# 11/15/18. Bowers. Resub R01. Linking pre- and post-natal psychosocial determinants, DNA methylation, and early developmental health disparities

> **NIH NIH R01** · CINCINNATI CHILDRENS HOSP MED CTR · 2020 · $562,522

## Abstract

PROJECT SUMMARY
Despite improvements in access and quality of health care in the United States (US), children from
socioeconomically disadvantaged families and / or of minority race have an elevated risk for impaired cognitive
and social-emotional development. Indeed, children in poverty are 40% more likely to experience developmental
delays relative to children not in poverty. Poverty engenders disproportionate exposure to adversity including
parental/child psychosocial stressors (such as, exposure to violence, frequent relocation) and psychological
distress (such as, maternal depression) that contribute to impaired childhood development. However, negative
effects may be mitigated in the presence of protective factors. While measures of maternal adversity and
protective factors have been evaluated in association with child development, the combined effects of these
opposing forces and the potentially related and critical role of epigenetic programming have not been determined.
In particular, at sensitive periods across the life-course when their effects have the strongest impact. Our
preliminary data suggest that maternal adversity during two sensitive time periods (prenatally and early life)
epigenetically program infant response systems, thereby altering child development. Our overall hypothesis is
that maternal adversity and protective factors (i.e., maternal psychosocial experience) faced across the life-
course contribute to offspring cognitive and social-emotional developmental disparities through DNA methylation
(DNAm) of genes in multiple biologic pathways. This study combines retrospective assessment and prospective
data collection on 375 mother-infant dyads captured in 5 study visits spanning pregnancy through 18 months
postnatal. The specific aims of the proposal are 1) determine the association between the life-course maternal
psychosocial experience and the change in infant DNAm during the first year of life, a sensitive developmental
window, 2) characterize the association between postnatal maternal psychosocial experiences in the infant’s first
year of life and infant DNAm at one year, and 3) determine the impact of DNAm at two time points (1 month and
12 months) of infant development across the first 18 months. This research will be conducted within a large,
regional home visiting program, uniquely positioning us to translate findings through precision home visiting and
additional strategies aimed at reducing early developmental health disparities.

## Key facts

- **NIH application ID:** 9984525
- **Project number:** 5R01MD013006-02
- **Recipient organization:** CINCINNATI CHILDRENS HOSP MED CTR
- **Principal Investigator:** Katherine A Bowers
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $562,522
- **Award type:** 5
- **Project period:** 2019-07-26 → 2024-02-29

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9984525

## Citation

> US National Institutes of Health, RePORTER application 9984525, 11/15/18. Bowers. Resub R01. Linking pre- and post-natal psychosocial determinants, DNA methylation, and early developmental health disparities (5R01MD013006-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9984525. Licensed CC0.

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