Silva will work on a book about the persistence of health disparities using electronic health records, physicians’ notes, and interviews with 48 White women and 40 Black and Latina women without a college degree. She will examine how divergences between the medical records and patient narratives might be associated with inappropriate treatment plans, patient “noncompliance,” and missed appointments that contribute to health disparities and the underlying social factors that contribute to poor quality of life and barriers to achieving care and well-being.