February 19, 2019

Pebbles Fagan, Ph.D., M.P.H.

Professor and Director of the Center for the Study of Tobacco
Department of Health Behavior and Health Education
UAMS Fay W. Boozman College of Public Health

Research Interest Statement

Tobacco use causes one-third of all cancers and 90 percent of lung cancers. Tobacco use and its consequences disproportionately impact young people, minority racial/ethnic groups, the socioeconomically disadvantaged and other marginalized groups. My research lab is dedicated to understanding the social, biological and environmental factors that influence tobacco and cancer health disparities and identifying effective policies and community and clinical interventions that reduce disparities. Our intervention research seeks to develop effective strategies that reduce secondhand smoke exposure among African-American women and their families and increase access and utilization of health and social services. Our surveillance research aims to understand how flavors and tobacco product characteristics influence the uptake and maintenance of tobacco products, strategies used by tobacco industry to market flavored products, and the influence of peer-to-peer social media marketing on consumers’ perceptions and knowledge of menthol cigarettes and flavored cigars and electronic cigarettes.


FDA – R13 FD006611-01

A Tobacco Regulatory Agenda for Vulnerable and Disparate Groups: Developing a Blueprint for Research, Policy, and Regulatory Standards

Engages research and advocacy leaders in a systematic process for identifying research questions and policies that could potentially impact vulnerable and disparate groups and develop a blueprint for action that will stimulate research and policies that impact these groups.

Role: PI




NCI – R01 CA202277-02

Prospective Effects of Electronic Cigarette Marketing Expectancies and Behavior

Employs a longitudinal design and the dual-process theoretical framework to determine the roles of outcome expectancies and implicit attitudes in explaining the effects of electronic cigarette marketing on electronic cigarette and cigarette use progression among college students.

Role: Co-Investigator (PI – Pokhrel)




NIMHD – U54 MD002329-11 (subproject 6836)

Reducing Tobacco Smoke Exposures among Low Income Children and Women Caregivers in the Arkansas Delta Region

As part of the Arkansas Center for Health Disparities, this research project aims to reduce the burden of multiple tobacco exposures, improve access to preventive care, and reduce the risk for chronic diseases among socially disadvantaged African American women and children.

Role: Subproject PI (PI – Raczynski)




NIDA – U54 DA036105-06 (subproject 6790)

Contextual Knowledge Core

Uses a combination of qualitative and quantitative techniques to inform Projects 1-4 so that testing conditions and data collection instruments reflect current, real-world conditions.

Role: Core Director/PI of Contextual Knowledge Core (PI – Eissenberg)



*cancer related annual direct costs


Dr. Fagan’s UAMS Collaborators

  • Keneshia Bryant Moore, Ph.D., R.N., FNP-BC
  • Carol Cornell, Ph.D.
  • Tiffany Haynes, Ph.D.
  • Ronda Henry-Tillman, M.D.
  • Rachel Hale, M.A.
  • Ping Ching Hsu, Ph.D.
  • Anna Huff Davis, B.S.
  • Margarete Kulik, Ph.D.
  • Mohammed Orloff, Ph.D.
  • Elaine Prewitt, Ph.D.
  • Martha Phillips, Ph.D.
  • Michael Preston, Ph.D.
  • James Raczynski, Ph.D.
  • James Selig, Ph.D.
  • Nicola Spencer, M.H.A.
  • Kate Stewart, M.D., M.P.H.
  • Joseph Su, Ph.D., M.P.H.
  • Karen Yeary, Ph.D.
  • Wendy Nembhard, Ph.D., M.P.H., FACE
  • … among others.

Dr. Fagan’s External Collaborators

  • Linda Alexander, Ed.D. (West Virginia University)
  • Francisco Buchting (Horizons Foundation)
  • Kevin Cassel, Dr.P.H., M.P.H. (University of Hawaii, Manoa)
  • Mark Clanton, M.D., M.P.H. (Accenture)
  • Naomi Cottoms (Tri-County Rural Health Network)
  • Katherine Donald (Coalition for a Tobacco Free Arkansas)
  • Thomas Eissenberg, Ph.D. (Virginia Commonwealth University)
  • Mignonne Guy, Ph.D. (Virginia Commonwealth University)
  • Thaddeus Herzog, Ph.D., (University of Hawaii, Manoa)
  • Eric Moolchan, M.D. (independent)
  • Valandra Oliver, Ph.D., M.P.H. (University of Arkansas, Pine Bluff)
  • Pallav Pokhrel, Ph.D., M.P.H. (University of Hawaii, Manoa)
  • Kari-Lyn Sakuma (Oregon State University)
  • Eric Soule, Ph.D. (Eastern Carolina University)
  • Dennis Trinidad, Ph.D., M.P.H. (University of California, San Diego)
  • … among others.

Opportunities for Collaboration

I welcome collaborations with social scientists, epidemiologists, policy researchers, physician scientists, community-based organizations and other researchers interested in reducing the disproportionate burden of tobacco use on vulnerable and disparate groups.

You Might Not Know That …

I enjoy cooking, live music, boating and walking.

Select Cancer-Related Publications

Fagan, P., Guy, M., Alexander, L.A., Oliver, V. (in press).  Those left behind in the cinders of tobacco combustion.   Current Reports.

Apopa, P., Alley, L., Penney, R., Arnaoutakis, K., Steliga, M., Jeffus, S., Bircan, E., Gopalan, B., Jin, L., Patumcharoenpol, P., Jenjaroenpun, P., Wongsurawat, T., Shah, N., Boysen, G., Ussery, D., Nookaew, I., Fagan, P., Bebek, G., Orloff, M. (2018).  PARP1 is up-regulated in non-small cell lung cancer tissues in the presence of the cyanobacterial toxin microcystin. Frontiers Microbiology. 9:1757. doi: 10.3389/fmicb.2018.01757.

Pokhrel, P., Herzog, T.A., Fagan, P., Unger, J.B., Stacy, A.W. (2018). E-cigarette advertising exposure, explicit and implicit harm perceptions, and e-cigarette use susceptibility among non-smoking young adults. Nicotine & Tobacco Research Feb 10.doi: 10.1093/ntr/nty030.

 Fagan, P., Pokhrel, P., Herzog, T.A, Guy, M.C., Moolchan, E.T., Cassel, K.D., Franke, A., Li, X., Pagano, I., Trinidad, D., Sakuma, K., Sterling, K., Jorgensen, D., Lynch, T., Kawamoto, C.T., Guy, M.C., Lagua, I., Hanes, S., Alexander, L., Clanton, M.S., Graham-Tutt, C. Eissenberg, T. Addictive Carcinogens Workgroup (2017). Sugar and aldehyde content in flavored electronic cigarette liquids. Nicotine & Tobacco Research, 2017 Nov 22. doi:10.1093/ntr/ntx234.

Sterling, K., Fryer, C., Pagano, I., Fagan, P.  (2017). Misperceptions and uncertainty about flavored little cigars and cigarillos: identifying at risk cigarette smokers. Tobacco Regulatory Science, 3(supplement 1), 17-30.  doi.org/10.18001/TRS.3.2(Suppl1).3

Buchting, F.O., Emory, K., Scout, Yoosang, K., Fagan, P., Vera, L., Emery, S. (2017). Transgender tobacco use in the US: Current cigarette, cigar, and e-cigarette use in a national representative study. American JouR.N.al of Preventive Medicine, Jul;53(1):e1-e7. doi: 10.1016/j.amepre.2016.11.022.

Sterling, K., Pagano, I., Fryer, C., Fagan, P. (2016).  Association between menthol-flavoured cigarette smoking and flavoured little cigar and cigarillos use among a sample of African American, Hispanic, and White young and middle-aged adult smokers.  Tobacco Control, Nov;25(Suppl 2):ii21-ii31. doi:10.1136/tobaccocontrol-2016-053203.

Sakuma, K., Felicitas-Perkins, J., Blanco, L., Fagan, P., Perez-Stables, E.J., Pulvers, K., Romero, D. Trinidad, D. (2016).  Tobacco use disparities by racial/ethnic groups: California compared to the United States. Preventive Medicine, 2016 Oct;91:224-232. doi:10.1016/j.ypmed.2016.08.035.

Pokhrel, P., Herzog, T., Koholokula, J.K., Trinidad, D., Fagan, P. (2016). Social network characteristics, social support, and cigarette smoking among Asian/Pacific Islander young adults. American JouR.N.al of Community Psychology. Jun;57(3-4):353-65. doi: 10.1002/ajcp.12063.

Alexander, L., Trinidad, D.R., Sakuma, K.L, Pokhrel, P., Herzog, T., Clanton, M.S., Moolchan, E.T., Fagan, P. (2016). Why we must continue to investigate menthol’s role in the African American smoking paradox. Nicotine & Tobacco Research, Apr;18 Suppl 1:S91-S101.