Shari Rogal1,2,3, Mary Amanda Dew4,5,6,7, Andrea DiMartini2,4. 1. Center for Health Equity Research and Promotion VA Pittsburgh Medical Center, Pittsburgh, PA. 2. Department of Surgery, University of Pittsburgh, Pittsburgh, PA. 3. Department of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, PA. 4. Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA. 5. Department of Psychology, University of Pittsburgh, Pittsburgh, PA. 6. Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA. 7. Department of Biostatistics at the University of Pittsburgh, Pittsburgh PA.