Mark Nichter

Interests

Teaching

 Medical Anthropology Broadly Defined: Cross cultural study of the body, health and illness related behavior; ethnomedicine; comparative medical systems; medicine, power and the production of knowledge; the anthropology of risk, harm reduction and biomedicalization; global health and development; health inequality, unnatural distribution of disease and health care services, ecosocial and life span epidemiology, political ecology; ethnography and epidemiology of infectious, vector-borne, and chronic diseases; medical anthropology in community and clinical settings; anthropology’s contribution to clinical epidemiology and population based health research; anthropology of substance use and abuse, especially tobacco; the pharmaceutical and tobacco industries. My training in medical anthropology is complemented by postdoctoral training in international health (MPH) and psychiatry (two-year research residency).  Culture and the Individual—The embodiment of ideology through health and beauty practices, modes of production and modes of consumption; identity projects at the site of the body; cultural definition of normal and abnormal behavior; culturally constituted idioms of distress and idioms of concern; culture, gender and power; the politics of risk and responsibility, individual-state relationship, governance projects, subpolitcs and social movements.  Asian Ethnography—Long term field experience (30+ years) in South India. Expertise in Hindu ritual and cosmology, household economics, and social stratification. Shorter term (6–12 months) field experience in Indonesia, the Philippines, Sri Lanka, Thailand.

Research

 Medical Anthropology Broadly Defined: Cross cultural study of the body, health and illness related behavior; ethnomedicine; comparative medical systems; medicine, power and the production of knowledge; the anthropology of risk, harm reduction and biomedicalization; global health and development; health inequality, unnatural distribution of disease and health care services, ecosocial and life span epidemiology, political ecology; ethnography and epidemiology of infectious, vector-borne, and chronic diseases; medical anthropology in community and clinical settings; anthropology’s contribution to clinical epidemiology and population based health research; anthropology of substance use and abuse, especially tobacco; the pharmaceutical and tobacco industries. My training in medical anthropology is complemented by postdoctoral training in international health (MPH) and psychiatry (two-year research residency).  Culture and the Individual—The embodiment of ideology through health and beauty practices, modes of production and modes of consumption; identity projects at the site of the body; cultural definition of normal and abnormal behavior; culturally constituted idioms of distress and idioms of concern; culture, gender and power; the politics of risk and responsibility, individual-state relationship, governance projects, subpolitcs and social movements.  Asian Ethnography—Long term field experience (30+ years) in South India. Expertise in Hindu ritual and cosmology, household economics, and social stratification. Shorter term (6–12 months) field experience in Indonesia, the Philippines, Sri Lanka, Thailand.

Courses

Scholarly Contributions

Books

• Nichter, M. -., & None, . (2008). Global Health: Why Cultural Perceptions, Social Representations, and Biopolitics Matter. University of Arizona Press. Spring 2008.. University of Arizona Press.
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  ;Full Citation: Mark Nichter. Global Health: Why Cultural Perceptions, Social Representations, and Biopolitics Matter. University of Arizona Press. Spring 2008.;

Chapters

• Nichter, M., & Davis, G. (2016). The Lyme Wars: The Effects of Biocommunicability, Gender, and Epistemic Politics on Health Activation and Lyme Science. In Diagnostic Controversy: Cultural Perspectives on Competing Knowledge in Healthcare(pp 215-247). New York and London.: Routledge Taylor Francis Group.
• Nichter, M., & Nichter, M. (2016). Promoting Cigarettes In Indonesia. In The Routledge Handbook of Medical Anthropology. Routledge, New York and London.
• Nichter, M., & Nichter, M. (2016). Promoting Cigarettes in Indonesia. In : The Routledge Handbook of Medical Anthropology. New York and London: Routledge.
• Nichter, M., & Medeiros, M. (2014). Critical anthropology for global health: What can it contribute to critical health psychology?. In Critical Health Psychology, 2nd ed.. Palgrave.
• Nichter, M. -., McMahan, B., & Nichter, M. (2011). What does Medical Anthropology Contribute to Environmental Health. Elsevier.
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  ;Full Citation: [Ben McMahan and Mark Nichter]. What does Medical Anthropology Contribute to Environmental Health. Commissioned chapter in Encyclopedia of Environmental Health, Jerome Nriagu (ed.). Elsevier, February 2011.;Collaborative with graduate student: Yes;
• Nichter, M. -., Quintero, G., & Nichter, M. (2011). Generation RX: Anthropological research on pharmaceutical enhancement, lifestyle regulation, self-medication, and recreational drug use. Wiley-Blackwell.
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  ;Full Citation: [Gilbert Quintero and Mark Nichter]. Generation RX: Anthropological research on pharmaceutical enhancement, lifestyle regulation, self-medication, and recreational drug use. Commissioned chapter for A Companion to Medical Anthropology, Merrill Singer and Pam Erickson (eds). Malden, MA: Wiley-Blackwell, May 2011. Pp. 339-355.;Other collaborative: Yes;Specify other collaborative: ;
• Quintero, G., & Nichter, M. -. (2011). Generation RX: Anthropological research on pharmaceutical enhancement, lifestyle regulation, self-medication, and recreational drug use. In Encyclopedia of Medical Anthropology(pp 339-355). Wiley-Blackwell.
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  Commissioned chapter for Companion to Medical Anthropology, Merrill Singer and Pam Erickson (eds). (In Press, Wiley-Blackwell) ;Your Role: 50% of writing;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M., Nichter, M., Padmawati, S., , C. T., & Quit, P. (2009). Anthropological contributions to the development of culturally appropriate tobacco cessation programs: a global health priority. Oxford University Press.
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  No abstract available;Your Role: 80% of writing.;Full Citation: [Mark Nichter, Mimi Nichter, Siwi Padmawati, C.U. Thresia, and Project Quit Tobacco International Group]. Anthropological contributions to the development of culturally appropriate tobacco cessation programs: a global health priority. In: Robert Hahn and Marcia Inhorn (eds.), Anthropology and Public Health. Oxford University Press, 2009.;Collaborative with faculty member at UA: Yes;Other collaborative: Yes;Specify other collaborative: This chapter presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., O'Hegarty, M., & Nichter, M. (2008). Marketing, Promotion and Availability of Bidis in the United States.
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  ;Full Citation: [Michelle O'Hegarty and Mark Nichter] Marketing, Promotion and Availability of Bidis in the United States. In Prakash C. Gupta and Samira Asma (eds.), Bidi Smoking and Public Health. New Delhi: Ministry of Health and Family Welfare, 2008. pp. 13-25.;Other collaborative: Yes;Specify other collaborative: ;

Journals/Publications

• Andersen, R., Nichter, M., & Risør, M. (2017). Introduction: Sensations, Symptoms and Healthcare Seeking. Anthropology in Action.
• Awasthi,, S., Verma, T., Agarwal, M., Singh, J., Srivastava, N., & Nichter, M. (2017). [Awasthi, S., Verma, T., Agarwal, M., Singh, J.V., Srivastava, N.M. and Nichter, M.]. Developing effective health communication messages for community acquired pneumonia in children under five years of age: A rural North Indian qualitative study. Clinical Epidemiology and Global Health.
• Boock, A. U., Awah, P. K., Mou, F., & Nichter, M. (2017). Yaws resurgence in Bankim, Cameroon: The relative effectiveness of different means of detection in rural communities. PLOS Neglected Tropical Diseases.
• Eaves, E. R., Howerter, A., Nichter, M., Floden, L., Gordon, J. S., Ritenbaugh, C., & Muramoto, M. L. (2017). Implementation of tobacco cessation brief intervention in complementary and alternative medicine practice: qualitative evaluation. BMC complementary and alternative medicine.
• Nichter, M., Schroders, J., Hakimi, M., Tetra Dewi, F. S., Weinehall, L., Nilsson, M., Kusnanto, H., Rahajeng, E., & Ng, N. (2017). How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis. PLOS One.
• Thompson, J. J., Ritenbaugh, C., & Nichter, M. (2017). Why Women Choose Compounded Bioidentical Hormone Therapy: Lessons From A Qualitative Study Of Menopausal Decision-Making. BMC Women's Health.
• Amoussouhoui, A. S., Johnson, R. C., Sopoh, G. E., Agbo, I. E., Aoulou, P., Houezo, J., Tingbe-Azalou, A., Boyer, M., & Nichter, M. (2016). Steps Toward Creating A Therapeutic Community for Inpatients Suffering from Chronic Ulcers: Lessons from Allada Buruli Ulcer Treatment Hospital in Benin.. PLoS Negl Trop Dis.
• Muramoto, M. L., Gordon, J. S., Bell, M. L., Nichter, M., Floden, L., Howerter, A., Ritenbaugh, C., Muramoto, M. L., Gordon, J. S., Bell, M. L., Nichter, M., Floden, L., Howerter, A., & Ritenbaugh, C. (2016). Tobacco Cessation Training for Complementary and Alternative Medicine Practitioners: Results of a Practice-Based Trial.. American journal of preventive medicine.
• Nichter, M. (2016). Comorbidity: Reconsidering the Unit of Analysis. Medical Anthropology Quarterly.
• Nichter, M., Padmawati, S., & Ng, N. (2016). Introducing smoking cessation to Indonesian males treated for Tuberculosis: results of a pilot study and the challenge of low-moderate level smoking. Social Science and Medicine.
• Tanja, A., Nichter, M., & Pillai, G. (2016). Health insurance in India: what do we know and why is ethnographic research needed.. Anthropology & medicine.
• Thirthalli, J., Zhou, L., Kishore, K., Gao, J., Vaid, H., Liu, H., Hankey, A., Wang, G., Gagadhar, B., Nie, J., & Nichter, M. (2016). Traditional, complementary, and alternative medicine approaches to mental health care and psychological wellbeing in India and China. The Lancet Psychiatry.
• Thompson, J. J., & Nichter, M. (2016). Is there a Role for Complementary and Alternative Medicine in Preventive and Promotive Health? An Anthropological Assessment in the Context of U.S Health Reform. Medical Anthropology Quarterly.
• Weaver, L. J., Barrett, R., & Nichter, M. (2016). Special Section on Comorbidity: Introduction. Medical Anthropology Quarterly.
• Yamini, T., Nichter, M., Nichter, M., Sairu, P., Aswati, S., Leelamoni, K., & Unnikrishnan, B. (2015). Developing a fully integrated tobacco curriculum in medical colleges in India.. BMC Medical Education, 15(90).
• Awasthi, S., Nichter, M., Verma, T., Srivastava, N. M., Agarwal, M., & Singh, J. V. (2015). .] Revisiting Community Case Management of Childhood Pneumonia: Perceptions of Caregivers and Grass Root Health Providers in Uttar Pradesh and Bihar, Northern India. PLOS ONE.
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  Available Online April 21, 2015 DOI:10.1371/journal.pone.0123135
• Eaves, E. R., Sherman, K. J., Ritenbaugh, C., Hsu, C., Nichter, M., Turner, J. A., & Cherkin, D. C. (2015). A qualitative study of changes in expectations over time among patients with chronic low back pain seeking four CAM therapies. BMC Complementary and Alternative Medicine, 15(12), 1-14.
• Eaves, E., Nichter, M., & Ritenbaugh, C. (2015). Ways of Hoping: Navigating the Paradox of Hope and Despair in Chronic Pain. Culture, Medicine, and Psychiatry, 1-24.
• Eaves, E., Ritenbaugh, C., Howerter, A., Floden, L., Nichter, M., & Muramoto, M. (2015). Integrating conventional tobacco cessation approaches into complementary medicine practices: Inverting the integrative medicine model European Journal of Integrative Medicine. Published conference abstract.
• Floden, L., Howerter, A., Matthews, E., Nichter, M., Cunningham, J. K., Ritenbaugh, C., Gordon, J. S., & Muramoto, M. L. (2015). Considerations for practice-based research: a cross-sectional survey of chiropractic, acupuncture and massage practices. BMC Complementary and Alternative Medicine, 15(140), 1-8.
• Mini, G., Nichter, M., Nair, R., & Thankappan, K. R. (2015). Confirmation of self-reported non-smoking status by salivary cotinine among diabetes patients in Kerala, India. Clinical Epidemiology and Global Health.
• Nichter, M. (2015). Drinking Smoke: The Tobacco Syndemic in Oceania. Mac Marshall, Honolulu: University of Hawaii Press 2014, 292 pp; Book Review. Review Medical Anthropology Quarterly, b37-b39.
• Nichter, M., & Dao, A. (2015). The Social Life of Health Insurance in Low‐to Middle‐income Countries: An Anthropological Research Agenda. Medical anthropology quarterly.
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  Available online 27 March 2015. DOI: 10.1111/maq.12191.
• Nichter, M., Padmajam, S., Nichter, M., Sairu, P., Aswathy, S., Mini, G., Bindu, V., Pradeepkumar, A., & Thankappan, K. R. (2015). Developing a smoke free homes initiative in Kerala, India. BMC Public Health, 480(1-9), 15.
• Prabandari, Y. s., Nichter, M., Nichter, M., Padmawathi, R. s., & Muramoto6, M. (2015). Laying the Groundwork for Tobacco Cessation Education in Medical Colleges in Indonesia. Education of Health.
• Raffaetà, R., & Nichter, M. (2015). ]. Introduction to the Special Issue: Negotiating Care in Uncertain Settings and Looking Beneath the Surface of Health Governance Projects. Anthropology in Action, 1-6.
• Eaves, E. R., Nichter, M., Ritenbaugh, C., Sutherland, E., & Dworkin, S. F. (2014). Works of Illness and the Challenges of Social Risk and the Specter of Pain in the Lived Experience of TMD. Medical Anthropology Quarterly, epub ahead of print October 21, 2014.
• Eaves, E. R., Ritenbaugh, C., Nichter, M. -., Hopkins, A., & Sherman, K. J. (2014). Modes of hoping: Understanding hope and expectation in the context of a clinical trial of complementary and alternative medicine for chronic pain. EXPLORE, 10, 225-232.
• Mini, G. K., Nichter, M., Nair, R. R., & Thankappan, K. R. (2014). Confirmation of self-reported non-smoking status by salivary cotinine among diabetes patients in Kerala, India. Clinical Epidemiology and Global Health, Available online 11 June 2014, DOI: 10.1016/j.cegh.2014.05.003..
• Muramoto, M. L., Howerter, A., Matthews, E., Ford-Floden, L., Gordon, J., & Nichter, M. (2014). Tobacco brief intervention training for chiropractic, acupuncture, and massage practitioners: protocol for the CAM reach study. BMC complementary and alternative medicine, 14, 510.
• Muramoto, M., Hall, J. R., Nichter, M., Nichter, M., & Aickin, M. (2014). Activating Lay Health Influencers to Promote tobacco Cessation. American Journal of Health Behavior, 38(3), 392-403.
• Nichter, M. (2014). Revisiting the SMA Takes a Stand Initiative: Applying Scholarship to Health Policy. Second Opinion (Society for Medical Anthropology Newsletter, 2(4), 4-5.
• Park, E. R., Streck, J. M., Gareen, I. F., & Nichter, M. (2014). A qualitative study of lung cancer risk perceptions and smoking beliefs among national lung screening trial participants. Nicotine & Tobacco Research, 16(2), 166-173.
• Prescott, M., & Nichter, M. (2014). Transnational nurse migration: future directions for anthropological research. Social Science & Medicine, 107, 113-123.
• Thankappan, K. R., Mini, G. K., Hariharan, M., Vijayakumar, G., Sarma, P. S., & Nichter, M. (2014). Smoking cessation among diabetic patients in Kerala, India: 1-year follo-up results from a pilot randomized controlled trial. Diabetes Care, 37(12), e256-e257.
• Thompson, J. J., & Nichter, M. (2014). Is There a Role for Complementary and Alternative Medicine in Preventive and Promotive Health? An Anthropological Assessment in the Context of US Health Reform. Medical Anthropology Quarterly, epub ahead of print, DOI: 10.1111/maq.12153.
• Kumar, T. G., Kavumpurath, T. R., & Nichter, M. -. (2013). Introducing a Fully Integrated Tobacco Curriculum & Tobacco Cessation Skills in Medical Colleges. Respiratory Medicine, 107(Suppl 1), S18.
• Nichter, M. -. (2013). One man's dream, another man's cosmology. Anthropology and Humanism, 38(1), 1-18.
• Nichter, M. -. (2013). The Rise and Transformation of Evidence-Based Medicine. Part of Vital Topics Forum: On Evidence and the Public Interest. American Anthropologist, 115(4), 647-649.
• Reinschmidt, K. M., Chong, J., & Nichter, M. -. (2013). Monitoring shifts in social relations among chronically ill Mexican Americans as a culturally sensitive indicator of depression. Practicing Anthropology, 35(3), 33-37.
• Thankappan, K. R., Mini, G. K., Daivadanam, M., Vijayakumar, G., Sarma, P. S., & Nichter, M. -. (2013). Smoking cessation among diabetes patients: results of a pilot randomized controlled trial in Kerala, India. BMC Public Health, 13, 47.
• Thankappan, K., Mini, G. K., Daivadanam, M., Vijayakumar, G., Sarma, P. S., & Nichter, M. -. (2013). PP034 Feasibility of disease centered smoking cessation among diabetes patients. Respiratory Medicine, 107(Suppl 1), s16.
• Thankappan, K., Yamini, T. R., Mini, G. K., Arthur, C., Sairu, P., Leelamoni, K., Sani, M., Unnikrishnan, B., Basha, S. R., & Nichter, M. -. (2013). Assessing the readiness to integrate tobacco control in medical curriculum: Experiences from five medical colleges in southern India. National Medical Journal of India, 26(1), 18-23.
• Kelly, K., & Nichter, M. -. (2012). The Politics of Local Biology in Transnational Drug Testing: Creating (Bio)identities and Reproducing (Bio)nationalism Through Japanese "Ethno-bridging" Studies. East Asian Science, Technology and Society: An International Journal, 6(3), 379-399.
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  ;Collaborative with graduate student: Yes;Full Citation: Kim Kelly and Mark Nichter. The Politics of Local Biology in Transnational Drug Testing: Creating (Bio)identities and Reproducing (Bio)nationalism Through Japanese "Ethno-bridging" Studies. Submitted to East Asian Journal of Science, Technology and Society.;
• Nichter, M. -., & Kelly, K. (2012). The politics of local biology in transnational drug testing: creating (bio)identities and reproducing (bio)nationalism through Japanese “Ethno-bridging” studies. East Asian Science, Technology and Society: An International Journal.
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  AbstractNext to the United States, Japan is the second-largest pharmaceutical market in the world in terms of expenditures. However, the regulatory issues and long clinical testing and approval time for drugs to be marketed in Japan continue to be stumbling blocks for foreign drugs in the Japanese market. In 1998, adoption of the International Conference on Harmonization (ICH) E5 guidelines by the United States, European Union, and Japan cleared the way for the use of data generated in one member region to be used in another for drug regulatory approval purposes-a practice termed “bridging.” In particular, the ICH E5 focused on a type of study termed “ethnobridging,” studies conducted on a drug-by-drug basis to look at the sensitivities of a drug to “ethnic factors.” Ethnobridging studies are drug trials specific to ethnic populations to assure safety, effectiveness, and dose specificity. In the last twenty years, such studies have almost always been required as part of the clinical data package needed for approval of Western drugs in the Japanese market. We examine the ways in which ethnobridging studies, based on an anthropologically questionable concept of ethnic factors as defined in ICH E5, have become a proxy for long-held cultural perceptions of “local biology” based on a notion of ethnic uniqueness and bioidentity in Japan. Ethnobridging studies, we argue, are more than venues for the production of scientific and clinical data. They produce data in concert with what Latour has termed “matters of concern,” are techniques of governmentality that advance the nationalist agenda of the state in citizens' everyday lives, use pharmaceuticals as boundary objects and focal points of communication between researchers and policy makers in receptive environments, and justify state regulation of transnational flows of pharmaceuticals in a lucrative market. This is achieved through a renewed sense of bioidentity of what it means to be Japanese among both in-country and overseas Japanese. We also call attention to emergent patients' rights groups in Japan exerting pressure on the government to reduce the drug lag and provide wider access to lifesaving treatments available elsewhere but not in Japan because of its onerous clinical trials system and ethnobridging requirements.;Full Citation: [Kim Kelly and Mark Nichter]. The politics of local biology in transnational drug testing: creating (bio)identities and reproducing (bio)nationalism through Japanese “Ethno-bridging” studies. East Asian Science, Technology and Society: An International Journal 6(3): 379-399, 2012.;Collaborative with graduate student: Yes;
• Nichter, M. -., & Magrath, P. (2012). Paying for performance and the social relations of health care provision: an anthropological perspective. Social Science & Medicine.
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  AbstractOver the past decade, the use of financial incentive schemes has become a popular form of intervention to boost performance in the health sector. Often termed "paying for performance" or P4P, they involve "...the transfer of money or material goods conditional upon taking a measurable action or achieving a predetermined performance target" (Eldridge & Palmer, 2009, p.160). P4P appear to bring about rapid improvements in some measured indicators of provider performance, at least over the short term. However, evidence for the impact of these schemes on the wider health system remains limited, and even where evaluations have been positive, unintended effects have been identified. These have included: "gaming" the system; crowding out of "intrinsic motivation"; a drop in morale where schemes are viewed as unfair; and the undermining of social relations and teamwork through competition, envy or ill feeling. Less information is available concerning how these processes occur, and how they vary across social and cultural contexts. While recognizing the potential of P4P, the authors argue for greater care in adapting schemes to particular local contexts. We suggest that insights from social science theory coupled with the focused ethnographic methods of anthropology can contribute to the critical assessment of P4P schemes and to their adaptation to particular social environments and reward systems. We highlight the need for monitoring P4P schemes in relation to worker motivation and the quality of social relations, since these have implications both for health sector performance over the long term and for the success and sustainability of a P4P scheme. Suggestions are made for ethnographies, undertaken in collaboration with local stakeholders, to assess readiness for P4P; package rewards in ways that minimize perverse responses; identify process variables for monitoring and evaluation; and build sustainability into program design through linkage with complementary reforms.;Full Citation: [Priscilla Magrath and Mark Nichter]. Paying for performance and the social relations of health care provision: an anthropological perspective. Social Science & Medicine 75(10):1778-1785, 2012.;Collaborative with graduate student: Yes;
• Nichter, M. -., , K. D., , M. D., , A. P., , G. M., & , K. T. (2012). Smokeless tobacco use among patients with tuberculosis in Karnataka: The need for cessation services. National Medical Journal of India.
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  AbstractBACKGROUND:India is home to the largest population of patients with tuberculosis and tobacco users in the world. Smokeless tobacco use exceeds smoking and is increasing. There is no study to date that reports smokeless tobacco use before and after the diagnosis and treatment of tuberculosis. We assessed smokeless tobacco use among former patients of tuberculosis in Karnataka, India.METHODS:We conducted a community-based, cross sectional study among 202 men, who had been diagnosed and treated for tuberculosis (mean age 48 years), selected by multistage, random sampling. Using a semi-structured interview schedule, retrospective smoking and smokeless tobacco use were captured at eight time-points before and after the diagnosis and treatment of tuberculosis.RESULTS:Most patients suspended tobacco use during treatment. A high 44% prevalence of smokeless tobacco use 6 months before diagnosis was reduced to just 8% during the intensive phase of treatment and climbed to 27% 6 months after treatment. The tobacco use relapse rate 6 months after completion of treatment was higher for smokeless tobacco use (52%, 95% CI 41%-62%) than for smoking (36%, 95% CI 26%-45%). We also found that many patients who were advised to quit smoking continued using smokeless tobacco after completion of treatment. Additionally, new smokeless tobacco use was documented. Of the 11 new exclusive smokeless tobacco users, 10 shifted from smoking to smokeless tobacco use as a form of harm reduction.CONCLUSION:Patients with tuberculosis are advised by their doctors, at the time of diagnosis, to quit smoking. Several patients shift from smoking to smokeless tobacco use, which needs to be addressed while providing tobacco cessation services.;Full Citation: [K.G. Deepak, M. Daivadanam, A.S. Pradeepkumar, G.K. Mini, K.R. Thankappan, and Mark Nichter]. Smokeless tobacco use among patients with tuberculosis in Karnataka: The need for cessation services. National Medical Journal of India 25(3): 142-145, 2012.;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., Thompson, J. J., & Nichter, M. (2011). Missing the emperor altogether: a call for research on how consumers use dietary supplements. Journal of Alternative and Complementary Medicine.
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  Letter to the editor;Full Citation: Jennifer Jo Thompson and Mark Nichter. Missing the emperor altogether: a call for research on how consumers use dietary supplements. The Journal of Alternative and Complementary Medicine 17(4): 287-288, 2011.;Other collaborative: Yes;Specify other collaborative: Jennifer Jo Thompson (PhD Arizona 2010) is a former advisee of mine;
• Ritenbaugh, C., Ritenbaugh, C., Nichter, M., Nichter, M., Nichter, M. A., Nichter, M. A., Kelly, K. L., Kelly, K. L., Sims, C. M., Sims, C. M., Bell, I. R., Bell, I. R., Castaneda, H. M., Castaneda, H. M., Elder, C. R., Elder, C. R., Koithan, M. S., Koithan, M. S., Sutherland, E. G., , Sutherland, E. G., et al. (2011). Developing a Patient-Centered Outcome Measure for Complementary and Alternative Medicine Therapies I: Defining Content and Format. BMC Complementary and Alternative Medicine.
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  Abstract (provisional)BackgroundPatients receiving complementary and alternative medicine (CAM) therapies often report shifts in well-being that go beyond resolution of the original presenting symptoms. We undertook a research program to develop and evaluate a patient-centered outcome measure to assess the multidimensional impacts of CAM therapies, utilizing a novel mixed methods approach that relied upon techniques from the fields of anthropology and psychometrics. This tool would have broad applicability, both for CAM practitioners to measure shifts in patients' states following treatments, and conventional clinical trial researchers needing validated outcome measures. The US Food and Drug Administration has highlighted the importance of valid and reliable measurement of patient-reported outcomes in the evaluation of conventional medical products. Here we describe Phase I of our research program, the iterative process of content identification, item development and refinement, and response format selection. Cognitive interviews and psychometric evaluation are reported separately.MethodsFrom a database of patient interviews (n=177) from six diverse CAM studies, 106 interviews were identified for secondary analysis in which individuals spontaneously discussed unexpected changes associated with CAM. Using ATLAS.ti, we identified common themes and language to inform questionnaire item content and wording. Respondents' language was often richly textured, but item development required a stripping down of language to extract essential meaning and minimize potential comprehension barriers across populations. Through an evocative card sort interview process, we identified those items most widely applicable and covering standard psychometric domains. We developed, pilot-tested, and refined the format, yielding a questionnaire for cognitive interviews and psychometric evaluation.ResultsThe resulting questionnaire contained 18 items, in visual analog scale format, in which each line was anchored by the positive and negative extremes relevant to the experiential domain. Because of frequent informant allusions to response set shifts from before to after CAM therapies, we chose a retrospective pretest format. Items cover physical, emotional, cognitive, social, spiritual, and whole person domains.ConclusionsThis paper reports the success of a novel approach to the development of outcome instruments, in which items are extracted from patients' words instead of being distilled from pre-existing theory. The resulting instrument, focused on measuring shifts in patients' perceptions of health and well-being along pre-specified axes, is undergoing continued testing, and is available for use by cooperating investigators.;Full Citation: Cheryl Ritenbaugh, Mimi Nichter, Mark A Nichter, Kimberly L Kelly, Colette M Sims, Iris R Bell, Heide M Castaneda, Charles R Elder, Mary S Koithan, Elizabeth G Sutherland, Marja J Verhoef, Sara L Warber and Stephen J Coons. Developing a Patient-Centered Outcome Measure for Complementary and Alternative Medicine Therapies I: Defining Content and Format. BMC Complementary and Alternative Medicine 2011, 11:135 doi:10.1186/1472-6882-11-135Published: 29 December 2011;Collaborative with graduate student: Yes;Collaborative with faculty member in unit: Yes;Collaborative with faculty member at UA: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Yuan, N. P., Yuan, N. P., Castañeda, H., Castañeda, H., Nichter, M., Nichter, M., Nichter, M., Nichter, M., Wind, S., Wind, S., Carruth, L., Carruth, L., Muramoto, M., & Muramoto, M. (2011). Lay Health Influencers: How They Tailor Brief Tobacco Cessation Interventions. Health Education and Behavior.
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  AbstractInterventions tailored to individual smoker characteristics have increasingly received attention in the tobacco controlliterature. The majority of tailored interventions are generated by computers and administered with printed materials or webbasedprograms. The purpose of this study was to examine the tailoring activities of community lay health influencers whowere trained to perform face-to-face brief tobacco cessation interventions. Eighty participants of a large-scale, randomizedcontrolled trial completed a 6-week qualitative follow-up interview. A majority of participants (86%) reported that they madeadjustments in their intervention behaviors based on individual smoker characteristics, their relationship with the smoker,and/or setting. Situational contexts (i.e., location and timing) primarily played a role after targeted smokers were selected.The findings suggest that lay health influencers benefit from a training curriculum that emphasizes a motivational, personcenteredapproach to brief cessation interventions. Recommendations for future tobacco cessation intervention trainingsare presented.;Full Citation: [Yuan, Nicole P., Castañeda, Heide, Nichter, Mark, Nichter, Mimi, Wind, Steven, Carruth, Lauren, and Muramoto, Myra]. Lay Health Influencers: How They Tailor Brief Tobacco Cessation Interventions. Health Education and Behavior. Published online before print October 10, 2011. doi: 10.1177/1090198111421622;
• Castañeda, H., Castañeda, H., Nichter, M., Nichter, M., Nichter, M., Nichter, M., Muramoto, M., & Muramoto, M. (2010). Enabling and Sustaining the Activities of Lay Health Influencers: Lessons from a Community-based Tobacco Cessation Intervention Study. Health Promotion Practice.
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  The authors present findings from a community-based tobacco cessation project that trained lay health influencers to conduct brief interventions. They outline four major lessons regarding sustainability. First, participants were concerned about the impact that promoting cessation might have on social relationships. “Social risk” must be addressed during training to ensure long-term sustainability. Second, formal training provided participants with an increased sense of self-efficacy, allowed them to embrace a health influencer identity, and aided in further reducing social risk. Third, material resources functioned to mediate social tensions during health intervention conversations. A variety of resources should be made available to health influencers to accommodate type of relationship, timing, and location of the interaction. Finally, project design must be attentive to the creation of a “community of practice” among health influencers as an integral part of project sustainability. These lessons have broad implications for successful health promotion beyond tobacco cessation.;Your Role: wrote 30% of article and responsible for data analysis;Full Citation: [Heide Castañeda, Mark Nichter, Mimi Nichter, and Myra Muramoto]. Enabling and Sustaining the Activities of Lay Health Influencers: Lessons from a Community-based Tobacco Cessation Intervention Study. Health Promotion Practice, 11(4): 483-492, 2010 (Prepublished June 6, 2008, DOI:10.1177/1524839908318288).;Collaborative with faculty member in unit: Yes;Collaborative with faculty member at UA: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M. -. (2010). Idioms of Distress Revisited. Culture, Medicine and Psychiatry.
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  no abstract available;Full Citation: Mark Nichter. Idioms of Distress Revisited. Culture, Medicine and Psychiatry, 34(2): 401-416, 2010.;
• Nichter, M. -., & Nichter, M. (2010). Revisiting the concept of Karma: lessons from a Dhanvantri Homa. Journal of Ritual Studies.
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  abstract not availabe;Your Role: wrote 80% of article and responsible for data analysis;Full Citation: [Mark Nichter and Mimi Nichter]. Revisiting the concept of Karma: lessons from a Dhanvantri Homa. Journal of Ritual Studies 24(2): 37-55, 2010.;Collaborative with faculty member in unit: Yes;
• Nichter, M. -., Bhat, S. J., Blank, M. D., Balster, R. L., Nichter, M., & Nichter, M. (2010). Areca nut dependence among chewers in a South Indian community who do not also use tobacco. Addiction.
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  Aims Previously reported research suggests a dependence syndrome for areca nut use, though well-designed studies are virtually non-existent. The goal of this study was to examine evidence of areca dependence in a sample of areca-only (i.e. no tobacco) chewers using modified measurement scales. Design A purposive sample of chewers, identified via local informants and advertisements,was surveyed from January toMarch of 2005. Setting Six villages in Dakshina Kannada District, Karnataka State, India. Participants Fifty-nine daily areca chewers who do not also currently use any form of tobacco. Measurements Questionnaires included modified versions of the Fagerström Tolerance Questionnaire, Cigarette Dependence Scale (CDS-5) and the Smokeless Tobacco Dependence Scale (STDS). Additional questions assessed demographic characteristics and patterns of use. Findings Approximately half of respondents reported 1-3 chews/day (mean = 1.9; SD = 0.98). The average number of chewing episodes/day was 4.4 (SD = 3.4) and the average number of nuts/day was 1.2 (SD = 1.1). Users' typical chew lasts up to 20 minutes and includes spitting out the juices and rinsing the mouth with water. Overall, the levels of reported dependence symptoms were quite low, but approximately 44% of chewers endorsed at least one of the following items: continued use despite illness or mouth wounds, difficulty refraining from chewing in forbidden places, or craving during periods of abstinence. Approximately 15.4% of chewers reported at least one intentional quit attempt and a subset had summary scores indicative of dependence (13.6% had scores >16 on the CDS-5 and 5.3% had scores >11 on the STDS). Dependence scores were positively correlated with frequency of chews/day. Conclusions The symptoms of dependence observed in a subset of areca-only chewers warrant further investigation. Next steps should include wellcontrolled laboratory evaluation of dependence features.;Your Role: wrote 50% of article and responsible for data analysis;Full Citation: [Shrihari J.S. Bhat, Melissa D. Blank, Robert L. Balster, Mimi Nichter, and Mark Nichter]. Areca nut dependence among chewers in a South Indian community who do not also use tobacco. Addiction 105: 1303-1310, 2010.;Collaborative with faculty member in unit: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M. -., Goldade, K., & Nichter, M. (2010). Risk perceptions and knowledge of sexually transmitted infections (STIs) and HIV among undocumented Nicaraguan migrant women in Costa Rica. Napa Bulletin.
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  This article describes STI and HIV transmission knowledge and risk perception for undocumentedNicaraguan labor migrant women in semirural Costa Rica. Within all of Latin America, HIV prevalence is highest in the subregion of Central America; in rural areas it is increasing among heterosexual women. The mixed methods study included semistructured questionnaires administered in face-to-face interviews with 43 undocumented Nicaraguanmigrant women in a three-interview series. Questionnaire items included sociodemographicvariables and general knowledge about STIs and HIV modes' of transmission and sources ofeducation. Risk vignettes and follow-up questions were administered to assess culturally availableprevention strategies as well as STI and HIV risk perception. As a mode of prevention, condom use is not culturally available to this population because of symbolic meanings behindrequests to use them. Ethnographic results revealed that condom use is not culturally available to heterosexual women migrants in marital unions, there is a general knowledge of modes of transmission and prevention, yet communication between partners could be improved. Future interventions must address cultural concepts that shape risk perception as well as social risks perceived in the prevention of STI and HIV transmission.;Your Role: wrote 20% of article ;Full Citation: [Kate Goldade and Mark Nichter] Risk perceptions and knowledge of sexually transmitted infections (STIs) and HIV among undocumented Nicaraguan migrant women in Costa Rica. Napa Bulletin 34: 195-212, 2010.;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M. -., Nawi, N. g., Nichter, M., Prabandari, Y. S., Padmawati, R. S., Nichter, M., & Muramoto, M. (2010). Bringing smoking cessation to diabetes clinics in Indonesia. Chronic Illness.
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  Objectives: To assess the feasibility of delivering brief and disease-centred smoking cessation interventions topatients with diabetes mellitus in clinical settings.Methods: We conducted a feasibility study involving two interactive smoking cessation interventions: doctor's advice and visual representation of how tobacco affects diabetes (DA) and DA plus direct referral to a cessation clinic (CC). Follow-up was at 3 and 6 months post intervention. Primary outcome was 7-day-point prevalence abstinence. The study involved male patients recruited from two referral diabetes clinics in Yogyakarta Province, Indonesia during January 2008 to May 2009. Of the 71 patients who smoked during the last month, 33 were randomized to the DA group and 38 to the CC group.Results: At 6 months follow-up, DA and CC groups had abstinence rates of 30% and 37%, respectively. Of those continuing to smoke, most reported an attempt to quit or reduce smoking (70% in DA and 88% in CC groups). Patients in both groups had increased understanding of smoking-related harm and increased motivation to quit smoking.Conclusions: This study demonstrates the feasibility of disease-centred doctors' messages about smoking cessation for patients with diabetes, supported by the presence of a CC motivating clinicians to routinely give patientscessation messages.;Your Role: wrote 50% of article and responsible for data analysis;Full Citation: [Nawi Ng, Mark Nichter, Yayi Suryo Prabandari, Retna Siwi Padmawati, Mimi Nichter, and Myra Muramoto]. Bringing smoking cessation to diabetes clinics in Indonesia. Chronic Illness 6: 125-135, 2010.;Collaborative with faculty member in unit: Yes;Collaborative with faculty member at UA: Yes;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M., Nichter, M., Carkoglu, A., Lloyd-Richardson, e., & Tobacco, t. (2010). Smoking and drinking among college students: “It's a package deal.”. Drug and Alcohol Dependence.
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  Background: This paper reports on qualitative research on smoking in contexts associated with drinking among college students. Although a plethora of survey research has shown a positive association between smoking and alcohol use, little attention has been given to the utility functions of these co-occurring behaviors.Methods: Data are drawn from semi-structured interviews with college freshmen at a large Mid-western university in the U.S. (n = 35). In addition, eleven focus groups with fraternity and sorority members were conducted (n = 70). Interviews and focus groups focused on a range of issues including current smoking behavior, reasons for smoking, and smoking and drinking.Results: A review of qualitative responses reveals that smoking served multiple utility functions for this population including (1) facilitating social interaction across gender, (2) allowing one to structure time and space at a party, (3) enabling “party” smokers to smoke with fewer negative side effects, and (4) helping to calm one down when drunk.Conclusions: Whereas smoking was stigmatized during the context of one's everyday life as a student, at parties while consuming alcohol, smoking was viewed as normative and socially acceptable. Preventive interventions are needed on college campus that target co-substance use and address widespread misperceptions about the harm of tobacco use and addiction.;Your Role: wrote 50% of article and responsible for data analysis;Full Citation: [Mimi Nichter, Mark Nichter, Asli Carkoglu, elizabeht Lloyd-Richardson, the Tobacco etiology Research Network (TERN)] Smoking and drinking among college students: “It's a package deal.” Drug and Alcohol Dependence 106: 16-20, 2010.;Collaborative with faculty member in unit: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M., Nichter, M., Padmawati, R. S., & Nawi, N. g. (2010). Developing a smoke free household initiative: an Indonesian case study. Acta Obstetricia et Gynecologica.
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  Little research has focused on women's exposure to secondhand smoke (SHS) in LMICs, local perceptions of SHS risk to women and children, and women's attempts to limit exposure to tobacco smoke in their households. This paper describes a community based survey in Indonesia that investigated these issues as one step in a movement to initiate community wide household smoking bans. The survey found high levels of exposure to SHS, high levels of awareness among both women and men that SHS placed women and children at risk for illness, a very low percentage of households having indoor smoking rules, great interest on the part of women to participate in a communitywide ban, and a promising level of male smoker agreement to comply with such a ban. Women expressed a low sense of self efficacy in individually getting their husbands to quit smoking in their homes, but a strong sense of collective efficacy that husbands might agree to a well-publicized and agreed-upon community household smoking ban. Men and women expressed concern about the social risk of asking guests not to smoke in their homes without a communitywide ban and visible displays communicating their participation in this movement. The smoke free initiative described requires the participation of doctors in community education programs, and is attempting to introduce household smoking bans as a way of turning tobacco control into a family health and not just a smokers' health issue.;Your Role: wrote 50% of article and responsible for data analysis;Full Citation: [Mimi Nichter, Mark Nichter, Retna Siwi Padmawati, and Nawi Ng]. Developing a smoke free household initiative: an Indonesian case study. Acta Obstetricia et Gynecologica 89: 578-581, 2010.;Collaborative with faculty member in unit: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, [., Nichter, M., Muramoto, M., & Quit, P. (2010). Project Quit Tobacco International: Laying the groundwork for tobacco cessation in low- and middle-income countries. Asia-Pacific Journal of Public Health.
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  abstract not available;Your Role: wrote 80% of article and responsible for data analysis;Full Citation: [Mark Nichter, Mimi Nichter, Myra Muramoto, and Project Quit Tobacco International] Project Quit Tobacco International: Laying the groundwork for tobacco cessation in low- and middle-income countries. Asia-Pacific Journal of Public Health 22(3): 181S-188S, 2010.;Collaborative with faculty member in unit: Yes;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Yuan, N. P., Wind, S., Nichter, M., Nichter, M., Castañeda, H., Carruth, L., & Muramoto, M. L. (2010). Types of lay health influencers in tobacco cessation: a qualitative study. American Journal of Health Behavior.
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  abstract not available;Your Role: wrote 30% of article and responsible for data analysis;Full Citation: [Nicole P. Yuan, Steven Wind, Mimi Nichter, Mark Nichter, Heide Castañeda, Lauren Carruth, and Myra L. Muramoto.] Types of lay health influencers in tobacco cessation: a qualitative study. American Journal of Health Behavior 34(5):607-617, 2010.;Collaborative with faculty member in unit: Yes;Collaborative with faculty member at UA: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Magid, V., Colder, C. R., Stroud, L. R., Nichter, M., Nichter, M., & Members, T. (2009). Negative affect, stress, and smoking in college students: Unique association independent of alcohol and marijuana use. Addictive Behaviors.
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  Introduction: Stress and negative affect (NA) figure prominently in theoretical models of smoking initiation, maintenance and relapse, yet few studies have examined these associations among college students. Further complicating examination of these associations, smoking often occurs in the context of other substance use(e.g., alcohol, marijuana) in college populations. Thus, it remains unclear whether stress and NA are associated with cigarette use among college students, and if so, whether these associations are evident after controlling for effects of other substance use. The goals of this study were: a) to examine whether several aspects of stress (objective events, subjective experiences) and NA (sad mood, general emotional distress) were associated with cigarette smoking among college students and b) whether associations remained after accounting for alcohol and marijuana use.Sample: A large sample of college freshmen (N=633) followed longitudinally over 35 weeks via internet assessments.Results: Results of hierarchical linear modeling demonstrated that measures of subjective stress and NA were positively related to cigarette use, whereas measures of objective stressful events were negatively related to cigarette use. When alcohol and marijuana use were added to the models, associations between smoking and stress/NA were diminished. Associations between NA and smoking remained significant; however,associations between subjective stress/stressful events and smoking were no longer significant.Conclusions: This is the first study to comprehensively examine links between subjective and objective measures of stress and smoking behavior among college students while also considering the influence of other substance use. Negative affect was the most robust correlate of smoking among college students. Subjective and objective stress do not appear to be strongly associated with college smoking above andbeyond alcohol and marijuana use. Stress may not be an important etiological factor for relatively low levels of cigarette use among college students. Given that relations between NA/stress and cigarette smoking were diminished when concurrent alcohol and marijuana use was considered, it is imperative for future studies ofcollege students to consider other substance use.;Your Role: data collection, analysis, and 10% of writing;Full Citation: [Viktoriya Magid, Craig R. Colder, Laura R. Stroud, Mimi Nichter, Mark Nichter, and TERN Members]. Negative affect, stress, and smoking in college students: Unique association independent of alcohol and marijuana use. Addictive Behaviors 34: 973-975, 2009.;Collaborative with faculty member in unit: Yes;Other collaborative: Yes;Specify other collaborative: member of research collaboration;
• Nichter, M. -., , C. T., , K. T., & Nichter, M. (2009). Smoking cessation and diabetes control in Kerala, India: an urgent need for health education. Health Education Research.
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  This study documented the tobacco use amongmale diabetes patients in a clinic-based population of urban India, patient reports of physician cessation messages and patients' perception of tobacco use as a risk factor for diabetes complications. All the 444 male diabetes patients who attended three public sector hospitals in Thiruvananthapuram district, Kerala, were surveyed to ascertain their tobacco use as well as the frequency and content of quit messagesreceived from health staff. A significant proportion (59%) of diabetes patients were tobaccousers prior to diagnosis and more than half ofthem continued to use tobacco, many daily, even after diagnosis. Of the 100 current smokers, 75% were asked about their tobacco use at the time of diagnosis; of those, 52% were advised to quit. However, a lack of patient awareness existed regarding the linkages of smoking and diabetes complications. Notably, 52% of patients did not associate smoking with diabetes complications. Given the magnitude of tobacco use among diabetics, there is clearly a need for more proactive cessation efforts. The times of illness diagnosis, illness flare-ups and emerging illness complications are teachable moments when patients are primed to change their behavior and more motivated to quit tobacco.;Your Role: Research design, data analysis, and 50% of writing;Full Citation: [C.U. Thresia, K.R. Thankappan, and Mark Nichter]. Smoking cessation and diabetes control in Kerala, India: an urgent need for health education. Health Education Research 24(5): 839-845, 2009.;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., , C. T., , K. T., & Nichter, M. (2009). The need for cessation of tobacco use among patients with tuberculosis in Kerala. National Medical Journal of India.
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  Tobacco use among TB patients in Kerala was more than two times higher than that among the general population. Even during the 6-24 weeks of treatment for TB, 34% of patients in our studycontinued to smoke, indicating the need for integration of consistent advice to quit smoking in TB management programmes. The advice given by physicians on cessation needs to be tailored to describe the specific adverse effects of smoking on TB, both during and following successful completion of therapy. Advice on cessation must bereinforced during all stages of treatment and at the completion of treatment, and patients should be given a strong warning about relapse.;Your Role: Research design, data analysis, and 50% of writing;Full Citation: [C.U. Thresia, K.R. Thankappan, and Mark Nichter]. The need for cessation of tobacco use among patients with tuberculosis in Kerala. The National Medical Journal of India 22(6): 333, 2009.;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., , K. T., , A. P., & Nichter, M. (2009). Doctors' behaviour and skills for tobacco cessation in Kerala. Indian Journal of Medical Research.
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  Background & objectives: Several studies have shown that health professionals' advice for tobacco cessation to tobacco users enhances quit rate. Little is known about doctor's present tobacco cessation efforts in India. We examined doctors' reported inquiry into patient's use of tobacco and assessed their perceived need for training in tobacco cessation.Methods: A cross-sectional survey was conducted in Kerala to collect information on doctor's practices, skills and perceived need for training in tobacco cessation. Pre-tested structured questionnaires were distributed in person to 432 male and 89 female doctors, of whom 264 male and 75 female doctors responded.Results: One third of all the doctors surveyed reported that they always ask patients about tobacco use, three fourths advise all patients routinely to quit irrespective of the smoking status of patients and one tenth offered useful information on how to quit. About 15 per cent reported they received information from medical representatives, 32 per cent reported they had sufficient training and 80 per cent expressed interest in receiving training to help smokers quit. Majority of all doctors surveyed most commonly asked and advised patients to quit tobacco when patients had lung, heart, mouth disease or cancer.Interpretation & conclusions: Most doctors inquired about tobacco use from a minority of their patients, though many reported to advise patients about quitting even without inquiring about their tobacco use status. There are several missed opportunities to promote quitting at a time when patients are motivated to listen.;Your Role: Research design, data analysis, and 30% of writing;Full Citation: [K.R. Thankappan, A.S. Pradeepkumar, and Mark Nichter]. Doctors' behaviour and skills for tobacco cessation in Kerala. Indian Journal of Medical Research 129: 249-255, 2009.;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., Briggs, C. L., & Nichter, M. (2009). Biocommunicability and the biopolitics of pandemic threats.. Medical Anthropology.
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  In this article we assess accounts of the H1N1 virus or â€;Your Role: 50% of writing and theory development;Full Citation: [Charles L. Briggs and Mark Nichter]. Biocommunicability and the biopolitics of pandemic threats. Medical Anthropology 28(3): 189-198, 2009.;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M. -., Nichter, M., , S. P., , M. D., , N. N., , Y. P., & Nichter, M. (2009). Reading culture from tobacco advertisements in Indonesia. Tobacco Control.
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  Background: Tobacco advertising in Indonesia is among the most aggressive and innovative in the world, and tobacco advertisements saturate the environment. Tobacco companies are politically and financially powerful in the country because they are one of the largest sources of government revenue. As a result, there are few restrictions on tobacco marketing and advertising. National surveys reveal that 62% of men and 1% to 3% of women are smokers. Over 90% of smokers smoke clove cigarettes (kretek). This paper examines the social and cultural reasons for smoking in Indonesia and discusses how the tobacco industry reads, reproduces and works with culture as a means of selling cigarettes. An analysis is provided of how kretek tobacco companies representthemselves as supporters of Indonesian national identity. This analysis is used to identify strategies to break the chains of positive association that currently support widespread smoking.Methods: Between November 2001 and March 2007,tobacco advertisements were collected from a variety of sources, including newspapers and magazines. Frequent photographic documentation was made of adverts on billboards and in magazines. Advertisements were segmented into thematic units to facilitate analysis. In all,30 interviews were conducted with smokers to explore benefits and risks of smoking, perceptions of advertisements and brand preferences. Focus groups (n=12) were conducted to explore and pretest counter advertisements.Results: Key themes were identified in tobaccoadvertisements including control of emotions, smoking to enhance masculinity and smoking as a means to uphold traditional values while simultaneously emphasising modernity and globalisation. Some kretek advertisements are comprised of indirect commentaries inviting theviewer to reflect on the political situation and one's position in society.Conclusions: After identifying key cultural themes in cigarette advertisements, our research group is attempting to engage the tobacco industry on â€;Your Role: Research design, data analysis, and 50% of writing;Full Citation: [Mimi Nichter, S. Padmawati, M. Danardono, N. Ng, Y. Prabandari, and Mark Nichter]. Reading culture from tobacco advertisements in Indonesia. Tobacco Control 18: 98-107, 2009.;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., Padmawati, R. S., Nawi, N. g., Prabandari, Y. S., & Nichter, M. (2009). Smoking among diabetes patients in Yogyakarta, Indonesia: cessation efforts are urgently needed. Tropical Medicine and International Health.
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  objectives To document the prevalence of tobacco use among male diabetes patients in a clinic basedpopulation of Yogyakarta Province, Indonesia; to examine patient's perceptions of smoking as a riskfactor for diabetes complications; and to investigate whether patients had received cessation messages from their doctors.Method Twelve in-depth interviews and five focus groups (n = 21) with diabetic patients in2004-2005, followed by a cross-sectional survey of 778 male diabetic patients in diabetes clinics in 2006-2007.Results 65% of male diabetes patients smoked before being diagnosed, and 32% smoked in the last30 days. Most patients incorrectly perceived low level smoking safe for diabetics (mean of 3.6 cigarettes).The median range of cigarettes smoked per day was in excess of this â€;Your Role: Research design, data analysis, and 50% of writing;Full Citation: [Retna Siwi Padmawati, Nawi Ng, Yayi Suryo Prabandari, and Mark Nichter]. Smoking among diabetes patients in Yogyakarta, Indonesia: cessation efforts are urgently needed. Tropical Medicine and International Health 14(4): 1-8, 2009;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., Thompson, J. J., Ritenbaugh, C., & Nicther, M. (2009). Reconsidering the placebo response from a broad anthropological perspective. Culture, Medicine and Psychiatry.
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  This paper considers how the full range of human experience may catalyze a placebo response. The placebo effect has been characterized as somethingto control in clinical research, something to cultivate in clinical practice and something present in all healing encounters. We examine domains in which the term â€;Your Role: Theory development and 30% of writing;Full Citation: [Jennifer Jo Thompson, Cheryl Ritenbaugh, and Mark Nicther]. Reconsidering the placebo response from a broad anthropological perspective. Culture, Medicine and Psychiatry 33(1): 112-152, 2009.;Collaborative with graduate student: Yes;Collaborative with faculty member at UA: Yes;
• , L. D., , M. S., , E. R., , S. T., , B. F., , L. C., , M. N., , M. N., , S. B., , R. C., & TERN, . (2008). Tobacco, Alcohol and Marijuana Use among First Year U.S. College Students: A Time Series Analysis. Substance Use and Misuse.
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  ;Your Role: Co-investigator;Full Citation: [L. Dierker, M. Stolar, E. Richardson, S. Tiffany, B. Flay, L. Collins, M. Nichter, M. Nichter, S. Bailey, R. Clayton, and TERN]. Tobacco, Alcohol and Marijuana Use among First Year U.S. College Students: A Time Series Analysis. Substance Use and Misuse 43(5): 680-699, 2008;Other collaborative: Yes;Specify other collaborative: I am a member of TERN - Tobacco Etiology Research Network.;
• Acosta, M. C., Eissenberg, T., Nichter, M., Nichter, M., Balster, R. L., & Tobacco, t. (2008). Characterizing Early Cigarette Use Episodes in Novice Smokers. Addictive Behaviors.
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  AbstractRetrospective self-report data indicate that early cigarette use episodes may be important predictors of smoking.Unfortunately, recall of early experiences are confounded with current smoking. The current study is the first toexamine early cigarette use episodes (EUEs) prospectively in novice smokers (less than 15 lifetime cigarettes).Smoking amount, context and subjective experiences for up to five of the first cigarette episodes during their firstyear of college were collected using weekly internet-based questionnaires and structured interviews. Data wereobtained on 538 EUEs from 163 students. EUEs generally occurred within a social/party context; over 90% ofEUEs occurred when participants were with other people who were smoking and over 65% occurred whileparticipants were drinking alcohol. Subjective effects across episodes were reported as generally mild and factoranalysis yielded Positive, Negative and Sensory/Peripheral effects scales. Subjective effects were related to theamount smoked and inhalation, whereas EUE context, including alcohol use and social context, was not. Thisstudy demonstrates that it is possible to study EUEs in college students within days or weeks of their occurrenceand that most of these occur in social settings with the concurrent use of alcohol. Copyright 2007 Elsevier Ltd. All rights reserved.;Your Role: Research and 25% of writing;Full Citation: [Michelle C. Acosta, Thomas Eissenberg, Mimi Nichter, Mark Nichter, Robert L. Balster, and the Tobacco Etiology Research Network (TERN)]. Characterizing Early Cigarette Use Episodes in Novice Smokers. Addictive Behaviors 33(1): 106-121, 2008.;Other collaborative: Yes;Specify other collaborative: I am a member of TERN - Tobacco Etiology Research Network.;
• Castañeda, H., Nichter, M., Nichter, M., & Muramoto, M. (2008). Enabling and Sustaining the Activities of Lay Health Influencers: Lessons from a Community-based Tobacco Cessation Intervention Study. Health Promotion Practice.
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  The authors present findings from a community-basedtobacco cessation project that trained lay health influencersto conduct brief interventions. They outline fourmajor lessons regarding sustainability. First, participantswere concerned about the impact that promoting cessationmight have on social relationships. “Social risk”must be addressed during training to ensure long-termsustainability. Second, formal training provided participantswith an increased sense of self-efficacy, allowedthem to embrace a health influencer identity, and aidedin further reducing social risk. Third, material resourcesfunctioned to mediate social tensions during health interventionconversations. A variety of resources should bemade available to health influencers to accommodate typeof relationship, timing, and location of the interaction.Finally, project design must be attentive to the creation ofa “community of practice” among health influencers asan integral part of project sustainability. These lessonshave broad implications for successful health promotionbeyond tobacco cessation.;Your Role: conducted research and wrote 50% 0f article;Full Citation: [Heide Castañeda, Mark Nichter, Mimi Nichter, and Myra Muramoto]. Enabling and Sustaining the Activities of Lay Health Influencers: Lessons from a Community-based Tobacco Cessation Intervention Study. Health Promotion Practice, June 6, 2008 (Epub ahead of print).;Other collaborative: Yes;Specify other collaborative: Co-PI Project Reach ;
• Goldade, K., Nichter, M., Nichter, M., Adrian, S., Tesler, L., & Muramoto, M. (2008). Breastfeeding and smoking among low-income women: results of a longitudinal qualitative study. Birth: Issues in Perinatal Care.
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  ABSTRACT: Background: The benefits of breastfeeding for infants and mothers have been wellestablished, yet rates of breastfeeding remain well below national recommendations in the UnitedStates and even lower for women who smoke during pregnancy. Primary goals of this study were toexplore contextual factors that contribute to breastfeeding intentions and behavior and to examinehow smoking status affected women's decision making about breastfeeding. Methods: This paper isbased on a longitudinal qualitative study of smoking, pregnancy, and breastfeeding among 44 lowincomewomen in the southwest U.S. who smoked during pregnancy. Each woman was interviewed 9times; 6 times during pregnancy and 3 times postpartum using semistructured questionnaires.Interviews lasted 1 to 3 hours and were tape-recorded, transcribed, and analyzed. Results: Despite 36(82%) respondents stating that they intended to breastfeed for an average duration of 8 months, ratesof breastfeeding initiation and duration were much lower than intentions. By 6 months postpartum,only two women were breastfeeding exclusively. Conclusions: Women perceived that a strong risk ofharming the baby was posed by smoking while breastfeeding and received little encouragement tocontinue breastfeeding despite an inability to stop smoking. The perceptions of the toxic, addictive,and harmful effects of smoking on breastmilk constitution and quantity factored into reasons whywomen weaned their infants from breastfeeding much earlier than the recommended 6 months. Theresults indicate a need for more consistency and routine in educating women on the relationshipbetween smoking and breastfeeding and in promoting breastfeeding in spite of smoking postpartum.(BIRTH 35:3 September 2008);Your Role: co-investigator ;Full Citation: [Kate Goldade, Mimi Nichter, Mark Nichter, Shelly Adrian, Laura Tesler, Myra Muramoto]. Breastfeeding and smoking among low-income women: results of a longitudinal qualitative study. Birth: Issues in Perinatal Care 35(3): 230-40, 2008.;Other collaborative: Yes;Specify other collaborative: I am a member of RWJ funded MOMS research project;
• Nichter, M. -., & None, . (2008). Coming to our senses: appreciating the sensorial in medical anthropology. Transcultural Psychiatry.
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  Abstract This article supports the call for the sensorially engaged anthropologicalstudy of healing modalities, popular health culture, dietary practices,drug foods and pharmaceuticals, and idioms of distress. Six conceptsare of central importance to sensorial anthropology: embodiment, themindful body, mimesis, local biology, somatic idioms of distress, and â€;Your Role: Author;Full Citation: Mark Nichter. Coming to our senses: appreciating the sensorial in medical anthropology. Transcultural Psychiatry 45(2): 163-197, 2008.;
• Nichter, M. -., , A. P., , K. T., & Nichter, M. (2008). Smoking by tuberculosis patients in Kerala, India: proactive cessation efforts are urgently needed. International Journal of Tuberculosis and Lung Disease.
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  OBJECTIVES: To document smoking patterns amongtuberculosis (TB) patients at eight different points oftime before, during and after treatment, and to investigatethe frequency and content of the quit smoking messagesthey received.DESIGN: A stratifi ed random sample of 215 male TBpatients from Kerala, India, who had completed treatmentin the previous 9 months was surveyed using a pretestedsemi-structured interview schedule.RESULT S : Six months prior to diagnosis, 94.4% of maleTB patients were ever smokers and 71.2% were currentsmokers. Although 87% of patients had quit smokingsoon after diagnosis, 36% had relapsed by 6 months posttreatment. One third relapsed during the fi rst 3 monthsof treatment and another third during the next 3 monthsof treatment. Two thirds of all smokers received cessationadvice from primary care physicians, but less thanhalf received advice from others. Less than half of allmessages were TB-specifi c; the rest were very generalshort instructions. Smoking more than 15 cigarettes/bidis at the time of diagnosis was signifi cantly associatedwith a lower quit rate during treatment (OR 8.0, 95%CI2.1-30.9).CONCLUSION: Messages to not smoke often go unheededamong TB patients. Proactive efforts are neededto encourage health staff and DOTS providers to givestrong cessation messages.KEY WORDS: cessation; Kerala; tuberculosis; patients;Your Role: 50% of writing, research design of project;Full Citation: [A.S. Pradeepkumar, K.R. Thankappan, Mark Nichter]. Smoking by tuberculosis patients in Kerala, India: proactive cessation efforts are urgently needed. International Journal of Tuberculosis and Lung Disease 12(10): 1139-1145, 2008.;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., , N. N., , R. P., , Y. P., & Nichter, M. (2008). Smoking behavior among former tuberculosis patients in Indonesia: intervention is needed. International Journal of Tuberculosis and Lung Disease.
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  SETTING: Five lung clinics in Jogjakarta Province,Indonesia.OBJECTIVE: To document smoking patterns amongtuberculosis (TB) patients before diagnosis and followingtreatment, to identify smoking-related messages givenby health professionals and DOTS providers and to identifypredictors of smoking relapse.DESIGN: A cross-sectional survey of 239 male TB patientscompleted DOTS-based treatment during 2005-2006. Subjects were interviewed at home using a semistructuredquestionnaire. Female patients were excluded,as very few smoke.RESULTS: Most TB patients quit smoking when undertreatment, but over one third relapsed at 6 months posttreatment.About 30% were never asked about theirsmoking behavior or advised about quitting. Of relapsedsmokers, 60% received only general health messagesand not TB-specific smoking messages. DOTS providersare not currently involved in cessation activities. The perceptionthat any level of smoking is harmless for ex-TBpatients was a significant predictor for smoking relapse.CONCLUSION: Physicians and DOTS providers shouldbe actively involved in smoking cessation activities amongTB and ex-TB patients. Based on these data, the QuitTobacco Indonesia Project is mounting a pilot interventionto train DOTS providers, who are mostly familymembers of patients, to deliver smoking cessation messagesand reinforce the cessation advice provided byphysicians during and following TB treatment.;Your Role: PI of Project QTI, wrote 50% of manuscript;Full Citation: [N. Ng, R.S. Padmawati, Y.S. Prabandari, Mark Nichter]. Smoking behavior among former tuberculosis patients in Indonesia: intervention is needed. International Journal of Tuberculosis and Lung Disease 12(5): 567-572, 2008.;Other collaborative: Yes;Specify other collaborative: This article presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;
• Nichter, M. -., Colder, C. R., Flay, B. R., Segawa, E., Hedeker, D., & Members, T. (2008). Trajectories of smoking among freshmen college students with prior smoking history and risk for future smoking: data from the University Project Tobacco Etiology Research Network (UpTERN) study. Addiction.
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  Aims Little is known about smoking during the transition to college. The current study examined trajectoriesof smoking among college freshmen, how trajectories predicted later smoking and the social context of smoking.Design Weekly assessments of daily smoking were collected via the web during the first year of college for a largecohort with a previous history of smoking. Participants and setting A total of 193 college freshmen from a largepublic university with a previous history of smoking who smoked frequently enough to be included in trajectoryanalysis. Measurements Measures includedweekly reports of daily smoking, family smoking, perceived peer attitudesand smoking, social norms and social smoking environment. Findings Seven trajectories were identified: one oflow-level sporadic smoking, one of low-level smoking with a small increase during the year, two classes with asubstantial decrease during the year, two classes with relatively small decreases and one class with a substantialincrease in smoking. Trajectories of smoking in the freshman year predicted levels of sophomore year smoking, andsome social context variables tended to change as smoking increased or decreased for a given trajectory class.Conclusions The transition into college ismarked by changes in smoking, with smoking escalating for some studentsand continuing into the sophomore year. Shifts in social context that support smokingwere associated with trajectoriesof smoking. Despite the focus of developmental models on smoking in early adolescence, the transition into collegewarrants further investigation as a dynamic period for smoking.;Your Role: co-investigator;Full Citation: [Craig R. Colder, Brian R. Flay, Eisuke Segawa, Donald Hedeker & TERN Members]. Trajectories of smoking among freshmen college students with prior smoking history and risk for future smoking: data from the University Project Tobacco Etiology Research Network (UpTERN) study. Addiction 103: 1534-1543, 2008.;Other collaborative: Yes;Specify other collaborative: I am a member of TERN - Tobacco Etiology Research Network.;
• Nichter, M. -., Orzech, K. M., & Nichter, M. (2008). From resilience to resistance: political ecological lessons from antibiotic and pesticide resistance. Annual Review of Anthropology.
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  AbstractThis article investigates the interplay of natural and human systems withreference to the growing global problem of antibiotic resistance. Amongthe diverse causes of antibiotic resistance, we focus broadly on three relatedcauses: pharmaceutical practice and the liberal consumption ofantibiotics, the use of antibiotic-containing products in the home, andthe use of antibiotics in commercial animal husbandry and agriculture.We draw a parallel between pesticide and antibiotic resistance and examinewhether lessons learned from one case may be applicable to theother. Although our main focus is a microecological analysis examininghow humans are changing their environments, our conclusion addresseslarger implications of this problem for global health. Through the theoreticallens of political ecology, we ask how we may address the “tragedyof the antibiotic commons” through public education and consumer activismas well as global health governance.;Your Role: Wrote 50% of article ;Full Citation: [Kathryn M. Orzech and Mark Nichter] From resilience to resistance: political ecological lessons from antibiotic and pesticide resistance. Annual Review of Anthropology 37: 267-282, 2008.;Collaborative with graduate student: Yes;
• Nichter, M. -., Padmawati, S., & Nichter, M. (2008). Community response to avian flu in central Java, Indonesia. Anthropology and Medicine.
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  This pilot study suggests that it is more appropriate to think of avian flu as abio-social and bio-political challenge for Indonesia than merely an epidemiologicalchallenge involving a disease of zoonotic origin. Our examination of popularperceptions of avian flu in Central Java reveals important differences of opinionabout which types of fowl are responsible for avian flu transmission and thedegree of risk H5N1 poses to humans. The opinions of backyard farmers andcommercial poultry farmers are motivated by different forms of practical logicand are differentially influenced by media accounts, government educationprogrammes, foreign aid and rumours about who stands to profit from thedisease. Rumours reflect collective anxieties about globalization, the agenda ofbig business and the trustworthiness of the national government. We alsoillustrate how a commodity chain analysis can assist in the identification ofdifferent stake-holders in the informal and formal poultry industries. The positionof each stake-holder needs to be considered in any comprehensive investigationof avian flu. An economic analysis of the capital investment of stake-holdersprovides insight into how each responds to government directives about thereporting of dead chickens, vaccinating birds etc. Finally, we call for researchon avian flu preparedness attentive to Indonesia's de-centralized form ofpolitical rule and the social organization of communities so that clear linesof communication and command can be established and mutual assistancemobilized.;Your Role: wrote 100% of article;Full Citation: Siwi Padmawati and Mark Nichter. Community response to avian flu in central Java, Indonesia. Anthropology and Medicine 15(1): 31-51, 2008.;Other collaborative: Yes;Specify other collaborative: Collaborator with member of Indonesian clinical epidemiology team;
• Nichter, M., Nichter, M., Adrian, S., Goldade, K., Tesler, L., & Muramoto, M. (2008). Smoking and harm-reduction efforts among postpartum women.
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  The authors present findings from a qualitative study on postpartum smoking among low-income women (N = 44)who had been smokers at the onset of pregnancy. Interview data collected after delivery at Months 1, 3, and 6 postpartumare discussed to explore contextual factors contributing to smoking abstinence, relapse, and harm-reductionpractices. By 6 months postpartum, 10 women (23%) had completely quit, 21 women (48%) had reduced their smokingby 50% of their prepregnancy levels, and 7 women (16%) had reduced their smoking by one third of their prepregnancylevels. Thus, the majority of the women were engaging in significant harm-reduction efforts despite beingentrenched in high-risk smoking environments where they were provided with few messages to quit. Many motherswere concerned about their moral identity as a smoker and expressed concerns that their child might initiate smokingat an early age. Future programs targeting this population should acknowledge women's harm-reduction efforts inenvironments where smoking is normative.;Your Role: Co -investigator, 30% of writing;Full Citation: [Mimi Nichter, Mark Nichter, Shelly Adrian, Kate Goldade, Laura Tesler, and Myra Muramoto]. Smoking and harm-reduction efforts among postpartum women. Qualitative Health Research 18: 1184-1194, 2008.;Other collaborative: Yes;Specify other collaborative: Co -investigator RWJ funded MOMS project ;
• Nawi, N. g., Prabandari, Y. S., Pamwati, R. S., Okah, F., Haddock, C. K., Nichter, M., Nichter, M., Muramoto, M., Poston, W. S., Pyle, S. A., Mahardinata, N., & Lando, H. A. (2007). Physician assessment of patient smoking in Indonesia: a public health priority. Tobacco Control.
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  Objective: To explore Indonesian physician's smoking behaviours, their attitudes and clinical practicestowards smoking cessation.Design: Cross-sectional survey.Setting: Physicians working in Jogjakarta Province, Indonesia, between October and December 2003.Subjects: 447 of 690 (65%) physicians with clinical responsibilities responded to the survey (236 men, 211women), of which 15% were medical faculty, 35% residents and 50% community physicians.Results: 22% of male (n = 50) and 1% of female (n = 2) physicians were current smokers. Approximately 72%of physicians did not routinely ask about their patient's smoking status. A majority of physicians (80%)believed that smoking up to 10 cigarettes a day was not harmful for health. The predictors for asking patientsabout smoking were being male, a non-smoker and a medical resident. The odds of advising patients to quitwere significantly greater among physicians who perceived themselves as sufficiently trained in smokingcessation.Conclusions: Lack of training in smoking cessation seems to be a major obstacle to physicians activelyengaging in smoking cessation activities. Indonesian physicians need to be educated on the importance ofroutinely asking their patients about their tobacco use and offering practical advice on how to quit smoking.;Full Citation: [Nawi Ng, Yayi Suryo Prabandari, Retna Siwi Pamwati, Felix Okah, C. Keith Haddock, Mark Nichter, Mimi Nichter, Myra Muramoto, Walker S.C. Poston, Sara A. Pyle, Nurazid Mahardinata, Harry A. Lando]. Physician assessment of patient smoking in Indonesia: a public health priority. Tobacco Control 16: 190-196, 2007.;Collaborative with faculty member in unit: Yes;Collaborative with faculty member at UA: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M. -. (2007). Forward: Mapping communities: strengthening research through participatory GIS. Practicing Anthropology.
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  No abstract available. This is a forward to a special issue.;Full Citation: Mark Nichter. Forward: Mapping communities: strengthening research through participatory GIS. Practicing Anthropology 29(4): 2-3, 2007.;
• Nichter, M. -., Stromberg, P., Nichter, M., & Nichter, M. (2007). Taking Play Seriously: Low Level Smoking among College Students. Culture, Medicine and Psychiatry.
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  ABSTRACT. Cigarettes have been socially engineered to become potent symbols.Therefore, they need to be understood as cultural products invested with cognitiveand emotional salience as well as nicotine delivery devices engineered to create apopulation of dependent users. In this paper, we look at the symbolism of cigarettes,but unlike many researchers examining this topic, we attend as much to what tobaccousers do with cigarettes as to what smoking means to them cognitively. Basedon interviews with low-level smokers conducted on two college campuses, we suggestthat students use tobacco in order to accomplish interactional goals and to structuresocial time and space that would otherwise be ambiguously defined. By conceptualizingthis structuring activity as play, we gain valuable insights into early stages andtrajectories of tobacco use among college students. Our conceptualization ofsmoking as play is not meant to trivialize low-level tobacco use. Much the opposite,we caution that the contexts in which low-level smoking takes place and the utilityfunctions of such smoking must be taken seriously by researchers in light of currentincreases in tobacco use among college students.;Full Citation: [Peter Stromberg, Mark Nichter, and Mimi Nichter]. Taking Play Seriously: Low Level Smoking among College Students. Culture, Medicine and Psychiatry 31(1): 1-24, 2007.;Collaborative with faculty member in unit: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M. -., Thompson, J. J., & Nichter, M. (2007). The compliance paradox: what we need to know about “real world” dietary supplement use in the US. Alternative Therapies in Health and Medicin.
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  Current research on dietary supplements (primarily survey-basedprevalence studies and clinical trials of safety and efficacy) is inadequatefor understanding how consumers use supplements in thereal world. /\nalyzinj^ interview data froni formative research\ ith dietary supplement users (N=60), we observed skepticism inthe way our informants interpret scientific information aboutsupplements, trust in referrals from those they feel are like them,and experimentation with products in order to tailor them totheir bodies and needs. We stress the need for qualitative researchfocusing on patterns of supplement use in context (rather than asisolated supplements m fixed doses), the network effect of supplementuse. and the way information about supplements Ls translatedand transmitted. Furthermore, we urye clinicians to paycareful attention not only to whether patients are taking dietarysupplements, but also him' supplements are being used alone andin combination with other supplements, pharinaceuticals, andover-the-counter (OTC) medications. {Altern Ther Health Med.2007;13(2):48-55.);Full Citation: [Jennifer Jo Thompson and Mark Nichter]. The compliance paradox: what we need to know about “real world” dietary supplement use in the US. Alternative Therapies in Health and Medicine 13(2): 48-55, 2007.;Collaborative with graduate student: Yes;
• Nichter, M., Nichter, M., Charkoglu, A., & Tobacco, t. (2007). Reconsidering stress and smoking: a qualitative study among college students. Tobacco Control.
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  Background: Although it is widely acknowledged among adultsmokers that increases in smoking are often precipitated bystressful events, far less attention has been given to smokingduring times of stress among youth.Aims: To address this gap by drawing attention to the socialutility of smoking in contexts associated with stress amongcollege students.Design: Face-to-face semistructured interviews with collegefreshmen at a large midwestern university in the US.Participants: Male and female low-level smokers (n = 24),defined as those who reported regular weekday smoking(typically 3-4 cigarettes a day) and smoking at parties onweekends, were interviewed once in person. In addition, 40brief interviews with smokers were conducted during finalexamination.Measurements: Interviews focused on a range of issuesincluding current smoking behaviour and reasons for smoking.As part of the interview, students were given a deck of cardsthat listed a range of reasons for smoking. Participants wereasked to select cards that described their smoking experience inthe past 2 weeks. Those who selected cards that indicatedsmoking when stressed were asked to explain the reasons whythey did so.Results: A review of qualitative responses reveals that smokingserved multiple functions during times of stress for collegestudents. Cigarettes are a consumption event that facilitates abrief social interaction during study times when students feelisolated from their friends. Cigarettes also serve as an idiom ofdistress, signalling non-verbally to others that they werestressed. Students described smoking to manage their ownstress and also to help manage â€;Full Citation: [Mark Nichter, Mimi Nichter, Asli Charkoglu, and the Tobacco Etiology Research Network (TERN)]. Reconsidering stress and smoking: a qualitative study among college students. Tobacco Control 16: 211-214, 2007.;Collaborative with faculty member in unit: Yes;Other collaborative: Yes;Specify other collaborative: ;
• Nichter, M., Nichter, M., Muramoto, M., Adrian, S., Goldade, K., Tesler, L., & Thompson, J. (2007). Smoking among low-income pregnant women: an ethnographic analysis. Health Education and Behavior.
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  This article presents findings from a qualitative study of 53 low-income women who were smokers at theonset of pregnancy. Study participants were interviewed during pregnancy to document smoking trajectoriesand factors contributing to, or undermining, harm reduction and quit attempts. Thirty percent of women quitsmoking completely, 43% engaged in sustained harm reduction, and 26% reduced their smoking levels intermittently.Case studies of women are presented to illustrate reasons for quitting, harm reduction practices, andfactors influencing relapse and smoking continuation. Women's motivations to quit are highlighted. Moralidentity as a mother was found to be a key motivating factor behind women's quit attempts. Future programstargeting this population would do well to acknowledge moral identity as an issue and recognize the challengesof quitting for women with limited social support and little control over their immediate environment.;Full Citation: [Mimi Nichter, Mark Nichter, Myra Muramoto, Shelly Adrian, Kate Goldade, Laura Tesler, Jennifer Thompson]. Smoking among low-income pregnant women: an ethnographic analysis. Health Education and Behavior 34(5): 748-764, 2007.;Collaborative with graduate student: Yes;Collaborative with faculty member in unit: Yes;Collaborative with faculty member at UA: Yes;

Presentations

• Nichter, M. (2016, October 2016). . Creating a Buruli Ulcer community of practice in Bankim Cameroon as a model for community outreach in Africa. Talk at the University of Tennessee.
• Nichter, M. (2016, October 2016). Building capacity for tobacco cessation in India & Indonesia: From formative research to clinic & community-based intervention. Talk at the University of Tennessee.
• Amoussouhoui, A., Johnson, C., Sopoh, G., Aoulou, P., Agbo, I., & Nichter, M. (2015, October). Steps toward creating a BU therapeutic community: lessons from Allada Hospital Benin.. The 9th European Congress on Tropical Medicine and International Health. Basel Switzerland.
• Mercy Ackumey,, N., Kotey, K., & Nichter, M. (2015, March). Using cell phones to improve compliance to treatment and monitor wound care in the Nsawam-Adoagyiri and Akwapem-South Districts of Ghana. World Health organization Biannual Buruli Conference.
• Mou, F., Umboock, A., Awah, P., Mbah, E., Koin, J., & Nichter, M. (2015, October). Developing a Buruli Ulcer community of practice in Bankim Cameroon as a model for BU outreach in Africa. The 9th European Congress on Tropical Medicine and International Health,. Basel Switzerland.
• Nichter, M. (2015, February). Globalizing Therapeutic Techniques and Industrial Products in Asian Medicine. From International to Global: Knowledge, Diseases and the Postwar Government of Health.. International Conference. Domaine de Bierville, France.
• Nichter, M. (2015, March). What Anthropology Has to Contribute to Global Tobacco Control. Waring Distinguished Lecture, West Georgia University. Carrollton, Georgia, USA.
• Nichter, M., & Davis, G. E. (2015, November). The Lyme Wars: Epistemic Politics, Health Activation and Unfinished Science. Invited session American Anthropological Association Annual Meeting.
• Nichter, M., Amoussouhoui, A., Ferdinand, M., Koka, E., Paschal Kum, A., Mbah, E., Tohnain, K., & Boyer, M. (2015, March). Buruli Ulcer Outreach Education: An Exemplar for Community Based Tropical Disease Interventions. World Health organization Biannual Buruli ConferenceStop Buruli.
• Nichter, M., Amoussouhoui, A., Mou, F., Koka, E., Kum Awah, P., Mbah, E., Tohnain Koin, J., & Boyer, M. (2015, October). Buruli ulcer outreach education: an exemplar for community based tropical disease interventions. The 9th European Congress on Tropical Medicine and International Health. Basel, Switzerland.
• Thankappan, K. R., Mini, G., Hariharan, M., Sarma, P., Viijayakumar, G., & Nichter, M. (2015, March). Smoking Cessation among Diabetes Patients, Two year Follow-up Results from a Pilot Randomized Controlled Trial in Kerala, India.. World Conference on Tobacco or Health. Abdu Dhabi.
• Dono, M. D., Karismayekti, M., Padmawati, R. S., Prabandari, Y. S., Nichter, M., & Nichter, M. (2012, 2012-03-01). Educational Materials and Resources for Tobacco Cessation : Project Quit Tobacco Indonesia (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: See entry above;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -. (2012, 2012-11-01). EHealth/Mhealth: Issues inviting anthropological investigation G/locally. American Anthropological Association Meetings. San Francisco.
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  ;Type of Presentation: Professional Organization;
• Nichter, M. -. (2012, 2012-11-01). The (in)equalities of global health: E-health and telemedicine through the lens of critical medical anthropology. American Anthropological Association Meetings. San Francisco.
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  ;Type of Presentation: Professional Organization;
• Nichter, M. -. (2012, 2012-11-01). Toward An Anthropology of Comorbidity: Lessons From Tobacco. American Anthropological Association Meetings. San Francisco.
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  ;Type of Presentation: Professional Organization;
• Nichter, M. -., Attobari, J., Prabandari, Y. S., Dewi, A., Hartani, W., Hidayati, T., & Nichter, M. (2012, 2012-03-01). Smoking Prevalence and Attitudes toward Tobacco Education among Medical Students in 3 Universities in Indonesia (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: See entry above.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Deepak, K., Daivadanam, M., Pradeepkumar, A., Thankappan, K., Mini, G. K., & Nichter, M. (2012, 2012-03-01). Smokeless Tobacco Use Among Tuberculosis Patients In Karnataka, India: Urgent Need In Cessation Services. (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Mini, G., Thankappan, K., Yamini, T., Arthur, C., Sairu, P., Leelamoni, K., & Nichter, M. (2012, 2012-03-01). Predictors of tobacco cessation in medical colleges in south India: need for incorporating tobacco education in the curriculum. (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Nichter, M., & Nichter, M. (2012, 2012-11-01). The Practice of Ayurveda In India's Changing Consumer Society. American Anthropological Association Meetings. San Francisco.
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  ;Collaborative with faculty member in unit: Yes;Type of Presentation: Professional Organization;
• Nichter, M. -., Padmajam, S., Thankappan, K., Nichter, M., & Mini, G. K. (2012, 2012-03-01). Working With Women's Group to Mobilize Community Support for Smoke Free Households: A Case Study From Kerala, India. (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: see entry above;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Padmawati, R. S., & Nichter, M. (2012, 2012-03-01). Doctors messages and DOTS providers' follow up: Result of pilot project promoting tobacco cessation for TB Patients in Indonesia. (Poster). 15th World Conference on Tobacco or Health. SIngapore.
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  ;Other collaborative: Yes;Specify other collaborative: See entry above.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Prabandari, Y. S., Padmawati, R. S., Dewanti, D., Nugroho, D. J., & Nichter, M. (2012, 2012-03-01). How do patterns of of smoking change during Ramadhan (Fasting Month) in Yogyakarta, Indonesia? (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: See entry above;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Pradeepkumar, A., Thankappan, K. R., Nichter, M., & Mathew, A. (2012, 2012-03-01). Smoking Cessation Intervention Through Primary Health Centers: Results Of A Randomized Control Trial From Kerala, India. (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Raja, J., Khan, M., Basha, R., Thankappan, K., & Nichter, M. (2012, 2012-03-01). Tobacco And Oral Health: Do Oral Problems Lead To Tobacco Use? (Oral presentation). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Sardar, R. B., Koratagere, R., Thankappan, K., & Nichter, M. (2012, 2012-03-01). Media Engagement in Tobacco Control-Development and Release of a Media Kit. (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Thankappan, K., Mini, G., Daivadanam, M., Vijayakumar, G., & Nichter, M. (2012, 2012-03-01). Smoking Cessation Among Diabetes Patients: Results Of A Pilot Study In Kerala State, India. (Oral presentation). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., Thankappan, K., Mini, G., Daivadanam, M., Vijayakumar, G., Sarma, P. S., & Nichter, M. (2012, 2013-02-01). Smoking Cessation among Diabetes Patients. Amercan Diabetes Association 72nd Scientific Sessions. Philadelphia.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Professional Organization;
• Nichter, M. -., Yamini, T., Thankappan, K., & Nichter, M. (2012, 2012-03-01). Introducing A Fully Integrated Tobacco Curriculum in Medical Colleges in Karnataka and Kerala, India. (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Government/Policy Audiences;
• Nichter, M., Nichter, M., Thankachi, Y., Thankappan, K., & Sreedevi, P. (2012, 2012-02-01). Quit Tobacco International (QTI): Building Capacity for Tobacco Cessation Training. 56th Annual National Conference of Indian Public Health Association. Kochi, Kerala, India.
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  ;Other collaborative: Yes;Specify other collaborative: This presentation presents results of research by Project Quit Tobacco International, a Fogarty International-NIH funded project of which I am PI.;Type of Presentation: Professional Organization;
• Padmawati, R. S., Nichter, M., Nichter, M., Attobari, J., & Nugroho, D. J. (2012, 2012-03-01). Developing a smoke free household initiative in Indonesia (Oral presentation.). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: See entry above.;Type of Presentation: Government/Policy Audiences;
• Prabandari, Y. S., Attobari, J., Dewi, A., Hartani, W., Nichter, M., & Nichter, M. (2012, 2012-03-01). Developing Tobacco-Related Disease Modules into Existing Medical Curriculum Lessons from the Faculty of Medicine, University of Gadjah Mada, Indonesia (Poster). 15th World Conference on Tobacco or Health. Singapore.
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  ;Other collaborative: Yes;Specify other collaborative: See entry above.;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -. (2011, 2011-03-01). Ayurveda and popular health culture: From local biology to harm reduction. South Asian Center, Syracuse University.
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  Ayurveda and popular health culture: From local biology to harm reduction. South Asian Center, Syracuse University, March 3, 2011.;Invited: Yes;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2011, 2011-03-01). Building capacity for tobacco cessation in India and Indonesia: From formative research to clinic and community based intervention.. The Centers for Behavioral and Preventive Medicine, Brown University.
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  Building capacity for tobacco cessation in India and Indonesia: From formative research to clinic and community based intervention. The Centers for Behavioral and Preventive Medicine, Brown University, March 4, 2011.;Invited: Yes;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2011, 2011-03-01). Social Science Contributions to Buruli Ulcer Research: Moving from Questions of What and Why to How. World Health Organization International Meeting on Buruli Ulcer. Geneva, Switzerland.
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  ;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2011, 2011-04-01). Buruli Ulcer - a primer. Society for Applied Anthropology. Seattle, WA.
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  ;Type of Presentation: Professional Organization;
• Nichter, M. -. (2011, 2011-04-01). Buruli Ulcer: The Challenge of a Re-emerging Disease of Unknown Transmission. Society for Applied Anthropology. Seattle, WA.
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  ;Type of Presentation: Professional Organization;
• Nichter, M. -. (2011, 2011-06-01). Building capacity for tobacco cessation in India and Indonesia: From Formative research to clinic and community based Intervention. Symposium: Global Health Perspectives from Medical Anthropology. Institute of Social Anthropology, Basel University, Basel, Switzerland.
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  ;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2011, 2011-06-01). Building capacity for tobacco cessation in India and Indonesia: from formative research to clinic and community based intervention. Swiss Tropical and Public Health Institute, Basel, Switzerland.
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  ;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2011, 2011-06-01). Social Science Contributions to Global Health. UBS Optimus Foundation Meeting. Geneva, Switzerland.
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  ;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2011, 2011-11-01). AAA Textor Award Speech. American Anthropological Association. Montreal.
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  ;Invited: Yes;Type of Presentation: speech given upon receiving AAA Textor Award;
• Nichter, M. -. (2011, 2011-12-01). Building capacity for tobacco cessation in India and Indonesia: From Formative research to clinic and community based Intervention. Johns Hopkins 50th Anniversary Celebration. Johns Hopkins Bloomberg School of Public Health.
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  Building capacity for tobacco cessation in India and Indonesia: From Formative research to clinic and community based Intervention (Given at Johns Hopkins University 50th Anniversary Celebration, invited presentation, Johns Hopkins Bloomberg School of Public Health, Dec 9, 2011;Invited: Yes;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -., & Dao, A. (2011, 2011-11-01). Global Health Insurance Schemes and the Biopolitics of the Possible. American Anthropological Association. Montreal.
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  ;Other collaborative: Yes;Specify other collaborative: Ms. Dao is a grad student at Columbia University;Type of Presentation: Professional Organization;
• Nichter, M. -., & Thompson, J. J. (2011, 2011-11-01). Complementary and Alternative Medicine In the Debate Over US Health Insurance Reform: An Anthropological Assessment Is Warranted. American Anthropological Association. Montreal.
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  ;Other collaborative: Yes;Specify other collaborative: Dr. Thompson (PhD Arizona, 2010) is at University of Georgia and is a former PhD student of mine;Type of Presentation: Professional Organization;
• , N. Y., , H. C., , M. N., , M. N., , S. W., , L. C., & , M. M. (2010, 2010-11-01). Use of Contextual Factors by Lay Health Advisors to Tailor Brief Cessation Interventions. 138th American Public Health Association Annual Meeting. Denver, CO.
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  ;Submitted: Yes;Refereed: Yes;Interdisciplinary: Yes;Collaborative with graduate student: Yes;Collaborative with faculty member in unit: Yes;Collaborative with faculty member at UA: Yes;Other collaborative: Yes;Specify other collaborative: ;Type of Presentation: Academic Conference;
• Nichter, M. -. (2010, 2010-01-01). Mainstreaming Smoking Cessation in South and Southeast Asian Medical Schools and establishing community-based tobacco control programs. Conference on global flows of people, commodities, and disease across the Middle East, Asia, and the world. United Arab Emirates University, sponsored by United Arab Emirates University, Yale, the University of California, American University Beirut, the University of Hong Kong, and the University of Bergen.
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  ;Invited: Yes;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -., & none, . (2010, 2010-03-01). Toward an anthropology of trust in risk society: Reflections of a medical anthropologist. Monroe Lecture, Edinburgh University. Edinburgh University, Edinburgh, Scotland.
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  ;Invited: Yes;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2009, 2009-06-01). Hybrid medicine for hybrid people: Ayurveda, popular health culture, and globalization. Heidelberg, Germany.
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  Dieter Conrad Lecture at the University of Heidelberg, Germany, June 14. “Hybrid medicine for hybrid people: Ayurveda, popular health culture, and globalization.”;Invited: Yes;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2009, 2009-06-01). Toward and Anthropology of Trust in an Age of Risk and Uncertainty. Sixth Nordic Conference in Medical Anthropology. Gothenburg, Sweden.
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  Opening address at the Sixth Nordic Conference in Medical Anthropology, University of Gothenburg and Nordic School of Public Health, Sweden, June 12. “Toward and Anthropology of Trust in an Age of Risk and Uncertainty.”;Invited: Yes;Type of Presentation: Invited/Plenary Speaker;
• Nichter, M. -. (2009, 2009-12-01). Hybrid medicine for hybrid people: Ayurvedic medicine, popular health culture, and globalization. merican Anthropological Association meetings. Philadelphia, PA.
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  Paper presented at the American Anthropological Association meetings, December 6, Philadephia. Hybrid medicine for hybrid people: Ayurvedic medicine, popular health culture, and globalization. Session Organizer;Submitted: Yes;Type of Presentation: Academic Conference;
• Nichter, M. -., Shaw, S., Nichter, M., & Armin, J. (2009, 2009-12-01). “You are helping you there and hurting you here:” Accountability and the pharmaceutical regulation of chronic disease among the U.S. urban poor. American Anthropological Association meetings. Philadephia, PA.
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  Paper presented at the American Anthropological Association meetings, December 3, Philadephia. “You are helping you there and hurting you here:” Accountability and the pharmaceutical regulation of chronic disease among the U.S. urban poor. Susan Shaw, Mark Nichter, and Julie Armin.;Your Role: Primary author; Presenter;Submitted: Yes;Collaborative with graduate student: Yes;Collaborative with faculty member in unit: Yes;Type of Presentation: Academic Conference;
• Nichter, M. -., Thompson, J. J., Ritenbaugh, C., & Nichter, M. (2009, 2009-12-01). The localization of healing in a global environment. American Anthropological Association meetings. Philadelphia, PA.
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  Paper presented at the American Anthropological Association meetings, December 6, Philadephia. The localization of healing in a global environment. Jennifer Jo Thompson, Cheryl Ritenbaugh, and Mark Nichter. Mark Nichter, session organizer;Your Role: Primary author; Presenter;Submitted: Yes;Collaborative with graduate student: Yes;Collaborative with faculty member at UA: Yes;Type of Presentation: Academic Conference;
• Nichter, M. -., & none, . (2008, 2008-01-01). Project Quit Tobacco International: Lessons learned and plans for the next five years. All India Conference on Chronic Disease as a Public Health Priority. Trivandrum, India.
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  ;Type of Presentation: Government/Policy Audiences;
• Nichter, M. -., & none, . (2008, 2008-03-01). Global Health lessons from an ethnography of avian flu in Indonesia. Society for Applied Anthropology. Memphis, TN.
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  ;Type of Presentation: Professional Organization;
• Nichter, M. -., Ritenbaugh, C., Thompson, J., & Nichter, M. (2008, 2008-11-01). Reconsidering the placebo effect from a biocultural and evolutionary perspective. American Anthropological Association. San Francisco, CA.
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  ;Collaborative with graduate student: Yes;Collaborative with faculty member at UA: Yes;Type of Presentation: Professional Organization;

Poster Presentations

• Herrera, D. M., Ramírez-Andreotta, Y., Navarro-McElhaney, M., Nichter, M., & Maier, R. (2016, December 2016). Voices Unheard: Documenting the Human Experience of Living Near Arizona Superfund Sites. National Institute of Environmental Health Sciences (NIEHS)—December 7th.
• Nichter, M. (2016, September 2016). Smoking : what does Culture have to do with it. UCSD Health Policy and Prevention Research Center.
• Nichter, M., Nichter, M., & Carkoglu, A. (2016, May 2016). Building Capacity for Illness-Specific Tobacco Cessation Among Nurses & Clinical Psychologists in Turkey University of Arizona, USA & Kadir Has University, Turkey. Global Bridges Conference, Mayo Clinic.
• Awah, P., Umboock, A., Koin, J., Mbah, E., Mou, F., & Nichter, M. (2015, March). Role of traditional healers in a community of practice for Buruli Ulcer care in Camaroon, Africa.. World Health organization Biannual Buruli Conference.
• Awasthi, S., Verma, T., Agarwal, M., Singh, J. V., Srivastava, N., & Nichter, M. (2015, October). Rural Indian caregivers recognition of pneumonia and health care seeking behavior: Reasons why Unqualified Health Care Providers are often their first treatment preference. The 9th European Congress on Tropical Medicine and International Health. Basel Switzerland.
• Awasthi, S., Verma, T., Singh, J., Srivastava, N., & Nichter, M. (2015, October). Process to Develop and Validate Behavior Change Communication Messages for Community Acquired Pneumonia in Children under-five years of age in Rural North India: A Qualitative Study. The 9th European Congress on Tropical Medicine and International Health. Basel Switzerland.
• Basha, R., Herbert, M., Thankappan, K., & Nichter, M. (2015, March). Smoking among hospitalized patients in a tertiary level hospital in India. World Conference on Tobacco or Health. Abdu Dhabi.
• LeBaron, V. T., Lohman, D., Nichter, M., Palat,, G., Vish Viswanath, K., & Berry, D. L. (2015, March). A Nurse-Led Cancer Symptom Management Training Program for Family Caregivers and Auxiliary Hospital Staff in India.. 6th Annual Conference Consortium of Universities for Global Health. Boston Massachusetts, USA.
• Yamini, T., Thankappan, K. R., Nichter, M., & Nichter, M. (2015, March). Fully Integrated Tobacco Curriculum & Tobacco Cessation skills in Medical Colleges. World Conference on Tobacco or Health,. Abdu Dhabi.

Others

• Nichter, M. -., Nichter, M., Acuin, C. S., & Vargas, A. (2008). Introducing Zinc in a Diarrhoeal Disease Control Programme: Guide to Conducting Formative Research.
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  ;Full Citation: [Mark Nichter, Cecilia S. Acuin, and Alberta Vargas]. Introducing Zinc in a Diarrhoeal Disease Control Programme: Guide to Conducting Formative Research. Geneva: World Health Organization, 2008.;Other collaborative: Yes;Specify other collaborative: ;