Bethany C. Bray's research while affiliated with University of Illinois at Chicago and other places

Publications (38)

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Background While there is growing research considering the experiences of transgender youth whose identities align with the gender binary, especially among young trans women, there are significantly fewer studies that accurately capture data about nonbinary youth, and even fewer studies capturing the experiences of transgender and gender diverse (T...
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Person-oriented analyses are commonly used to identify subgroups of children with mental health conditions in the hopes that they will meaningfully inform the taxonomy, assessment, and treatment of psychological disorder. However, whether these data-driven groups are demonstrably better at predicting important aspects of adaptive functioning than s...
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Background: Research has shown that sexual minority people of color experience pervasive and sometimes severe life stressors that increase their risk of experiencing mental health problems, and that can contribute to lifelong health disparities. However, no studies in this population have investigated stressor exposure occurring over the entire li...
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This study aims to identify adolescent patterns of polytobacco use and measure transitions between patterns over time. Longitudinal analysis using data derived from waves 1–4 (2013–18) of the Population Assessment of Tobacco and Health (PATH) study. Transitions in tobacco use patterns were examined via latent transition analysis, and then, socio‐de...
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Background We investigated associations of intersectional stigma subgroups with alcohol and marijuana use among Black and Latino sexual minority young men. Subgroups included Minimal Stigma (low to no stigma), Select Social Stigma (occasional stigma in social relationships), Multiform Heterosexism (internalized and interpersonal heterosexism from f...
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Background As we enter the fifth decade of the AIDS epidemic, health researchers and AIDS activists reflect both on the progress that has been made and the importance of continued prevention efforts for those most at risk. As HIV infection rates continue to fluctuate across communities, a trend has emerged with new HIV infections becoming increasin...
Preprint
BACKGROUND The U.S. Department of Health and Human Services has proposed an end to the human immunodeficiency virus (HIV) epidemic in the United States by 2030, which will require flexible yet targeted strategies that successfully engage groups that are disproportionately affected. As we broach the fifth decade of the AIDS epidemic, health research...
Preprint
BACKGROUND Growing research on transgender youth is accounting for the variety of ways in which young people define their genders and sexualities. Due to this growing representation, more research is needed to understand how intersectional identities and stigma impact risk for HIV acquisition along the HIV care continuum and engagement in mental an...
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Background Growing research on transgender youth is accounting for the variety of ways in which young people define their genders and sexualities. Because of this growing representation, more research is needed to understand how intersectional identities and stigma affect risk for HIV acquisition along the HIV care continuum and engagement in menta...
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Rationale: Sepsis survivors experience adverse outcomes including high rates of post-discharge mortality and rehospitalization. Given the heterogeneity of the condition, identifying subtypes within this population with different risks of post-discharge outcomes may optimize post-sepsis care. Objectives: To classify individuals into subtypes and...
Article
Background: Adolescents living with HIV have elevated mental distress and suboptimal ART adherence. Setting: Two urban clinics in Kigali, Rwanda. Methods: A 2-arm individual randomized controlled trial compared Trauma Informed Cognitive Behavioral Therapy enhanced to address HIV (TI-CBTe) to usual care (time-matched, long-standing, unstructure...
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Abstract Purpose: We extended the focus on body image research beyond cisgender, White sexual minority men (SMM) by describing body image concerns among Black and Latinx SMM and transgender/gender nonconforming (TGNC) adults and by examining protective effects of community connection. Methods: From 2016 to 2020, 447 Black and Latinx SMM (94%) and T...
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Background South African adolescent girls and young women (AGYW) report significant mental distress and sexual and reproductive health concerns. Mental health problems and trauma symptoms are consistently associated with sexual and reproductive health behavior. Despite their intersection, few interventions address them simultaneously or engage fema...
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Rationale Applying an intersectional framework to quantitative public health research among Black and Latino sexual minority men requires analysis that considers interlocking, multidimensional systems of racist and homonegative oppression that fundamentally subvert health. In this study, person-centered methods reflected the complexity of intersect...
Preprint
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Objectives: Racial discrimination is consistently linked to negative mental health outcomes. However, less is known about how unique patterns of coping in Black Americans experiencing high discrimination stress may buffer the impact of discrimination stress on mental health. The present study uses person-centered methods to identify and describe la...
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Background Experiences with racism predict healthcare system distrust among people of color, but Black and Latino young men who have sex with men (YMSM) also experience overlapping forms of stigma associated with their sexual identities and behaviors (i.e., homonegativity and internalized homonegativity). These forms of minority stress may drive he...
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Background This manuscript provides a research update to the ongoing pragmatic trial of Project POINT (Planned Outreach, Intervention, Naloxone, and Treatment), an emergency department-based peer recovery coaching intervention for linking patients with opioid use disorder to evidence-based treatment. The research team has encountered a number of ch...
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Black/African-American girls are infected with sexually transmitted infections (STIs) at higher rates than their White counterparts. This study tested the efficacy of IMARA, a mother-daughter psychosocial STI/HIV prevention program, on adolescent Black/African-American girls' incident STIs at 12 months in a 2-arm group randomized controlled trial....
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Objective and Background The current study examines the types of childhood experiences with mothers (i.e., maternal abuse, affection, discipline) among caregivers of aging mothers and investigates whether membership in specific latent classes, particularly maternal maltreatment, is associated with psychological functioning among caregivers. Method...
Article
Young men who have sex with men (YMSM), especially YMSM of color, are at increased risk for a wide range of threats to their health and well-being. In this study, we recruited and surveyed an urban sample of 448 young African American/Black (Black), Hispanic/Latino (Latino), and multi-racial/ethnic YMSM, ages 16–24 years (mean = 22.3 years), about...
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Background: There is a lack of empirical effort that systematically investigates the clustering of comorbidity among known risk factors (obesity, hypertension, diabetes, hypercholesterolemia, and elevated inflammation) of chronic kidney disease (CKD) and how different types of comorbidity may link differently to kidney function among healthy adult...
Preprint
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Background: There is a lack of empirical effort that systematically investigates the clustering of comorbidity among known risk factors (obesity, hypertension, diabetes, hypercholesterolemia, and elevated inflammation) of chronic kidney disease (CKD) and how different types of comorbidity may link differently to kidney function among healthy adult...
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Objective: African American female adolescents face disparities compared with White peers in the interrelated areas of mental health symptoms and sexually transmitted infection (STI) acquisition. IMARA (Informed, Motivated, Aware and Responsible about AIDS) is a group-based mother-daughter intervention addressing these factors among African Americ...
Article
Objective: This paper examines whether multidimensional indicators of objective and subjective socioeconomic status (SES) across the life course can be categorized into latent classes of SES mobility and tests the associations of these categories with inflammation markers among White and Black adults. Methods: Data are from 592 non-Hispanic Whit...
Article
Purpose To identify patterns of behavioral adherence among 388 African Americans who participated in the Weight Loss Maintenance trial and examine associated psychosocial factors. Methods Using repeated measures latent class analysis, we modeled patterns of adherence to recommendations regarding fruit and vegetable, total fat, and saturated fat in...
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Objectives: Collegiate student-athletes often engage in health-risk behaviors such as alcohol misuse and hazing, but the literature in this domain lacks evidence pertaining to how peers shape attitudes towards such behaviors. We investigated how peer acceptance and social cohesion relate to attitudes towards alcohol use, marijuana use, drinking an...
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Background The high heterogeneity in schizophrenia limits advances in treatment and biological investigation. Strategies to phenotypic refinement in schizophrenia involve dimensions, staging, and subtyping. Structural equation modeling (SEM) allows applications to such problems, but requires a model with good model fit, currently a major challenge...
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This paper analyzes the association between latent classes of SES trajectories across the life course and health and well-being in adulthood using latent class analysis (LCA) approach. This study utilized data from 863 (Mage = 50.84) participants who participated in the biomarkers assessment of MIDUS Refresher study. Baseline model assessment indic...
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Parenting in the context of poverty is accompanied by heightened stress and heightened stakes. How parents respond to poverty-related stress has important implications for family functioning, but research investigating individual differences in low-income mothers’ and fathers’ responses to financial stress and their associations with parents’ concu...
Preprint
BACKGROUND No group is at greater risk for acquiring HIV than young men who have sex with men (YMSM), particularly black or African American (AA) and Hispanic or Latino (L) YMSM living in inner cities, who account for the largest number of new HIV infections each year. Although pre-exposure prophylaxis (PrEP), postexposure prophylaxis (PEP), and tr...
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Background: We have demonstrated previously that patterns of behavioral adherence in the first 6 months of behavioral lifestyle interventions were associated with significant weight loss at 18 months. In this article, we extend this work to examine patterns of behavioral adherence over 18 months and to explore baseline demographic and psychosocial...
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Purpose: Few prior studies have examined change in emotional health of high school students in a rural context. Considering the multifaceted nature of emotional health, this research aims to identify the patterns and explore change and stability of the emotional health of rural Pennsylvania youth. It also investigates the influence of family, peer...
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This article reviews and critically evaluates available research on latent classes of maltreatment. Three major databases (PsycINFO, Web of Knowledge, and Academic Search Complete) were used to identify studies on latent classes of maltreatment published before June 1, 2016. Of 365 potentially relevant studies, 14 met inclusion criteria for review....
Article
Prior research has documented robust associations between adolescent religiousness/spirituality (R/S) and psychopathology outcomes including externalizing and internalizing symptomatology, yet no previous studies have examined these associations with adolescent R/S profiles using a person-centred approach. We examined whether there are identifiable...
Article
The present study examined observations of parenting quality (mothers' emotional availability - EA) during infant bedtimes at 4 points across the infants' first year, assessing relations between levels and trajectories of EA and infant attachment at 12 months and the role of infant temperament in moderating these associations. The sample (N = 128)...

Citations

... Furthermore, most interventions for ALHIV include multiple components (76,237), making it difficult to parse out the individual effects of services delivered by LHWs and/or peers. However, two randomized trials evaluated the efficacy of peer-delivered psychotherapies among ALHIV with some promising improvements in mental health outcomes (239,240). ...
... The lack of racial/ethnic diversity in the sample further limits the generalizability of the findings, as well as the power to detect within-group differences between minoritized racial/ethnic groups. Future studies should recruit more racially/ethnically diverse participants and consider participants' level of connectedness to their respective racial/ethnic communities, including queer communities of color, as a possible source of community resilience and coping against gay-specific intraminority stigma [42,86]. ...
... Assessment of health inequities, including oral health inequities, is often done through the lens of one or two categories of difference, which are themselves simplified. For example, socio-economic status is typically assessed using proxies of educational status, occupation and income, but frequently excludes unique intersections between other categories or intersectional positions within a category (recent job loss, single parenthood, mental health issues) [28]. In recent years, population health research has been critiqued for eradicating the context of people's lives through identifying single sets of health determinants for entire populations [29]. ...
... Some individuals or groups might also simply refuse to use virtual care because of negative experiences rooted in personal and/or collective histories [76]. The literature already reported discriminatory behaviors by health care providers (e.g., people of color, mental health problems, homeless people, refugees and asylum seekers, indigenous populations, LGBTQ+) [76,[81][82][83][84]. Multiple barriers to using health care services for these populations have been identified: perceived discrimination, stigma, hostile attitudes, social (dis)approval, and/or embarrassment [76,[81][82][83][84]. Distrust of health services is correlated with the risk of non-compliance with medical advice, prescriptions, and adherence to treatment and monitoring [76]. ...
... One critical factor, regarding the implementation of peer recovery support services in EDs, is how to best incorporate a PSW. Preparing PSWs and ED staff for successful implementation and sustainability is critical, given the nature of the setting, with high stress, long shifts, and frequent exposure to potentially traumatic events [25,26]. High workloads and emotional drain are key stressors for staff in EDs, leading to a moderateto-high level of burnout among physicians and nurses [27][28][29]. ...
... This stepwise approach can not only provide overall significance testing of associations between latent class membership and outcomes but also perform pairwise differences testing between classes in the means of continuous outcomes (29). In addition, this method can fully consider the influence of covariates on dependent variables so that the effects of latent class membership are controlled by those covariates (30). Moreover, we used the model constraint function in Mplus to build a mediation model. ...
... According to the social personal framework, parents are important influences on adolescents' sexual risk behavior through parenting practices such as communicating with their child about sex and monitoring their child's whereabouts, activities, and peers [4]. Previous studies have applied this framework to Black adolescents in observational [5] and intervention studies [6,7]. Aligning with this theory, research with presumably majority heterosexual adolescents indicates that parent/child communication about sex [8] and parental monitoring are protective [9]. ...
... For example, when compared with White and Latino individuals, Black or African American young men who have sex with men (YMSM) are more likely to experience violence and victimization in numerous settings, including home, work, and school, on account of their sexual identities, attractions, race, and ethnicity [4]. These experiences are significantly associated with adverse health outcomes, including illicit drug use, alcohol misuse, and risky sexual behaviors, which are known to increase the risk of HIV infection [5,6]. ...
... A previous study conducted on life expectancy after 70 years of age reported that individuals with age 75 to 79 years had 10.4 years life expectancy but participants with CKD5 had 2.6 years. Also, diabetes make it 25% less [13]. Stroke was found as a major factor in chronic kidney disease stage 5 among the general population. ...
... IMARA addresses SRH and teaches emotion regulation strategies to manage difficult emotions and reduce distress. IMARA was associated with a 43% reduction in AGYW STI incidence at 12-month follow-up compared to a time-matched health promotion program [26] and improved mental health symptoms at 6-and 12-months among girls with high mental health distress at baseline [27]. These findings are promising but may not generalize to other cultural contexts or populations. ...