Center for Global Health

James Ebert, M.D., M.B.A., M.P.H., F.A.A.P., Oscar Boonshoft Chair and Director

Bill Spears, Ph.D.

Associate Professor of Community Health and Pediatrics

Center for Global Health
3123 Research Blvd., #200
Kettering, OH 45420

(937) 258-5552
William.Spears@wright.edu


Education

Ph.D., Behavioral Sciences, University of Texas School of Public Health, 1991

M.A., Sociology, Texas Tech University, 1977

B.A., Sociology, Texas Tech University, 1974

Courses

Community Assessment

Applied Public Health Research Methods

Using GIS in Public Health

Research Interests

Community Health

Community Based Participatory Research

Demography

Epidemiology

Geographic Information Systems

Active Projects

  1. Recruitment and Retention of Minorities in Medical Research
  2. The Long Term Care Direct Service Workforce in Ohio
  3. Parents’ Perspectives on their Children’s Health Insurance: Plight of the Underinsured
  4. Montgomery County Oral Health Initiative
  5. Montgomery County Alcohol and Other Drugs Implementation Prevention Committee

Affiliations

American Public Health Association

Ohio Public Health Association

Community-Campus Partnerships for Health

Publications

Spears, W. (2012 – in press) Health Status, in Encyclopedia of Immigrant Health; 1st Edition, Loue, Sana; Sajatovic, Martha (Eds.), Springer Press, ISBN: 978-1-4419-5659-0

Mohamed, C and Spears W. Bexar County’s Dental Safety Net For Children: An Estimate of Our Capacity and Need. To be published in Texas Dental December 2010.

Pascoe JM, Lee M, Specht SL, McNicholas CI , Spears W, Gans A, Heneghan AM. Mothers with positive or negative depression screens evaluate a maternal resource guide. Journal of Pediatric Health Care, 2010; doi:10.1016/j.pedhc.2010.04.004

Sunil TS, Spears WD, Hook L, Castillo J, Torres C. (2010). Initiation of and Barriers to Prenatal Care Use Among Low-Income Women in San Antonio, Texas. Maternal and Child Health Journal, 14:133–140, DOI: 10.1007/s10995-008-0419-0

Franzini, L. Caughy, M. Spears, W. and Fernandez-Esquer, M. (2005) “Neighborhood economic conditions, social processes and self-rated health: A multilevel structural equation model” Social Science and Medicine, 61:1135-1150.

Davies, M, Spears, W, and Pugh, J. (2004) “What VA Providers Really Think About Clinical Practice Guidelines.” Federal Practitioner, 21(2):15-30.

Franzini, L and Spears, W. (2003) “Contributions of Social Context to Inequalities in Years of Life Lost To Heart Disease in Texas.” Social Science and Medicine, 57(10) 1847-1861.

Brackley,M., Davila, Y., Thornton, J., Leal, C., Mudd, G., Shafer, J., Castillo, P., Spears, W. (2003) “Community Readiness to Prevent Intimate Partner Violence in Bexar County.” Journal of Transcultural Nursing, 14(3) 227-236.

Warrick, C, Spears, W, Albert, DP, BakamaNume, B, Roes, L. (2003) “GIS and Rural Cancer Disparities.” Texas Journal of Rural Health, XX (4):25-34.

Speer, J, Spears, W, Blanchard, S, Warrick, C, and Reynolds, T. (2003) “Information for Rural Economic and Community Health: Concepts for an Information System.” Texas Journal of Rural Health, XX (4):62-70.

Franzini, LI, Ribble, and Spears, W. “The Effects of Income Inequality and Income Level on Mortality by Population Size in Texas Counties.” Journal of Health & Social Behavior, 42(4):373-87, December 2001.

Waller DK, Spears WD, Gu Y, Cunningham GC, "Assessing digit-specific error in the recall of onset of last menstrual period" Paediatric and Perinatal Epidemiology, 14(3), 263-267, Jul 2000.

Franzini L. Rosenthal J. Spears W. Martin HS. Balderas L. Brown M. Milne G. Drutz J. Evans D. Kozinetz C. Oettgen B. Hanson C. “Cost Effectiveness of Childhood Immunization Reminder/Recall Systems in Urban Private Pediatric Practices.” Pediatrics, 106 (1 Pt 2):177-183, July 2000.

Franzini, L. Rosenthal, J. King, H. Balderas, L. Brown, M. Milne, G. Drutz, J. Evans, D. Kozinetz, C. Oettgen, B. Spears, W. Hanson, I C, Cost and Effectiveness of Immunization Reminder/Recall Systems for Private Providers, Pediatric Research, 45(4), PART 2 OF 2:124A, Apr 1999.

Kerr, G., Ramsey, D., and Spears, W. “Searching for the Preventable Causes of Childhood Mortality: Texas Children, 1989-1991.” Texas Medicine, 95(7):56-64, July 1999.

Kennedy, V., Spears, W., Moore, F., and Loe, Jr, H.. “Public Health Workforce Information: A State-Level Study.” , 5(3):10-19, May 1999.

King, H S. Evans, D L. Balderas, L. Brown, M. Milne, G C. Drutz, J E. Franzini, L. Kozinetz, C. Oettgen, B. Rosenthal, J. Spears, W. Hanson, I C., Improving Return Visits In Private Provider Offices Through Immunization Reminder/Recall, Pediatric Research, Program Issue APS-SPR, 43(4 Supplement), 2:113, April 1998.

Kerr, G., Ying J., and Spears, W. Searching for Preventable Causes of Infant Mortality in Texas. Texas Medicine, 93(1):81-88, January 1997.

Morgenstern, L., Spears, W., Goff, D., Grotta, J., Nichaman, M. African American and Women have the Highest Stroke Mortality in Texas. Stoke, 28(1):15-18, January 1997.

Morgenstern, L., and Spears, W. “Tri-ethnic Comparison of Intracerebral Hemorrhage Mortality in Texas.” Annals of Neurology, 42(6):919-923, December 1997.

Hanson, I., Spears, W., Jenkins, K., Stoner, D., and the “All Kids Count” Epidemiology Working Group. Immunization Prevalence Rates for Infants in a Large Urban Center: Houston/Harris County, 1993. Texas Medicine, 92(3):66-71, March 1996.

Kerr, G., Ying, J., and Spears, W. Ethnic differences in causes of infant mortality: Texas birth, 1989 through 1991. Texas Medicine, 91(9):50-56, September 1995.

Kerr, G., Ying, J., Verrier, M., and Spears, W. Proportional differences in births and infant mortality rates among the triethnic population in Texas from 1984 through 1986. Texas Medicine, 91(3):50-57, March 1995.

Kennedy, V. and Spears, W. The Supply and Distribution of Primary Care Physicians and Medical School Enrollments in Texas. Texas Medicine, 90(9):60-70, September 1994.

Verrier, M., Spears, W., Ying, J., and Kerr, G. Patterns of Infant Mortality in Relation to Birth Weight Maternal Age, Parity, and Prenatal Care in Texas' Tri‑Ethnic Population, 1984 through 1986. Texas Medicine, 90(8):50-56, August 1994.

Verrier, M., Spears, W., Ying, J., and Kerr, G. Patterns of Birth Weight in Relation to Gestational Age, Maternal Age, Parity, and Prenatal Care in Texas' Tri‑Ethnic Population, 1984 through 1986. Texas Medicine, 89(12):51-56, December 1993.

Aday, L., Lee, E., Spears, W., Chung, C. and Youssef, A. Health Insurance and Utilization of Medical Care for Children with Special Health Care Needs. Medical Care, 31(11):1013-1026, November 1993.

Kennedy, V., Linder, S. and Spears, W. Estimating the Impact of State Manpower Policy: A Case Study of Reducing Medical School Enrollments. Journal of Health Politics, Policy and Law, 12(2):299-311, Summer 1987.

Knolle Jr., G.E., Justice Jr., J., Spears, W.D. Iris fixation suturing of intraocular lenses. Ophthalmology 88 (5): 407-409, 1981.

Quesada, G, Spears, W., and Ramos, P. Inter‑racial Depressive Epidemiology in the Southwest. Journal of Health and Social Behavior, 19(1):77‑85, March 1978.

Book Chapters

Warrick, C, Culica, D, Quill, B, Spears, W, and Vojvodic, R. Community Development and Public Health in Reinventing Public Health: Policies and Practices for a Healthy Nation. L.A. Aday editor. Jossey-Bass, San Francisco, 2005

Presentations

Neale V, Campbell-Voytal K, M Potter M, Tsoh J, Sussman A, Brown A, Albrecht T, Getrich C, McPherson L, Pascoe J, Schwartz K, Spears W, Weller N, Williams R. National Collaboration to Develop Best Practices for Recruiting Ethnically Diverse Patients into PBRN Studies: A PRIME Net Report. Presented at the AHRQ Practice Based Research Network Research Conference in Bethesda, MD, June 17, 2010

Spears, W, Pascoe, J. Workshop on Survey Design for PBRNs. Presented at the AHRQ Practice Based Research Network Research Conference in Bethesda, MD, June 16, 2010

William Spears W, Pascoe J, McNicholas C, Zagory J, Pakvasa, M. Parents’ Perspectives on their Children’s Health Insurance: Plight of the Underinsured. Presented at the AHRQ Practice Based Research Network Research Conference in Bethesda, MD, June 16, 2010.

Spears, W, Pascoe, J. Workshop on Survey Design. Presented at the AHRQ Practice Based Research Network Research Conference in Bethesda, MD, June 24, 2009

Pascoe, J, Spears W, Forbis, S, and Saunders, J. Parents Perception of their Children’s Asthma, 2002‐2008: A Community‐Based Study. Accepted for presentation at the Pediatrics Academic Societies in Baltimore, MD, May 2, 2009

Spears, W. Community Wellness for the Westside of San Antonio, TX: A Community Based Participatory Research Approach. Invited presentation to the Wright State University Boonshoft School of Medicine, Department of Community Health, January 26, 2009

Kimberly Conner, Dionne Simmons, Carla M. Clasen, and William Spears. Community Health Workers (CHW) fill many different roles and work in many different capacities Presented at the 136th Annual Meeting in San Diego, CA, October 28, 2008

Dionne Simmons, Carla M. Clasen, Kimberly Conner, Jacob Wishart and William Spears. Substance Abuse plays an important role in the number of children being raised by grandparents and other relatives. Poster presentation at the 136th Annual Meeting in San Diego, CA, October 28, 2008

Spears, W, Moore, F, Blanchard, S, Lopez, A. Panel on Community Based Health Assessment presented at 2008 Annual Conference on Assessment in Atlanta, GA, August 18, 2008

Spears, W. A Broad Based Approach to Community Assessment" Applied Demography and Public Health Issues at the Applied Demography Conference in San Antonio, January 7th-9th, 2007

Spears, W. and VonVille, H. A Community Health Assessment Resource for Texas (CHART): Enhancing Access to Health Statistics through Collaboration. Presented at the 132th APHA Annual Meeting in Washington, DC, November 2004.

Franzini, L. Caughy, M. Spears, W. and Fernandez-Esquer, M. Neighborhood economic conditions, social processes and self-rated health: A multilevel structural equation model. To be presented at the 132th APHA Annual Meeting in Washington, DC, November 2004.

Franzini, L. Caughy, M. Spears, W. and Fernandez-Esquer, M. Do differences in neighborhood SES, physical, and social characteristics explain racial/ethnic disparities in self-rated health? To be presented at the 132th APHA Annual Meeting in Washington, DC, November 2004.

Bell, ML, Boyles, R, and Spears, W. Developing and Sustaining a Coalition thru Trials and Tribulation. Presented at the Annual NOAPP Conference in San Diego, CA November 2002.

Spears, W, Brackley, M, Blanchard, S, and Prosterman, A. “Bexar County community assessment: A collaborative approach.” Presented at the 130th APHA Annual Meeting in Philadelphia, November 2002.

Franzini, L, et al. “Health, socioeconomic indicators, social support, and religiosity: A comparison of US born and Mexico born Mexican Americans in Texas.” Presented at the 130th APHA Annual Meeting in Philadelphia, November 2002.

Franzini, L, Ribble, J, Perez, N, Montoya, M, Caughy, M, Fernandez-Esquer, M, Risser, J, and Spears, W. “Health, socioeconomic indicators, social support, and religiosity: A comparison of US born and Mexico born Mexican Americans in Texas.” Presented at the 130th APHA Annual Meeting in Philadelphia, November 2002.

Franzini, L, Ribble, J, Perez, N, Montoya, M, Caughy, M, Fernandez-Esquer, M, Risser, J, and Spears, W. “Effect of religiosity and spirituality on self-perceived health among Hispanics, African-Americans and non-Hispanic Whites.” Presented at the 130th APHA Annual Meeting in Philadelphia, November 2002.

Franzini, L, and Spears, W. “Contribution of social context to years of life lost to heart disease in Texas.” Presented at the 130th APHA Annual Meeting in Philadelphia, November 2002.

Thornton, J, Spears, W, and Brackley, M. An Adult Fatality Review Team Developed as a Coordinated Community Response to Preventing Intimate Partner Violence. Presented at the 2nd National Conference on Health Care and Domestic Violence, Atlanta, Georgia. September 27, 2002

Jan M H Risser, PhD, Carrie Shapiro, William Spears, PhD. Injury Mortality in Texas and the Lower Rio Grande Valley, 1980-1998. Presented at the 129th APHA Annual Meeting in Atlanta, Oct 2001

L Franzini, J Ribble, N Perez, B Amick, M Caughy, M Fernandez-Esquer, A Keddie, J Risser, W Spears. Social Cohesion and Health in Hispanic Communities: a qualitative analysis. Presented at the 129th APHA Annual Meeting in Atlanta, Oct 2001

J M Risser and W Spears. Mortality in Texas and the Lower Rio Grande Valley Hispanics, 1980-1998. Congress of Epidemiology, June 2001

W Spears, R. Wood, and G. Martellotto. The Lower Rio Grande Valley Community Information System. Presented at the TPHA Annual Meeting in El Paso, March 2001

W. Spears. The Lower Rio Grande Valley Community Assessment. Presented at Symposium 2000 in South Padre Island, TX, Nov 2000

W. Spears. Basic Demography. Presented at Texas Demographic and Economic Association, Houston, TX, April 9, 1997.

Hanson, L. Franzini, W. Spears, D. Evans, C. Kozinetz. A Cost Effectiveness Study of Immunization Reminder/Recall Systems for Private Providers: A Manual Postcard versus a Computerized Telephone Message. Presented at the Annual APHA meeting in New York, November, 1996.

W. Spears, L. Morgenstern, D. Goff, J. Grotta, M. Nichaman. Is Stroke Mortality Increasing? Presented at the American Academy of Neurology Meetings in San Francisco, CA, March 28, 1996.

L. Morgenstern, W. Spears, D. Goff, J. Grotta, M. Nichaman. Race/Ethnic Gender Differences in Stroke Mortality. Presented at the American Heart Association Meetings in San Antonio, TX, January 1996.

A. Carson, M. Detry, S. Vodehnal, W. Spears, K. Burau. City Of Houston Childhood Lead Poisoning Prevention Program: Case Density and Impact Analysis. Poster session at University of Texas Health Science Center, Research Day, Houston, TX, Nov 7. 1996.

K. Waller and W. Spears. Can Digit Preferences in the First Day of the Last Menstrual Period be used to Identify Pregnancies with the least accurate Gestational Age? Presented at the Epidemiology Meetings in CA, June 23, 1995

W. Spears. Findings of the Houston-Galveston-Brazoria CMSA Community-Wide Health Needs Assessment. Presented to the Harris County Medical Society Committee on Public Health in Houston, TX, July 19, 1994.

W. Spears. Establishing and Using Community Health Information Systems. Presented at the Health Care Conference in Houston, TX, July 8, 1994

W. Spears. Collection and Surveillance Issues for South East Asian Health. Presented at the South East Asian Health and Community Issues Symposium in Houston, TX, May 14, 1994

L. Aday, E. Lee, W. Spears, C. Chung , and A. Youssef. Health Insurance and Utilization of Medical Care for Children with Special Care Needs. Presented at the American Public Health Association Meetings in Washington, DC, November 9, 1992

W. Spears. A Microcomputer-based Hispanic HANES System: An Example of HANES Analysis. Presented at the National Center for Health Statistics seminar: Analyzing HANES Data: A Beginner's How To, March 19, 1989 in New Orleans, LA, and May 4, 1989 in Tampa, FL.

W. Spears. An On‑line Data Retrieval System. Presented at the National Center for Health Statistics Tape Users Conference in Silver Spring, MD, July 1986.

W. Spears. Using Microcomputers for Analysis of Large Datasets. Presented at the National Center for Health Statistics Tape Users Conference in Silver Spring, MD, July 1984.

W. Spears, and K. Shaw. Personalized Eye Care: The Chronic Case. Presented at the Texas Public Health Association meetings in San Antonio, TX, February 1980.

W. Spears, C. Kurtzman and R. Williams. Automated Patient History: The Personal Touch. Presented at the Computers in Ophthalmology meetings at St. Louis, MO, April 1979.

G. Knolle, W. Spears and J. Justice Jr. Discussion ‑ Advantages and disadvantages of KPE. Presented at the American Academy of Ophthalmology, Kansas City, MO, November 1978.

W. Spears, and G. Quesada. Research in Rural Brazil. Presented at the meeting of the Rocky Mountain Council of Latin American Studies, Las Cruces, New Mexico, February 1976.