Julie Womack, PhD, CNM, FNP (BC), APRN
Associate Professor TenureCards
About
Research
Publications
2026
Associations Between Mental Health Conditions and Adverse Pregnancy Outcomes Among Active‐Duty Servicewomen
Manzo L, Hall C, Combellick J, Harpaz‐Rotem I, Phillips A, Burrell M, Kiang C, Womack J. Associations Between Mental Health Conditions and Adverse Pregnancy Outcomes Among Active‐Duty Servicewomen. Paediatric And Perinatal Epidemiology 2026 PMID: 41878886, DOI: 10.1111/ppe.70139.Peer-Reviewed Original ResearchMental health conditionsMental health diagnosesAdverse pregnancy outcomesHealth conditionsActive-duty servicewomenAssociation of mental health diagnosesHealth diagnosisPregnancy outcomesRisk ratioConfidence intervalsPoisson regression modelsRisk of preterm birthLive-birth pregnanciesMilitary populationDemographic characteristicsActive-dutyCivilian womenGestational diabetesPregnancy complicationsRegression modelsPreterm birthHigh riskComorbid diagnosesOutcomesRiskPerinatal mental health conditions among U.S. active component service women, 2016-2022.
Manzo L, Hall C, Harpaz-Rotem I, Phillips A, Womack J, Combellick J. Perinatal mental health conditions among U.S. active component service women, 2016-2022. MSMR Medical Surveillance Monthly Report 2026, 32: 36-43. PMID: 41687061, PMCID: PMC12965757.Peer-Reviewed Original ResearchConceptsActive duty service womenMental health conditionsPerinatal mental health conditionsPrevalence of mental health conditionsHealth conditionsYear postpartumService womenInternational ClassificationYear prior to pregnancyNon-Hispanic blacksClinical Modification diagnosis codesInternational Classification of DiseasesStressor-related disordersClassification of diseasesSuicidal ideationDepressive disorderMaternal mortalityLive-born deliveriesDiagnosis codesPostpartum periodActive component service womenPregnancy startPanic disorderPostpartumMilitary rank
2025
Concurrent Alcohol Use and the Relative Risk of Community‐Acquired Pneumonia Associated With Anticholinergic and Non‐Anticholinergic Neurocognitively Active Medication Receipt: A National Nested Case–Control Study Among US Veterans
Wang W, Crothers K, Akgün K, Gordon K, Rodriguez‐Barradas M, Womack J, Thompson J, Justice A, Rentsch C. Concurrent Alcohol Use and the Relative Risk of Community‐Acquired Pneumonia Associated With Anticholinergic and Non‐Anticholinergic Neurocognitively Active Medication Receipt: A National Nested Case–Control Study Among US Veterans. Pharmacoepidemiology And Drug Safety 2025, 34: e70279. PMID: 41340437, PMCID: PMC12676203, DOI: 10.1002/pds.70279.Peer-Reviewed Original ResearchConceptsNested Case-Control StudyConcurrent alcohol useOdds ratioCase-control studyAlcohol useRelative riskCommunity-acquired pneumoniaAt-risk consumptionRisk of community-acquired pneumoniaIncident CaP casesCohort entry dateActive medicationMedication receiptUS veteransSelf-report measuresMedication usePrimary exposureAlcohol consumptionConsuming alcoholHospital admissionCohort studyMedication typeIndex dateLogistic regressionIncidence densityBaseline Characteristics and Outcomes for the 4F Pilot for Persons Aging with HIV
Womack J, Johnson C, Hsieh E, Marottoli R, Stewart W, Virata M, Aoun-Barakat L. Baseline Characteristics and Outcomes for the 4F Pilot for Persons Aging with HIV. Innovation In Aging 2025, 9: igaf122.2674. PMCID: PMC12761088, DOI: 10.1093/geroni/igaf122.2674.Peer-Reviewed Original ResearchPatient's fracture riskFall risk assessment toolsAmbulatory care centersFracture riskConditions associated with agingRisk assessment toolMedication reconciliationMedication countHIV cliniciansClinician knowledgeOlder adultsFracture preventionYears of ageFRAX scoreBaseline patient dataPersons ageFragility fracturesAssessment toolCare centerRisk factorsBaseline characteristicsMean ageAdverse outcomesHIVHigh riskAssociation Between Herpes Zoster and Risk of Incident Fragility Fractures in US Veterans: A Matched Cohort Study
Yousuf C, Womack J, Bedimo R, Rentsch C, Warren‐Gash C. Association Between Herpes Zoster and Risk of Incident Fragility Fractures in US Veterans: A Matched Cohort Study. Journal Of The American Geriatrics Society 2025, 73: 3778-3788. PMID: 41103253, PMCID: PMC12748036, DOI: 10.1111/jgs.70174.Peer-Reviewed Original ResearchRisk of fragility fracturesHigh risk of fragility fracturesIncident fragility fractureFragility fracturesHigh riskCohort studyVeterans Aging Cohort StudySite of careAging Cohort StudyPotential effect modifiersMatched Cohort StudyHerpes zosterHZ diagnosisNon-VeteransOlder adultsFracture preventionUS veteransLong-term bone healthHealthcare systemEffect modifiersCalendar timeVeteransFemale populationMatched veteransBone healthInterdisciplinary Development and Fine-Tuning of CARDIO, a Large Language Model for Cardiovascular Health Education in HIV Care: Tutorial
Rullo R, Maatouk A, Huang T, Chen J, Qiu W, O'Connor G, Womack J, Sadak T, Rodriguez C, Carneiro P, de Jesus Espinosa T, Marshall A, Ying R, Ramos S. Interdisciplinary Development and Fine-Tuning of CARDIO, a Large Language Model for Cardiovascular Health Education in HIV Care: Tutorial. Journal Of Medical Internet Research 2025, 27: e77053. PMID: 40794856, PMCID: PMC12475882, DOI: 10.2196/77053.Peer-Reviewed Original ResearchConceptsCardiovascular health educationHIV careHealth educationPatient educationChronic illnessPrevalence of chronic illnessCardiovascular health promotionHealth care consumersEvidence-based sourcesHealth promotionCare consumersPatient teachingFinancial toxicityHealth carePatient careData-based developmentInterdisciplinary teamLanguage modelPrevention educationCarePilot testHealthPublic healthEconomic burdenDevelopment of cardio-P-567. Baseline Patient and Clinician Results for the Pilot Project I-CARE-4-PAH (Intervention for Collaborative Care to Assess Risk and Eliminate polyPharmacy, Falls, and Fragility Fractures for People Aging with HIV)
Womack J, Johnson C, Danvers K, Hsieh E, Lauro M, Marottoli R, Murphy A, Payne E, Sheehan L, Stewart W, Virata M, Barakat L. P-567. Baseline Patient and Clinician Results for the Pilot Project I-CARE-4-PAH (Intervention for Collaborative Care to Assess Risk and Eliminate polyPharmacy, Falls, and Fragility Fractures for People Aging with HIV). Open Forum Infectious Diseases 2025, 12: ofae631.765. PMCID: PMC11777831, DOI: 10.1093/ofid/ofae631.765.Peer-Reviewed Original ResearchMedication reconciliationHIV cliniciansYears of ageHIV primary careIntersecting risk factorsAcademic HIV clinicPre-test assessmentPeripheral neuropathyClinician championsFall preventionPrimary careHealthcare providersIdentified polypharmacySmoking tobaccoAssociated with ageHIV clinicFRAX scorePlantar surfaceFragility fracturesQuarter of patientsRisk factorsDecreased sensationFracture riskHIVTraining resources
2024
The Feasibility and Acceptability of a Clinical Pharmacist-delivered Intervention to Reduce Bothersome Health Symptoms from Polypharmacy and Alcohol Use and Communicate Risk among People with HIV: Pilot Study Protocol
Womack J, Leblanc M, Sager A, Zaets L, Maisto S, Garcia A, Aoun-Barakat L, Brown S, Edelman E, Fiellin D, Fisher J, Fraenkel L, Kidwai-Khan F, Marconi V, Martino S, Pulk R, Satre D, Virata M, Justice A, Hsieh E. The Feasibility and Acceptability of a Clinical Pharmacist-delivered Intervention to Reduce Bothersome Health Symptoms from Polypharmacy and Alcohol Use and Communicate Risk among People with HIV: Pilot Study Protocol. AIDS And Behavior 2024, 29: 482-496. PMID: 39465468, PMCID: PMC12323700, DOI: 10.1007/s10461-024-04533-6.Peer-Reviewed Original ResearchUnhealthy alcohol useAlcohol usePharmacist-delivered interventionVeterans Aging Cohort StudyPilot study protocolStudy protocolElectronic health recordsSupport behavior changePre-test/post-test designAging Cohort StudySelf-administered surveyAlcohol use disorderAlcohol Research CenterBothersome symptomsPre-test/post-testCommunicating riskHealth recordsLong-term medicationHealth symptomsCounseling interventionCounseling sessionsSessions 2 weeksQualitative interviewsAlcohol consumptionUse disorderBoneScore: A natural language processing algorithm to extract bone mineral density data from DXA scans
Fodeh S, Wang R, Murphy T, Kidwai-Khan F, Leo-Summers L, Tessier-Sherman B, Hsieh E, Womack J. BoneScore: A natural language processing algorithm to extract bone mineral density data from DXA scans. Health Informatics Journal 2024, 30: 14604582241295930. PMID: 39526751, PMCID: PMC11872221, DOI: 10.1177/14604582241295930.Peer-Reviewed Original ResearchConceptsT-score valuesT-scoreNLP algorithmsDXA scansFemoral neck T-scoreNatural language processing algorithmsBone mineral density dataLanguage processing algorithmsBone mineral densityExtract annotationsRegular expressionsTest dataProcessing algorithmsDXA reportsMineral densityAlgorithmMultivariate linear regressionClinical face validityRisk factorsPresence of informationDXANLPClinical validationClinical expertsAccuracyLeveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration
Wang K, Hendrickson Z, Miller M, Abel E, Skanderson M, Erdos J, Womack J, Brandt C, Desai M, Han L. Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration. Medical Care 2024, 62: 458-463. PMID: 38848139, PMCID: PMC12902927, DOI: 10.1097/mlr.0000000000002017.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationElectronic health recordsResidential addressesHealth recordsHealth AdministrationLeveraging electronic health recordsInfluence health care utilizationVeterans Health Administration dataAssociations of sociodemographicsHealth care utilizationHealth care systemPatient's residential addressCross-sectional analysisGeneralized logistic regressionCare utilizationHealth systemResidential mobilitySubstance use disordersCare systemPatient's residenceLogistic regressionVeteransMultinomial outcomesHealthOdds
News
News
- September 25, 2025
Yale To Launch Center Promoting Healthy Aging With HIV
- September 14, 2021Source: Yale Daily News
Yale researchers investigate bone fragility in HIV patients
- September 02, 2021
New Award To Study Risk Model For Fractures in Persons With HIV
- June 06, 2020
Fourth Virtual Dean's Workshop Highlights Mathematical Modeling as a Valuable COVID-19 Tool