Marilyn Thomas, PhD, MPH

Title(s)Assistant Professor, Medicine
SchoolSchool of Medicine
Address2320 Sutter Street, #2585
San Francisco CA 94115
PronounsShe/Her/Hers
ORCID ORCID Icon0000-0003-3245-6363 Additional info
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    Other Positions
    Title(s)UCSF Weill Institute for Neurosciences


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    Collapse Overview
    Research Interests:
    - Structural Racism as a Social Determinant of Health
    - Racial Inequities in Chronic Disease Risk, Accelerated Aging, Cognitive Decline, Mental Illness, and Mortality
    - Social Policy, Educational Attainment, and Causal Inference

    Dr. Thomas is a social epidemiologist investigating the mechanisms by which structural racism contributes to Black–White and other racial inequities in health. Her research evaluates policy effects and emphasizes methods for causal inference in the absence of randomization.

    Structural racism—historical and ongoing interactions between macro-level systems and institutions that constrain the opportunities, resources, and power of minoritized racial and ethnic groups—is a fundamental cause of racial inequities in health. Dr. Thomas specializes in developing adequate measurement and statistical methods to capture the mechanisms by which structural racism adversely impacts health.

    Dr. Thomas’s research centers on Black experiences (i.e., factors that distinctively characterize Black lives in the US), primarily in three life domains: anti-Black policing, negative racial sentiment or race-based discrimination, and racism in higher education. Her innovative approaches have demonstrated racial patterns in risk of being killed by police, and in law enforcement characteristics related to police killings, as well as how experiences of area-level anti-Black bias, interpersonal racial discrimination, and culturally-specific coping strategies influence health, providing evidence that institutional racism contributes to physiologic stress-regulation and accelerated aging, and that improved socioeconomic position, particularly educational attainment, and racial identity may buffer the biological consequences of racism.

    Her current research examines structural racism in higher education, either as public policy or through individual-level educational attainment, as a potential causal driver of Black-White inequities in health. Though structural racism is implicated as a fundamental cause of higher education gaps, little to nothing is known about if, and to what extent, uniquely Black college experiences influence health in Black adults, specifically Historically Black Colleges and Universities (HBCUs).

    In 2022, Dr. Thomas received a K99/R00 Award from the National Institute on Aging to study the impact of HBCUs on late-life cognition in Black adults. She is also core faculty at the UCSF Philip R. Lee Institute for Health Policy Studies (https://healthpolicy.ucsf.edu/our-people/faculty) and Co-Director of the SF BUILD program, a partnership between UCSF and SF State to enhance diversity of the biomedical research workforce (https://sfbuild.sfsu.edu/meet-lead-team). Dr. Thomas is an active participant in the UCSF PReMIUM Group (https://integration.ucsf.edu/team), SPHERE Research Group at Harvard University (https://hsph.harvard.edu/research/social-policies-health-equity-sphere/, Glymour Research Group at Boston University (https://sites.bu.edu/glymourgroup/team/), and HEARTS Research Group at UC Berkeley (https://publichealth.berkeley.edu/research/hearts-research-group/).

    Collapse Research 
    Collapse Research Activities and Funding
    Impact of Historically Black Colleges and Universities on Late-life Cognition in Black Adults
    National Institute on Aging 1K99AG076973-01
    Role: PI
    Description: The goal of this study is to evaluate the impact of attending, living in close proximity, and the funding of Historically Black Colleges and Universities (HBCUs) on late-life cognition, vascular risk factors of dementia, and mortality in Black adults.

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    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. State Schooling Policies and Cognitive Performance Trajectories: A Natural Experiment in a National US Cohort of Black and White Adults. Epidemiology. 2025 Jan 01; 36(1):79-87. Kim MH, Liu SY, Brenowitz WD, Murchland AR, Nguyen TT, Manly JJ, Howard VJ, Thomas MD, Hill-Jarrett T, Crowe M, Murchison CF, Glymour MM. PMID: 39329415; PMCID: PMC11598670.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    2. School racial/ethnic composition, effect modification by caring teacher/staff presence, and mid-/late-life depressive symptoms: findings from the Study of Healthy Aging in African Americans. Am J Epidemiol. 2024 Sep 03; 193(9):1253-1260. Mobley TM, Hayes-Larson E, Wu Y, Peterson RL, George KM, Gilsanz P, Glymour MM, Thomas MD, Barnes LL, Whitmer RA, Whitmer RA, Mayeda ER. PMID: 38634611; PMCID: PMC11369217.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    3. Associations of Everyday and Lifetime Experiences of Discrimination With Willingness to Undergo Alzheimer Disease Predictive Testing. Neurology. 2024 Feb 27; 102(4):e208005. Hill-Jarrett TG, Choi M, Buto PT, Miramontes S, Thomas MD, Yang Y, Kim MH, Sims KD, Glymour MM. PMID: 38266219; PMCID: PMC11383877.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    4. All Stressors Are Not Equal: The Salience of Racial Discrimination and Appraisal for Blood Pressure in African American Women. Psychosom Med. 2024 Jan 01; 86(1):20-29. Reeves A, Michaels EK, Thomas MD, Okoye U, Price MM, Hasson RE, Chae DH, Allen AM. PMID: 37774102; PMCID: PMC10842959.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Examining the Impact of State-Level Factors on HIV Testing for Medicaid Enrollees With Schizophrenia. J Acquir Immune Defic Syndr. 2023 09 01; 94(1):18-27. Thomas MD, Vittinghoff E, Koester KA, Dahiya P, Riano NS, Cournos F, Dawson L, Olfson M, Pinals DA, Crystal S, Walkup J, Shade S, Mangurian C, Arnold EA. PMID: 37229531; PMCID: PMC10524352.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    6. Black Mothers' Concern for Their Children as a Measure of Vicarious Racism-Related Vigilance and Allostatic Load. J Health Soc Behav. 2023 12; 64(4):520-536. Daniels KP, D Thomas M, Chae DH, Allen AM. PMID: 37332176.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    7. Gender Composition in Biomedical Research Grant Submissions and Grant Review Panels Before Versus During the COVID-19 Pandemic. Journal of Women's Health. 2023; 4(32):471-477. Danielle Roubinov, Kent A Griffith, Nicole L Simone, Sindy Escobar Alvarez, Marilyn Thomas, Christina Mangurian, Reshma Jagsi. View Publication.
    8. Characteristics and Trends in HIV Testing Among Medicaid Enrollees Diagnosed as Having Schizophrenia. Psychiatr Serv. 2023 Jul 01; 74(7):709-717. Walkup J, Thomas MD, Vittinghoff E, Hermida R, Crystal S, Arnold EA, Dahiya P, Olfson M, Cournos F, Dawson L, Dilley J, Bazazi A, Mangurian C. PMID: 36852552; PMCID: PMC10329993.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    9. The impact of attending historically Black colleges and universities on cognitive decline in Black adults: A longitudinal analysis in the KHANDLE and STAR cohorts. Alzheimers Dement. 2023 08; 19(8):3426-3434. Thomas MD, Calmasini C, Khela H, Mobley TM, Mayeda ER, Mangurian C, Barnes LL, Gilsanz P, Whitmer RA, Whitmer RA, Glymour MM. PMID: 36800287; PMCID: PMC10432571.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    10. Field Visit Contact Rate by Mobile Crisis Teams as a Crisis System Performance Metric. Psychiatr Serv. 2022; appips202100736. Goldman ML, Ponce AN, Thomas M, Felder S, Wu S, Loewy R, Mangurian C. View Publication.
    11. CRANIUM: a quasi-experimental study to improve metabolic screening and HIV testing in community mental health clinics compared to usual care. BMC Psychiatry. 2022; 22(1):687. Hwong AR, Chagwedera DN, Thomas M, Niu G, Quan J, Vittinghoff E, Schillinger D, Newcomer JW, Gonzalez A, Essock S, Mangurian C. View Publication.
    12. Mental Health Implications of Abortion Restrictions for Historically Marginalized Populations. New England Journal of Medicine. 2022; 387(17):1613-1617. Ogbu-Nwobodo L, Shim RS, Vinson SY, Fitelson EM, Biggs MA, McLemore MR, Thomas M, Godzich M, Mangurian C. View Publication.
    13. Breast Cancer Screening Rates Among Medicaid Beneficiaries With Schizophrenia. Psychiatric Services. 2022; 74(5):497-504. Hwong AR, Vittinghoff E, Thomas M, Hermida R, Walkup J, Crystal S, Olfson M, Mangurian C. View Publication.
    14. Postsecondary Education and Late-life Cognitive Outcomes Among Black and White Participants in the Project Talent Aging Study: Can Early-life Cognitive Skills Account for Educational Differences in Late-life Cognition? Alzheimer Dis Assoc Disord. 2022 Jul-Sep 01; 36(3):215-221. Thomas MD, Calmasini C, Seblova D, Lapham S, Peters K, Prescott CA, Mangurian C, Glymour MM, Manly JJ. PMID: 35791067; PMCID: PMC9420770.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    15. Superwoman Schema, Racial Identity, and Cellular Aging Among African American Women. Gerontologist. 2022 05 26; 62(5):762-772. Thomas MD, Mendez RM, Zhang Y, Wang Y, Sohail S, Chae DH, Márquez-Magaña L, Sellers R, Woods-Giscombé CL, Allen AM. PMID: 35084030; PMCID: PMC9154235.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    16. Occupation and Educational Attainment Characteristics Associated With COVID-19 Mortality by Race and Ethnicity in California. JAMA Netw Open. 2022 04 01; 5(4):e228406. Matthay EC, Duchowny KA, Riley AR, Thomas MD, Chen YH, Bibbins-Domingo K, Glymour MM. PMID: 35452107; PMCID: PMC9034406.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    17. Lessons Learned From a New Reverse-Integration Model to Improve Primary Care Screening in Community Mental Health Settings. Psychiatr Serv. 2022 08 01; 73(8):942-945. Mangurian C, Thomas MD, Mitsuishi F, Goldman LE, Niu G, Handley MA, Riano NS, Hwong A, Essock S, Dilley J, Newcomer JW, Schillinger D. PMID: 35138129; PMCID: PMC9357142.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    18. Hepatitis C Screening Among Medicaid Patients With Schizophrenia, 2002-2012. Schizophr Bull Open. 2022 Jan; 3(1):sgab058. Thomas MD, Vittinghoff E, Crystal S, Walkup J, Olfson M, Khalili M, Dahiya P, Keenan W, Cournos F, Mangurian C. PMID: 35059641; PMCID: PMC8763570.
      View in: PubMed   Mentions: 2  
    19. A descriptive analysis of 2020 California Occupational Safety and Health Administration covid-19-related complaints. SSM Popul Health. 2022 Mar; 17:101016. Thomas MD, Matthay EC, Duchowny KA, Riley AR, Khela H, Chen YH, Bibbins-Domingo K, Glymour MM. PMID: 34977326; PMCID: PMC8714613.
      View in: PubMed   Mentions: 4  
    20. Geospatial Distributions of Lead Levels Found in Human Hair and Preterm Birth in San Francisco Neighborhoods. Int J Environ Res Public Health. 2021 12 22; 19(1). Okorie CN, Thomas MD, Méndez RM, Di Giuseppe EC, Roberts NS, Márquez-Magaña L. PMID: 35010345; PMCID: PMC8751210.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    21. An investigation of quantitative methods for assessing intersectionality in health research: A systematic review. SSM Popul Health. 2021; 16:100977. Guan A, Thomas M, Vittinghoff E, Bowleg L, Mangurian C, Wesson P. View Publication.
    22. Racial Discrimination and Telomere Length in Midlife African American Women: Interactions of Educational Attainment and Employment Status. Ann Behav Med. 2021 06 28; 55(7):601-611. Thomas MD, Sohail S, Mendez RM, Márquez-Magaña L, Allen AM. PMID: 33289498; PMCID: PMC8240134.
      View in: PubMed   Mentions: 11     Fields:    Translation:HumansCells
    23. US law enforcement policy predictors of race-specific police fatalities during 2015-16. PLoS One. 2021; 16(6):e0252749. Thomas MD, Reeves AN, Jewell NP, Michaels EK, Allen AM. PMID: 34161363; PMCID: PMC8221500.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    24. Accuracy of Primary Care Medical Home Designation in a Specialty Mental Health Clinic. Psychiatr Q. 2021; 92(2):601-607. Garcia ME, Goldman EL, Thomas M, Chan S, Mitsuishi F, Schillinger D, Mangurian C. View Publication.
    25. Whites' County-Level Racial Bias, COVID-19 Rates, and Racial Inequities in the United States. Int J Environ Res Public Health. 2020 11 23; 17(22). Thomas MD, Michaels EK, Darling-Hammond S, Nguyen TT, Glymour MM, Vittinghoff E. PMID: 33238526; PMCID: PMC7700363.
      View in: PubMed   Mentions: 4     Fields:    Translation:HumansPHPublic Health
    26. After "The China Virus" Went Viral: Racially Charged Coronavirus Coverage and Trends in Bias Against Asian Americans. Health Educ Behav. 2020 12; 47(6):870-879. Darling-Hammond S, Michaels EK, Allen AM, Chae DH, Thomas MD, Nguyen TT, Mujahid MM, Johnson RC. PMID: 32911985; PMCID: PMC7488172.
      View in: PubMed   Mentions: 40     Fields:    Translation:HumansCellsPHPublic Health
    27. Black and unarmed: statistical interaction between age, perceived mental illness, and geographic region among males fatally shot by police using case-only design. Ann Epidemiol. 2021 01; 53:42-49.e3. Thomas MD, Jewell NP, Allen AM. PMID: 32835768; PMCID: PMC7736192.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    28. Peer Specialists in Community Mental Health: Ongoing Challenges of Inclusion. Psychiatric Services. 2019; 70(12):1172-1175. Jones N, Niu G, Thomas M, Riano NS, Hinshaw SP, Mangurian C. View Publication.
    29. Everyday Racial Discrimination and Hypertension among Midlife African American Women: Disentangling the Role of Active Coping Dispositions versus Active Coping Behaviors. Int J Environ Res Public Health. 2019 11 27; 16(23). Michaels EK, Reeves AN, Thomas MD, Price MM, Hasson RE, Chae DH, Allen AM. PMID: 31783683; PMCID: PMC6935759.
      View in: PubMed   Mentions: 14     Fields:    Translation:Humans
    30. Coding the Everyday Discrimination Scale: implications for exposure assessment and associations with hypertension and depression among a cross section of mid-life African American women. J Epidemiol Community Health. 2019; 73(6):577-584. Michaels E, Thomas M, Reeves A, Price M, Hasson R, Chae D, Allen A. View Publication.
    31. Differential associations between everyday versus institution-specific racial discrimination, self-reported health, and allostatic load among black women: implications for clinical assessment and epidemiologic studies. Ann Epidemiol. 2019 07; 35:20-28.e3. Thomas MD, Michaels EK, Reeves AN, Okoye U, Price MM, Hasson RE, Chae DH, Allen AM. PMID: 31235363; PMCID: PMC7179332.
      View in: PubMed   Mentions: 33     Fields:    Translation:Humans
    32. Racial discrimination, educational attainment, and biological dysregulation among midlife African American women. Psychoneuroendocrinology. 2019 01; 99:225-235. Allen AM, Thomas MD, Michaels EK, Reeves AN, Okoye U, Price MM, Hasson RE, Syme SL, Chae DH. PMID: 30286445; PMCID: PMC6289261.
      View in: PubMed   Mentions: 53     Fields:    Translation:Humans
    33. Relative Roles of Race Versus Socioeconomic Position in Studies of Health Inequalities: A Matter of Interpretation. Annu Rev Public Health. 2018 04 01; 39:169-188. Nuru-Jeter AM, Michaels EK, Thomas MD, Reeves AN, Thorpe RJ, LaVeist TA. PMID: 29328880; PMCID: PMC10042447.
      View in: PubMed   Mentions: 79     Fields:    Translation:HumansPHPublic Health
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