Kartika Palar, PhD

Title(s)Associate Professor, Medicine
SchoolSchool of Medicine
Address1001 Potrero Ave
San Francisco CA 94110
Phone--
EmailKartika.Palar@ucsf.edu
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    Collapse Biography 
    Collapse Education and Training
    University of California, San Francisco (UCSF)Postdoctoral Fellowship - Social/Behavioral HIV Research2015Division of HIV, ID and Global Medicine
    University of California, Los Angeles (UCLA)Postdoctoral Fellowship - Health Services Research2014UCLA School of Public Health, Dept of Health Policy and Mgmt
    RAND CorporationPhD - Policy Analysis2012Pardee RAND Graduate School
    Tufts UniversityMA - International Affairs2006Fletcher School of Law and Diplomacy
    Brown UniversityBA - Development Studies & Ethnic Studies2001
    Collapse Awards and Honors
    UCSF-Gladstone Center for AIDS Research (CFAR) 2017Early Career Award of Excellence in Behavioral Research

    Collapse Overview 
    Collapse Overview
    My research focuses on addressing the drivers and consequences of health inequity in HIV and chronic disease. One stream of research investigates the impact of food insecurity and other unmet subsistence needs on health. A new stream of research examines the intersection of HIV, non-communicable diseases (NCDs), and social determinants of health. Within these areas, I have a special interest in developing equitable community partnerships to design and evaluate program and policy solutions. I am interested in both safety-net interventions that address immediate needs, as well as policies that address upstream root causes of health inequity.

    Current studies fall within one or more of the above research streams. I am PI of the 5-year NIH-funded Women, HIV/AIDS and Diabetes Study, or WAND Study, based within the US national Women’s Interagency HIV Study. WAND is using both qualitative and quantitative methods to understand the impact of social and economic barriers on HIV and diabetes health among women living with both conditions, with the goal of developing an intervention to improve HIV/diabetes co-management among women experiencing multiple vulnerabilities. I am also co-PI of the Changing Health through Food Support (CHEFS) Study, an RCT of comprehensive, medically appropriate food support to low-income, people with HIV in the San Francisco Bay Area in collaboration with Project Open Hand. I am co-leading the development of a community-based collaboration to evaluate urban gardens as a strategy to improve health among low-income people with diabetes in the Bay Area, and am involved with an urban garden intervention for people with HIV in the Dominican Republic. I am a co-investigator or collaborator on several other projects addressing food insecurity and health, and/or HIV/NCD co-morbidity, domestically and abroad.

    My international work is largely based in Latin America, in collaboration with the World Food Programme and others. Finally, I have a strong commitment and passion for mentoring students and others with interest in issues of health equity, particularly those with backgrounds underrepresented in scientific research.

    Collapse Research 
    Collapse Research Activities and Funding
    Food is Medicine: Randomized Trial of Medically-Tailored Food Support for Diabetes Health
    NIH R01DK124630Apr 1, 2020 - Mar 31, 2024
    Role: Co-Principal Investigator
    Pilot Study of the Nutrition-Enhanced Wellness for Diabetes Self-Management Program (NEW-DSMP) among Low-Income Adults with Type II Diabetes
    NIH R21DK123632Feb 7, 2020 - Jan 31, 2022
    Role: Principal Investigator
    Food as Medicine: Providing medically appropriate meals to patients after hospital discharge for congestive heart failure.
    San Francisco General Hearts Foundation Jul 1, 2016 - Jun 30, 2018
    Role: Co-Investigator
    Investigating the Impact of Food Insecurity on HIV and Diabetes Comorbidity
    Center for AIDS Prevention Studies and the National Center for Expertise in Women's Health Jan 1, 2016 - Dec 31, 2016
    Role: Principal Investigator
    Changing Health through Food Support (CHEFS): Randomized controlled trial to identify potential health impacts of providing food support to individuals with HIV
    Kaiser Community Benefits Nov 1, 2015 - Nov 1, 2017
    Role: Co-Principal Investigator
    Identifying barriers to diabetes and HIV co-management in vulnerable populations
    NIH K01DK107335Aug 1, 2015 - Oct 31, 2020
    Role: Principal Investigator

    Collapse ORNG Applications 
    Collapse Global Health

    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. A conceptual model for understanding the rapid COVID-19-related increase in food insecurity and its impact on health and healthcare. Am J Clin Nutr. 2020 11 11; 112(5):1162-1169. Leddy AM, Weiser SD, Palar K, Seligman H. PMID: 32766740.
      View in: PubMed   Mentions: 18     Fields:    Translation:HumansCellsPHPublic Health
    2. Longitudinal Associations Between Neighborhood Factors and HIV Care Outcomes in the WIHS. AIDS Behav. 2020 Oct; 24(10):2811-2818. Chandran A, Edmonds A, Benning L, Wentz E, Adedimeji A, Wilson TE, Blair-Spence A, Palar K, Cohen M, Adimora A. PMID: 32170507.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    3. Mechanisms from Food Insecurity to Worse HIV Treatment Outcomes in US Women Living with HIV. AIDS Patient Care STDS. 2020 10; 34(10):425-435. Weiser SD, Sheira LA, Palar K, Kushel M, Wilson TE, Adedimeji A, Merenstein D, Cohen M, Turan JM, Metsch L, Adimora AA, Ofotokun I, Wentz E, Tien PC, Frongillo EA. PMID: 32941054.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    4. Food Insecurity, Sexual Risk, and Substance Use in Young Adults. J Adolesc Health. 2021 01; 68(1):169-177. Nagata JM, Palar K, Gooding HC, Garber AK, Tabler JL, Whittle HJ, Bibbins-Domingo K, Weiser SD. PMID: 32682597.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    5. Associations between food insecurity and psychotropic medication use among women living with HIV in the United States. Epidemiol Psychiatr Sci. 2020 Apr 06; 29:e113. Whittle HJ, Wolfe WR, Sheira LA, Frongillo EA, Palar K, Merenstein D, Wilson TE, Adedimeji A, Cohen MH, Wentz EL, Tien PC, Weiser SD. PMID: 32248873.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    6. Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review. Nutr Rev. 2020 04 01; 78(4):304-322. Flórez KR, Payán DD, Palar K, Williams MV, Katic B, Derose KP. PMID: 31539069.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    7. Congregational involvement in HIV: A qualitative comparative analysis of factors influencing HIV activity among diverse urban congregations. Soc Sci Med. 2020 02; 246:112718. Mendel P, Green HD, Palar K, Kanouse DE, Bluthenthal RN, Mata MA, Oden CW, Derose KP. PMID: 31931449.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    8. Food Insecurity Is Associated With Poorer Mental Health and Sleep Outcomes in Young Adults. J Adolesc Health. 2019 12; 65(6):805-811. Nagata JM, Palar K, Gooding HC, Garber AK, Whittle HJ, Bibbins-Domingo K, Weiser SD. PMID: 31587956.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    9. Nutrition and Health Improvements After Participation in an Urban Home Garden Program. J Nutr Educ Behav. 2019 10; 51(9):1037-1046. Palar K, Lemus Hufstedler E, Hernandez K, Chang A, Ferguson L, Lozano R, Weiser SD. PMID: 31601420.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    10. Food Insecurity and Chronic Disease in US Young Adults: Findings from the National Longitudinal Study of Adolescent to Adult Health. J Gen Intern Med. 2019 12; 34(12):2756-2762. Nagata JM, Palar K, Gooding HC, Garber AK, Bibbins-Domingo K, Weiser SD. PMID: 31576509.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    11. Association Between Food Insecurity and Migraine Among US Young Adults. JAMA Neurol. 2019 Sep 01; 76(9):1121-1122. Nagata JM, Weiser SD, Gooding HC, Garber AK, Bibbins-Domingo K, Palar K. PMID: 31233123.
      View in: PubMed   Mentions: 2     Fields:    
    12. Food insecurity is associated with anxiety, stress, and symptoms of posttraumatic stress disorder in a cohort of women with or at risk of HIV in the United States. J Nutr. 2019 08 01; 149(8):1393-1403. Whittle HJ, Sheira LA, Wolfe WR, Frongillo EA, Palar K, Merenstein D, Wilson TE, Adedimeji A, Weber KM, Adimora AA, Ofotokun I, Metsch L, Turan JM, Wentz EL, Tien PC, Weiser SD. PMID: 31127819.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    13. Food Insecurity and Unmet Needs Among Youth and Young Adults Living With HIV in the San Francisco Bay Area. J Adolesc Health. 2019 08; 65(2):262-266. Reeder C, Neilands TB, Palar K, Saberi P. PMID: 31196781.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    14. Persistent Food Insecurity Is Associated with Adverse Mental Health among Women Living with or at Risk of HIV in the United States. J Nutr. 2019 02 01; 149(2):240-248. Tuthill EL, Sheira LA, Palar K, Frongillo EA, Wilson TE, Adedimeji A, Merenstein D, Cohen MH, Wentz EL, Adimora AA, Ofotokun I, Metsch L, Kushel M, Turan JM, Konkle-Parker D, Tien PC, Weiser SD. PMID: 30753638.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    15. "It Was as Though My Spirit Left, Like They Killed Me": The Disruptive Impact of an HIV-Positive Diagnosis among Women in the Dominican Republic. J Int Assoc Provid AIDS Care. 2019 Jan-Dec; 18:2325958219849042. Payán DD, Derose KP, Fulcar MA, Farías H, Palar K. PMID: 31109213.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansPHPublic Health
    16. Food Insecurity, Internalized Stigma, and Depressive Symptoms Among Women Living with HIV in the United States. AIDS Behav. 2018 Dec; 22(12):3869-3878. Palar K, Frongillo EA, Escobar J, Sheira LA, Wilson TE, Adedimeji A, Merenstein D, Cohen MH, Wentz EL, Adimora AA, Ofotokun I, Metsch L, Tien PC, Turan JM, Weiser SD. PMID: 29948333.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    17. Predicting diabetes risk among HIV-positive and HIV-negative women. AIDS. 2018 11 28; 32(18):2767-2775. Galaviz KI, Schneider MF, Tien PC, Mehta CC, Ofotokun I, Colasanti J, Marconi VC, Palar K, Wingood G, Adimora AA, Alcaide M, Cohen MH, Gustafson D, Karim R, Konkle-Parker D, Merenstein D, Sharma A, Ali MK. PMID: 30289812.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    18. Developing Pilot Interventions to Address Food Insecurity and Nutritional Needs of People Living With HIV in Latin America and the Caribbean: An Interinstitutional Approach Using Formative Research. Food Nutr Bull. 2018 12; 39(4):549-563. Derose KP, Palar K, Farías H, Adams J, Martínez H. PMID: 30453759.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    19. Longitudinal associations between food insecurity and substance use in a cohort of women with or at risk for HIV in the United States. Addiction. 2019 01; 114(1):127-136. Whittle HJ, Sheira LA, Frongillo EA, Palar K, Cohen J, Merenstein D, Wilson TE, Adedimeji A, Cohen MH, Adimora AA, Ofotokun I, Metsch L, Turan JM, Wentz EL, Tien PC, Weiser SD. PMID: 30109752.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    20. Room for Improvement: The HIV-Diabetes Care Continuum Over 15 Years in the Women's Interagency HIV Study. Open Forum Infect Dis. 2018 Jun 01; 5(6):ofy121. Colasanti J, Galaviz KI, Christina Mehta C, Palar K, Schneider MF, Tien P, Adimora AA, Alcaide M, Cohen MH, Gustafson D, Karim R, Merenstein D, Sharma A, Wingood G, Marconi VC, Ofotokun I, Ali MK. PMID: 29942823.
      View in: PubMed   Mentions:
    21. Competing subsistence needs are associated with retention in care and detectable viral load among people living with HIV. J HIV AIDS Soc Serv. 2018; 17(3):163-179. Palar K, Wong MD, Cunningham WE. PMID: 30505245.
      View in: PubMed   Mentions:
    22. Food Insecurity is Associated with Poor HIV Outcomes Among Women in the United States. AIDS Behav. 2017 Dec; 21(12):3473-3477. Spinelli MA, Frongillo EA, Sheira LA, Palar K, Tien PC, Wilson T, Merenstein D, Cohen M, Adedimeji A, Wentz E, Adimora AA, Metsch LR, Turan JM, Kushel MB, Weiser SD. PMID: 29119474.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
    23. "The land of the sick and the land of the healthy": Disability, bureaucracy, and stigma among people living with poverty and chronic illness in the United States. Soc Sci Med. 2017 10; 190:181-189. Whittle HJ, Palar K, Ranadive NA, Turan JM, Kushel M, Weiser SD. PMID: 28865254.
      View in: PubMed   Mentions: 16     Fields:    Translation:Humans
    24. Factors contributing to food insecurity among women living with HIV in the Dominican Republic: A qualitative study. PLoS One. 2017; 12(7):e0181568. Derose KP, Payán DD, Fulcar MA, Terrero S, Acevedo R, Farías H, Palar K. PMID: 28742870.
      View in: PubMed   Mentions: 7     Fields:    Translation:HumansCells
    25. Severe food insecurity is associated with overweight and increased body fat among people living with HIV in the Dominican Republic. AIDS Care. 2018 Feb; 30(2):182-190. Derose KP, Ríos-Castillo I, Fulcar MA, Payán DD, Palar K, Escala L, Farías H, Martínez H. PMID: 28681631.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    26. Comprehensive and Medically Appropriate Food Support Is Associated with Improved HIV and Diabetes Health. J Urban Health. 2017 02; 94(1):87-99. Palar K, Napoles T, Hufstedler LL, Seligman H, Hecht FM, Madsen K, Ryle M, Pitchford S, Frongillo EA, Weiser SD. PMID: 28097614.
      View in: PubMed   Mentions: 22     Fields:    Translation:Humans
    27. How food insecurity contributes to poor HIV health outcomes: Qualitative evidence from the San Francisco Bay Area. Soc Sci Med. 2016 12; 170:228-236. Whittle HJ, Palar K, Seligman HK, Napoles T, Frongillo EA, Weiser SD. PMID: 27771206.
      View in: PubMed   Mentions: 20     Fields:    Translation:Humans
    28. Food insecurity is associated with HIV, sexually transmitted infections and drug use among men in the United States. AIDS. 2016 06 01; 30(9):1457-65. Palar K, Laraia B, Tsai AC, Johnson MO, Weiser SD. PMID: 26990632.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    29. Experiences with food insecurity and risky sex among low-income people living with HIV/AIDS in a resource-rich setting. J Int AIDS Soc. 2015; 18:20293. Whittle HJ, Palar K, Napoles T, Hufstedler LL, Ching I, Hecht FM, Frongillo EA, Weiser SD. PMID: 26546789.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    30. A pre-post pilot study of peer nutritional counseling and food insecurity and nutritional outcomes among antiretroviral therapy patients in Honduras. BMC Nutr. 2015; 1. Derose KP, Felician M, Han B, Palar K, Ramírez B, Farías H, Martínez H. PMID: 26702362.
      View in: PubMed   Mentions:
    31. Food insecurity, chronic illness, and gentrification in the San Francisco Bay Area: An example of structural violence in United States public policy. Soc Sci Med. 2015 Oct; 143:154-61. Whittle HJ, Palar K, Hufstedler LL, Seligman HK, Frongillo EA, Weiser SD. PMID: 26356827.
      View in: PubMed   Mentions: 24     Fields:    Translation:Humans
    32. Food Insecurity is Longitudinally Associated with Depressive Symptoms Among Homeless and Marginally-Housed Individuals Living with HIV. AIDS Behav. 2015 Aug; 19(8):1527-34. Palar K, Kushel M, Frongillo EA, Riley ED, Grede N, Bangsberg D, Weiser SD. PMID: 25351185.
      View in: PubMed   Mentions: 38     Fields:    Translation:Humans
    33. Impact of food support on food security and body weight among HIV antiretroviral therapy recipients in Honduras: a pilot intervention trial. AIDS Care. 2015; 27(4):409-15. Palar K, Derose KP, Linnemayr S, Smith A, Farías H, Wagner G, Martinez H. PMID: 25429691; PMCID: PMC4312496.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    34. Facilitators and barriers to HIV activities in religious congregations: perspectives of clergy and lay leaders from a diverse urban sample. J Relig Health. 2014 Oct; 53(5):1472-86. Mendel P, Derose KP, Werber L, Palar K, Kanouse DE, Mata M. PMID: 23990037.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    35. Tailored nutrition education and food assistance improve adherence to HIV antiretroviral therapy: evidence from Honduras. AIDS Behav. 2014 Oct; 18 Suppl 5:S566-77. Martinez H, Palar K, Linnemayr S, Smith A, Derose KP, Ramírez B, Farías H, Wagner G. PMID: 24788781.
      View in: PubMed   Mentions: 20     Fields:    Translation:Humans
    36. Longitudinal assessment of associations between food insecurity, antiretroviral adherence and HIV treatment outcomes in rural Uganda. AIDS. 2014 Jan 02; 28(1):115-20. Weiser SD, Palar K, Frongillo EA, Tsai AC, Kumbakumba E, Depee S, Hunt PW, Ragland K, Martin J, Bangsberg DR. PMID: 23939234.
      View in: PubMed   Mentions: 61     Fields:    Translation:Humans
    37. The organization of HIV and other health activities within urban religious congregations. J Urban Health. 2013 Oct; 90(5):922-33. Palar K, Mendel P, Derose KP. PMID: 23269603.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    38. Livelihood experiences and adherence to HIV antiretroviral therapy among participants in a food assistance pilot in Bolivia: a qualitative study. PLoS One. 2013; 8(4):e61935. Palar K, Martin A, Oropeza Camacho ML, Derose KP. PMID: 23613976.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    39. Value for Money in Donor HIV Funding. Rand Health Q. 2012; 1(4):2. Linnemayr S, Ryan GW, Liu J, Palar K. PMID: 28083209.
      View in: PubMed   Mentions:
    40. Role of antiretroviral therapy in improving food security among patients initiating HIV treatment and care. AIDS. 2012 Nov 28; 26(18):2375-81. Palar K, Wagner G, Ghosh-Dastidar B, Mugyenyi P. PMID: 22948270.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    41. Negotiation Strategies for Antiretroviral Drug Purchasers in the United States. Rand Health Q. 2012; 2(3):7. Linnemayr S, Ryan GW, Karir V, Liu J, Palar K. PMID: 28083266.
      View in: PubMed   Mentions:
    42. Attitudes and beliefs related to HIV/AIDS in urban religious congregations: barriers and opportunities for HIV-related interventions. Soc Sci Med. 2012 May; 74(10):1520-7. Bluthenthal RN, Palar K, Mendel P, Kanouse DE, Corbin DE, Derose KP. PMID: 22445157.
      View in: PubMed   Mentions: 32     Fields:    Translation:Humans
    43. Religious congregations' involvement in HIV: a case study approach. AIDS Behav. 2011 Aug; 15(6):1220-32. Derose KP, Mendel PJ, Palar K, Kanouse DE, Bluthenthal RN, Castaneda LW, Corbin DE, Domínguez BX, Hawes-Dawson J, Mata MA, Oden CW. PMID: 20953903.
      View in: PubMed   Mentions: 33     Fields:    Translation:Humans
    44. Congregation-based programs to address HIV/AIDS: elements of successful implementation. J Urban Health. 2011 Jun; 88(3):517-32. Williams MV, Palar K, Derose KP. PMID: 21331749.
      View in: PubMed   Mentions: 33     Fields:    Translation:Humans
    45. Food insecurity and nutritional barriers to antiretroviral therapy: Lessons from Latin America and the Caribbean. Journal of HIV/AIDS and Social Services. 2011; 2(10):194-214. Martin A, Palar K, Derose KP, Adams J.
    46. Potential societal savings from reduced sodium consumption in the U.S. adult population. Am J Health Promot. 2009 Sep-Oct; 24(1):49-57. Palar K, Sturm R. PMID: 19750962.
      View in: PubMed   Mentions: 32     Fields:    Translation:Humans
    47. Waste in the U.S. Health care system: a conceptual framework. Milbank Q. 2008 Dec; 86(4):629-59. Bentley TG, Effros RM, Palar K, Keeler EB. PMID: 19120983.
      View in: PubMed   Mentions: 38     Fields:    Translation:Humans
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