Publications by authors named "Steven R H Beach"

Objective: This study examined whether a responsive parenting (RP) intervention for first-time Black mothers had secondary benefits for their mental health by reducing their postpartum depressive symptoms.

Method: In total, 212 first-time Black mothers participated in the Sleep Strong African American Families randomized control trial. Mothers were randomized to the RP condition or a safety control condition at 1-week postpartum.

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  • Protective parenting practices, like monitoring and supportive rules, can impact children's delinquency, but causal evidence had been previously lacking.
  • A study involving 346 Black couples with an 11-year-old child randomly assigned to either the ProSAAF intervention or a control group found significant effects of the intervention on reducing youth delinquent behaviors.
  • The ProSAAF program effectively promoted better family communication and protective parenting, showing its effectiveness in reducing delinquency among families in resource-scarce communities.
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  • The study investigates the impact of heavy alcohol consumption (HAC) and smoking on mortality rates in patients with coronary heart disease (CHD).
  • It found that 65% of subjects had indicators of chronic HAC, which significantly increased the risk of death, while smoking intensity had a different relationship with coronary artery obstruction.
  • The researchers suggest that HAC is an important but often overlooked factor in CHD-related mortality and that treatment for substance use is likely underused in this patient population.
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Background: This study examined the longitudinal relationship between cumulative socioeconomic status (SES) risk and serum neurofilament light chain (NfL) levels to better understand the association between social factors and a biomarker of neurodegeneration.

Methods: We used data from the Family and Community Health Study, collecting psychosocial and blood data at 2 waves (2008) and (2019) from 254 Black Americans (43 males and 211 females). Blood samples were analyzed at each wave for serum NfL concentrations.

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Objectives: Recent studies show that chronic exposure to racial discrimination increases the occurrence of subjective cognitive decline (SCD) among Black Americans. Little research, however, has examined potential for protective factors, such as perceived partner support, to buffer these effects.

Methods: This study utilized longitudinal data over a 10-year period from the Family and Community Health Study (FACHS) to examine the associations between experiences of racial discrimination, marital status, partner support, and SCD, measured by the Everyday Cognition (ECog) Scale, among 286 middle-aged Black American women.

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The reliability of the associations of the acceleration of epigenetic aging (EA) indices with clinical phenotypes other than for smoking and drinking is poorly understood. Furthermore, the majority of clinical phenotyping studies have been conducted using data from subjects of European ancestry. In order to address these limitations, we conducted clinical, physiologic, and epigenetic assessments of a cohort of 278 middle-aged African American adults and analyzed the associations with the recently described principal-components-trained version of GrimAge (i.

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  • The study focused on how Black coparenting couples responded differently to a couple and relationship education program over two years, using group-based trajectory modeling to analyze relationship satisfaction.
  • Researchers found two main groups among participants who received the intervention: one with consistently high satisfaction and another with stable, moderate satisfaction, while control group couples generally saw a decline in satisfaction.
  • The intervention notably stabilized satisfaction for couples starting at a moderate level, highlighting its effectiveness and suggesting further research could enhance understanding of relationship education impacts on diverse groups.
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Importance: Racial discrimination is a psychosocial stressor associated with youths' risk for psychiatric symptoms. Scarce data exist on the moderating role of amygdalar activation patterns among Black youths in the US.

Objective: To investigate the association between racial discrimination and risk for psychopathology moderated by neuroaffective processing.

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Centuries of systemic racism in the United States have led to Black Americans facing a disproportionate amount of life stressors. These stressors can have negative effects on mental and physical health, contributing to inequities throughout the lifespan. The current study used longitudinal data from 692 Black adults in the rural South to examine the ways in which neighborhood stress, financial strain, and interpersonal experiences of racial discrimination operate independently and in tandem to impact depressive symptoms and sleep problems over time.

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Introduction: Recent evidence suggests that exposure to the stress of racism may increase the risk of dementia for Black Americans.

Methods: The present study used 17 years of data from a sample of 255 Black Americans to investigate the extent to which exposure to racial discrimination predicts subsequent changes in serum Alzheimer's Disease Research Center (ADRC) biomarkers: serum phosphorylated tau181(p-tau181), neurofilament light (NfL), and glial fibrillary acidic protein (GFAP). We hypothesized that racial discrimination assessed during middle age would predict increases in these serum biomarkers as the participants aged into their 60s.

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Objective: To determine if an intervention designed to enhance early responsive parenting (RP) practices (e.g., reading infant cues, establishing bedtime routines) and promote infant sleep and soothing among Black families has secondary benefits for mothers' postpartum sleep.

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Introduction: Members of dual-smoker couples (in which both partners smoke) are unlikely to try to quit smoking and are likely to relapse if they do make an attempt. The purpose of this study was to investigate the feasibility, tolerability, and preliminary outcomes of dyadic adaptations of financial incentive treatments (FITs) to promote smoking cessation in dual-smoker couples.

Aims And Methods: We enrolled 95 dual-smoker couples (N = 190) in a three-arm feasibility RCT comparing two partner-involved FITs (single vs.

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This study examines whether shift-and-persist coping, a coping strategy defined by accepting challenges and remaining hopeful for the future, is associated with psychosocial and physical health and/or moderates the effects of contextual stress (i.e., racial discrimination, financial strain) on health among African American adolescents living in the rural Southeastern United States.

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Objective: The purpose of this study was to assess the impact of perceived racial discrimination on the satisfaction and dissolution of different-gender, nonmarital relationships among African American young adults.

Background: Racial discrimination has proven detrimental to relationship quality among married couples. Racial disparities in relationship processes begin long before marriages form, however.

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Extensive research has demonstrated that couples' communication quality is related to many aspects of couples' lives, including relationship satisfaction. However, the possibility that the quality of couples' communication might vary as a function of the topic of communication and the implications of this variability have received relatively little attention. Accordingly, this study sought to examine (a) within-person variability in communication quality between topics, (b) associations with relationship satisfaction, and (c) associations with stressors focal to specific topics.

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  • The study explored how gratitude affects romantic relationships, focusing on perceived gratitude (feeling appreciated by a partner) versus expressed gratitude (showing appreciation to a partner).
  • It involved 316 African American couples over 16 months and found that higher levels of perceived gratitude helped reduce the negative impacts of poor arguing and financial challenges on relationship quality.
  • The results emphasize the significance of feeling appreciated in relationships as a protective factor for satisfaction and stability, suggesting a need for more research on interpersonal gratitude.
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A recent epigenetic measure of aging has developed based on human cortex tissue. This cortical clock (CC) dramatically outperformed extant blood-based epigenetic clocks in predicting brain age and neurological degeneration. Unfortunately, measures that require brain tissue are of limited utility to investigators striving to identify everyday risk factors for dementia.

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  • - The COVID-19 pandemic significantly impacted Black Americans, leading to heightened stress and mental health issues, particularly increased depressive symptoms.
  • - Research using data from the ProSAAF study showed that improved couple functioning after participating in the intervention helped mitigate the negative effects of pandemic-related stress on mental health.
  • - The findings indicate that relationship interventions like ProSAAF may enhance resilience and support mental health during widespread crises, demonstrating a protective effect against stress-induced depressive symptoms.
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Importance: Black individuals in the US experience sleep disparities beginning in infancy and continuing throughout the lifespan, suggesting early interventions are needed to improve sleep.

Objective: To investigate whether a responsive parenting (RP) intervention for Black mothers improves infant sleep and increases responsive sleep parenting practices.

Design, Setting, And Participants: This is a post hoc secondary analysis of the Sleep SAAF (Strong African American Families) study, a randomized clinical trial comparing an RP intervention with a safety control condition over the first 16 weeks post partum.

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  • The study investigates how institutional and interpersonal racism contribute to the higher risk of dementia in African Americans by analyzing the long-term effects of low socioeconomic status (SES) and discrimination on self-reported cognitive decline (SCD).
  • Researchers used a sample of 293 African American women and employed structural equation modeling to link SES and discrimination from 2002 to SCD reported in 2021, considering factors like depression and chronic illnesses as potential mediators.
  • Findings indicate direct impacts of SES and discrimination on cognitive decline, with evidence suggesting that these stressors influence biological aging, leading to chronic illnesses that further predict SCD.
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The current study examined concurrent and longitudinal associations between experiences of racial discrimination and private regard (i.e., feelings about being Black and other Black people) among 346 Black early adolescents who completed four assessments over two years.

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  • * The study tracked 329 Black individuals in the rural South across three data waves, showing that greater COVID-19-related stressors worsened health outcomes.
  • * Pre-existing stressors like financial strain and racial discrimination, as well as resources like family support, influenced both exposure to pandemic stressors and overall health, highlighting the need for targeted interventions for at-risk individuals.
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  • - The study analyzed 685 Black adults aged around 57 to see how loneliness and income affect accelerated aging using a new DNA-methylation index called DunedinPACE.
  • - Findings showed that as people aged, their rate of physiological aging increased, and changes in loneliness and income significantly impacted this aging over an 11-year period.
  • - Importantly, while smoking behavior was also linked to aging, loneliness and income still had strong effects even after controlling for other factors like smoking and alcohol use.
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  • Excessive alcohol consumption (EAC) is linked to serious health outcomes and epigenetic aging (EA), but self-reported measures of EAC often show inconsistent results, highlighting the need for better assessment tools.
  • New DNA methylation indices like the Alcohol T Score (ATS) and Methyl DetectR (MDR), along with the carbohydrate deficient transferrin (CDT), were tested to evaluate their effectiveness in measuring EAC's impact on EA in a study with 437 young Black American adults.
  • Findings revealed that non-self-report indices (ATS, MDR, and CDT) had significant correlations with EA and immune cell counts, while self-reports showed weak connections; notably, the ATS demonstrated a strong predictive capacity
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Background: Social scientists generally agree that health disparities are produced, at least in part, by adverse social experiences, especially during childhood and adolescence. Building on this research, we use an innovative method to measure early adversity while drawing upon a biopsychosocial perspective on health to formulate a model that specifies indirect pathways whereby childhood and adolescent adversity become biologically embedded and influence adult health.

Method: Using nearly 20 years of longitudinal data from 382 Black Americans, we use repeated-measures latent class analysis (RMLCA) to construct measures of childhood/adolescent adversities and their trajectories.

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