Accelerate Literature Icon
Want to do a literature review? Try our new Literature Review workflow

Racial discrimination among children in the United States from 2016 to 2020: an analysis of the National Survey of Children's Health.

  • Abstract
  • PDF
  • Literature Map
  • Similar Papers
Abstract
Translate article icon Translate Article Star icon

Sociological research has linked racism and discrimination among children to poorer health outcomes and social conditions later in life. Given the change in the political climate in the United States, highly publicized deaths of Black men and women by police, and the rise in hate crimes against Asian Americans from 2016 through 2020, our primary objective was to assess trends in racial or ethnic discrimination among children in the United States. We conducted a cross-sectional analysis of the National Survey of Children's Health (NSCH), a nationally representative survey, utilizing data from 2016 to 2020. We calculated yearly population estimates of whether a child had experienced discrimination based on race/ethnicity via a parent-reported item. We further divided the estimates by race/ethnicity and plotted linear trends over time. Data from the NSCH show that racial/ethnic discrimination reported by parents of children who are minorities increased from 6.7% in 2016 to approximately 9.3% in 2020. Indigenous children were reported to experience discrimination at high rates ranging from 10.8% in 2016 to 15.7% in 2020, as well as Black children ranging from 9.69% in 2018 to 15.04% in 2020. The percent of Asian, Hawaiian or Pacific Islander, and Hispanic children reported to have experience discrimination was between 4.4 and 6.8% during this time. Discrimination negatively impacts the developmental experiences of children, disproportionately affecting those identifying as Indigenous and Black. Therefore, addressing harmful stereotyping of Indigenous and Black cultures is necessary, especially in media targeted toward children. Providing culturally competent healthcare, critically in the Indigenous and Black pediatric population, may improve long-term outcomes by reducing discriminatory barriers to healthcare access.

Similar Papers
  • Research Article
  • Cite Count Icon 1
  • 10.1016/j.jpain.2025.105432
Chronic pain among Asian American children and associations with racial and ethnic discrimination: A nationally representative study.
  • Aug 1, 2025
  • The journal of pain
  • Ryan S L Ma + 3 more

Chronic pain among Asian American children and associations with racial and ethnic discrimination: A nationally representative study.

  • PDF Download Icon
  • Research Article
  • Cite Count Icon 3
  • 10.5195/names.2021.2276
The Name of Hate
  • May 14, 2021
  • Names
  • I M Nick

The Name of Hate

  • Front Matter
  • 10.1016/j.pedn.2008.08.004
The Challenge of Providing Culturally Competent Services
  • Nov 20, 2008
  • Journal of Pediatric Nursing
  • Cecily L Betz

The Challenge of Providing Culturally Competent Services

  • Research Article
  • 10.1016/j.ptdy.2021.06.027
Mental health care among marginalized populations in the United States
  • Jul 1, 2021
  • Pharmacy Today
  • Jeffrey Gold

Mental health care among marginalized populations in the United States

  • PDF Download Icon
  • Research Article
  • Cite Count Icon 9
  • 10.3389/fpubh.2022.955011
“No, but where are you really from?” Experiences of perceived discrimination and identity development among Asian Indian adolescents
  • Oct 18, 2022
  • Frontiers in Public Health
  • Asha K Unni + 4 more

Asian Indians were the first South Asians to immigrate to the United States in the late 1800s and are currently the largest ethnic group of South Asians living in the United States. Despite this the literature on perceived ethnic and racial discrimination experiences among this group is relatively understudied. The documented experiences of Asian Indians who either recently immigrated from India or were born and raised in America pose an important question: what are the experiences of perceived discrimination among Asian Indians living in America, particularly among younger populations who are continuing to develop their racial and ethnic identities? The current study utilized phenomenological methodology to explore the experiences of nine Asian Indian American adolescents' (ages 12–17 years). Data were collected via semi-structured interviews to assess participants' experiences of ethnic and racial discrimination and identity development. Thematic analysis was used to identify themes and subthemes among the participants' responses. Asian Indian adolescents living in the United States report experiencing discrimination at a young age. It is also evident that Asian Indian youth experience significant challenges when developing their sense of ethnic and racial identity while living within the United States. Findings document the racial and ethnic discrimination that Asian Indian adolescents living in the United States may experience from a young age. Importantly, these discrimination experiences are occurring as Asian Indian adolescents are developing their racial and ethnic identities. This study provides insight for future research, which is necessary to fully understand the experiences of Asian Indian adolescents.

  • Research Article
  • Cite Count Icon 16
  • 10.1176/appi.ps.60.8.1075
National Variation of ADHD Diagnostic Prevalence and Medication Use: Health Care Providers and Education Policies
  • Aug 1, 2009
  • Psychiatric Services
  • Brent D Fulton + 6 more

National Variation of ADHD Diagnostic Prevalence and Medication Use: Health Care Providers and Education Policies

  • Book Chapter
  • 10.4324/9781003081548-3
Implications of Immigration, Racism, and the Current Sociopolitical Climate
  • Oct 4, 2022
  • Asha Unni + 1 more

This chapter focuses on South Asian American (SAA) experiences with immigrating to and living within the US It discusses the shifts in immigration, how these movements have influenced the sociopolitical climate, and the nature of discrimination that SAAs have experienced as a result of these changes. The chapter also discusses the psychological impact of discrimination experiences. It then focuses on two case studies, including Oak Creek's community needs after a hate crime and the case of a 12-year-old girl named Sahara, to illustrate clinical practices and therapeutic interventions to consider when working with SAAs who have experienced ethnic and racial discrimination while living in the US Acculturative stress is something that both first- and second-generation immigrants experience, though bicultural stress may be best conceptualized from the perspective of second-generation immigrants specifically. Some of the most common discrimination experiences of SAAs involve racial and ethnic discrimination.

  • PDF Download Icon
  • Research Article
  • Cite Count Icon 20
  • 10.3390/ijerph18052359
Ethnic Identity as a Mediator of the Relationship between Discrimination and Psychological Well-Being in South—South Migrant Populations
  • Feb 28, 2021
  • International Journal of Environmental Research and Public Health
  • Alfonso Urzúa + 7 more

There is abundant evidence about the negative impact of discrimination on well-being, but less research on factors that can reduce this negative effect, mainly focused on North American samples and with incipient development on South–South migration. The objective of this research was to analyze the effect of ethnic identity on the relationship between the experience of racial and ethnic discrimination and psychological well-being in Colombian immigrants living in Chile. A total of 962 immigrants over the age of 18 from three cities in Chile participated. Of these, 50.7% were women. The average age was 35 years (SD = 10.23). Participants were evaluated using Ryff’s Psychological Well-Being Scales, Phinney’s adapted version of the Multigroup Ethnic Identity Scale, and Krieger’s Discrimination Experience Scale. After the analysis of the measurement models, a mediation model was analyzed using structural equations. The results provide evidence that ethnic and racial discrimination have negative effects on psychological well-being, with the effect of racial discrimination being greater. Likewise, ethnic identity has positive effects on psychological well-being and partially and completely mediates the effects of ethnic and racial discrimination on psychological well-being. The full effect of discrimination on psychological well-being, mediated by ethnic identity, is exercised only by racial discrimination and not by ethnic discrimination.

  • Research Article
  • Cite Count Icon 1
  • 10.15781/t2251g45s
What is the Impact of Racial and Ethnic Discrimination on Adolescents’ Well-Being?
  • Jan 1, 2018
  • Texas ScholarWorks (Texas Digital Library)
  • Aprile D Benner + 5 more

Racial and ethnic disparities are common across multiple domains in the United States and likely rooted in experiences of discrimination that occur early in individuals’ lives. In this brief, PRC faculty research associate Aprile D. Benner and colleagues report on a meta-analysis that examines whether adolescents’ perceptions of racial and ethnic discrimination are negatively linked to their well-being. They found that greater experiences of racial and ethnic discrimination are associated with higher levels of socioemotional distress, a higher likelihood of engaging in risky health behaviors and lower academic achievement. They also found that discrimination poses the greatest risk for Latino youth and younger adolescents.

  • Research Article
  • Cite Count Icon 1
  • 10.12968/bjnn.2020.16.sup5.s3
An Anti-Racist and Anti-Discriminatory Intersectional Tool for Nursing
  • Oct 1, 2020
  • British Journal of Neuroscience Nursing
  • Ismália De Sousa

British Journal of Neuroscience NursingVol. 16, No. Sup5 EditorialAn Anti-Racist and Anti-Discriminatory Intersectional Tool for NursingIsmália de SousaIsmália de SousaSearch for more papers by this authorIsmália de SousaPublished Online:31 Oct 2020https://doi.org/10.12968/bjnn.2020.16.Sup5.S3AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Bhopal K. White privilege: the myth of a post-racial society. 1st ed. Bristol: Bristol University Press; 2018. www-jstor-org.ezproxy.library.ubc.ca/stable/j.ctt22h6r81 Crossref, Google ScholarDordunno D. Race is not pathological but racism is. Revista Baiana de Enfermagem. 2020; 34. doi:10.18471/rbe.v34.34990 Google Scholarvan der Heever MM, van der Merwe AS. A framework to facilitate the promotion of women nurses of colour to leadership positions in hospital. Int J Afr Nurs Sci.. 2019; 10:136–144. doi:10.1016/j.ijans.2019.04.003 Google ScholarIheduru-Anderson K. Accent bias: a barrier to Black African-born nurses seeking managerial and faculty positions in the United States. Nursing Inquiry. 2020. doi:10.1111/nin.12355 Google ScholarJenkins BL, Huntington A. A missing piece of the workforce puzzle. The experiences of internationally qualified nurses in New Zealand: a literature review. Contemp Nurse. 2015; 51(2—3):220–231. doi:10.1080/10376178.2016.1158079 Crossref, Google ScholarLewis J. Together, you can redeem the soul of our nation. July 30 2020. New York Times. www.nytimes.com/2020/07/30/opinion/john-lewis-civil-rights-america.html (accessed 18 September 2020) Google ScholarMcMaster J. Racism, Colonialism, Imperialism. In: Howe KBoal JSoeiro J, eds. The Routledge Companion to Theatre of the Oppressed, vol 1, 1st ed. Abingdon, UK: Routledge; 2019:116–128 Crossref, Google ScholarMetzger M, Dowling T, Guinn J, Wilson DT. Inclusivity in Baccalaureate nursing education: A scoping study. J Prof Nurs. 2020; 36(1):5–14. doi:10.1016/j.profnurs.2019.06.002 Crossref, Google ScholarMirowsky P, Plehwe D, eds. The road from Mont Pelerin: the making of the neoliberal thought collective. London: Harvard University Press; 2009 Crossref, Google ScholarMoorley C, Darbyshire P, Serrant L, Mohamed J, Ali P, De Souza R. Dismantling structural racism: Nursing must not be caught on the wrong side of history. J Adv Nurs. 2020:1–4. doi:10.1111/jan.14469 Google ScholarNeiterman E, Bourgeault IL. The shield of professional status: comparing internationally educated nurses' and international medical graduates' experiences of discrimination. Health. 2015; 19(6):615–634. doi:10.1177/1363459314567788 Crossref, Google ScholarNHS. NHS Workforce Race Equality Standard. 2019 Data Analysis Report for NHS Trusts. 2020. www.england.nhs.uk/wp-content/uploads/2020/01/wres-2019-data-report.pdf (accessed 18 September 2020) Google ScholarNortvedt L, Lohne V, Dahl K. A courageous journey: experience of migrant Philippine nurses in Norway. J Clin Nurs. 2020; 29(3—4):468–479. doi:10.1111/joc.15107 Crossref, Google ScholarNursing and Midwifery Council. The progress and outcomes of black and minority ethnic (BAME) nurses and midwives through the Nursing and Midwifery Council's fitness to practise process. 2017. www.nmc.org.uk/globalassets/sitedocuments/other-publications/BAME-nurses--midwives-ftp-research-report.pdf (accessed 18 September 2020) Google ScholarPhelan S, Dawes S. 2018. Liberalism and neoliberalism. Oxford Research Encyclopedia of Communication. Oxford: Oxford University Press; 2018. https://oxfordre.com/communication/view/10.1093/acrefore/9780190228613.001.0001/acrefore-9780190228613-e-176 (accessed 18 September 2020) Google Scholarvan Riemsdijk M. Variegated privileges of whiteness: lived experiences of Polish nurses in Norway. Soc Cult Geogr. 2010; 11(2):117–137. doi:10.1080/14649360903514376 Crossref, Google ScholarThorne S. Does nursing represent a unique angle of vision? If so, what is it? Nursing Inquiry. 2015; 22(4):283–284. doi:10.1111/nin.12128 Crossref, Google ScholarTie YC, Birks M, Mills J. The experiences of internationally qualified registered nurses working in the Australian healthcare system: an integrative literature review. J Transcult Nurs. 2018; 29(3):274–284. doi:10.1177/1043659617723075 Crossref, Google ScholarTruitt AR, Snyder CR. Racialised experiences of black nursing professionals and certified nursing assistants in long-term care settings. J Transcult Nurs. 2020; 31(3):312–318. doi:10.1177/1043659619863100 Crossref, Google ScholarTuttas CA. Perceived racial and ethnic prejudice and discrimination experiences of minority migrant nurses: a literature review. J Transcult Nurs. 2014; 26(5):514–520. doi:10.1177/1043659614526757 Crossref, Google ScholarWalani SR. Global migration of internationally educated nurses: experiences of employment discrimination. Int JAfr Nurs Sci. 2015; 3:65–70. doi:10.1016/j.ijans.2015.08.004 Google ScholarWheeler RM, Foster JW, Hepburn KW. The experience of discrimination by US and Internationally educated nurses in hospital practice in the USA: a qualitative study. J Adv Nurs. 2014; 70(2):350–359 Crossref, Google ScholarWilliams O, Ovbiagele B. Stroking out while black—the complex role of racism. JAMA Neurol. 2020. https://doi.org/10.1001/jamaneurol.2020.3510 Google Scholar FiguresReferencesRelatedDetails 1 October 2020Volume 16Issue Sup5ISSN (print): 1747-0307ISSN (online): 2052-2800 Metrics History Published online 31 October 2020 Published in print 1 October 2020 Information© MA Healthcare LimitedPDF download

  • Research Article
  • 10.1176/appi.pn.2020.6a45
Special Report: Asian American Hate Incidents—A Co-occurring Epidemic During COVID-19
  • Jun 5, 2020
  • Psychiatric News
  • Dora Calott Wang + 1 more

<i>Special Report:</i> Asian American Hate Incidents—A Co-occurring Epidemic During COVID-19

  • Research Article
  • Cite Count Icon 41
  • 10.1016/j.pmedr.2022.102074
COVID-19 vaccine hesitancy and racial discrimination among US adults
  • Nov 28, 2022
  • Preventive Medicine Reports
  • Don E Willis + 8 more

COVID-19 vaccine hesitancy and racial discrimination among US adults

  • Research Article
  • Cite Count Icon 12
  • 10.1016/j.ajog.2024.08.027
Cervical cancer disparities in stage at presentation for disaggregated Asian Americans, Native Hawaiians, and Pacific Islanders
  • Aug 22, 2024
  • American Journal of Obstetrics and Gynecology
  • Frances Dominique V Ho + 12 more

Cervical cancer disparities in stage at presentation for disaggregated Asian Americans, Native Hawaiians, and Pacific Islanders

  • PDF Download Icon
  • Research Article
  • Cite Count Icon 12
  • 10.1186/s40337-023-00866-0
Racial discrimination is associated with binge-eating disorder in early adolescents: a cross-sectional analysis
  • Aug 17, 2023
  • Journal of Eating Disorders
  • Julia H Raney + 8 more

BackgroundRacial and ethnic discrimination are known stressors and are associated with negative psychological and physical health outcomes. Previous studies have found relationships between racial/ethnic discrimination and binge-eating disorder (BED), though they have mainly focused on adult populations. The aim of this study was to determine associations between racial/ethnic discrimination and BED in a large, national cohort study of early adolescents. We further sought to explore associations between the racial/ethnic discrimination perpetrator (students, teachers, or other adults) and BED.MethodsWe analyzed cross-sectional data from the Adolescent Brain Cognitive Development Study (N = 11,075, 2018–2020). Logistic regression analyses examined associations between self-reported experiences of racial or ethnic discrimination and binge-eating behaviors and diagnosis, adjusting for potential confounders. Racial/ethnic discrimination measures were assessed based on the Perceived Discrimination Scale, which measures experiences of discrimination based on race/ethnicity and frequency of ethnic discrimination by teachers, adults outside of school, and students. Binge-eating behaviors and diagnosis were based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSAD-5).ResultsIn this racially diverse sample of adolescents (N = 11,075, age range 9–12 years), 4.7% of adolescents reported racial or ethnic discrimination and 1.1% met the criteria for BED. In the adjusted models, racial/ethnic discrimination was associated with 3 times higher odds of having BED (OR 3.31, CI 1.66–7.74). Further, experiences of ethnic discrimination by students and adults outside school were associated with significantly increased odds of BED diagnosis (OR 1.36, CI 1.10–1.68 and OR 1.42 CI 1.06–1.90, respectively)., Increased odds of binge eating behaviors were only significantly associated with ethnic discrimination perpetuated by students (OR 1.12, CI 1.02–1.23).ConclusionsChildren and adolescents who have experienced racial/ethnic discrimination, particularly when discrimination was perpetuated by other students, have higher odds of having binge-eating behaviors and diagnoses. Clinicians may consider screening for racial discrimination and providing anti-racist, trauma-informed care when evaluating and treating patients for BED.

  • Research Article
  • Cite Count Icon 16
  • 10.1001/jamanetworkopen.2024.39727
Racial and Ethnic Discrimination and Medical Students’ Identity Formation
  • Oct 16, 2024
  • JAMA Network Open
  • Shruthi Venkataraman + 7 more

Investigating racial and ethnic discrimination in medical education is crucial for addressing disparities and fostering an inclusive environment. To assess how racial and ethnic discrimination in medical school is associated with personal and professional identity formation (PPIF) by race and ethnicity. This retrospective cross-sectional study used deidentified data on 37 610 medical students who matriculated in 2014 or 2015 and took the Association of American Medical Colleges Graduation Questionnaire (GQ) between 2016 and 2020. Statistical analysis was performed from September 1 to November 20, 2023. Experiences of racial and ethnic discrimination were assessed through responses to 3 GQ questions about denial of opportunities, offensive remarks or names, and lower evaluations or grades due to race or ethnicity. Personal and professional development were measured as 2 separate outcomes using 2 GQ statements rated on a 5-point Likert scale (where 1 indicated strongly disagree and 5 indicated strongly agree): "My medical school has done a good job fostering and nurturing my development as a person" and "My medical school has done a good job fostering and nurturing my development as a physician." Variables of personal and professional development were both dichotomized. Of 37 610 medical students, 18 200 (48.4%) were female, and 19 410 (51.6%) were male; 2458 (6.5%) were African American or Black, 7801 (20.7%) were Asian, 2430 (6.5%) were Hispanic, 21 380 (56.9%) were White, 2404 (6.4%) were multiracial, and 1137 (3%) were other race or ethnicity. Most respondents attested that their medical school fostered their personal (27 272 [72.5%]) and professional (34 560 [91.9%]) development. African American or Black students reported the lowest rates of personal (1603 of 2458 [65.2%]) and professional (2182 of 2458 [88.8%]) development, and experienced lower likelihoods of personal (adjusted risk ratio [ARR], 0.89 [95% CI, 0.86-0.93]) and professional (ARR, 0.95 [95% CI, 0.94-0.97]) development than White students. Racial discrimination was inversely associated with development, with the highest PPIF rates among those never experiencing discrimination (personal, 25 089 of 33 508 [74.9%]; and professional, 31 257 of 33 508 [93.3%]). Those experiencing isolated discrimination (personal: ARR, 0.83 [95% CI, 0.80-0.87]; professional: ARR, 0.92 [95% CI, 0.91-0.95]) and recurrent discrimination (personal: ARR, 0.63 [95% CI, 0.60-0.66]; professional: ARR, 0.82 [95% CI, 0.80-0.84]) had relatively lower likelihoods of PPIF. African American or Black students experienced the highest rate of recurrent discrimination (543 of 2458 [22.1%]). No significant PPIF risk differences were found for other racial and ethnic groups underrepresented in medicine without discrimination compared with White students without discrimination, but all groups with recurrent discrimination had relatively lower PPIF risk. In this cross-sectional study of US medical students, racial and ethnic discrimination was associated with lower PPIF across all racial and ethnic groups compared with White students without such experiences. African American or Black students disproportionately faced this discrimination. Systemic changes in medical education are needed to combat discrimination and ensure equity in holistic student development.

Save Icon
Up Arrow
Open/Close
Setting-up Chat
Loading Interface