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Stephanie Cook

Dr. Stephanie Cook

Stephanie H Cook

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Associate Professor of Social and Behavioral Sciences

Associate Professor of Biostatistics

Professional overview

Dr. Stephanie Cook's research focuses on understanding the complex relationship between stress, health, and social determinants of health across the lifespan. Her work examines how both structural and individual-level stressors contribute to mental and physical health outcomes, particularly in vulnerable populations. Dr. Cook is particularly interested in how features of close relationships—such as attachment patterns—can either exacerbate or buffer the negative effects of stress on overall well-being.

Her current research explores how daily and momentary experiences of stress are linked to physical health markers (e.g., cortisol, C-reactive protein) and health behaviors (e.g., substance use, sexual risk behaviors). She focuses on how these stressors impact health trajectories over time, particularly among young adults navigating significant life transitions.

Dr. Cook employs advanced longitudinal study designs, including intensive longitudinal methods, to track how changes in stress exposure affect changes in risk behaviors and physical health outcomes.

As the Director of the Attachment and Health Disparities Research Lab (AHDL), Dr. Cook leads a team of undergraduates, graduate students, and postdoctoral fellows in exploring innovative ways to mitigate the impact of stress on health. She has developed an integrated model combining adult attachment theory and stress research to better understand how relational factors influence health outcomes for individuals facing social disadvantage. Her long-term goal is to develop and implement sustainable interventions aimed at reducing the harmful effects of stress on health, with a focus on improving health equity.

Current Projects

  • GeoSENSE: Geospatial Study on Intersectionality, Discrimination, and Cardiometabolic Health Behaviors Among Young Sexual and Gender Minorities
  • Identifying Physiological and Behavioral Mechanisms Linking Discrimination and Subclinical Cardiovascular Disease among Racially Diverse Young Sexual Minority Men
  • Minority Stress, Substance Use, and Pre-Clinical Cardiovascular Risk among Sexual Minority Men: Understanding the Protective Features of Social Support
  • Optimizing a Daily Mindfulness Intervention to Reduce Stress from Discrimination among Sexual and Gender Minorities of Color
  • Race modifies the association between post-traumatic stress disorder and cardiovascular risk in large US population-based study

Teaching

Social and Behavioral Sciences Department

  • Global Issues in Social and Behavioral Health
  • Research Methods in Public Health

Biostatistics Department

  • Longitudinal Analysis of Public Health Data
  • Regression I: Regression Analysis and Multivariate Modeling
  • Regression II: Categorical Data Analysis

Education

BA, Psychology and Women’s Studies, University of Michigan, Ann Arbor, MI
MPH, Sociomedical Sciences, Columbia University, New York, NY
DrPH, Sociomedical Sciences, Columbia University, New York, NY

Honors and awards

National Institutes of Health (NIH) Summer Institute Fellowship on Randomized Behavioral Clinical Trials Fellowship (2023)
New York University Faculty Fellow in Residence, New York University (2023)
New York University James Weldon Johnson Professor (2023)
NIH Loan Repayment Program Award, National Heart, Lung, and Blood Institute (2023)
Outstanding Research Mentor, The Undergraduate Research Opportunity Program, The University of Michigan (2022)
New York University Dr. Martin Luther King Jr. Faculty Award (2022)
Loan Repayment Program, National Heart, Lung, and Blood Institute (2021)
BioData Catalyst Fellowship, National Heart, Lung, and Blood Institute (NHLBI) (2021)
Diverse Magazine Emerging Scholar: Issues In Higher Education Publication, (2021)
Program to Increase Diversity in Cardiovascular Health Related Research (PRIDE) Fellowship (2020)
American Psychosomatic Society (APS) Diversity Award (2020)
National Institute of Minority Health Disparities Loan Repayment Award (2018)
Inter-university Consortium for Political and Social Research (ICPSR) Summer Program in Quantitative Methods of Social Research Scholarship, The University of Michigan (2018)
Robert Wood Johnson Fellow (RWJF) New Connections Sponsored Scholar (2018)
HIV and Drug Abuse Prevention Research Ethics Training Institute (RETI) Award (2017)
Robert Wood Johnson Fellow (RWJF) New Connections Sponsored Scholar (2017)
Matilda White Riley Distinguished Early Stage Investigator Award, National Institutes of Health (Office of Behavioral and Social Sciences) (2016)
Outstanding Postdoctoral Fellow Award, The University of Michigan (2015)
American Psychological Association Smoking Dissemination Award (2015)
Poster Award, Excellence in Innovation and Advanced Research in the Field of Sexual Health, American Public Health Association (2014)
Excellence in Abstract Submission, American Public Health Association (2011)

Areas of research and study

Biostatistics
Cardiovascular Disease
Intersectionality Theory
Longitudinal Methods
Minority Health
Minority Stress
Multiphase Optimization Strategy (MOST)
Physiological Stress
Social Behaviors

Publications

Publications

Using Digital Data to Protect and Promote the Most Vulnerable in the Fight Against COVID-19

Father support is protective against the negative effects of perceived discrimination on CRP among sexual minorities but not heterosexuals

Positive Development and Changes in Self-Rated Health Among Young Sexual Minority Males : The P18 Cohort Study

Race, ethnicity and national origin-based discrimination in social media and hate crimes across 100 U.S. cities

THE HEALTH OF GAY AND BISEXUAL MEN : Theoretical Approaches and Policy Implications

The Mediating Role of Emotion Dysregulation in the Relation Between Adult Attachment Insecurity and Depression Among Young Gay and Bisexual Men

Understanding Attachment Transitions Through the Lived Experiences of Young Black Gay and Bisexual Men

Are trajectories of a syndemic index in adolescence linked to HIV vulnerability in emerging and young adulthood?

Family conflict, chaos, and negative life events predict cortisol activity in low-income children

Friendship Attachment Style Moderates the Effect of Adolescent Exposure to Violence on Emerging Adult Depression and Anxiety Trajectories

Psychometric analysis of the life worries scale for a new generation of sexual minority men : The P18 cohort study

Relationship cognitions and longitudinal trajectories of sexual risk behavior among young gay and bisexual men : The P18 cohort study

Sexual orientation moderates the association between parental overprotection and stress biomarker profiles

Stress levels are associated with poor sleep health among sexual minority men in Paris, France

Teacher-Based Racial Discrimination : The Role of Racial Pride and Religiosity Among African American and Caribbean Black Adolescents

Adult attachment as a moderator of the association between childhood traumatic experiences and depression symptoms among young black gay and bisexual men

Cortisol profiles differ by race/ethnicity among young sexual minority men

Minority Males : Cultural Stressors and Their Impact on Health and Well-Being

Attachment orientation and sexual risk behaviour among young Black gay and bisexual men

Profiles of Resilience and Psychosocial Outcomes among Young Black Gay and Bisexual Men

Relationship cognitions and longitudinal trajectories of sexual risk behavior among young gay and bisexual men: The P18 cohort study

Sex Differences in Virtual Network Characteristics and Sexual Risk Behavior Among Emerging Adults

Sexual identity and HIV status influence the relationship between internalized stigma and psychological distress in black gay and bisexual men

The Integrated Attachment and Sexual Minority Stress Model : Understanding the Role of Adult Attachment in the Health and Well-Being of Sexual Minority Men

Transitions in Friendship Attachment during Adolescence are Associated with Developmental Trajectories of Depression Through Adulthood

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