Stephanie Cook
Stephanie H Cook
Associate Professor of Social and Behavioral Sciences
Associate Professor of Biostatistics
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Professional overview
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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
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Education
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BA, Psychology and Women’s Studies, University of Michigan, Ann Arbor, MIMPH, Sociomedical Sciences, Columbia University, New York, NYDrPH, Sociomedical Sciences, Columbia University, New York, NY
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Honors and awards
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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)
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Areas of research and study
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BiostatisticsCardiovascular DiseaseIntersectionality TheoryLongitudinal MethodsMinority HealthMinority StressMultiphase Optimization Strategy (MOST)Physiological StressSocial Behaviors
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Publications
Publications
Sexual identity differences in ideal cardiovascular health among cisgender adults in the All of Us Research Program
Assessment of a Daily Diary Study Including Biospecimen Collections in a Sample of Sexual and Gender Minority Young Adults : Feasibility and Acceptability Study
Discrimination, Smoking, and Cardiovascular Disease Risk : A Moderated Mediation Analysis With MESA
Empowering the biomedical research community : Innovative SAS deployment on the All of Us Researcher Workbench
Intersectionality matters for hispanic health: A replication study using the All of Us Research Program
Personal Justice Beliefs, Everyday Discrimination, and Carotid Intima Media Thickness in Sexual Minority Men
Personal Justice Beliefs, Everyday Discrimination, and Carotid Intima Media Thickness in Sexual Minority Men
Special issue editorial : Intersectionality and biological embedding
A national examination of discrimination, resilience, and depressive symptoms during the COVID-19 pandemic: the Research Program
Adult Attachment Anxiety Is Protective Against the Effects of Internalized Homophobia on Condomless Sex Among Young Sexual Minority Men: The P18 Cohort Study
Structural racism and homophobia evaluated through social media sentiment combined with activity spaces and associations with mental health among young sexual minority men
A Mindfulness-Based Intervention to Alleviate Stress from Discrimination among Young Sexual and Gender Minorities of Color : Protocol for a Pilot Optimization Trial
Characterizing and Evaluating Diurnal Salivary Uric Acid Across Pregnancy Among Healthy Women
Discrimination is associated with C-reactive protein among young sexual minority men
Feasibility, Acceptability, and Preliminary Efficacy of an App-Based Meditation Intervention to Decrease Firefighter Psychological Distress and Burnout : A One-Group Pilot Study
Race moderates the association between adult attachment avoidance and the cortisol awakening response among young sexual minority men
U.S. Military veterans and the opioid overdose crisis : a review of risk factors and prevention efforts
Young men of color lower on adult attachment anxiety have higher carotid-intima media thickness compared to white young men : The exploration of an unexpected finding
An emerging syndemic of smoking and cardiopulmonary diseases in people living with HIV in Africa
Assessing Perceptions of Broad Consent Concerning Biological Specimen Collection in a Cohort of Young Sexual Minority Men
Associations Among Patient Race, Sedation Practices, and Mortality in a Large Multi-Center Registry of COVID-19 Patients
Identifying diurnal cortisol profiles among young adults : Physiological signatures of mental health trajectories
Impact of COVID-19-related knowledge on protective behaviors : The moderating role of primary sources of information
Social Determinants in Machine Learning Cardiovascular Disease Prediction Models : A Systematic Review
Predicting trajectories of substance use during emerging adulthood : Exploring the benefits of group-based trajectory modeling for zero-inflated outcomes