Neeta Thakur, MD
Associate Professor in Res
Dr. Neeta Thakur is a pulmonary and critical care physician at UCSF who examines the role of social and environmental stressors on asthma and COPD in historically marginalized communities. Better definitions of the mechanism of how social and environmental stressors impact asthma and COPD will allow for the development of targeted interventions and therapies to improve related outcomes in historically marginalized communities. Dr. Thakur completed a dual degree program in public health and medicine at the University of Arizona focused on community health and program development and evaluation. She came to UCSF for residency in Internal Medicine and stayed to complete her Pulmonary and Critical Care Medicine fellowship and has expertise in clinical research methods, social epidemiology, and implementation sciences. Dr. Thakur's experience as a clinician, and now Medical Director of the Zuckerberg San Francisco General Hospital (ZSFG) Chest Clinic, gives her first-hand insight on how social and environmental stress negatively affect asthma and COPD outcomes and practical knowledge of the existing barriers to adoption of evidence-based interventions into practice.
Dr. Thakur’s NIH supported research focuses on: 1) defining obstructive lung disease phenotypes that exist in racially and ethnically diverse communities and how these are shaped by social and environmental stressors and 2) identifying community-specific drivers that place individuals at high risk for poor outcomes and 3) co-developing place-based and targeted interventions aimed at social and environmental stressors to improve respiratory outcomes in historically marginalized populations. To successfully achieve these goals, Dr. Thakur employs community-engaged approaches that range from querying community stakeholders for input to participatory action research through our Youth Participatory Action Research program and our environmental justice portfolio.
Education
Websites
Publications
Spece LJ, Hee Wai T, Donovan LM, Duan KI, Plumley R, Crothers KA, Thakur N, Baugh A, Hayes S, Picazo F, Feemster LC, Au DH. The Impact of Changing Race-Specific Equations for Lung Function Tests among Veterans with COPD. Annals of the American Thoracic Society 2024. PMID: 38820262
Thakur N, Balmes JR. Fine-Scale Neighborhood Air Pollution Mapping: A First Step Towards Decoding Racial Asthma Disparities. American journal of respiratory and critical care medicine 2024. PMID: 38602863
de la Rosa R, Le A, Holm S, Ye M, Bush NR, Hessler D, Koita K, Bucci M, Long D, Thakur N. Associations Between Early-Life Adversity, Ambient Air Pollution, and Telomere Length in Children. Psychosomatic medicine 2024. PMID: 38588482
Hayes S, Duan KI, Wai TH, Picazo F, Donovan LM, Spece LJ, Plumley R, Slatore CG, Thakur N, Crothers K, Au DH, Feemster LC. Association Between Neighborhood Socioeconomic Disadvantage and Chronic Obstructive Pulmonary Disease Prevalence Among U.S. Veterans. Annals of the American Thoracic Society 2024. PMID: 38252425
DeDent AM, Collard HR, Thakur N. Neighborhood Health and Outcomes in Idiopathic Pulmonary Fibrosis. Annals of the American Thoracic Society 2023. PMID: 37962494
Martinez A, Ye M, Hessler D, de la Rosa R, Benson M, Gilgoff R, Koita K, Bucci M, Harris NB, Long D, Thakur N. Adverse Childhood Experiences and Related Events are Associated with Asthma Symptoms in Children. Academic pediatrics 2024. PMID: 38246348
Okelo SO, Chesley CF, Riley I, Diaz AA, Collishaw K, Schnapp LM, Thakur N. Accelerating Action: Roadmap for the American Thoracic Society to Address Oppression and Health Inequity in Pulmonary and Critical Care Medicine. Annals of the American Thoracic Society 2023. PMID: 37934586
Okelo SO, Chesley CF, Riley I, Diaz AA, Collishaw K, Schnapp LM, Thakur N. Historical Reflection as the American Thoracic Society Moves to Combat Racism in Pulmonary and Critical Care Medicine. American journal of respiratory and critical care medicine 2023. PMID: 37486277
Hazlehurst MF, Dearborn LC, Sherris AR, Loftus CT, Adgent MA, Szpiro AA, Ni Y, Day DB, Kaufman JD, Thakur N, Wright RJ, Sathyanarayana S, Carroll KN, Moore PE, Karr CJ. Long-term ozone exposure and lung function in middle childhood. Environmental research 2023. PMID: 37967704
Baugh AD, Acho M, Arhin A, Barjaktarevic I, Couper D, Criner G, Han M, Hansel N, Krishnan J, Malcolm K, Namen A, Peters S, Schotland H, Sowho M, Zeidler M, Woodruff P, Thakur N. African American race is associated with worse sleep quality in heavy smokers. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine 2023. PMID: 37128722
Baugh AD, Woodruff P, Shiboski S, Glidden DV, Ortega VE, Thakur N. Spirometry in Mixed Race Civil War Veterans. Annals of the American Thoracic Society 2023. PMID: 37159952
Ye M, Hessler D, Ford D, Benson M, Koita K, Bucci M, Long D, Harris NB, Thakur N. Pediatric ACEs and related life event screener (PEARLS) latent domains and child health in a safety-net primary care practice. BMC pediatrics 2023. PMID: 37461038
Thakur N, Martinez A. Housing Reparations as an Avenue to Counter the Impact of Structural Racism on Asthma. JAMA 2023. PMID: 37191711
Baugh A, Thakur N. Race, Racism, and Respiratory Health. Clinics in chest medicine 2023. PMID: 37517827
Bhakta NR, Bime C, Kaminsky DA, McCormack MC, Thakur N, Stanojevic S, Baugh AD, Braun L, Lovinsky-Desir S, Adamson R, Witonsky J, Wise RA, Levy SD, Brown R, Forno E, Cohen RT, Johnson M, Balmes J, Mageto Y, Lee CT, Masekela R, Weiner DJ, Irvin CG, Swenson ER, Rosenfeld M, Schwartzstein RM, Agrawal A, Neptune E, Wisnivesky JP, Ortega VE, Burney P. Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement. American journal of respiratory and critical care medicine 2023. PMID: 36973004
de la Rosa R, Zablotny D, Ye M, Bush NR, Hessler D, Koita K, Bucci M, Long D, Thakur N. Biological Burden of Adverse Childhood Experiences in Children. Psychosomatic medicine 2023. PMID: 36728584
Martinez A, Thakur N. Structural Racism and the Social Determinants of Health in Asthma. Advances in experimental medicine and biology 2023. PMID: 37464118
Long D, Hessler D, Koita K, Bucci M, Benson M, Gilgoff R, Thakur N, Burke Harris N. Screening for adverse childhood experiences in pediatrics: A randomized trial of aggregate-level versus item-level response screening formats. PloS one 2022. PMID: 36520927
Diaz AA, Thakur N, Celed?n JC. Lessons Learned from Health Disparities in Coronavirus Disease-2019 in the United States. Clinics in chest medicine 2022. PMID: 37085230
Baugh AD, Thakur N, Woodruff PG. Reply to: US Occupational Historical Perspective on Race and Lung Function. 2022. PMID: 35503237
Baugh A, Buhr RG, Quibrera P, Barjaktarevic I, Barr RG, Bowler R, Han MK, Kaufman JD, Koch AL, Krishnan J, Labaki W, Martinez FJ, Mkorombindo T, Namen A, Ortega V, Paine R, Peters SP, Schotland H, Sundar K, Zeidler MR, Hansel NN, Woodruff PG, Thakur N. Risk of COPD exacerbation is increased by poor sleep quality and modified by social adversity. 2022. PMID: 35665826
Jeung J, Hessler Jones D, Frame L, Gilgoff R, Long D, Thakur N, Koita K, Bucci M, Burke Harris N. A Caregiver-Child Intervention for Mitigating Toxic Stress ("The Resiliency Clinic"): A Pilot Study. Maternal and child health journal 2022. PMID: 35947275
DeDent AM, Collard HR, Thakur N. Disparities in Rural Populations with Idiopathic Pulmonary Fibrosis. 2022. PMID: 35390330
Baugh AD, Shiboski S, Hansel NN, Ortega V, Barjakteravic I, Barr RG, Bowler R, Comellas AP, Cooper CB, Couper D, Criner G, Curtis JL, Dransfield M, Ejike C, Han M, Hoffman E, Krishnan J, Krishnan JA, Mannino D, Paine Iii R, Parekh T, Peters S, Putcha N, Rennard S, Thakur N, Woodruff PG. Reconsidering the Utility of Race-Specific Lung Function Prediction Equations. 2021. PMID: 34913855
Santhosh L, Block B, Kim SY, Raju S, Shah RJ, Thakur N, Brigham EP, Parker AM. Response. 2022. PMID: 35000721
Avitzur N, Noth EM, Lamidi M, Nathan SD, Collard HR, DeDent AM, Thakur N, Johannson KA. Relative environmental and social disadvantage in patients with idiopathic pulmonary fibrosis. 2021. PMID: 34949724
Martinez A, de la Rosa R, Mujahid M, Thakur N. Structural racism and its pathways to asthma and atopic dermatitis. 2021. PMID: 34743832
Bhakta NR, Kaminsky DA, Bime C, Thakur N, Hall GL, McCormack MC, Stanojevic S. Addressing Race in Pulmonary Function Testing by Aligning Intent and Evidence with Practice and Perception. Chest 2021. PMID: 34437887
Thakur N, Lovinsky-Desir S, Appell D, Bime C, Castro L, Celedón JC, Ferreira J, George M, Mageto Y, Mainous Iii AG, Pakhale S, Riekert KA, Roman J, Ruvalcaba E, Sharma S, Shete P, Wisnivesky JP, Holguin F. Enhancing Recruitment and Retention of Minority Populations for Clinical Research in Pulmonary, Critical Care, and Sleep Medicine: An Official American Thoracic Society Research Statement. American journal of respiratory and critical care medicine 2021. PMID: 34347574
Ejike CO, Woo H, Galiatsatos P, Paulin LM, Krishnan JA, Cooper CB, Couper DJ, Kanner RE, Bowler RP, Hoffman EA, Comellas AP, Criner GJ, Barr RG, Martinez FJ, Han MK, Martinez CH, Ortega VE, Parekh TM, Christenson SA, Thakur N, Baugh A, Belz DC, Raju S, Gassett AJ, Kaufman JD, Putcha N, Hansel NN. Contribution of Individual and Neighborhood Factors to Racial Disparities in Respiratory Outcomes. American journal of respiratory and critical care medicine 2020. PMID: 33007162
Santhosh L, Block B, Kim SY, Raju S, Shah RJ, Thakur N, Brigham EP, Parker AM. Rapid Design and Implementation of Post-COVID-19 Clinics. Chest 2021. PMID: 33811910
Spece LJ, Epler EM, Duan K, Donovan LM, Griffith MF, LaBedz S, Thakur N, Wiener RS, Krishnan JA, Au DH, Feemster LC. Reassessment of Home Oxygen Prescription after Hospitalization for COPD: A Potential Target for De-implementation. Annals of the American Thoracic Society 2020. PMID: 33075243
Contreras MG, Keys K, Magaña J, Goddard PC, Risse-Adams O, Zeiger AM, Mak ACY, Samedy-Bates LA, Neophytou AM, Lee E, Thakur N, Elhawary JR, Hu D, Huntsman S, Eng C, Hu T, Burchard EG, White MJ. Native American Ancestry and Air Pollution Interact to Impact Bronchodilator Response in Puerto Rican Children with Asthma. Ethnicity & disease 2021. PMID: 33519158
Thakur N, Lovinsky-Desir S, Bime C, Wisnivesky JP, Celedón JC. The Structural and Social Determinants of the Racial/Ethnic Disparities in the U.S. COVID-19 Pandemic: What's Our Role? American journal of respiratory and critical care medicine 2020. PMID: 32677842
Thakur N, Hessler D, Koita K, Ye M, Benson M, Gilgoff R, Bucci M, Long D, Burke Harris N. Pediatrics adverse childhood experiences and related life events screener (PEARLS) and health in a safety-net practice. Child abuse & neglect 2020. PMID: 32898839
Magaña J, Contreras MG, Keys KL, Risse-Adams O, Goddard PC, Zeiger AM, Mak ACY, Elhawary JR, Samedy-Bates LA, Lee E, Thakur N, Hu D, Eng C, Salazar S, Huntsman S, Hu T, Burchard EG, White MJ. An epistatic interaction between pre-natal smoke exposure and socioeconomic status has a significant impact on bronchodilator drug response in African American youth with asthma. BioData mining 2020. PMID: 32636926
Vanderburg S, Alipanah N, Crowder R, Yoon C, Wang R, Thakur N, Slown K, Shete PB, Rofael M, Metcalfe JZ, Merrifield C, Marquez C, Malcolm K, Lipnick M, Jain V, Gomez A, Burns G, Brown LB, Berger C, Auyeung V, Cattamanchi A, Hendrickson CM. Management and Outcomes of Critically-Ill Patients with COVID-19 Pneumonia at a Safety-net Hospital in San Francisco, a Region with Early Public Health Interventions: A Case Series. medRxiv : the preprint server for health sciences 2020. PMID: 32511538
Sullivan K, Thakur N. Structural and Social Determinants of Health in Asthma in Developed Economies: a Scoping Review of Literature Published Between 2014 and 2019. Current allergy and asthma reports 2020. PMID: 32030507
Nardone A, Casey JA, Morello-Frosch R, Mujahid M, Balmes JR, Thakur N. Associations between historical residential redlining and current age-adjusted rates of emergency department visits due to asthma across eight cities in California: an ecological study. The Lancet. Planetary health 2020. PMID: 31999951
Thakur N, Borrell LN, Ye M, Oh SS, Eng C, Meade K, Avila PC, Farber HJ, Serebrisky D, Brigino-Buenaventura E, Rodriguez-Cintron W, Kumar R, Bibbins-Domingo K, Thyne S, Sen S, Rodriguez-Santana JR, Burchard EG. Acculturation is Associated with Asthma Burden and Pulmonary Function in Latino Youth: The GALA II Study. The Journal of allergy and clinical immunology 2019. PMID: 30682453
Koita K, Long D, Hessler D, Benson M, Daley K, Bucci M, Thakur N, Burke Harris N. Development and implementation of a pediatric adverse childhood experiences (ACEs) and other determinants of health questionnaire in the pediatric medical home: A pilot study. PloS one 2018. PMID: 30540843
Spear ML, Hu D, Pino-Yanes M, Huntsman S, Eng C, Levin AM, Ortega VE, White MJ, McGarry ME, Thakur N, Galanter J, Mak ACY, Oh SS, Ampleford E, Peters SP, Davis A, Kumar R, Farber HJ, Meade K, Avila PC, Serebrisky D, Lenoir MA, Brigino-Buenaventura E, Cintron WR, Thyne SM, Rodriguez-Santana JR, Ford JG, Chapela R, Estrada AM, Sandoval K, Seibold MA, Winkler CA, Bleecker ER, Myers DA, Williams LK, Hernandez RD, Torgerson DG, Burchard EG. A genome-wide association and admixture mapping study of bronchodilator drug response in African Americans with asthma. The pharmacogenomics journal 2018. PMID: 30206298
Gignoux CR, Torgerson DG, Pino-Yanes M, Uricchio LH, Galanter J, Roth LA, Eng C, Hu D, Nguyen EA, Huntsman S, Mathias RA, Kumar R, Rodriguez-Santana J, Thakur N, Oh SS, McGarry M, Moreno-Estrada A, Sandoval K, Winkler CA, Seibold MA, Padhukasahasram B, Conti DV, Farber HJ, Avila P, Brigino-Buenaventura E, Lenoir M, Meade K, Serebrisky D, Borrell LN, Rodriguez-Cintron W, Thyne S, Joubert BR, Romieu I, Levin AM, Sienra-Monge JJ, Del Rio-Navarro BE, Gan W, Raby BA, Weiss ST, Bleecker E, Meyers DA, Martinez FJ, Gauderman WJ, Gilliland F, London SJ, Bustamante CD, Nicolae DL, Ober C, Sen S, Barnes K, Williams LK, Hernandez RD, Burchard EG. An admixture mapping meta-analysis implicates genetic variation at 18q21 with asthma susceptibility in Latinos. The Journal of allergy and clinical immunology 2018. PMID: 30201514
Nardone A, Neophytou AM, Balmes J, Thakur N. Ambient Air Pollution and Asthma-Related Outcomes in Children of Color of the USA: a Scoping Review of Literature Published Between 2013 and 2017. Current allergy and asthma reports 2018. PMID: 29663154
Hiatt RA, Handley MA, Ling PM, Burchard E, Thakur N, Bibbins-Domingo K. Origins of Cancer Disparities in Young Adults: Logic Models to Guide Research. Volume 53 of Issue 3S1. American journal of preventive medicine 2017. PMID: 28818252
Carlson S, Borrell LN, Eng C, Nguyen M, Thyne S, LeNoir MA, Burke-Harris N, Burchard EG, Thakur N. Self-reported racial/ethnic discrimination and bronchodilator response in African American youth with asthma. Volume 12 of Issue 6. PloS one 2017. PMID: 28609485
Galanter JM, Gignoux CR, Oh SS, Torgerson D, Pino-Yanes M, Thakur N, Eng C, Hu D, Huntsman S, Farber HJ, Avila PC, Brigino-Buenaventura E, LeNoir MA, Meade K, Serebrisky D, Rodríguez-Cintrón W, Kumar R, Rodríguez-Santana JR, Seibold MA, Borrell LN, Burchard EG, Zaitlen N. Differential methylation between ethnic sub-groups reflects the effect of genetic ancestry and environmental exposures. Volume 6. eLife 2017. PMID: 28044981
Oh SS, Du R, Zeiger AM, McGarry ME, Hu D, Thakur N, Pino-Yanes M, Galanter JM, Eng C, Nishimura KK, Huntsman S, Farber HJ, Meade K, Avila P, Serebrisky D, Bibbins-Domingo K, Lenoir MA, Ford JG, Brigino-Buenaventura E, Rodriguez-Cintron W, Thyne SM, Sen S, Rodriguez-Santana JR, Williams K, Kumar R, Burchard EG. Breastfeeding associated with higher lung function in African American youths with asthma. Volume 54 of Issue 8. The Journal of asthma : official journal of the Association for the Care of Asthma 2016. PMID: 27929698
Thakur N, Barcelo NE, Borrell LN, Singh S, Eng C, Davis A, Meade K, LeNoir MA, Avila PC, Farber HJ, Serebrisky D, Brigino-Buenaventura E, Rodriguez-Cintron W, Thyne S, Rodriguez-Santana JR, Sen S, Bibbins-Domingo K, Burchard EG. Perceived Discrimination Associated With Asthma and Related Outcomes in Minority Youth: The GALA II and SAGE II Studies. Volume 151 of Issue 4. Chest 2016. PMID: 27916618
Neophytou AM, White MJ, Oh SS, Thakur N, Galanter JM, Nishimura KK, Pino-Yanes M, Torgerson DG, Gignoux CR, Eng C, Nguyen EA, Hu D, Mak AC, Kumar R, Seibold MA, Davis A, Farber HJ, Meade K, Avila PC, Serebrisky D, Lenoir MA, Brigino-Buenaventura E, Rodriguez-Cintron W, Bibbins-Domingo K, Thyne SM, Williams LK, Sen S, Gilliland FD, Gauderman WJ, Rodriguez-Santana JR, Lurmann F, Balmes JR, Eisen EA, Burchard EG. Air Pollution and Lung Function in Minority Youth with Asthma in the GALA II (Genes-Environments and Admixture in Latino Americans) and SAGE II (Study of African Americans, Asthma, Genes, and Environments) Studies. Volume 193 of Issue 11. American journal of respiratory and critical care medicine 2016. PMID: 26734713
Oh SS, Galanter J, Thakur N, Pino-Yanes M, Barcelo NE, White MJ, de Bruin DM, Greenblatt RM, Bibbins-Domingo K, Wu AH, Borrell LN, Gunter C, Powe NR, Burchard EG. Diversity in Clinical and Biomedical Research: A Promise Yet to Be Fulfilled. Volume 12 of Issue 12. PLoS medicine 2015. PMID: 26671224
McGarry ME, Castellanos E, Thakur N, Oh SS, Eng C, Davis A, Meade K, LeNoir MA, Avila PC, Farber HJ, Serebrisky D, Brigino-Buenaventura E, Rodriguez-Cintron W, Kumar R, Bibbins-Domingo K, Thyne SM, Sen S, Rodriguez-Santana JR, Borrell LN, Burchard EG. Obesity and bronchodilator response in black and Hispanic children and adolescents with asthma. Volume 147 of Issue 6. Chest 2015. PMID: 25742612
Pino-Yanes M, Thakur N, Gignoux CR, Galanter JM, Roth LA, Eng C, Nishimura KK, Oh SS, Vora H, Huntsman S, Nguyen EA, Hu D, Drake KA, Conti DV, Moreno-Estrada A, Sandoval K, Winkler CA, Borrell LN, Lurmann F, Islam TS, Davis A, Farber HJ, Meade K, Avila PC, Serebrisky D, Bibbins-Domingo K, Lenoir MA, Ford JG, Brigino-Buenaventura E, Rodriguez-Cintron W, Thyne SM, Sen S, Rodriguez-Santana JR, Bustamante CD, Williams LK, Gilliland FD, Gauderman WJ, Kumar R, Torgerson DG, Burchard EG. Genetic ancestry influences asthma susceptibility and lung function among Latinos. Volume 135 of Issue 1. The Journal of allergy and clinical immunology 2014. PMID: 25301036
Thakur N, Martin M, Castellanos E, Oh SS, Roth LA, Eng C, Brigino-Buenaventura E, Davis A, Meade K, LeNoir MA, Farber HJ, Thyne S, Sen S, Bibbins-Domingo K, Borrell LN, Burchard EG. Socioeconomic status and asthma control in African American youth in SAGE II. Volume 51 of Issue 7. The Journal of asthma : official journal of the Association for the Care of Asthma 2014. PMID: 24654704
Thakur N, McGarry ME, Oh SS, Galanter JM, Finn PW, Burchard EG. The lung corps' approach to reducing health disparities in respiratory disease. Volume 11 of Issue 4. Annals of the American Thoracic Society 2014. PMID: 24697756
Thakur N, Oh SS, Nguyen EA, Martin M, Roth LA, Galanter J, Gignoux CR, Eng C, Davis A, Meade K, LeNoir MA, Avila PC, Farber HJ, Serebrisky D, Brigino-Buenaventura E, Rodriguez-Cintron W, Kumar R, Williams LK, Bibbins-Domingo K, Thyne S, Sen S, Rodriguez-Santana JR, Borrell LN, Burchard EG. Socioeconomic status and childhood asthma in urban minority youths. The GALA II and SAGE II studies. Volume 188 of Issue 10. American journal of respiratory and critical care medicine 2013. PMID: 24050698
Nishimura KK, Galanter JM, Roth LA, Oh SS, Thakur N, Nguyen EA, Thyne S, Farber HJ, Serebrisky D, Kumar R, Brigino-Buenaventura E, Davis A, LeNoir MA, Meade K, Rodriguez-Cintron W, Avila PC, Borrell LN, Bibbins-Domingo K, Rodriguez-Santana JR, Sen S, Lurmann F, Balmes JR, Burchard EG. Early-life air pollution and asthma risk in minority children. The GALA II and SAGE II studies. Volume 188 of Issue 3. American journal of respiratory and critical care medicine 2013. PMID: 23750510
Thakur N, Blanc PD, Julian LJ, Yelin EH, Katz PP, Sidney S, Iribarren C, Eisner MD. COPD and cognitive impairment: the role of hypoxemia and oxygen therapy. Volume 5. International journal of chronic obstructive pulmonary disease 2010. PMID: 20856825