Perceived Racial/Ethnic Discrimination, Physical and Mental Health Conditions in Childhood, and the Relative Role of Other Adverse Experiences

Details

• Alternative Title:
  Advers Resil Sci
• Personal Author:
  Hutchins, Helena J. ; Barry, Caroline M. ; Wanga, Valentine ; Bacon, Sarah ; Njai, Rashid ; Claussen, Angelika H. ; Ghandour, Reem M. ; Lebrun-Harris, Lydie A. ; Perkins, Kiana ; Robinson, Lara R.
• Description:
  Adverse childhood experiences (ACEs) are associated with poor health. Childhood experiences of racial/ethnic discrimination and other forms of racism may underlie or exacerbate other ACEs. We explored health-related associations with perceived racial/ethnic discrimination relative to other ACEs, using data from 2016-2019 National Survey of Children's Health, an annual cross-sectional, nationally representative survey. Parent responses for 88,183 children ages 6-17 years with complete data for ACEs (including racial/ethnic discrimination) were analyzed for associations between racial/ethnic discrimination, other ACEs, demographics, and physical and mental health conditions with weighted prevalence estimates and Wald chi-square tests. To assess associations between racial/ethnic discrimination and health conditions relative to other ACEs, we used weighted Poisson regressions, adjusted for exposure to other ACEs, age, and sex. We assessed effect modification by race/ethnicity. Prevalence of other ACEs was highest among children with racial/ethnic discrimination, and both racial/ethnic discrimination and other ACEs were associated with having one or more health conditions. Adjusted associations between racial/ethnic discrimination and health conditions differed by race/ethnicity (interaction |-values < 0.001) and were strongest for mental health conditions among Hispanic/Latino (adjusted prevalence ratio (aPR)=1.62, 95% confidence interval (CI): 1.24-2.10) and non-Hispanic/Latino Asian American (aPR=2.25, 95% CI: 1.37-3.71) children. Results suggest racial/ethnic discrimination and other ACEs are associated with child health conditions, with differences in relative associations by race/ethnicity. Public health efforts to prevent childhood adversity, including racial/ethnic discrimination and other forms of racism could be associated with improvements in child health.
• Subjects:
  Article Child Health Childhood Adversity Discrimination Mental Health Racism
• Source:
  Advers Resil Sci. 3(2):181-194
• Pubmed ID:
  37181947
• Pubmed Central ID:
  PMC10174208
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  3
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e89bc6ed97afe91882eb7e29212ae538bf3f3275cac654294f186f678af67248
• Download URL:
  https://stacks.cdc.gov/view/cdc/128458/cdc_128458_DS1.pdf
• File Type:
  [PDF - 152.40 KB ]