Sarah Becker Hortsch, Ph.D., MSW, RN

Clinical Assistant Professor
Department of Health Behaviors and Biological Sciences
Undergraduate Studies Program
Room 2336 NURS1

University of Michigan School of Nursing
400 North Ingalls Building
Ann Arbor, MI 48109-5482

Telephone: 734-255-0491
Fax: 734-936-5525


  • Evolutionary Medicine and Chronic Disease
  • Bladder Health
  • Mental Health
  • Global Health

Dr. Hortsch’s program of research focuses on the mismatch between the modern nutritional environment and our hunter-gatherer bodies, primarily looking at chronic disease of the bladder in women.


Dr. Hortsch teaches both didactic and clinical courses in the undergraduate program. Her teaching pedagogy centers around developing critical thinking skills in a supportive and motivating learning environment. She challenges students to reflect on their biases and assumptions surrounding mental health and global health, and believes that her passion for teaching and the nursing profession is important in motivating her students.

Affiliations / Service

  • Member, Sigma Theta Tau, Rho Chapter, 2003-present
  • Member, International Continence Society, 2018-present
  • Member, American Nurses Asociation, 2018-present
  • Member, International Society of Psychiatric-Mental Health Nurses, 2019-present
  • Member, International Society of Evolution, Medicine, and Public Health, 2020-present


  • Ph.D., University of Michigan, Ann Arbor, MI 2018
  • MSW, University of Michigan, Ann Arbor, MI 1990
  • BS, Nursing, University of Utah, Salt Lake City, UT 2003
  • BA, Psychology, University of Michigan, Ann Arbor, MI 1984

Publication Highlights

  • Hortsch, SB, Smith, AR, Schimpf, MO, Miller, JM. (2022). The Beverage Intake Explosion: An evolutionary mismatch proof of concept. Evolution, Medicine, and Public Health. Submitted for review.

  • Miller, JM, Schimpf, M, Hawthorne, K, Hortsch, SB, Garcia, C, Smith, AR. (2021). Fluids affecting bladder urgency and lower urinary symptoms (FABULUS): results from a randomized controlled trial.
    International Urogynecology Journal. Accepted for publication.

  • Hortsch, SB (2018). The female overactive bladder in our beverage-centered society: An evolutionary perspective. [Doctoral dissertation, University of Michigan, Ann Arbor]. Proquest Dissertations Abstracts International, Vol: 79-12(E), Section: B.

  • Miller, JM, Garcia, CE, Hortsch, SB, Ying, G, Schimpf, MO (2016).  Does instruction to eliminate coffee, tea, alcohol, carbonated, and artificially sweetened beverages improve lower urinary tract symptoms: A Prospective Trial. Journal of Wound, Ostomy and Continence Nursing.43 (1):69-79.

  • Miller, JM, Rodseth, SB, Ying, G (2011). Cluster analysis of intake, output, and voiding habits collected from diary data. Nursing Research. Mar-April; 60(2): 115-23.

  • Ford, B, Dalton, V, Lantz, P, Lori, J, Noll, T, Rodseth, S, Ransom, S, Siefert, K. (2005). Racial disparities in birth outcomes: Poverty, discrimination, and the life course of African American women. African American Research Perspectives. 11 (1), 48-64.

  • Stuart, J, Weston, D, Lohr, N, Benjamin, J, Becker, S, Vorus, N, & Silk, K (1990). Object relations in borderlines, depressives, and normals: An examination of human responses on the Rorschach. Journal of Personality Assessment.  55(1&2): 296-318.

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