African American Children Research Articles

Prevalence of undiagnosed dyslexia in African-American primary school children

Dyslexia is among the most common neurodevelopmental disorders in children, yet despite its high prevalence all too frequently goes undiagnosed. Consequently dyslexic children all too often fail to receive effective reading interventions. Here we report our findings from a study using a teacher completed evidence-based dyslexia screener to first screen then test predominantly African-American children in grades kindergarten through second grade in two inner city public charter schools in New Orleans. Almost half (49.2%) of the children screened as at risk for dyslexia and of these the majority were found to be dyslexic on more detailed testing. Our results suggest that large numbers of African-American students with dyslexia may be overlooked in schools.

Award for Distinguished Scientific Contributions: Vonnie C. McLoyd.

The APA Award for Distinguished Scientific Contributions honors psychologists who have made distinguished theoretical or empirical contributions to basic research in psychology. "For advancing understanding of the family-level processes through which poverty harms children. Vonnie C. McLoyd extended a family stress model of how families cope with the shock of economic loss to investigate how families cope with poverty and low income as ongoing conditions. Her work demonstrates that poverty and low-income can adversely affect children's psychological functioning through its impact on mothers' mental health and parenting behaviors. It also provides evidence of the protective effects of social support on mothers and children experiencing poverty and neighborhood violence. Her scholarship interrogating and critiquing the deficit, race-comparative paradigm helped move the study of African American children toward one that gives more attention to normative development, contextual influences, and sources of within-group variation." (PsycInfo Database Record (c) 2024 APA, all rights reserved).

60 Family Functioning Effects on Cognitive Abilities in Children with Sickle Cell Disease

Objective:Psychosocial factors show a significant relationship between child behavior problems, family functioning, and cognitive performance in children with Sickle Cell Disease, marking those as important targets for intervention among this population. The purpose of this research is to address the effects of psychosocial factors impact on specific cognitive domains.Participants and Methods:Archival data from the National Institutes of Health’s Cooperative Study of Sickle Cell Disease was used. Data was restricted to individuals aged 14 or younger (N= 2,408), with 47.8% (n = 1,152) identified as female and 52.2% (n = 1,256) as male. Black or African American (96.9%, n = 2,334) children made up the majority of the sample, with the remainder coded as “other” (2.8%, n = 68). The measures utilized included the Wechsler Intelligence Scale for Children-Revised (WISC-R), Wechsler Intelligence Scale for Children-Third Edition (WISC-III), Peabody Picture Vocabulary Test (PPVT), Achenbach Child Behavior Checklist, and Family Environment Scale (FES).Results:Bivariate correlations were completed with significant correlations found between FES and performance on the WISC-R/III and PPVT. Supportiveness subscale on the FES demonstrated several statistically significant correlations with WAIS FSIQ (r = .21, p = .000) as well as the Information (r = .22, p = .000), Similarities (r = .17, p = .001), Arithmetic (r = .13, p = .021), Block Design (r = .11, p = .036), Vocabulary (r = .22, p = .000), Object Assembly (r = .12, p = .033), Comprehension (r = .19, p = .000), and Digit Span (r = .13, p = .014) subscales. A statistically significant correlation was observed between the PPVT and the Supportiveness subscale (r = .34, p = .000).Conclusions:Various areas of cognitive functioning are affected by family dynamics. Improvement in family functioning would benefit the cognitive functioning of children with SCD. To increase aspects of family functioning including supportiveness, early identification of children with SCD, targeted interventions, and family and/or individual therapy for caregivers are suggested.

Race/Ethnicity Modifies the Relationship Between Diet Quality at the Home- and Individual-Levels and Weight Status Among African American and Hispanic/Latinx Households With Preschool-Age Children.

Background: Higher obesity prevalence and poorer diet quality disproportionately impacting groups based on income and race/ethnicity may be partially attributed to the home food environment. This study examined home- and individual-level diet quality with weight status among racially/ethnically diverse households. Methods: This cross-sectional study included African American (AA) and Hispanic/Latinx (H/L) households with preschool-age children (n = 97). Home-level diet quality was based on comprehensive home food inventories and individual-level diet quality was based on 24-hour dietary recalls; scores were estimated with the Healthy Eating Index. Child and adult appropriate weight categories based on BMI were estimated with measured heights and weights. Multiple linear regression models (independent variable: weight status, outcome: diet quality scores) with an interaction term for weight status and race/ethnicity and adjusting for potential confounding factors were used to estimate adjusted mean diet quality scores. Postestimation pairwise comparisons of these scores were used to look for within and between group differences by weight status and race/ethnicity. Results: Home-level diet quality scores were significantly higher among H/L households compared to AA counterparts regardless of weight status. AA parents with BMI <30 and AA children with BMI <85th percentile had poorer individual-level diet quality scores compared to AA parents and children of lower weight status and all H/L parents and children. Conclusions: These findings offer evidence that race/ethnicity modifies the relationship between diet quality and weight among AA and H/L households. Future research needs to examine the distinctive ways race/ethnicity shapes the relationship between weight and diet quality in these households.

RISK FACTORS AND EARLY SIGNS OF CRITICAL CONDITIONS IN CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA ADMITTED TO THE INTENSIVE CARE UNIT

Relevance: Acute lymphoblastic leukemia (ALL) is the most common cancer among children, accounting for nearly a quarter of all childhood cancers.&#x0D; The study aimed to determine the risk factors and signs of critical conditions in children with acute lymphoblastic leukemia admitted to an intensive care unit (ICU).&#x0D; Methods: The approach used was a systematic review. Data was collected from sources published in 2019-2023. Four cohort studies, four retrospective analyses, two literature reviews, one case-control study, and one case study were included in this systematic review.&#x0D; Results: The prognosis in pediatric ALL depends on the initial number of blast cells in the peripheral blood. Patients with B-cell precursor acute lymphoblastic leukemia (BCP ALL) and low blast cell numbers survived better than patients with T-cell acute lymphoblastic leukemia (T-ALL) and low cell count. IL1B and NLRP1 genetic polymorphisms enhanced ALL risk and reduced infectious comorbidity. However, these gene polymorphisms must be confirmed in juvenile leukemia. KRAS, FLT3, NRAS, PTPN11, KMT2D, PTEN, and NOTCH1 gene mutations affected pediatric ALL patient features and treatment results. These mutations demonstrate the relevance of genetic profiling in risk classification and tailored management. Gene variations and availability of effective medication contributed. Pediatric BCP-ALL patients with the PAX5P80R mutation had worse 5-year overall survival, higher white blood cell counts, male preponderance, and more genetic abnormalities. Pediatric BCP-ALL focused on genetic analysis and risk stratification. Children of African American and European American ancestry showed varied incidence, recurrence, and outcome rates for ALL. African American children exhibited lower incidence but greater recurrence rates and poorer prognosis than European American children.&#x0D; Conclusion: Risk factors for these patients’ admission to ICU include comorbidities, infectious diseases, hypoxia, and hemodynamic instability, as well as age and baseline white blood cell count at diagnosis.

SNAP Participation Moderates Fruit and Vegetable Intake Among Minority Families With Low Income

ObjectiveTo examine the moderation effect of Supplemental Nutrition Assistance Program (SNAP) participation on the baseline fruit and vegetable (FV) intake of Hispanic/Latino and African American children and parents participating in the Brighter Bites program. DesignCross-sectional. SettingHouston, Austin, and Dallas, TX; Washington, DC; and Southwest Florida. ParticipantsSelf-reported surveys (n = 6,037) of Hispanic/Latino and African American adult-child dyads enrolled in Brighter Bites in Fall 2018. Variables MeasuredDependent variable, child FV intake; Independent variable, parent FV intake, and FV shopping behavior; Effect Measure Modifier, SNAP participation. AnalysisQuantitatively used mixed effects linear regression models to test if the effect of parental baseline FV intake and shopping behavior on a child's baseline FV intake differed by SNAP participation. Analyses were performed using STATA with significance set at P < 0.05 and 95% confidence intervals (CIs). ResultsFor parents that consumed FV ≥ 2 times/d at baseline, there was a 0.1 times increase in child FV intake at baseline among those who participated in SNAP as compared with those who did not participate in SNAP (ß = 0.1; 95% CI, 0.1–0.2; P = 0.001), and for parents who shopped at convenience stores ≥ 2 times/wk for FV, there was 0.6 times increase in child FV intake at baseline for those who participated in SNAP as compared with those that did not participate in SNAP (ß = 0.6; 95% CI, 0.3–0.9; P < 0.001). Conclusions and ImplicationsSupplemental Nutrition Assistance Program participation moderated the associations between FV intake among African American and Hispanic/Latino parents and children and FV shopping at convenience stores and child FV intake. Findings indicate a need for future interventions to promote SNAP participation among those eligible and improve access to FV.

2.24 Exploring Disparities in Treatment and Comorbid Diagnoses of ADHD in African American Children: A Nationwide Database Study

2.24 Exploring Disparities in Treatment and Comorbid Diagnoses of ADHD in African American Children: A Nationwide Database Study

Gut microbiome is associated with asthma and race in children with food allergy

The composition of the gut microbiome has been associated with development of atopic conditions such as food allergy (FA) and asthma. African American or Black children with FA have higher rate of asthma compared to their White counterparts. We sought to investigate whether the diversity and relative abundance (RA) of gut microbiota is different between children with FA from different racial backgrounds living in the same cities. Furthermore, we aimed to understand whether the difference in the gut microbiota is associated with asthma in children with FA. We analyzed and compared the stool microbiome of a cohort of Black and White children with FA by shotgun genomic sequencing. A total of 152 children with IgE-mediated FA enrolled onto FORWARD (Food Allergy Outcomes Related to White and African American Racial Differences); 30 Black and 122 White children were included. The RA of several bacteria was associated with race and asthma. Most notably the RA of Bacteroides thetaiotaomicron, Chlamydia thrachomatis, Parabacteroides goldsteinii, and Bacteroides eggerthii were significantly higher, while the RA of Bifidobacterium sp CAG:754, Parabacterium johnsonii, Bacteroides intestinalis, and Bifidobacterium breve were significantly lower in stool samples of Black children compared to White children. Asthma was associated with lower RA of B breve, Bifidobacterium catenulatum, Prevotella copri, Veilloella sp CAG:933, and Bacteroides plebius, and higher RA of 3 Bacteroides species. The observed variations in the gut microbiota of Black and White children such as differences in the Bacteroides and Bifidobacterium species along with their association to history of asthma in our cohort is indicative of their potential role in the higher rate of asthma observed among Black children with FA.

Pneumococcal infections in children with sickle cell disease before and after pneumococcal conjugate vaccines

AbstractChildren with sickle cell disease (SCD) are at increased risk of invasive pneumococcal disease (IPD). Over 25 years, the Georgia Emerging Infections Program/Centers for Disease Control and Prevention Active Bacterial Core Surveillance network identified 104 IPD episodes among 3707 children with hemoglobin SS (HbSS) or HbSC aged <10 years, representing 6% of IPD in Black or African American children residing in Metropolitan Atlanta (reference population). Children with IPD and HbSS/SC were older than those with IPD in the reference population (P < .001). From 1994-1999 to 2010-2018, IPD declined by 87% in children with HbSS aged 0 to 4 years, and by 80% in those aged 5 to 9 years. However, IPD incidence rate ratios when comparing children with SCD with the reference population increased from 20.2 to 29.2 over these periods. Among children with HbSS and IPD, death declined from 14% to 3% after 2002, and meningitis declined from 16% to 8%. Penicillin resistance was more prevalent in children with SCD before 7-valent pneumococcal conjugate vaccine (PCV7) licensure. After 2010, all IPD serotypes were not included in the 13-valent PCV (PCV13). Within 3 years of vaccination, the effectiveness of the 23-valent pneumococcal polysaccharide vaccine (PPSV23) against non-PCV13 serotypes included in PPSV23 plus 15A/15C was 92% (95% confidence interval, 40.8- 99.0, P = .014; indirect-cohort effect adjusted for age and hydroxyurea). PPSV23 would cover 62% of non-PCV13 serotype IPD in children with SCD, whereas PCV15, PCV20, and PCV21/V116 (in development) could cover 16%, 51%, and 92%, respectively. Although less frequent, IPD remains a life-threatening risk in children with SCD. Effective vaccines with broader coverage could benefit these children.

Action anthropology and public policy change: Lead poisoning in Syracuse, NY

AbstractIn Syracuse, New York more than 10% of children are lead poisoned each year, a toxic exposure that lowers the children's ability to learn and increases risky behaviors in adolescence. African American children are affected at nearly twice the rate of White children. We describe a community‐university collaboration to reduce childhood lead poisoning in Syracuse, and the effects these efforts have had on public policy to date. This paper documents the effectiveness of the Community Action, Research, and Education model to deliver community‐based prevention strategies on child lead poisoning in Syracuse, New York. The community‐based strategies were successful for promoting legal and policy change, increasing the public awareness of this tragic problem, holding elected and appointed officials to their commitments in addressing this toxic injustice, and obtaining needed intervention and disability accommodations for lead‐poisoned children in the community and educational institutions.

Participant Satisfaction of a Community-based Telehealth Clinic for Atopic Dermatitis.

Atopic dermatitis (AD), a chronic, relapsing inflammatory disease that affects more than 30 million children and adults in the US, disproportionally impacts African American (AA) and Hispanic children, with a higher prevalence of severe AD in these populations than in white children.1,2 Visits to urgent care, emergency departments, and hospitalizations for AD in the United States were more common among AA and Hispanic adults, and those with lower socioeconomic status.1,3 In Washington DC, outcomes and access to care among the District's poor and underrepresented minorities lag far behind other groups. Ward 8, for example, which is 89% Black, has the District's highest per capita rate of coronavirus-related deaths - 6 for every 10,000 residents.4 These disparities have been long-lived and pervasive in all areas of medicine, including dermatology.5.

Departments: Perspectives on Practice: To Dream, to Fly, and to Be: Depictions of Black Livingness in Contemporary African American Children’s Literature

In this column, we expand the concept of Black Livingness as a lens to evaluate and select African American children’s literature.

Longitudinal trajectories of children's social skills: Examining variability in teacher ratings as a function of child demographics

AbstractAlthough the trajectories of children's social skills have been examined across biological sexes, less research has examined these patterns for racially and ethnically diverse children in the United States. The purpose of this study was to estimate the longitudinal growth trajectories of social skills, while examining the influence of biological sex, race, and ethnic identities using an adaptation of the commonly used Social Skills Rating Scale. A large nationally representative sample of elementary school children in the United States were assessed annually from kindergarten through fifth grade (N = 11,792). Structural equation modeling was used to examine latent growth curve models of teacher‐rated interpersonal skills and self‐control. After finding evidence of longitudinal invariance, results suggested a quadratic growth pattern best represented the trajectories of social skills ratings. Teacher ratings for African American children demonstrated a moderate declining linear trajectory throughout elementary school when compared with White children (reference group) and their Asian and Hispanic peers. Children from families with higher socioeconomic status and girls showed moderate to large differences in social skills ratings in kindergarten and stronger growth across time. Implications of the findings with future directions for research are discussed.

A 1% colloidal oatmeal OTC cream is clinically effective for the management of mild to moderate atopic dermatitis in Black or African American children

BackgroundThe efficacy and safety of an over-the-counter (OTC) 1% colloidal oatmeal cream versus a ceramide-based prescription barrier cream in children with mild-to-moderate atopic dermatitis (AD) were previously described.ObjectivesHere, findings are reported for the Black/African American subgroup.MethodsPatients were randomized to 1% oatmeal cream or prescription barrier cream twice daily or as needed for three weeks. Assessments included Eczema Area and Severity Index (EASI) scores, Investigator’s Global Atopic Dermatitis Assessment (IGADA) scores, and patients’/caregivers’ assessment of eczema signs and symptoms.ResultsOverall, 49 Black/African American children aged 2–15 years with mild/moderate AD were included. At week 3, mean (SD) changes from baseline in EASI scores were −2.4 (1.7) with 1% oatmeal cream and −2.1 (2.3) with barrier cream; improvements were observed from week 1. At week 3, mean (SD) changes from baseline in IGADA scores were −0.6 (0.7) and −0.7 (0.6), respectively. Improvements in subjective ratings of signs/symptoms of eczema were observed. Both study treatments were well tolerated.ConclusionOTC 1% oatmeal cream was at least as effective and safe as prescription barrier cream in this population, providing a novel, fast-acting, and cost-effective option for the symptomatic treatment of mild-to-moderate AD in Black/African American children.

Race and the Mental Representation of Individuals Diagnosed with Oppositional Defiant Disorder: Implications for Diagnosis

Introduction: This research investigates the possible role of racial and gender stereotypes in diagnosing children with Oppositional Defiant Disorder (ODD). ODD is diagnosed more readily in boys and Black children, although the factors producing differential diagnosis rates are unclear. The authors conducted six studies investigating the possibility that overlap between racial and gender stereotypes with ODD diagnostic criteria might contribute to gaps in its judged prevalence across groups. Method: Participants completed reverse correlation procedures to determine whether mental representations of children expected versus unexpected to be diagnosed with ODD differed in facial characteristics. Separate participants viewed these images and judged the likelihood that each person depicted had been diagnosed with ODD. Results: Classification images (CIs) showed that the children selected as having ODD appeared more prototypically Black in facial appearance than children not chosen as having ODD. No differences emerged in the gendered appearance of the two group-level CIs. Judged rates of ODD were higher for the children who appeared to be Black. However, diagnostic judgments of clinical trainees and practitioners were unaffected by appearance factors, suggesting that formal clinical training might attenuate the influence of stereotypes on judgment. Discussion: These results indicate that an overlap in Black stereotypes and diagnostic criteria for ODD might contribute to elevated diagnosis of ODD in African American children.

Demystifying Male Emotional Development: Exploring the Implications of Forced Gender Roles on Black American Males

Statements like “ boys do not cry” and other teaching modalities of emotional blandness can negatively affect the Black American male population with lower emotional development in adulthood. The focus of this study was to understand the extent of self-described societal-forced gender roles in childhood on the emotional development of Black American adult men. A total of 35 participants were interviewed using a qualitative study to further explore these experiences. After analysis, this study determined gender roles and emotional maturity affected later development. Key themes included feeling inept, stigma, lack of understanding, and loneliness. The participants discussed how frustrating it could be to be considered less of a man by society. These frustrations can lead to increased medical issues such as cardiovascular disease and increased behavioral health issues such as substance use, anxiety, depression, and issues within intimate relationships, as women may be expecting more than they can give. Professionals can utilize the findings of the study to further develop processes to teach emotional development in Black American children and assist adult males with their journey toward emotional maturity.

Art and Storytelling on the Streets: The Council on Interracial Books for Children’s Use of African American Children’s Literature

From 1970 until 1974, the Council on Interracial Children’s Books (CIBC) ran the Arts and Storytelling in the Streets program throughout New York City. This program involved African American and Puerto Rican artists and storytellers bringing children’s literature directly to children in the streets. This occurred amid a rise in African American children’s literature and educational upheavals in the city as local communities demanded oversight of their schools. Originating in the Ocean Hill-Brownsville district in New York City, the Arts and Storytelling on the Streets program helps to underscore the interrelation between African American children’s literature and educational activism. This article examines how storytelling sessions run by authors and illustrators became extensions of African American children’s literature and educational activism in the city as Black American children’s books became key tools in a fight for a more representative and relevant education. Storytelling teams hoped to use African American children’s literature to help engage children in reading and provide a positive association with literature among local children. The Art and Storytelling program mirrored ideas and themes within African American children’s literature including Black pride, community strength, and resisting white supremacy. The program also became a key extension of the literature as the locations, storytellers, and the audiences all helped to expand upon the impact and many meanings inherent in contemporary African American children’s literature.

Arthritis Among Children and Adolescents Aged

Arthritis affects persons of all ages, including younger adults, adolescents, and children; however, recent arthritis prevalence estimates among children and adolescents aged <18 years are not available. Previous prevalence estimates among U.S. children and adolescents aged <18 years ranged from 21 to 403 per 100,000 population depending upon the case definition used. CDC analyzed aggregated 2017-2021 National Survey of Children's Health data to estimate the national prevalence of parent-reported arthritis diagnosed among children and adolescents aged <18 years. An estimated 220,000 (95% CI = 187,000-260,000) U.S. children and adolescents aged <18 years (305 per 100,000) had diagnosed arthritis. Arthritis prevalence among non-Hispanic Black or African American children and adolescents was twice that of non-Hispanic White children and adolescents. Co-occurring conditions, including depression, anxiety, overweight, physical inactivity, and food insecurity were associated with higher prevalences of arthritis. These findings highlight that children and adolescents should be prioritized for arthritis prevention and treatments by identifying risk factors for arthritis, developing self-management interventions to improve arthritis, physical activity or weight control, and screening and linking to mental health services. Health systems and payors can take steps to ensure equitable access to therapies (e.g., physical therapies and medications).

Selective Dorsal Rhizotomy: Patient Demographics and Postoperative Physical Therapy

BackgroundSelective dorsal rhizotomy (SDR) is a surgical procedure that permanently alters lower extremity spasticity, common in children with spastic cerebral palsy (CP). Intensive postoperative physical therapy (PT) is recommended following SDR. The first purpose of this study is to describe and compare patient demographics between children who received SDR and the population of children with CP at one institution. The second purpose of this study is to compare the completed dose of postoperative PT with the clinically recommended dose for a subset of ambulatory children who underwent SDR. MethodsThis retrospective, observational study included 60 children with spastic CP following SDR. A subset (n = 12 ambulatory children) was included to describe the dose of postoperative PT. Information gathered from electronic medical records included age at the time of SDR, sex, Gross Motor Function Classification System level, anatomic distribution, race, county-level habitancy, health insurance provider, timed current procedural terminology codes, and location for postoperative PT encounters within a single institution. ResultsBlack or African American children (P = 0.002), children living in large central metro areas (P = 0.033), and children with public insurance (P ≤ 0.001) were significantly less likely to receive SDR. Children undergoing SDR do not achieve the recommended dose of PT after hospital discharge. ConclusionSDR is not equally accessed by patient populations, and postoperative PT frequency is below current recommendations throughout the rehabilitation process. Future studies need to investigate why these disparities exist and what prevents children from meeting the clinically recommended dose of postoperative PT after SDR.

Generous, egalitarian, and competitive social values: An intercultural, intracommunity analysis of preschoolers

Social values orientation (SVO) refers to stable individual differences in the allocation of resources between self and others. In the present study, an intracommunity sample of preschool-age children was administered two economic dictator games, one pitting cooperation against selfishness and the other generosity against egalitarianism. A third game assessed competitiveness against cooperation. Results revealed that Spanish-speaking Latinx children (collectivistic family background) were more likely to make both cooperative choices and generous choices than a combined subsample of English-speaking Latinx, African American and Caucasian children (non-collectivistic background). These findings suggest that generosity rather than egalitarianism underlies the cooperative tendency of children from collectivist backgrounds. As expected, English-speaking Latinx children (mixed background) were highest on competitiveness. Contrary to predictions, neither cultural background, social values, nor their interaction were associated with teacher-rated child behavioral adjustment. Findings support SVO validity for the intracommunity sample but not its usefulness for predicting behavioral adjustment of preschool students.