Wendy M Troxel
Datos Biográficos
| ID | 765626 |
|---|---|
| NOMBRE | Wendy M Troxel |
| NOMBRES | Wendy M |
| APELLIDO | Troxel |
| FIRMA | TROXEL W M |
| AFILIACIONES | RAND Corporation |
| ORCID | 0000-0002-2147-8041 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAS | 71 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2003 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Change in Health Status Among American Indian/Alaska Native Adolescents Living Outside of Tribal Land in California Before and During the Covid-19 Pandemic
Beyond individual correlates
While individual correlates of loneliness are well established, less is known about whether neighborhood characteristics modify these associations. Guided by the Ecological Theory of Aging, this study examined whether subjective and objective neighborhood factors moderated cross-sectional associations between key individual characteristics (age, gender, physical function) and loneliness among adults in two predominantly Black Pittsburgh, PA neigh…
From Childhood to Adulthood
Neighborhood environments may significantly impact psychological well‐being, particularly in Black American communities where historical inequities and resilience factors intersect. This mixed‐methods study investigates retrospective perceptions of childhood and current neighborhood social environments and their associations with loneliness and psychological distress in adulthood. Data were drawn from the Think PHRESH study, an ancillary project …
Social Safety and Health Outcomes in Emerging Adults
Social safety theory suggests that individuals from minoritized racial and ethnic groups or sexual and gender diverse (SGD) groups are exposed to multilevel and interacting stressors, which can set the stage for adverse health outcomes. Using a social safety framework, we examine interactions between discrimination and adverse childhood experiences (ACEs) on health outcomes and how these interactions may differ by race and ethnicity or SGD status…
Perceptions About Housing and Neighborhood Characteristics Among Aging Adult Black Americans in Two Predominantly Black, Low-Income Neighborhoods in Pittsburgh
Enhancing sleep health in urban American Indian/Alaska Native adolescents
BACKGROUND: Urban American Indian/Alaska Native (AI/AN) adolescents are vulnerable to sleep and other health-related disparities due to numerous social drivers, including historical trauma and relocation to urban areas. This study aims to identify strategies to increase protective factors and culturally tailor sleep health interventions for this population. METHODS: Using community-based participatory research, the NAYSHAW study conducted in-dept…
Exploring the Interplay Between Stress, Sleep, and Health
Psychosomatic Medicine, founded in 1939, is the official organ of the American Psychosomatic Society. It publishes experimental and clinical studies dealing with various aspects of the relationships among social, psychological, and behavioral factors and bodily processes in humans and animals. It is an international, interdisciplinary journal devoted to experimental and clinical investigation in behavioral biology, psychiatry, psychology, physiol…
Differential item functioning of the Acculturation, Habits, and Interests Multicultural Scale for Adolescents (Ahimsa) by race/ethnicity
Examining the Cross-sectional Association Between Neighborhood Conditions, Discrimination, and Telomere Length in a Predominantly African American Sample
Alcohol and Cannabis Use Within Emerging Adults’ Committed Romantic Relationships
This study examines alcohol and cannabis use within emerging adults' committed romantic relationships and its association with relationship functioning (satisfaction, stability) and well-being (life satisfaction, anxiety, depression). Participants completed surveys in 2020 and 2021 (N=1,214). Latent profile analysis identified four classes of couples' substance use patterns: concordant (similar) infrequent use (81.9% of sample), near-daily partne…
Design of the Think PHRESH longitudinal cohort study
Understanding how structural racism has influenced the lived experience of Black Americans, including dynamic changes in neighborhood conditions over time, is critical to inform multi-level intervention and policy efforts to reduce pervasive racial and socioeconomic disparities in ADRD
Changes in psychosocial wellbeing over a five-year period in two predominantly Black Pittsburgh neighbourhoods
Gentrification often leads to changes within urban neighbourhoods. While redevelopment and investment may improve the built environment in gentrifying neighbourhoods, there may be disruptive impacts that affect health and wellbeing for existing residents. A growing body of literature explores the impact of gentrification on the psychosocial wellbeing of residents. This study sought to understand gentrification’s effects on three aspects of psycho…
Do social isolation and neighborhood walkability influence relationships between Covid-19 experiences and wellbeing in predominantly Black urban areas
Age Trends in Actigraphy and Self-Report Sleep Across the Life Span
OBJECTIVE: Sleep changes over the human life span, and it does so across multiple dimensions. We used individual-level cross-sectional data to characterize age trends and sex differences in actigraphy and self-report sleep dimensions across the healthy human life span. METHODS: The Pittsburgh Lifespan Sleep Databank consists of harmonized participant-level data from sleep-related studies conducted at the University of Pittsburgh (2003-2019). We i…
The Effect of Intranasal Oxytocin on the Association Between Couple Interaction and Sleep
OBJECTIVE: Although most people in romantic relationships cosleep, biosocial modulators of sleep quality have only recently come into focus. Oxytocin (OT) might be one such modulator, as it had been shown to increase social attachment and safety. We investigated the association between everyday life couple interaction and sleep quality, as well as the effects of OT on this association. METHODS: Eighty heterosexual couples ( N = 160 individuals, m…
Multi-dimensional Profiles of Risk and Their Association with Obesity-Severity in Low-Income Black Women
Neighborhood social environment change in late adolescence predicts substance use in emerging adulthood
Mental health, family functioning, and sleep in cultural context among American Indian/Alaska Native urban youth
Neighborhood Food Environment Associated with Cardiometabolic Health among Predominately Low-income, Urban, Black Women
These results suggest that both perceived accessibility and affordability of healthy foods are associated with reduced cardiometabolic risk factors in this urban, low-income predominantly Black population. Additionally, discount grocery stores may be particularly valuable by providing access and affordability of healthy foods in this population
Violent crime, police presence and poor sleep in two low-income urban predominantly Black American neighbourhoods
Objective To examine violent crime in relation to sleep and explore pathways, including psychological distress, safety perceptions and perceived police presence, that may account for associations. Methods In 2018, 515 predominantly Black American (94%) adults (Pittsburgh, Pennsylvania, USA) provided survey data: actigraphy-assessed sleep duration and wakefulness after sleep onset (WASO). We estimated pathways from violent crime (2016–2018) to sle…
Food Insecurity in a Low-Income, Predominantly African American Cohort Following the Covid-19 Pandemic
Objectives. To examine the impact of COVID-19 shutdowns on food insecurity among a predominantly African American cohort residing in low-income racially isolated neighborhoods. Methods. Residents of 2 low-income African American food desert neighborhoods in Pittsburgh, Pennsylvania, were surveyed from March 23 to May 22, 2020, drawing on a longitudinal cohort (n = 605) previously followed from 2011 to 2018. We examined longitudinal trends in food…
Sleep Health
The concept of sleep health provides a positive holistic framing of multiple sleep characteristics, including sleep duration, continuity, timing, alertness, and satisfaction. Sleep health promotion is an underrecognized public health opportunity with implications for a wide range of critical health outcomes, including cardiovascular disease, obesity, mental health, and neurodegenerative disease. Using a socioecological framework, we describe inte…
Changes in perceptions of neighborhood environment and Cardiometabolic outcomes in two predominantly African American neighborhoods
These findings suggest that perceived neighborhood characteristics may impact cardiometabolic outcomes (BMI, SBP), but through differing pathways. This highlights the complexity of the associations between neighborhood characteristics and underscores the need for more longitudinal studies to confirm the associations with cardiometabolic health in African American populations
An audit tool for longitudinal assessment of the health-related characteristics of urban neighborhoods
In this paper, we have described implementation methods, reliability results and lessons learned to inform future studies of change. We found the use of consistent methods allowed us to conduct reliable, replicable longitudinal assessments of the environment. Items that did not exhibit stability are less useful for detecting real change over time. Overall, the PHRESH direct observation tool is an effective and practical instrument to detect chang…
Do investments in low-income neighborhoods produce objective change in health-related neighborhood conditions
Chronic exposure to everyday discrimination and sleep in a multiethnic sample of middle-aged women
Experiences of chronic everyday discrimination are independently associated with both subjective and objective indices of poor sleep. Findings add to the growing literature linking discrimination to key markers of biobehavioral health
The association between discrimination and PTSD in African Americans
Background: Research has demonstrated the adverse impact that discrimination has on physical and mental health. However, few studies have examined the association between discrimination and symptoms of posttraumatic stress disorder (PTSD). There is evidence that African Americans experience higher rates of PTSD and are more likely to develop PTSD following trauma exposure than Whites, and discrimination may be one reason for this disparity. Purpo…
Mental health, family functioning, and sleep in cultural context among American Indian/Alaska Native urban youth
Food Insecurity in a Low-Income, Predominantly African American Cohort Following the Covid-19 Pandemic
Objectives. To examine the impact of COVID-19 shutdowns on food insecurity among a predominantly African American cohort residing in low-income racially isolated neighborhoods. Methods. Residents of 2 low-income African American food desert neighborhoods in Pittsburgh, Pennsylvania, were surveyed from March 23 to May 22, 2020, drawing on a longitudinal cohort (n = 605) previously followed from 2011 to 2018. We examined longitudinal trends in food…
Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents
Improved Street Walkability, Incivilities, and Esthetics Are Associated with Greater Park Use in Two Low-Income Neighborhoods
Changes in psychosocial wellbeing over a five-year period in two predominantly Black Pittsburgh neighbourhoods
Gentrification often leads to changes within urban neighbourhoods. While redevelopment and investment may improve the built environment in gentrifying neighbourhoods, there may be disruptive impacts that affect health and wellbeing for existing residents. A growing body of literature explores the impact of gentrification on the psychosocial wellbeing of residents. This study sought to understand gentrification’s effects on three aspects of psycho…
Do investments in low-income neighborhoods produce objective change in health-related neighborhood conditions
Violent crime, police presence and poor sleep in two low-income urban predominantly Black American neighbourhoods
Objective To examine violent crime in relation to sleep and explore pathways, including psychological distress, safety perceptions and perceived police presence, that may account for associations. Methods In 2018, 515 predominantly Black American (94%) adults (Pittsburgh, Pennsylvania, USA) provided survey data: actigraphy-assessed sleep duration and wakefulness after sleep onset (WASO). We estimated pathways from violent crime (2016–2018) to sle…
Broken Windows, Broken Zzs
Risk and Resilience Factors in Urban American Indian and Alaska Native Youth during the Coronavirus Pandemic
American Indians and Alaska Natives suffer disproportionately from poverty and other inequities and are vulnerable to adverse health and socioeconomic effects of COVID-19. Using surveys and interviews (May-July 2020), we examined urban American Indian/Alaska Native adolescents' (N=50) health and behaviors, family dynamics, community cohesion, and traditional practice participation during COVID-19. About 20% of teens reported clinically significan…
Chronic stress burden, discrimination, and subclinical carotid artery disease in African American and Caucasian women.
This study examined the association between a composite index of stress that included measures of life events, ongoing stress, discrimination, and economic hardship and subclinical carotid disease among 109 African America and 225 Caucasian premenopausal women. African Americans reported more chronic stress and had higher carotid intima-media thickness (IMT) as compared with Caucasians. Among African Americans only, the composite stress index and…
Marital Status, Marital Quality, and Atherosclerotic Burden in Postmenopausal Women
UNLABELLED: Marriage confers health benefits for men, but the evidence for women is less consistent. Inconsistent findings may be attributed, in part, to the confounding of marital status and marital quality. OBJECTIVES: The authors examined whether women in satisfying marriages evidence lesser atherosclerosis relative to women in low-satisfying marriages and relative to unmarried women. MATERIALS AND METHODS: Three hundred ninety-three women fro…
Marital quality and the marital bed
Attachment Anxiety, Relationship Context, and Sleep in Women With Recurrent Major Depression
Objective: To examine the relationship between attachment anxiety, marital status, bed-partner status, and sleep in recurrently depressed women. Methods: The current study measured polysomnography (PSG) and subjective sleep quality in 107 women with recurrent major depression. Women were categorized as high or low in attachment anxiety based on Bartholomew and Horowitz’s Relationship Questionnaire (1991). Results: There were no significant main o…
Couples' Nighttime Sleep Efficiency and Concordance
OBJECTIVE: To examine prospectively the directionality of the association between daily relationship functioning and nightly sleep quality and the association between couples' relationship functioning and concordance in sleep-wake rhythms. Emerging evidence suggests the existence of bidirectional links between sleep and relational processes in dyads, but to date, this research has been primarily cross sectional. METHODS: Sleep was measured via bo…
It's More than Sex
Sleep is a critical health behavior and one that is typically shared between husbands and wives or romantic partners. However, the science of sleep has traditionally conceptualized and evaluated sleep at the level of the individual. Considering the social context of sleep represents a significant shift in sleep research and also offers a critical opportunity for investigating sleep as a novel pathway linking close relationships with health. The p…
Chronic exposure to everyday discrimination and sleep in a multiethnic sample of middle-aged women
Experiences of chronic everyday discrimination are independently associated with both subjective and objective indices of poor sleep. Findings add to the growing literature linking discrimination to key markers of biobehavioral health
One size doesn’t fit all
Neighborhood walkability may play a stronger role on MVPA than accessible greenspace or crime in low-income urban communities. Walkability may differentially impact residents depending on their age and sex, which suggests tailoring public health policy design and implementation according to neighborhood demographics to improve activity for all
Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents
The power of social networks and social support in promotion of physical activity and body mass index among African American adults
Social support and social networks can elucidate important structural and functional aspects of social relationships that are associated with health-promoting behaviors, including Physical Activity (PA) and weight. A growing number of studies have investigated the relationship between social support, social networks, PA and obesity specifically among African Americans; however, the evidence is mixed and many studies focus exclusively on African A…
The association between discrimination and PTSD in African Americans
Background: Research has demonstrated the adverse impact that discrimination has on physical and mental health. However, few studies have examined the association between discrimination and symptoms of posttraumatic stress disorder (PTSD). There is evidence that African Americans experience higher rates of PTSD and are more likely to develop PTSD following trauma exposure than Whites, and discrimination may be one reason for this disparity. Purpo…
Sleep Health
The concept of sleep health provides a positive holistic framing of multiple sleep characteristics, including sleep duration, continuity, timing, alertness, and satisfaction. Sleep health promotion is an underrecognized public health opportunity with implications for a wide range of critical health outcomes, including cardiovascular disease, obesity, mental health, and neurodegenerative disease. Using a socioecological framework, we describe inte…
Changes in perceptions of neighborhood environment and Cardiometabolic outcomes in two predominantly African American neighborhoods
These findings suggest that perceived neighborhood characteristics may impact cardiometabolic outcomes (BMI, SBP), but through differing pathways. This highlights the complexity of the associations between neighborhood characteristics and underscores the need for more longitudinal studies to confirm the associations with cardiometabolic health in African American populations
An audit tool for longitudinal assessment of the health-related characteristics of urban neighborhoods
In this paper, we have described implementation methods, reliability results and lessons learned to inform future studies of change. We found the use of consistent methods allowed us to conduct reliable, replicable longitudinal assessments of the environment. Items that did not exhibit stability are less useful for detecting real change over time. Overall, the PHRESH direct observation tool is an effective and practical instrument to detect chang…
Do investments in low-income neighborhoods produce objective change in health-related neighborhood conditions
Broken Windows, Broken Zzs
Improved Street Walkability, Incivilities, and Esthetics Are Associated with Greater Park Use in Two Low-Income Neighborhoods
Risk and Resilience Factors in Urban American Indian and Alaska Native Youth during the Coronavirus Pandemic
American Indians and Alaska Natives suffer disproportionately from poverty and other inequities and are vulnerable to adverse health and socioeconomic effects of COVID-19. Using surveys and interviews (May-July 2020), we examined urban American Indian/Alaska Native adolescents' (N=50) health and behaviors, family dynamics, community cohesion, and traditional practice participation during COVID-19. About 20% of teens reported clinically significan…
Neighborhood Food Environment Associated with Cardiometabolic Health among Predominately Low-income, Urban, Black Women
These results suggest that both perceived accessibility and affordability of healthy foods are associated with reduced cardiometabolic risk factors in this urban, low-income predominantly Black population. Additionally, discount grocery stores may be particularly valuable by providing access and affordability of healthy foods in this population
Violent crime, police presence and poor sleep in two low-income urban predominantly Black American neighbourhoods
Objective To examine violent crime in relation to sleep and explore pathways, including psychological distress, safety perceptions and perceived police presence, that may account for associations. Methods In 2018, 515 predominantly Black American (94%) adults (Pittsburgh, Pennsylvania, USA) provided survey data: actigraphy-assessed sleep duration and wakefulness after sleep onset (WASO). We estimated pathways from violent crime (2016–2018) to sle…
Food Insecurity in a Low-Income, Predominantly African American Cohort Following the Covid-19 Pandemic
Objectives. To examine the impact of COVID-19 shutdowns on food insecurity among a predominantly African American cohort residing in low-income racially isolated neighborhoods. Methods. Residents of 2 low-income African American food desert neighborhoods in Pittsburgh, Pennsylvania, were surveyed from March 23 to May 22, 2020, drawing on a longitudinal cohort (n = 605) previously followed from 2011 to 2018. We examined longitudinal trends in food…
Do social isolation and neighborhood walkability influence relationships between Covid-19 experiences and wellbeing in predominantly Black urban areas
Age Trends in Actigraphy and Self-Report Sleep Across the Life Span
OBJECTIVE: Sleep changes over the human life span, and it does so across multiple dimensions. We used individual-level cross-sectional data to characterize age trends and sex differences in actigraphy and self-report sleep dimensions across the healthy human life span. METHODS: The Pittsburgh Lifespan Sleep Databank consists of harmonized participant-level data from sleep-related studies conducted at the University of Pittsburgh (2003-2019). We i…
The Effect of Intranasal Oxytocin on the Association Between Couple Interaction and Sleep
OBJECTIVE: Although most people in romantic relationships cosleep, biosocial modulators of sleep quality have only recently come into focus. Oxytocin (OT) might be one such modulator, as it had been shown to increase social attachment and safety. We investigated the association between everyday life couple interaction and sleep quality, as well as the effects of OT on this association. METHODS: Eighty heterosexual couples ( N = 160 individuals, m…
Multi-dimensional Profiles of Risk and Their Association with Obesity-Severity in Low-Income Black Women
Medicine (30 obras) · Psychology (26 obras) · Environmental health (19 obras) · Gerontology (19 obras) · Demography (16 obras) · Psychiatry (16 obras) · Sociology (14 obras) · Health disparities and outcomes (13 obras) · Clinical Psychology (12 obras) · Public health (12 obras)