Dorothy A Long Parma, M.D.
Dr. Long Parma is an early-stage investigator interested in health promotion and disease prevention aimed at eliminating health disparities (HD) in underserved populations, particularly Latinos in South Texas. Among the multiple disparities seen in this population, Dr. Long Parma is focusing her research on risk factors for gastric cancer (GC), in particular interactions of infectious (i.e., the bacterium Helicobacter pylori) with behavioral/lifestyle factors.The breadth of experiences that preceded her current appointment have not only contributed to her ability to facilitate collaborations between public health researchers and basic scientists, but also gave her a healthy appreciation for the value of a multidisciplinary team approach in accelerating meaningful changes at both individual and population health levels. Dr. Long Parma has molecular biology background in college; graduate-level experience in Developmental Neuroscience; clinical experience in Family Medicine; and finally, an MPH in health promotion and behavioral science, has made her a valued contributor to projects with clinical components and clinically-relevant, patient-oriented outcomes.
- 2012 - MPH - Health Promotion / Behavioral Science - UTHSC - Houston School of Public Health, San Antonio Regional Campus
- 2009 - Internship - Family and Community Medicine - University of Texas Health Science Center at San Antonio
- 2007 - MD - Medicine - University of Texas Health Science Center - Houston Medical School
- 1996 - BA - Biology (Highest Honors) - University of Texas at Austin
- Postdoctoral Training - Medicine/Developmental Neuroscience - UT Health Science Center-Houston Medical School
- 11/2018 - Research Assistant Professor, Institute for Health Promotion Research - University of Texas Health Science Center at San Antonio, Epidemiology & Biostatistics, San Antonio
- 4/2018 - Adjunct Assistant Professor and Not Applicable - University of Texas Health Science Center - Houston, San Antonio Regional Campus, San Antonio
Instruction & Training
- 6/2019 - Present, Undergraduate Student Supervision, University of Texas Health Science Center at San Antonio
Research & Grants
Funding Agency Department of Defense Title Gaps in gastric cancer risk factor management: analysis of electronic health data and provider/ patient perspectives Status Active Period 6/2019 - 5/2022 Role Principal Investigator Grant Detail This study will determine whether similar H. pylori disparities exist at the diagnosis,
management and follow-up stages of the outpatient experience in the target population of interest
(STX Latinos). Complementary qualitative and quantitative approaches will be applied for the first time to the association between H. pylori and GC in this group. Qualitative methods will include conducting and analyzing clinic provider and patient interviews. These studies combined with secondary analyses will bring a unique community engagement aspect to this work. Quantitative methods will include analyzing de-identified data from two local health systems? electronic medical records (EMR), including a safety net hospital. I
hypothesize that 1) low SES, un/underinsured and women will have higher rates regardless of
ethnicity; 2) Latinos will have a) higher rates of H. pylori-related gastric disorders and GCs, b) longer time-to-treatment (antibiotic prescription, endoscopy and/or referral, surgery), and c) higher loss to follow-up rates, than NHWs; and, 3) adherence to Consensus guidelines for H. pylori diagnosis and management will vary by ethnicity, SES, health system and antibiotic resistance profile. Funding Agency Eunice Kennedy Shiver National Institute of Child Health & Human Development Title Pediatric Obesity Management Intervention Trial for Hispanic Families Status Active Period 4/2014 - 3/2019 Role Contributor Grant Detail The purpose of the proposed Pediatric Obesity Management (POM) Trial for Hispanic Families is to assess the efficacy of a comprehensive, culturally and linguistically relevant, family-based intervention targeting Hispanic overweight and obese children (≥ 85th percentile of BMI) ages 5-11 years in pediatric clinics with the goal of improving body composition.
Ramirez AG, Mu?oz E, Long-Parma D, Holden AE, Trevi?o AM, Phillips TD, Pollock B. Abstract B38: Behavioral and clinical correlates of hepatocellular carcinoma among residents of South Central Texas: A case-control study; 2016 Jan. (Cancer Epidemiology Biomarkers & Prevention; vol. 25, no. 3 sup). Ramirez AG, Mu?oz E, Long-Parma D, Mendoza KD, Holden AE, Wargovich MJ. Abstract A66: An anti-inflammatory dietary intervention to reduce breast cancer recurrence risk: Preliminary data from a pilot study; 2016 Jan. (Cancer Epidemiology Biomarkers & Prevention; vol. 25, no. 3 sup). Long Parma DA, Munoz EM, Ogden SM, Leach RJ, Thompson IM, Ramirez AG. Abstract B36: Helicobacter pylori exposure among Hispanic and non-Hispanic white men in San Antonio, Texas: Implications for gastric cancer risk disparities: AACR; 2015 Oct. (Cancer Epidemiology Biomarkers and Prevention; vol. 24, no. B36). Manuel L, Munoz EM, Long Parma DA, Ramirez AG. Abstract B20: Geospatial analysis of hepatocellular carcinoma and its risk factors in Texas (1995-2010): AACR; 2015 Oct. (Cancer Epidemiology Biomarkers and Prevention; vol. 24, no. B20). Munoz EM, Figueiredo Westin G, Long Parma DA, Suarez L, Ramirez AG. Abstract B13: Gastric cancer disparities in Latino populations in Texas, South Texas, and United States: AACR; 2015 Oct. (Cancer Epidemiology Biomarkers and Prevention; vol. 24, no. B13). Long Parma DA, Bokov A, Munoz E, Tirado-Ramos A, Ramirez AG. Helicobacter Pylori Diagnoses Among UTMed Clinic Patients in San Antonio, Texas: A Health Disparity Check: Springer; 2015 Apr. (Annals of Behavioral Medicine; vol. 49).
Archer N, Gallion KJ, Holden AE, Munoz E, Long Parma D, Suarez L. Editors: Ramirez AG, Thompson IM, Vela L. The South Texas Health Status Review: a Health Disparities Roadmap 2nd Ed New York, NY: Springer Science + Business Media; 2013. 138 p.
Long Parma DA. Risk factors for Metabolic Syndrome among overweight and obese Hispanic children attending a pediatric clinic Ann Arbor, MI: ProQuest/UMI; 2012.
Ramirez AG, Gallion KJ, Perez, A., Munoz, E., Long Parma DA, Moreno, PI, Penedo, FJ. Improving quality of life among latino cancer survivors: Design of a randomized trial of patient navigation Contemporary Clinical Trials 2019 Jan;76:41-48. Zuniga, KE., Long Parma DA, Munoz, E, Spaniol, M, Wargovich MJ, Ramirez AG. Dietary intervention among breast cancer survivors increased adherence to a Mediterranean-style, anti-inflammatory dietary pattern: The Rx for Better Breast Health Randomized Controlled Trial Breast Cancer Research and Treatment 2019 Jan;173(1). Ramirez AG, Munoz E, Long Parma D, Michalek JE, Holden AEC, Phillips TD, Pollock BH. Lifestyle and clinical correlates of Hepatocellular Carcinoma in South Texas: a matched case-control study Clinical Gastroenterology and Hepatology 2017 Aug;15(8):1311-1312. LongParma D, Munoz E, Ogden SM, Westin GF, Leach RJ, Thompson IM, Ramirez AG. Helicobacter Pylori Infection in Texas Hispanic and Non-Hispanic White Men: Implications for Gastric Cancer Risk Disparities American Journal for Men`s Health 2017 Jul;11(4):1039-1045. Ramirez AG, Long Parma DA, Munoz E, Mendoza KD, Harb C, Holden AEC, Wargovich M. An anti-inflammatory dietary intervention to reduce breast cancer recurrence risk: study design and baseline data Contemporary Clinical Trials 2017 Jun;57:1-7. Long Parma DA, Hughes DC, Ghosh S, Li R, Trevino-Whitaker, RA., Ogden, SM., Cuevas, BT., Ramirez AG. Effects of six months of Yoga on inflammatory serum markers prognostic of recurrence risk in breast cancer survivors SpringerPlus 2015 Apr;4. Ghosh S, Hughes DC, Long Parma DA, Ramirez AG, Li R. Association of Obesity and Circulating Adipose Stromal Cells Among Breast Cancer Survivors Molecular Biology Reports 2014 May;41(5):2907-16. Cuevas, BT; Hughes, DC; Long Parma, D; Trevi?o RA; Ghosh, S; Li, R; Ramirez, AG. Motivation, Exercise and Stress in Breast Cancer Survivors Journal of Supportive Care in Cancer 2014 Jan;22(4):911-917. Ramirez AG, Perez-Stable, E.J., Talavera, G.A., Penedo, F. J., Carrillo, J.E., Fernandez, M.E., Munoz, E., Long Parma DA, Holden AE, San Miguel de Majors SL, Napoles, A., Castaneda, S., Gallion KJ. Time to definitive diagnosis of breast cancer in Latina and non-Hispanic white women: the Six Cities Study SpringerPlus 2013 Jan;2.