation in HPV Vaccine Clinical Trials: Are Parents Willing?. J Community Health. 2017 Oct; 42(5): 902. PMID: 28780737, PII: 10.1007/s10900-017-0408-6, DOI: 10.1007/s10900-017-0408-6, ISSN: 1573-3610.

Erves JC, Mayo-Gamble TL, Hull PC, Duke L, Miller ST. Adolescent Participation in HPV Vaccine Clinical Trials: Are Parents Willing?. J Community Health. 2017 Oct; 42(5): 894-901. PMID: 28321649, PMCID: PMC5594038, PII: 10.1007/s10900-017-0331-x, DOI: 10.1007/s10900-017-0331-x, ISSN: 1573-3610.

Schlundt D, Briley C, Canada B, Jones JL, Husaini BA, Emerson JS, Hull PC. Availability of Low-Fat Milk and Produce in Small and Mid-Sized Grocery Stores After 2014 WIC Final Rule Changes, Tennessee. Prev Chronic Dis. 2017 Aug 8/24/2017; 14: E70. PMID: 28840823, PMCID: PMC5573198, PII: E70, DOI: 10.5888/pcd14.170008, ISSN: 1545-1151.

Hull P, Emerson JS, Quirk ME, Canedo JR, Jones JL, Vylegzhanina V, Schmidt DC, Mulvaney SA, Beech BM, Briley C, Harris C, Husaini BA. A Smartphone App for Families With Preschool-Aged Children in a Public Nutrition Program: Prototype Development and Beta-Testing. JMIR Mhealth Uhealth. 2017 Aug 8/2/2017; 5(8): e102. PMID: 28768611, PMCID: PMC5559651, PII: v5i8e102, DOI: 10.2196/mhealth.7477, ISSN: 2291-5222.

Selove R, Foster M, Wujcik D, Sanderson M, Hull PC, Shen-Miller D, Wolff S, Friedman D. Psychosocial concerns and needs of cancer survivors treated at a comprehensive cancer center and a community safety net hospital. Support Care Cancer [print-electronic]. 2017 Mar; 25(3): 895-904. PMID: 27822710, PMCID: PMC5269536, PII: 10.1007/s00520-016-3479-5, DOI: 10.1007/s00520-016-3479-5, ISSN: 1433-7339.

Sanderson M, Canedo JR, Khabele D, Fadden MK, Harris C, Beard K, Burress M, Pinkerton H, Jackson C, Mayo-Gamble T, Hargreaves MK, Hull PC. Pragmatic trial of an intervention to increase human papillomavirus vaccination in safety-net clinics. BMC Public Health. 2017 Feb 2/2/2017; 17(1): 158. PMID: 28153042, PMCID: PMC5290601, PII: 10.1186/s12889-017-4094-1, DOI: 10.1186/s12889-017-4094-1, ISSN: 1471-2458.

Husaini B, Levine R, Lammers P, Hull P, Novotny M, Moonis M. Smoking, depression, and hospital costs of respiratory cancers: Examining race and sex variation. Fam Med Community Health [print-electronic]. 2017; 5(1): 29-42. PMID: 29057243, PMCID: PMC5648368, DOI: 10.15212/FMCH.2017.0109, ISSN: 2305-6983.

Selove R, Foster M, Mack R, Sanderson M, Hull PC. Using an Implementation Research Framework to Identify Potential Facilitators and Barriers of an Intervention to Increase HPV Vaccine Uptake. J Public Health Manag Pract [print-electronic]. 2016 Nov 11/28/2016; PMID: 27902559, DOI: 10.1097/PHH.0000000000000367, ISSN: 1550-5022.

Hull PC, Buchowski M, Canedo JR, Beech BM, Du L, Koyama T, Zoorob R. Childhood obesity prevention cluster randomized trial for Hispanic families: outcomes of the healthy families study. Pediatr Obes [print-electronic]. 2016 Nov 11/24/2016; PMID: 27884047, DOI: 10.1111/ijpo.12197, ISSN: 2047-6310.

Vanderbilt-Ingram Cancer Center. HPV Vaccination in Primary Care Settings in Middle Tennessee: An Environmental Scan. Nashville (United States): [publisher unknown]; 2016.

Moore KL, Fankhauser MK, Hull PC. Tennessee's 3-Star Report: Using Available Data Systems to Reduce Missed Opportunities to Vaccinate Preteens. Biomed Inform Insights. 2016; 8(Suppl 2): 15-21. PMID: 27980415, PMCID: PMC5138065, PII: bii-suppl.2-2016-015, DOI: 10.4137/BII.S40207, ISSN: 1178-2226.

Cunningham J, Wallston KA, Wilkins CH, Hull PC, Miller ST. Development and Psychometric Evaluation of the HPV Clinical Trial Survey for Parents (CTSP-HPV) Using Traditional Survey Development Methods and Community Engagement Principles. Clin Transl Sci [print-electronic]. 2015 Dec; 8(6): 702-9. PMID: 26530324, PMCID: PMC5351134, DOI: 10.1111/cts.12347, ISSN: 1752-8062.

Sanderson M, Khabele D, Brown CL, Harbi K, Alexander LR, Coker AL, Fernandez ME, Brandt HM, Fadden MK, Hull PC. Results of a Health Education Message Intervention on HPV Knowledge and Receipt of Follow-up Care among Latinas Infected with High-risk Human Papillomavirus. J Health Care Poor Underserved. 2015 Nov; 26(4): 1440-55.

Gittner LS, Husaini BA, Hull PC, Emerson JS, Tropez-Sims S, Reece MC, Zoorob R, Levine RS. Use of Six Sigma for eliminating missed opportunities for prevention services. J Nurs Care Qual. 2015 Jul; 30(3): 254-60. PMID: 25629453, DOI: 10.1097/NCQ.0000000000000113, ISSN: 1550-5065.

Emerson, JS, Towns, DR, Jones, JL, Cain, VA, Hul,l PC. Racial/ethnic and weight status differences in food preparation among WIC participants. J Health Care Poor Underserved. 2015 May; 26(2): 335-44.

Emerson JS, Hull PC. Community Care. International Innovation. 2015; 182: 44-6.

Zhou, Y, Emerson, JS, Husaini, BA, Hull, PC. Association of infant feeding with adiposity in early childhood in a WIC sample. J Health Care Poor Underserved. 2014 Nov; 25(4): 1542-51.

Zhou, Y, Emerson, JS, Levine, RS, Kihlberg, CJ, Hull, PC. Childhood obesity prevention interventions in childcare settings: Systematic review of randomized and non-randomized controlled trials. Am J Health Promot. 2014 Mar; 28(4).

Hull PC, Williams EA, Khabele D, Dean C, Bond B, Sanderson M. HPV vaccine use among African American girls: qualitative formative research using a participatory social marketing approach. Gynecol. Oncol [print-electronic]. 2014 Mar; 132 Suppl 1: S13-20. PMID: 24491412, PMCID: PMC3966189, PII: S0090-8258(14)00106-1, DOI: 10.1016/j.ygyno.2014.01.046, ISSN: 1095-6859.

Hull PC, Reece MC, Patton M, Williams J, Beech BM, Canedo JR, Zoorob R. A community-based oral health self-care intervention for Hispanic families. Int J Public Health [print-electronic]. 2014 Feb; 59(1): 61-6. PMID: 23612890, PMCID: PMC3884052, DOI: 10.1007/s00038-013-0470-5, ISSN: 1661-8564.

Husaini, BA, Levine, RS, Cain, VA, Novotny, M, Emerson, JS, Orum, G, Bazargan, M, Hull, PC, Khan, M, Moonis, M. Stroke burden and risk factors during 1997-2008: Examining the effect of ethnicity and gender. Astrocyte. 2014; 1(1): 9-16.

Southeastern Health Equity Report Card. [place unknown]: Southeastern Health Equity Council; 2014.

Zoorob R, Buchowski MS, Beech BM, Canedo JR, Chandrasekhar R, Akohoue S, Hull PC. Healthy families study: design of a childhood obesity prevention trial for Hispanic families. Contemp Clin Trials. 2013 Jul; 35(2): 108-21. PMCID: PMC3749297.

Husaini B, Levine R, Sharp L, Cain V, Novotny M, Hull P, Orum G, Samad Z, Sampson U, Moonis M. Depression increases stroke hospitalization cost: an analysis of 17,010 stroke patients in 2008 by race and gender. Stroke Res Treat. 2013; 2013: 846732. PMCID: PMC3608101.

Reed MB, Sanderson M, Williams EA, Hull PC. Perceived barriers and facilitators to HPV vaccination in African American girls ages 11-18. Young Scientist. 2013; 3: 12-4.

Emerson JS, Hull PC, Cain VA, Novotny ML, Larson CO, Levine RS. Challenges and strategies in serving the uninsured in Nashville, Tennessee. J Ambul Care Manage. 2012 Oct; 35(4): 323-34.

Emerson JS, Hull PC, Cain VA, Novotny M, Stanley RE, Levine RS. TennCare disenrollment and avoidable hospital visits in Davidson County, Tennessee. J Health Care Poor Underserved. 2012 Feb; 23(1): 425-45.

Husaini, BA, Mensah, GA, Sawyer, D, Cain, VA, Samad, Z, Hull, PC, Levine, RS, Sampson, UK. Race, sex, and age differences in heart failure-related hospitalizations in a southern state: implications for prevention. Circ Heart Fail. 2011 Mar; 4(2): 161-9. PMCID: PMC3070602.

Levine, RS, Rust, GS, Pisu, M, Agboto, V, Baltrus, PA, Briggs, NC, Zoorob, R, Juarez, P, Hull, PC, Goldzweig, I, Hennekens, CH. Increased Black-White disparities in mortality after the introduction of lifesaving innovations: a possible consequence of US federal laws. Am J Public Health. 2010 Nov; 100(11): 2176-84. PMCID: PMC2951928.

Hull, PC, Canedo, JR, Reece, MC, Lira, I, Reyes, F, Garcia, E, Juarez, P, Williams, E, Husaini, BA. Using a participatory research process to address disproportionate Hispanic cancer burden. J Health Care Poor Underserved. 2010 Feb; 21(1 Suppl): 95-113. PMCID: PMC3831608.

Hull PC, Emerson JS, Schlundt D, Reece MC, Cain VA, Levine RS. Nashville Safety Net Assessment. Nashville (United States): Tennessee State University; 2010.

Emerson, JS, Reece, MC, Levine, RS, Hull, PC, Husaini, BA. Predictors of new screening for African American men participating in a prostate cancer educational program. J Cancer Educ. 2009; 24(4): 341-5.

Hull, PC, Husaini, BA, Tropez-Sims, S, Reece, M, Emerson, J, Levine, R. EPSDT preventive services in a low-income pediatric population: impact of a nursing protocol. Clin Pediatr (Phila). 2008 Mar; 47(2): 137-42.

Husaini, BA, Reece, MC, Emerson, JS, Scales, S, Hull, PC, Levine, RS. A church-based program on prostate cancer screening for African American men: reducing health disparities. Ethn Dis. 2008; 18(2 Suppl 2): 179-84.

Hull, PC, Canedo, J, Aquilera, J, Garcia, E, Lira, I, Reyes, F. Assessing community readiness for change in the Nashville Hispanic community through participatory research. Prog Community Health Partnersh. 2008; 2(3): 185-94.

Hull, PC, Kilbourne, B, Reece, M, Husaini, BA. Community involvement and adolescent mental health: Moderating effects of race/ethnicity and neighborhood disadvantage. J Community Psychol. 2008; 36(4): 534-51.

Ark, PD, Hull, PC, Husaini, BA, Craun, C. Religiosity, religious coping styles, and health service use: racial differences among elderly women. J Gerontol Nurs. 2006 Aug; 32(8): 20-9.

Sherkat, D, Kilbourne, B, Cain, V, Hull, PC, Levine, R, Husaini, BA. The impact of health service use on racial differences in mortality among the elderly. Res Aging. 2006; 29(3): 207-24.

Sherkat, DE, Kilbourne, BS, Cain, VA, Hull, PC, Levine, RS, Husaini, BA. Explaining race differences in mortality among the Tennessee Medicare elderly: the role of physician services. J Health Care Poor Underserved. 2005 Nov; 16(4 Suppl A): 50-63.

Powell, ME, Carter, V, Bonsi, E, Johnson, G, Williams, L, Taylor-Smith, L, Hayes, Q, Hull, PC, Cain, VA, Husaini, BA. Increasing mammography screening among African American women in rural areas. J Health Care Poor Underserved. 2005 Nov; 16(4 Suppl A): 11-21.

Levine, RS, Briggs, NC, Husaini, BA, Foster, I, Hull, PC, Pamies, RJ, Tropez-Sims, S, Emerson, JS. HEDIS prevention performance indicators, prevention quality assessment and Healthy People 2010. J Health Care Poor Underserved. 2005 Nov; 16(4 Suppl A): 64-82.

Husaini, BA, Emerson, JS, Hull, PC, Sherkat, DE, Levine, RS, Cain, VA. Rural-urban differences in breast cancer screening among African American women. J Health Care Poor Underserved. 2005 Nov; 16(4 Suppl A): 1-10.

Husaini, BA, Hull, PC, Sherkat, DE, Emerson, JS, Overton, MT, Craun, C, Cain, VA, Levine, RS. Diabetes, depression, and healthcare utilization among African Americans in primary care. J Natl Med Assoc. 2004 Apr; 96(4): 476-84. PMCID: PMC2595010.

Husaini, BA, Sherkat, DE, Levine, RS, Hull, PC, Cain, VA, Kilbourne, K. Age differences in the influence of race, socioeconomic status, and psychiatric morbidity on healthcare utilization and expenditures. Research in Healthcare Financial Management. 2004; 9(1): 29-48.

Levine, RS, Husaini, BA, Emerson, JS, Hull, PC, Briggs, NC, Moriarty, CJ, Cain, VA. Using a nursing protocol to assure equitable delivery of cancer-related prevention services. Cell Mol Biol (Noisy-le-grand). 2003 Dec; 49(8): 1229-32.

Husaini, BA, Sherkat, DE, Levine, R, Holzer, C, Cain VA, Craun C, Hull, PC. The influence of race, gender, and mental disorder on healthcare service utilization and costs among the Medicare elderly. Research in Healthcare Financial Management. 2003; 8(1): 19-29.

Levine, RS, Foster, JE, Fullilove, RE, Fullilove, MT, Briggs, NC, Hull, PC, Husaini, BA, Hennekens, CH. Black-white inequalities in mortality and life expectancy, 1933-1999: implications for healthy people 2010. Public Health Rep. 2001 Sep; 116(5): 474-83. PMCID: PMC1497364.