Publications by authors named "Rachel Upton"

Parent-youth relationships and parenting are critically important to adolescents' development. The present study examined associations between parenting behaviors (which included observed parent emotion expression and negative and positive parenting behaviors during a parent-adolescent interaction) and adolescent brain structure, and sex differences in associations, in 66 12-14 year-olds. The study found that 1) among all adolescents in the sample, greater parent negative emotion expression in parent-youth interactions was associated with greater adolescent gray matter volume (GMV) in the left hippocampus, 2) parent positive emotion expression was not associated with adolescent GMV, 3) several associations differed by sex.

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Importance: Studies have suggested that greater primary care physician (PCP) availability is associated with better population health and that a diverse health workforce can improve care experience measures. However, it is unclear whether greater Black representation within the PCP workforce is associated with improved health outcomes among Black individuals.

Objective: To assess county-level Black PCP workforce representation and its association with mortality-related outcomes in the US.

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Objectives: Mounting evidence indicates that racial discrimination is a risk factor for depression among African American men. However, the mechanisms underlying the association between racial discrimination and depressive symptomatology remain unclear. The present study investigated the mediating capacity of personal growth initiative (PGI) in the relation between racial discrimination experiences and depressive symptomatology, as well as whether the proposed mediating relation was moderated by age, education, and income.

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Men's tendency to delay health help-seeking is largely attributed to masculinity, but findings scarcely focus on African American men who face additional race-related, help-seeking barriers. Building principally on reactance theory, we test a hypothesized model situating racial discrimination, masculinity norms salience (MNS), everyday racism (ERD), racial identity, sense of control (SOC), and depressive symptomatology as key barriers to African American men's health help-seeking. A total of 458 African American men were recruited primarily from US barbershops in the Western and Southern regions.

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This study examined a moderated mediation model among 314 Black adolescents aged 13-18. The model included general coping strategies (e.g.

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This study examined the influence of racial identity in the longitudinal relation between perceptions of racial discrimination and psychological well-being for approximately 560 African American youth. Latent curve modeling (LCM) and parallel process multiple-indicator LCMs with latent moderators were used to assess whether perceptions of racial discrimination predicted the intercept (initial levels) and the slope (rate of change) of psychological well-being over time, and whether racial identity moderates these relations. The results indicated that African American adolescents who reported higher psychological responses to discrimination frequency levels at the first time point had lower initial levels of well-being.

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Objective: To assess beliefs about the role of diet in cancer prevention among individuals considering genetic testing for Lynch Syndrome.

Design: Family-centered, cascade recruitment; baseline assessment of a longitudinal study.

Setting: Clinical research setting.

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