Wesley R Browning
Biographic Data
| ID | 1727992 |
|---|---|
| NAME | Wesley R Browning |
| GIVEN NAMES | Wesley R |
| FAMILY NAME | Browning |
| SIGNATURE | BROWNING W R |
| AFFILIATIONS | University of Alabama at Birmingham |
| ORCID | 0000-0002-7529-6120 |
| VERIFIED | Yes |
| TOTAL WORKS | 33 |
| TOTAL CITATIONS | 56 |
| AUTHOR COUNT | 33 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 4 |
Resilience, and Personality Traits as Independent Correlates of Perceived Treatment Management Abilities in Middle-Aged and Older People Living with HIV
As people living with HIV (PLWH) age, they face various stressors that may negatively affect HIV treatment adherence and management. Resilience and personality characteristics have demonstrated associations with better health outcomes among people with various health conditions. The present study examines the association between dispositional resilience, the Big Five personality traits (openness, conscientiousness, extraversion, agreeableness, ne…
Analyzing Multiple Social Determinants of Health Using Different Clustering Methods
Social determinants of health (SDoH) have become an increasingly important area to acknowledge and address in healthcare; however, dealing with these measures in outcomes research can be challenging due to the inherent collinearity of these factors. Here we discuss our experience utilizing three statistical methods-exploratory factor analysis (FA), hierarchical clustering, and latent class analysis (LCA)-to analyze data collected using an electro…
Vicarious Discrimination Through Spouses and Mental Health Among Middle-Aged Black Adults
The Independent and Interactive Effects of Economic Stability and Healthcare Access on 10-Year Cognitive Trajectories of Black/African American and White Older Adults from the Active Study
Objectives Social and structural determinants of health (SSDoH) have been linked to racial disparities in Alzheimer’s disease and related dementias (ADRD). Research has established that living in an environment with greater economic stability (ES) or healthcare access (HCA) is associated with better baseline cognition, but the interactive effects between these distinct SSDoH on cognition over time have not been studied. Therefore, the present stu…
Social and Neighborhood Context Moderates the Associations Between Processing Speed and Driving Mobility
Objectives: Processing speed is essential to functional independence in later life, such as driving a vehicle. Few studies have examined processing speed and driving mobility in the context of racial differences and social determinants of health (SDoH). This study characterized the longitudinal association between processing speed and driving mobility, and how it varied by race and SDoH. Methods: Using data from the control arm of the Advanced Co…
Effects of Cognitive Training on Alzheimer’s Disease and Related Dementias
Objective: We examined whether social determinants of health (SDoH) are associated with Alzheimer's disease and related dementias (ADRD) risk and the effects of cognitive training over a 20-year follow-up period. Methods: Data were obtained from 1605 participants in ACTIVE. SDoH measures were created using baseline data at the individual and neighborhood level. Incident ADRD was defined using administrative claims data (1999-2019). Cause-specific…
The Active Study
Objective: The purpose of this article is to introduce a special issue on the ACTIVE project examining the association between race and social determinants of health (SDoH) and long-term participant outcomes and training effectiveness for older Black/African Americans and Whites in the ACTIVE (for Advanced Cognitive Training for Independent and Vital Elderly) Trial on cognitive abilities, everyday functioning, and incidence of dementia. The ACTIV…
Associations Between Body Mass Index and Cognitive Change in the Active Study
Objectives: The current study examines relationships between Body Mass Index (BMI) and cognitive performance and change in processing speed, memory, and reasoning, while accounting for variations by race and the influence of social determinants of health. Methods: Secondary data analysis of the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study, which included participants who self-identified as African American or Black…
Does Consumer Credit Precede or Follow Changes in Cognitive Impairment Among Older Adults? An Investigation in the Advanced Cognitive Training for Independent and Vital Elderly (Active) Trial
Credit declines may signal risk for future MCI. MCI may lead to financial challenges that warrant credit monitoring interventions for older adults
Cognitive prescriptions for reducing dementia risk factors among Black/African Americans
ClinicalTrials.gov identifier: NCT03864536
Vicarious experiences of major discrimination, anxiety symptoms, and mental health care utilization among Black Adults
Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the Active Trial
This investigation uses baseline data from individuals participating in the ACTIVE trial ( n = 2505) to reproduce the SDoH domains described in Healthy People 2030 (economic stability, health care, education, neighborhood and built environment, and social and community context). Results: Results support using data from the ACTIVE trial to assess all five SDoH domains, and the ability of the composites to predict baseline performance on measures o…
The Relationship Between Cognition and Mortality Among Older Black and White Men in Advanced Cognitive Training for Independent and Vital Elderly
Objective : To determine the association between baseline cognition and all-cause mortality among Black men and White men. Methods : Data were from 614 Black and White men aged ≥65 years at baseline in the Advanced Cognitive Training for Independent and Vital Elderly trial and their linked mortality information. Cox proportional hazards models were used to determine the association between baseline cognition (memory, reasoning, speed of processin…
Rural-Urban Differences in Cognition
ObjectivesWe examined associations between three geographic areas (urban, suburban, rural) and cognition (memory, reasoning, processing speed) over a 10-year period. Methods: Data were obtained from 2539 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) trial. Multilevel, mixed-effects linear regression was used to estimate cognitive trajectories by geographical areas over 10 years, after adjusting for soc…
Indicators of Crash Risk in Older Adults
Objective: This study aims to examine indicators of crash risk longitudinally in older adults ( n = 486). Method: This study applied secondary data analyses of the 10 years of follow-up for the ACTIVE study combined with state-recorded crash records from five of the six participating sites. Cox proportional hazards models were first used to examine the effect of each variable of interest at baseline after controlling for miles driven and then to …
Racial differences in persistence to secondary prevention medication regimens after ischemic stroke
Medication persistence was high in this sample, likely due to the presence of a caregiver. In our cohort, despite similar prescription rates at the time of hospital discharge, Black stroke survivors were more than twice as likely to stop antithrombotics than Whites. The effect of changes in patterns of medication usage on health outcomes in Black stroke survivors warrants continued investigation
The Association of Emotional and Physical Reactions to Perceived Discrimination with Depressive Symptoms Among African American Men in the Southeast
This study examines the association of emotional and physical reactions to perceived discrimination with depressive symptoms among a sample of African American (AA) men in the southeastern United States. Analysis of the 2010 Behavioral Risk Factor Surveillance System (BRFSS) data set provides an examination of demographic, perceived discrimination context, and health status differences in depressive symptoms measured by the Patient Health Questio…
Associations of food insecurity and psychosocial measures with diet quality in adults aging with HIV
People aging with HIV face social stressors which may negatively affect their overall nutrition. Here, we assess relationships between self-reported measures of depression, perceived stress, social support, and food insecurity with diet quality in older adults with HIV. A retrospective analysis of self-reported data from parent study at The University of Alabama at Birmingham 1917 HIV Clinic was performed. The study sample consisted of sixty peop…
A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV
Associations of Multimorbid Medical Conditions and Health-Related Quality of Life Among Older African American Men
These findings suggest the importance of examining clusters of comorbid medical conditions and their relationships to outcomes within older African American men
How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes
Interpersonal Mechanisms Contributing to the Association Between HIV-Related Internalized Stigma and Medication Adherence
Surrounding Community Residents’ Expectations of Hope VI for Their Community, Health and Physical Activity
Using a community-engaged participatory research approach, this study identified surrounding community residents' expectations for how a HOPE VI housing initiative might affect their community and individual health and physical activity. Fifty-nine women and men engaged in concept mapping, which is a mixed methods approach, where participants generate, sort, and rate ideas. Participants generated 197 unique statements. Thirteen thematic clusters …
An Examination of Lower Extremity Function and Its Correlates in Older African American and White Men
The results of this investigation can be helpful for researchers and clinicians to aid in identifying older men who are at-risk for poor lower extremity function and in planning targeted interventions to help reduce disparities
The Impact of Veteran Status on Life-Space Mobility among Older Black and White Men in the Deep South
Veterans had significantly higher baseline life-space mobility. There were significantly greater declines in life-space trajectories for White non-veterans in comparison to other race-veteran subgroups. Black veterans and non-veterans did not have significantly different trajectories
Vicarious experiences of major discrimination, anxiety symptoms, and mental health care utilization among Black Adults
Theory-Guided Selection of Discrimination Measures for Racial/ Ethnic Health Disparities Research Among Older Adults
Using theory to guide measure selection can help improve understanding of how perceived discrimination may contribute to racial/ethnic health disparities among older adults
Predictors of improvement in social support
The influence of Hope VI neighborhood revitalization on neighborhood-based physical activity
Diabetes and Cognitive Decline
Findings suggest that factors related to health disparities may influence cognitive outcomes among older adults with diabetes
Surrounding Community Residents’ Expectations of Hope VI for Their Community, Health and Physical Activity
Using a community-engaged participatory research approach, this study identified surrounding community residents' expectations for how a HOPE VI housing initiative might affect their community and individual health and physical activity. Fifty-nine women and men engaged in concept mapping, which is a mixed methods approach, where participants generate, sort, and rate ideas. Participants generated 197 unique statements. Thirteen thematic clusters …
Do Older Drivers At-Risk for Crashes Modify Their Driving Over Time
Five-year driving habit trajectories among older adults (n = 645) at-risk for crashes were examined. Performance measures included Useful Field of View (UFOV). Motor-Free Visual Perception Test, Rapid Walk, and Foot Tap. Self-report measures included demographics and the Driving Habits Questionnaire. Longitudinal random-effects models revealed that drivers at-risk for subsequent crashes, based upon UFOV, regulated their driving more than the lowe…
Predictors of Time to Nursing Home Placement in White and African American Individuals With Dementia
Findings suggest that stress-process variables are critical factors in Time to NHP; however, these variables do not explain fully the difference in Time to NHP seen in White and African American care recipients
Associations of Multimorbid Medical Conditions and Health-Related Quality of Life Among Older African American Men
These findings suggest the importance of examining clusters of comorbid medical conditions and their relationships to outcomes within older African American men
Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the Active Trial
This investigation uses baseline data from individuals participating in the ACTIVE trial ( n = 2505) to reproduce the SDoH domains described in Healthy People 2030 (economic stability, health care, education, neighborhood and built environment, and social and community context). Results: Results support using data from the ACTIVE trial to assess all five SDoH domains, and the ability of the composites to predict baseline performance on measures o…
Indicators of Crash Risk in Older Adults
Objective: This study aims to examine indicators of crash risk longitudinally in older adults ( n = 486). Method: This study applied secondary data analyses of the 10 years of follow-up for the ACTIVE study combined with state-recorded crash records from five of the six participating sites. Cox proportional hazards models were first used to examine the effect of each variable of interest at baseline after controlling for miles driven and then to …
Association of Physical Activity and Visual Attention in Older Adults
The preservation of visual attention skills across the life span may be more highly correlated with regular participation in exercise training activities than it is with more general occupational and leisure-related physical activity
Predictors of Time to Nursing Home Placement in White and African American Individuals With Dementia
Findings suggest that stress-process variables are critical factors in Time to NHP; however, these variables do not explain fully the difference in Time to NHP seen in White and African American care recipients
Predictors of improvement in social support
Visual Function and Cognitive Speed of Processing Mediate Age-Related Decline in Memory Span and Fluid Intelligence
The findings support both the sensory degradation and speed of processing accounts of age-related, cognitive decline. Furthermore, the findings highlight positive aspects of normal cognitive aging in that older age may not be associated with a loss of fluid intelligence if visual sensory functioning and processing speed can be maintained
Do Older Drivers At-Risk for Crashes Modify Their Driving Over Time
Five-year driving habit trajectories among older adults (n = 645) at-risk for crashes were examined. Performance measures included Useful Field of View (UFOV). Motor-Free Visual Perception Test, Rapid Walk, and Foot Tap. Self-report measures included demographics and the Driving Habits Questionnaire. Longitudinal random-effects models revealed that drivers at-risk for subsequent crashes, based upon UFOV, regulated their driving more than the lowe…
Diabetes and Cognitive Decline
Findings suggest that factors related to health disparities may influence cognitive outcomes among older adults with diabetes
Theory-Guided Selection of Discrimination Measures for Racial/ Ethnic Health Disparities Research Among Older Adults
Using theory to guide measure selection can help improve understanding of how perceived discrimination may contribute to racial/ethnic health disparities among older adults
An Examination of Lower Extremity Function and Its Correlates in Older African American and White Men
The results of this investigation can be helpful for researchers and clinicians to aid in identifying older men who are at-risk for poor lower extremity function and in planning targeted interventions to help reduce disparities
The Impact of Veteran Status on Life-Space Mobility among Older Black and White Men in the Deep South
Veterans had significantly higher baseline life-space mobility. There were significantly greater declines in life-space trajectories for White non-veterans in comparison to other race-veteran subgroups. Black veterans and non-veterans did not have significantly different trajectories
The influence of Hope VI neighborhood revitalization on neighborhood-based physical activity
How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes
Interpersonal Mechanisms Contributing to the Association Between HIV-Related Internalized Stigma and Medication Adherence
Surrounding Community Residents’ Expectations of Hope VI for Their Community, Health and Physical Activity
Using a community-engaged participatory research approach, this study identified surrounding community residents' expectations for how a HOPE VI housing initiative might affect their community and individual health and physical activity. Fifty-nine women and men engaged in concept mapping, which is a mixed methods approach, where participants generate, sort, and rate ideas. Participants generated 197 unique statements. Thirteen thematic clusters …
Associations of Multimorbid Medical Conditions and Health-Related Quality of Life Among Older African American Men
These findings suggest the importance of examining clusters of comorbid medical conditions and their relationships to outcomes within older African American men
A Randomized Pilot Trial of a Novel Behavioral Intervention for Chronic Pain Tailored to Individuals with HIV
Associations of food insecurity and psychosocial measures with diet quality in adults aging with HIV
People aging with HIV face social stressors which may negatively affect their overall nutrition. Here, we assess relationships between self-reported measures of depression, perceived stress, social support, and food insecurity with diet quality in older adults with HIV. A retrospective analysis of self-reported data from parent study at The University of Alabama at Birmingham 1917 HIV Clinic was performed. The study sample consisted of sixty peop…
The Association of Emotional and Physical Reactions to Perceived Discrimination with Depressive Symptoms Among African American Men in the Southeast
This study examines the association of emotional and physical reactions to perceived discrimination with depressive symptoms among a sample of African American (AA) men in the southeastern United States. Analysis of the 2010 Behavioral Risk Factor Surveillance System (BRFSS) data set provides an examination of demographic, perceived discrimination context, and health status differences in depressive symptoms measured by the Patient Health Questio…
Indicators of Crash Risk in Older Adults
Objective: This study aims to examine indicators of crash risk longitudinally in older adults ( n = 486). Method: This study applied secondary data analyses of the 10 years of follow-up for the ACTIVE study combined with state-recorded crash records from five of the six participating sites. Cox proportional hazards models were first used to examine the effect of each variable of interest at baseline after controlling for miles driven and then to …
Racial differences in persistence to secondary prevention medication regimens after ischemic stroke
Medication persistence was high in this sample, likely due to the presence of a caregiver. In our cohort, despite similar prescription rates at the time of hospital discharge, Black stroke survivors were more than twice as likely to stop antithrombotics than Whites. The effect of changes in patterns of medication usage on health outcomes in Black stroke survivors warrants continued investigation
Evaluating Social Determinants of Health Domains and Their Predictive Validity Within Black/African American and White Older Adults From the Active Trial
This investigation uses baseline data from individuals participating in the ACTIVE trial ( n = 2505) to reproduce the SDoH domains described in Healthy People 2030 (economic stability, health care, education, neighborhood and built environment, and social and community context). Results: Results support using data from the ACTIVE trial to assess all five SDoH domains, and the ability of the composites to predict baseline performance on measures o…
The Relationship Between Cognition and Mortality Among Older Black and White Men in Advanced Cognitive Training for Independent and Vital Elderly
Objective : To determine the association between baseline cognition and all-cause mortality among Black men and White men. Methods : Data were from 614 Black and White men aged ≥65 years at baseline in the Advanced Cognitive Training for Independent and Vital Elderly trial and their linked mortality information. Cox proportional hazards models were used to determine the association between baseline cognition (memory, reasoning, speed of processin…
Rural-Urban Differences in Cognition
ObjectivesWe examined associations between three geographic areas (urban, suburban, rural) and cognition (memory, reasoning, processing speed) over a 10-year period. Methods: Data were obtained from 2539 participants in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) trial. Multilevel, mixed-effects linear regression was used to estimate cognitive trajectories by geographical areas over 10 years, after adjusting for soc…
Social and Neighborhood Context Moderates the Associations Between Processing Speed and Driving Mobility
Objectives: Processing speed is essential to functional independence in later life, such as driving a vehicle. Few studies have examined processing speed and driving mobility in the context of racial differences and social determinants of health (SDoH). This study characterized the longitudinal association between processing speed and driving mobility, and how it varied by race and SDoH. Methods: Using data from the control arm of the Advanced Co…
Effects of Cognitive Training on Alzheimer’s Disease and Related Dementias
Objective: We examined whether social determinants of health (SDoH) are associated with Alzheimer's disease and related dementias (ADRD) risk and the effects of cognitive training over a 20-year follow-up period. Methods: Data were obtained from 1605 participants in ACTIVE. SDoH measures were created using baseline data at the individual and neighborhood level. Incident ADRD was defined using administrative claims data (1999-2019). Cause-specific…
The Active Study
Objective: The purpose of this article is to introduce a special issue on the ACTIVE project examining the association between race and social determinants of health (SDoH) and long-term participant outcomes and training effectiveness for older Black/African Americans and Whites in the ACTIVE (for Advanced Cognitive Training for Independent and Vital Elderly) Trial on cognitive abilities, everyday functioning, and incidence of dementia. The ACTIV…
Medicine (30 works) · Psychology (28 works) · Gerontology (25 works) · Psychiatry (18 works) · Health disparities and outcomes (15 works) · Clinical Psychology (13 works) · Clinical Psychology (12 works) · Public health (11 works) · Cognition (10 works) · Demography (9 works)