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2026

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Epidemiology Of Aspergillosis Diagnoses In Us Adults Using A National Ehr Database, 2013-2023., Brittany L. Morgan Bustamante, Elijah G. Martinez, Aidan Lee, Natalie J. Kane, Simon K. Camponuri, Rose M. Reynolds, Theo T. Snow, Juliana G E Bartels, Mark A. Hoffman, Theodore C. White, Justin V. Remais Mar 2026

Epidemiology Of Aspergillosis Diagnoses In Us Adults Using A National Ehr Database, 2013-2023., Brittany L. Morgan Bustamante, Elijah G. Martinez, Aidan Lee, Natalie J. Kane, Simon K. Camponuri, Rose M. Reynolds, Theo T. Snow, Juliana G E Bartels, Mark A. Hoffman, Theodore C. White, Justin V. Remais

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Aspergillosis is a fungal infection associated with rising hospitalizations and substantial morbidity and mortality. In the United States, data remain fragmented due to the absence of centralized surveillance. This study aimed to evaluate demographic, geographic, and temporal trends in aspergillosis diagnoses across the United States and evaluate changes in those patterns following the emergence of COVID-19.

METHODS: We conducted a retrospective cohort study using electronic health record data from 142 US healthcare systems (Oracle Health), including adults aged ≥18 years who received care between 2013 and 2023. The cohort included over 76 million patients and 127 million person-years. Aspergillosis …


The Cleveland Foundation: Greater Circle Living Evaluation, Molly Schnoke, Kristen A. Blazek, René-Simone Martin Mar 2026

The Cleveland Foundation: Greater Circle Living Evaluation, Molly Schnoke, Kristen A. Blazek, René-Simone Martin

All Maxine Goodman Levin School of Urban Affairs Publications

No abstract provided.


From Doctrine To Practice: Shūrā-Centred Islamic Ethics For Sustainable Ecological Solutions, Fatima Dhanani, Cecilee Glaus Jones Mar 2026

From Doctrine To Practice: Shūrā-Centred Islamic Ethics For Sustainable Ecological Solutions, Fatima Dhanani, Cecilee Glaus Jones

Abdou Filali-Ansary Occasional Paper Series

This paper examines how Islamic ethics, when translated into lived practice, generate both moral frameworks and scalable solutions to pressing ecological challenges. Focusing on shūrā, tawḥīd, khilāfa, and taʿaddudiyya, and drawing on case studies of Stewardship Canada and the Aga Khan University’s Carbon Management Tool, the authors show how Islamic values move beyond doctrinal abstraction to guide institutional decision-making, programme design, and community engagement. More than treating ethics as fixed theological propositions, they frame them as negotiated, context-sensitive processes that align with ecological resilience, distributive justice, and economic viability.

Grounded in shūrā …


Feedback In Digital Game-Based Learning: A Taxonomy And The Design And Empirical Evaluation Of A Feedback System In A Mathematics Serious Game, André Almo Mar 2026

Feedback In Digital Game-Based Learning: A Taxonomy And The Design And Empirical Evaluation Of A Feedback System In A Mathematics Serious Game, André Almo

Dissertations

Digital Game-Based Learning (DGBL) is an active, student-centred pedagogical approach in which feedback plays a central role by informing learners’ actions, guiding decision-making and shaping motivation and engagement. Despite its importance, feedback in serious games is often described inconsistently and insufficiently in research, limiting comparability across studies and the accumulation of design knowledge, particularly for children. This thesis addresses these gaps through two complementary contributions: the development of a taxonomy for feedback design in digital serious games and the empirical evaluation of a taxonomy-informed feedback system in a mathematics game for primary school students. First, this work introduces the Taxonomy …


Results From Jail-Based Substance Use Treatment In Tooele County, Matthew Huntington, Shianne Anderson Mar 2026

Results From Jail-Based Substance Use Treatment In Tooele County, Matthew Huntington, Shianne Anderson

Outcomes and Impact Quarterly

This article describes the development and outcomes of a jail-based substance use treatment program in Tooele County, Utah. The program addresses the elevated overdose risk among individuals leaving incarceration through education, peer support, and coordinated reentry planning. Program outcomes include reduced recidivism and improved connection to recovery supports.


Sacbe 1 And Classic Maya Urban Culture, Traci Ardren, Scott R. Hutson, Travis W. Stanton, Patrick Rohrer, Justin P. Lowry Mar 2026

Sacbe 1 And Classic Maya Urban Culture, Traci Ardren, Scott R. Hutson, Travis W. Stanton, Patrick Rohrer, Justin P. Lowry

Anthropology Faculty Publications

One of the most significant engineering accomplishments of Maya civilization is Sacbe 1, a raised road connecting the ancient urban centers of Yaxuna and Coba. Using new lidar data in concert with excavation, epigraphic inscriptions, and landscape reconnaissance, we show that settlement and an urban experience emanated westward from Coba along the sacbe. The leaders of Coba - in particular, an ambitious seventh-century queen - used the sacbe to expand the political and cultural influence of their dynasty into the center of the peninsula while securing territory and resources. Gaps in the sacbe, precise delineation of its many curves, and …


Examining Rural Population Characteristics And Access To Care In 2022: A Study Of Health Professional Shortage Areas (Hpsas) And Medically Underserved Areas (Muas), Craig Holden, Shena Popat, Rachel Van Vleet, Shalanda Henderson, Carina Hoyer, Alana Knudson Mar 2026

Examining Rural Population Characteristics And Access To Care In 2022: A Study Of Health Professional Shortage Areas (Hpsas) And Medically Underserved Areas (Muas), Craig Holden, Shena Popat, Rachel Van Vleet, Shalanda Henderson, Carina Hoyer, Alana Knudson

ETSU/NORC Rural Health Research Center Policy Briefs

No abstract provided.


The Urban Talented Tenth: Race, Higher Education, And The Law Of Opportunity, Walter A. Jean-Jacques Mar 2026

The Urban Talented Tenth: Race, Higher Education, And The Law Of Opportunity, Walter A. Jean-Jacques

Marquette Benefits and Social Welfare Law Review

This Article reexamines W.E.B. Du Bois’s theory of the “Talented Tenth” through the lens of contemporary African American males in urban educational contexts. Drawing on historical origins, critical race theory, and modern jurisprudence surrounding higher education, it argues that law and policy have systematically overlooked those who form what this Article terms the “Urban Talented Tenth.” These students, often lacking traditional markers of privilege, navigate structural inequities while achieving academic excellence. By situating their experiences against the backdrop of landmark Supreme Court cases such as Brown v. Board of Education, Regents of the University of California v. Bakke, Grutter v. …


The Changing Landscape Of International Development: An Introduction, Pascaline Dupas, Pinelopi K. Goldberg, Rohini Pande Mar 2026

The Changing Landscape Of International Development: An Introduction, Pascaline Dupas, Pinelopi K. Goldberg, Rohini Pande

Discussion Papers

Since the late 1980s, extreme poverty has declined sharply, life expectancy and schooling have increased, and electoral democracy has expanded. However poverty reduction has slowed in recent years, particularly following the COVID-19 pandemic, amid intensifying conflict, fragility, climate risks, democratic backsliding, and the erosion of global trends—including trade integration and geopolitical stability—that once supported growth. These dynamics raise three interrelated questions: what barriers impede further progress; where will future growth in lower-income countries come from; and how can growth be broadly shared. Taking stock of 15 chapters forthcoming in Volume 6 of the Handbook of Development Economics, we discuss how …


To Hunt Or Not To Hunt: Is It That Simple For Female Hunters?, Hayley Nash Jackson, Lauren Redmore, Christopher A. Cheek, Jennifer Zavaleta Cheek Mar 2026

To Hunt Or Not To Hunt: Is It That Simple For Female Hunters?, Hayley Nash Jackson, Lauren Redmore, Christopher A. Cheek, Jennifer Zavaleta Cheek

Natural Resource Management Faculty Publications

Natural resource agencies and researchers have often focused efforts to reduce the constraints women face in hunting. However, many women continue to hunt despite these barriers, suggesting a need to understand the complex decisions they make. This study explores the decision space that women navigate despite logistical, cultural, and personal constraints. This mixed method study used free lists (n = 50) and semi-structured interviews (n = 22) to identify the most salient decisions women make to go hunting. These included decisions about gear, household responsibilities, hunting partners, land access, and pre-planning. Interviews revealed how women strategically make decisions to navigate …


Is Field Size An Indicator Of Farm Size In Smallholder-Dominated Croplands?, Sitian Xiong, Protensia Hadunka, Brian P. Mulenga, Kathy Baylis, Philippe Rufin, Lyndon Estes Mar 2026

Is Field Size An Indicator Of Farm Size In Smallholder-Dominated Croplands?, Sitian Xiong, Protensia Hadunka, Brian P. Mulenga, Kathy Baylis, Philippe Rufin, Lyndon Estes

Geography

Farm size is a key characteristic of agricultural systems, closely linked to farming and land management practices. However, data on farm size are often difficult to obtain, especially in smallholder-dominated regions, and where available, they are rarely spatially explicit. This study examines the use of field size as a proxy for farm size, aiming to identify field size thresholds that can distinguish farms of different sizes. Using household-level data from Zambia’s Crop Forecast Survey, we applied both continuous and categorical methods to quantify the field-to-farm size relationship. Non-parametric Theil–Sen regression revealed a generally linear relationship between log-transformed field and farm …


Simulation Culture And Organizational Readiness In Social Work Education: Examining Faculty Perspectives., Kate Whitney Mar 2026

Simulation Culture And Organizational Readiness In Social Work Education: Examining Faculty Perspectives., Kate Whitney

Doctor of Social Work Capstone Projects

Despite the growing emphasis on simulation-based learning (SBL), faculty perceptions of organizational readiness for this approach in social work education remain understudied. This exploratory mixed-methods study examined faculty readiness across two CSWE-accredited programs using the Simulation Culture Organizational Readiness Scale (SCORS) and qualitative open-ended questions (𝑁=21). Findings revealed modest and uneven readiness across both programs, with full-time faculty reporting significantly lower readiness scores than adjunct and part-time faculty. Qualitative data identified critical needs for foundational dialogue on SBL principles, strategic institutional investment, and targeted faculty development. Participants also expressed concerns regarding the pace of adoption and potential conflicts with the …


The Changing Landscape Of International Development: An Introduction, Pascaline Dupas, Pinelopi Goldberg, Rohini Pande Mar 2026

The Changing Landscape Of International Development: An Introduction, Pascaline Dupas, Pinelopi Goldberg, Rohini Pande

Cowles Foundation Discussion Papers

Since the late 1980s, extreme poverty has declined sharply, life expectancy and schooling have increased, and electoral democracy has expanded. However poverty reduction has slowed in recent years, particularly following the COVID-19 pandemic, amid intensifying conflict, fragility, climate risks, democratic backsliding, and the erosion of global trends—including trade integration and geopolitical stability—that once supported growth. These dynamics raise three interrelated questions: what barriers impede further progress; where will future growth in lower-income countries come from; and how can growth be broadly shared. Taking stock of 15 chapters forthcoming in Volume 6 of the Handbook of Development Economics, we discuss how …


The Skill Premium In Times Of Rapid Technological Change, Tarek Hassan, Aakash Kalyani, Pascual Restrepo Mar 2026

The Skill Premium In Times Of Rapid Technological Change, Tarek Hassan, Aakash Kalyani, Pascual Restrepo

Cowles Foundation Discussion Papers

No abstract provided.


Trade, Labor Market Concentration, And Wages, Mayara Felix Mar 2026

Trade, Labor Market Concentration, And Wages, Mayara Felix

Cowles Foundation Discussion Papers

I estimate the effect of trade on local labor market concentration and its implications for wages using employer-employee linked data and tariff shocks from Brazil’s trade liberalization. Trade increased concentration by 7%, an effect driven by firm exit and worker flows to surviving import-competing firms. Increased concentration reduced wage take-home shares—estimated at 50 cents on the dollar pre-shock—enough to offset small wage gains from reallocation, but did not meaningfully reduce wages on net. Most of the wage declines attributed to Brazil’s trade liberalization resulted instead from reductions in the marginal revenue product of labor. Incorporating informality reveals substantial regional heterogeneity.


The Impact Of Civic Engagement On Filipino Youth During The Pandemic: The Role Of Social Networking Sites For Social Capital Building, Ma. Glenda Wui, Katrina Yuzon, Joane Denise Alliah Axibal, Gel Christian Llames, Enrique Niño P. Leviste Mar 2026

The Impact Of Civic Engagement On Filipino Youth During The Pandemic: The Role Of Social Networking Sites For Social Capital Building, Ma. Glenda Wui, Katrina Yuzon, Joane Denise Alliah Axibal, Gel Christian Llames, Enrique Niño P. Leviste

Journal of Youth Development

This study examined the civic engagement of Filipino youth (N=14) volunteers during the COVID-19 pandemic. Anchored in the asset-based framework of Positive Youth Development, the study discussed the critical role of civic engagement in enhancing the well-being of youth during the pandemic. It also analyzed the role of Social Networking Sites (SNS) in building social capital for civic engagement. Through in-depth interviews, the study examined the impact of the participants’ engagement on their lives, and how they confronted challenges related to civic work. Thematic analysis of the interview data yielded four themes: personal challenges during the pandemic, coping with the …


From “Scared” To “Empowered”: Lived Experience Of Out-Of-School Youth In The Philippines, Sheilalaine G. Romulo Mar 2026

From “Scared” To “Empowered”: Lived Experience Of Out-Of-School Youth In The Philippines, Sheilalaine G. Romulo

Journal of Youth Development

In the Philippines, marginalized youth (e.g. out-of-school) are mostly excluded from civic engagement. This study explores how 5 young Filipino leaders, once out-of-school, navigated a community-based alliance with adults. The lifeworld of these young leaders is accessed through a phenomenological interview guided by Max van Manen’s phenomenological method. Their lived experience tells a transformative journey of being scared youth to becoming empowered young leaders who have found their voice after overcoming insecurities, fear of exclusion, and being misunderstood. It can also be gleaned from their lived experience how the adult partners may have contributed to their transformation. This article recommends …


A Ship Between Worlds: Illicit Trade, Empire, And Enslavement In The Voyage Of The Nuestra Senora De Las Nieves, 1819-1820, Carly Eastham Mar 2026

A Ship Between Worlds: Illicit Trade, Empire, And Enslavement In The Voyage Of The Nuestra Senora De Las Nieves, 1819-1820, Carly Eastham

Master's Theses

This study examines the illicit Spanish transatlantic slave trade to Cuba during the post-abolition era through a microhistorical analysis of the 1819 voyage of the schooner Nuestra Señora de las Nieves. Despite international efforts to suppress the trade following abolition treaties, this voyage illustrates how Spanish traders adapted their practices to continue trafficking enslaved Africans, fueling Cuba’s booming sugar economy amid shifting geopolitical and economic pressures. Drawing on primary documents seized by the British navy and analyzed alongside relevant secondary scholarship, this research situates the Cuban trade within the broader Atlantic world’s complex cultural, legal, and economic transformations.

The case …


At The Crossroads: Private Litigation And The Fate Of Sections 2 And 208 Of The Voting Rights Act, Aviva D. Kohn Mar 2026

At The Crossroads: Private Litigation And The Fate Of Sections 2 And 208 Of The Voting Rights Act, Aviva D. Kohn

Fordham Law Review

For six decades, private plaintiffs have stood at the center of Voting Rights Act (VRA) enforcement, bringing an overwhelming majority of the suits challenging discriminatory voting practices nationwide. Most federal courts have allowed private plaintiffs to sue for relief under the VRA. However, in 2023 and 2025, the U.S. Court of Appeals for the Eighth Circuit broke from this pattern, holding that neither section 2 nor section 208 of the VRA permits private litigants to sue for relief. The Eighth Circuit’s decisions rest on a narrow reading of congressional intent, a rigid application of Alexander v. Sandovaland Gonzaga University …


Undergraduate Health And Wellbeing Course And Study Away Program To Alaska, Lorraine S. Wallace, Steven J. Mousetes, Jennifer Bickley Mar 2026

Undergraduate Health And Wellbeing Course And Study Away Program To Alaska, Lorraine S. Wallace, Steven J. Mousetes, Jennifer Bickley

Journal of Global Education and Research

High-impact practices, such as diversity/global education, have been shown to positively contribute to student development, engagement, and success. As the US is both culturally and linguistically diverse, domestic study away programs can offer students impactful multicultural educational experiences without leaving the country. The purpose of this study was to describe the design of a health and well-being academic course and accompanying study away program to Alaska for undergraduates at The Ohio State University (OSU). The authors (1) describe the application of the backward design process in guiding ELOs development, (2) provide a sample of course assignments and student responses, and …


Globalizing The Engineering Job Market: Optimizing Engineering Career Expos To Serve International Students, Hailey A. Hesseltine Mar 2026

Globalizing The Engineering Job Market: Optimizing Engineering Career Expos To Serve International Students, Hailey A. Hesseltine

Journal of Global Education and Research

As the United States hosts approximately one million international students annually, it becomes imperative that on-campus resources are tailored to meet the needs of this diverse student population. One on-campus resource that is crucial to student success is career services, especially considering the aspirations of many international students to secure employment post-graduation. To address this, this study aimed to understand the satisfaction levels of international engineering students with an engineering career expo in Hawaiʻi. Utilizing a combination of surveys and interviews using a neo-racism framework, international students shared their experiences from the career expo through discussion and assessment. Information given …


Montana Residents’ Attitudes Towards Tourism – 2025, Carter Bermingham, Megan Schultz, Jayce Beck Mar 2026

Montana Residents’ Attitudes Towards Tourism – 2025, Carter Bermingham, Megan Schultz, Jayce Beck

Institute for Tourism and Recreation Research Publications

Montana residents maintain a broadly positive outlook on tourism, with 66% agreeing that tourism's benefits outweigh its drawbacks and 72% recognizing the economic value of state-supported tourism promotion. However, resident sentiment remains nuanced: 45% report concerns about overcrowding, and fewer than half (36%) believe increased tourism would improve their personal quality of life — a trend consistent across four consecutive years.

Regional divides are pronounced. Communities near high-visitation destinations such as Glacier National Park and Yellowstone National Park express greater skepticism toward tourism growth, while lower-visitation regions, including Central Montana, Southeast Montana, and Missouri River Country, hold more favorable views …


Fare-Free Public Transportation: A Systematic Review Of Outcomes, Joseph S. Lightner, Nancy Ziegler, Tyler Prochnow, Sammi Ford, Jordan A. Carlson, Mallory Moon, Jannette Berkley-Patton, Steven Chesnut, Amanda Grimes Mar 2026

Fare-Free Public Transportation: A Systematic Review Of Outcomes, Joseph S. Lightner, Nancy Ziegler, Tyler Prochnow, Sammi Ford, Jordan A. Carlson, Mallory Moon, Jannette Berkley-Patton, Steven Chesnut, Amanda Grimes

Manuscripts, Articles, Book Chapters and Other Papers

Introduction

Transportation is a social determinant of health. Access to quality, affordable public transportation has been shown to improve overall health outcomes. The user cost (fares) of public transportation may impact people’s behavior and the outcomes they experience. The purpose of this study was to conduct a systematic review of research on the outcomes associated with fare-free public transit (FFPT) interventions.

Methods

A systematic literature search of peer-reviewed research studies was conducted using Web of Science, APA PsycInfo, CINAHL Complete, PubMed, EBSCOhost, and Academic Search Ultimate databases. To be included, studies must have been published before August 1, 2023, be …


A Framework For Food Reliability In Zambia, Junren Wang, Megan Konar, Sitian Xiong Mar 2026

A Framework For Food Reliability In Zambia, Junren Wang, Megan Konar, Sitian Xiong

Student Publications [Scholarly]

Ensuring the reliability of domestic food supplies is increasingly critical given the compounding shocks of production variability, transportation constraints, and demand surges. This study develops a spatially explicit framework for Zambia, introducing the food reliability index to quantify the probability that food requirements exceed supply under stochastic conditions. By integrating probabilistic production estimates with a gravity model of domestic trade, we evaluate reliability dynamics across rural and urban landscapes. We apply this framework to establish a 2020 baseline and project future vulnerabilities to 2050. To address projected deficits, we simulate intervention scenarios, comparing the efficacy of cropland expansion, yield intensification, …


Philanthropic Archives And Legacy, Katherine Badertscher, Huitan Xu Mar 2026

Philanthropic Archives And Legacy, Katherine Badertscher, Huitan Xu

The Foundation Review

This article details an environmental scan of publicly available sources and interviews to explore the landscape of archival work in philanthropy.

There is no single guidance appropriate across the spectrum of foundations and family philanthropies. Given foundation heterogeneity, records management and archiving require tailored approaches rather than a “one-size-fits-all” solution.

The authors theorize legacy as a form of capital, embodied in records, stories, and knowledge, and present a continuum of five strategies for archiving infrastructure.


Tfr 18.1 Full Issue Mar 2026

Tfr 18.1 Full Issue

The Foundation Review

No abstract provided.


Using Ai To Redirect Donor Support To Smaller Organizations, Madeleine Alegria, Brandolon Barnett Mar 2026

Using Ai To Redirect Donor Support To Smaller Organizations, Madeleine Alegria, Brandolon Barnett

The Foundation Review

Despite rising interest in supporting local causes, many donors continue to give to large, nationally recognized nonprofits. This reflects ongoing structural barriers such as limited nonprofit visibility, decision fatigue, and search environments that prioritize brand familiarity.

At the same time, small-dollar giving has declined for three consecutive years, highlighting the need for more transparent, accessible, and trustworthy tools to support donor decision-making (Childress, 2024; Lilly Family School of Philanthropy, 2023).

In a 2024 evaluation study, 291 U.S. donors were randomly assigned to use either the Giving Compass Guide to Good platform or general internet tools to select a new nonprofit …


An Odd Protocol For An Agent-Based Model Of Hepatitis C Virus Transmission In A Homogeneous Syringe-Sharing Network, Seun Ale, Que Thi Nguyet Nguyen Dr., John D. Kelleher Prof., Elizabeth Hunter Dr. Mar 2026

An Odd Protocol For An Agent-Based Model Of Hepatitis C Virus Transmission In A Homogeneous Syringe-Sharing Network, Seun Ale, Que Thi Nguyet Nguyen Dr., John D. Kelleher Prof., Elizabeth Hunter Dr.

Reports

The model described in this ODD is an agent-based model of hepatitis C virus (HCV) transmission among people who inject drugs (PWID). The model assumes homogeneous mixing among syringe-sharing agents, without any form of heterogeneity in the agents interactions or syringe-sharing attitude. All syringe-sharing PWID are treated as identical in terms of their interaction frequency and syringe-sharing probability. Interactions are generated dynamically using proximity-based sampling at each timestep (one day), allowing agents to form syringe-sharing interactions based on spatial closeness. The number of daily interaction events is fixed at the population level, and each syringe-sharing agent has the same probability …


An Odd Protocol For An Agent-Based Model Of Hepatitis C Virus Transmission With Inter-Group Structural And Behavioural Heterogeneous Syringe-Sharing Networks (M4), Seun Ale, Que Nguyen Dr., John D. Kelleher Prof., Elizabeth Hunter Dr. Mar 2026

An Odd Protocol For An Agent-Based Model Of Hepatitis C Virus Transmission With Inter-Group Structural And Behavioural Heterogeneous Syringe-Sharing Networks (M4), Seun Ale, Que Nguyen Dr., John D. Kelleher Prof., Elizabeth Hunter Dr.

Reports

The model described in this ODD is an agent-based model of hepatitis C virus (HCV) transmission among people who inject drugs (PWID). The model incorporates structural heterogeneity through a three-group interaction framework and behavioural heterogeneity through group-specific syringe-sharing rates. The syringe-sharing population in the model is divided into core, inner, and outer circle groups representing individuals with high, moderate, and low levels of syringe-sharing interaction intensity, respectively. In addition to differences in the number of daily interaction opportunities across groups, agents in each group are assigned distinct syringe-sharing probabilities, reflecting variation in risk-taking behaviour across structural groups within the syringe-sharing …


Incidence Of Cancers Among Children Living With Hiv In Malawi After Widespread Availability Of Antiretroviral Therapy: A Population-Based Study, Jimmy Villiera, Mark Zobeck, Joseph Mhango, Allison Silverstein, Samuel Maloya, Apatsa Matatiyo, Eluness Simwela, Honour Mhango, Desire Hellings, Brigid O'Brien, Claudia Wallrauch, Tom Heller, Matthew Painschab, Kate Westmoreland, Atupele Mpasa, Rizine Mzikamanda, Nmazuo Ozuah, Joseph Lubega, Nader Kim El-Mallawany, Carl E Allen, Michael E Scheurer Mar 2026

Incidence Of Cancers Among Children Living With Hiv In Malawi After Widespread Availability Of Antiretroviral Therapy: A Population-Based Study, Jimmy Villiera, Mark Zobeck, Joseph Mhango, Allison Silverstein, Samuel Maloya, Apatsa Matatiyo, Eluness Simwela, Honour Mhango, Desire Hellings, Brigid O'Brien, Claudia Wallrauch, Tom Heller, Matthew Painschab, Kate Westmoreland, Atupele Mpasa, Rizine Mzikamanda, Nmazuo Ozuah, Joseph Lubega, Nader Kim El-Mallawany, Carl E Allen, Michael E Scheurer

Faculty, Staff and Students Publications

Purpose: Few data describe the modern epidemiology of pediatric HIV-associated cancers in sub-Saharan Africa, home to over 80% of the world's children living with HIV. This study evaluated the incidence of cancers among these children over 15 years after widespread antiretroviral therapy (ART) adoption in Malawi.

Methods: We conducted a retrospective population-based cohort study leveraging multiple independent data sources comprehensive of all cancer diagnoses among children living with HIV in Northern and Central Malawi between 2010 and 2024. HIV-associated cancers were defined as those cancers with well-established epidemiologic associations with HIV. Cumulative incidence and average annual percent change were estimated …