White Youth Research Articles

35.1 Adequacy of Children’s Mental Health Services: Variations by Race and Clinical Characteristics

ObjectivesThis study utilized an expert consensus approach to determine adequacy of children’s mental health services and examined whether adequacy varied by demographic and/or clinical characteristics.MethodsData were obtained from 687 children aged 6 to 12 years old who had visited 1 of 9 outpatient mental health clinics and participated in the Longitudinal Assessment of Manic Symptoms (LAMS) study. Children and their parents were interviewed using the K-SADS and the Service Assessment for Children and Adolescents (SACA) to assess youths’ psychiatric symptoms and lifetime mental health services use, respectively. Analyses employed an expert consensus approach (informed by published treatment guidelines) to determine children’s psychotropic treatment adequacy.ResultsBlack youth (compared to White youth; OR = 2.03; 95% CI, 1.53-2.70), and those with anxiety disorders (vs no anxiety disorder; OR = 1.57; 95% CI, 1.10-2.24) were more likely to receive inadequate care. Youth whose caregivers had a bachelor’s or more advanced degree (vs GED, high school, or less education; OR = 0.71; 95% CI, 0.60-0.83) were less likely to receive inadequate care.ConclusionsUsing the consensus rater approach permitted the use of published treatment efficacy data and patient characteristics (eg, age, diagnoses, history of recent hospitalization, psychotherapy). These results replicate racial disparities found in previous research using traditional methods to determine treatment adequacy (eg, with a minimum number of treatment sessions) and highlight the continued need for research on racial disparities and strategies to improve access to high-quality care.EBP, BRD, DEI ObjectivesThis study utilized an expert consensus approach to determine adequacy of children’s mental health services and examined whether adequacy varied by demographic and/or clinical characteristics. This study utilized an expert consensus approach to determine adequacy of children’s mental health services and examined whether adequacy varied by demographic and/or clinical characteristics. MethodsData were obtained from 687 children aged 6 to 12 years old who had visited 1 of 9 outpatient mental health clinics and participated in the Longitudinal Assessment of Manic Symptoms (LAMS) study. Children and their parents were interviewed using the K-SADS and the Service Assessment for Children and Adolescents (SACA) to assess youths’ psychiatric symptoms and lifetime mental health services use, respectively. Analyses employed an expert consensus approach (informed by published treatment guidelines) to determine children’s psychotropic treatment adequacy. Data were obtained from 687 children aged 6 to 12 years old who had visited 1 of 9 outpatient mental health clinics and participated in the Longitudinal Assessment of Manic Symptoms (LAMS) study. Children and their parents were interviewed using the K-SADS and the Service Assessment for Children and Adolescents (SACA) to assess youths’ psychiatric symptoms and lifetime mental health services use, respectively. Analyses employed an expert consensus approach (informed by published treatment guidelines) to determine children’s psychotropic treatment adequacy. ResultsBlack youth (compared to White youth; OR = 2.03; 95% CI, 1.53-2.70), and those with anxiety disorders (vs no anxiety disorder; OR = 1.57; 95% CI, 1.10-2.24) were more likely to receive inadequate care. Youth whose caregivers had a bachelor’s or more advanced degree (vs GED, high school, or less education; OR = 0.71; 95% CI, 0.60-0.83) were less likely to receive inadequate care. Black youth (compared to White youth; OR = 2.03; 95% CI, 1.53-2.70), and those with anxiety disorders (vs no anxiety disorder; OR = 1.57; 95% CI, 1.10-2.24) were more likely to receive inadequate care. Youth whose caregivers had a bachelor’s or more advanced degree (vs GED, high school, or less education; OR = 0.71; 95% CI, 0.60-0.83) were less likely to receive inadequate care. ConclusionsUsing the consensus rater approach permitted the use of published treatment efficacy data and patient characteristics (eg, age, diagnoses, history of recent hospitalization, psychotherapy). These results replicate racial disparities found in previous research using traditional methods to determine treatment adequacy (eg, with a minimum number of treatment sessions) and highlight the continued need for research on racial disparities and strategies to improve access to high-quality care.EBP, BRD, DEI Using the consensus rater approach permitted the use of published treatment efficacy data and patient characteristics (eg, age, diagnoses, history of recent hospitalization, psychotherapy). These results replicate racial disparities found in previous research using traditional methods to determine treatment adequacy (eg, with a minimum number of treatment sessions) and highlight the continued need for research on racial disparities and strategies to improve access to high-quality care.

Neighborhood disadvantage, race/ethnicity and neural sensitivity to social threat and reward among adolescents.

Experiences within one's social environment shape neural sensitivity to threatening and rewarding social cues. However, in racialized societies like the USA, youth from minoritized racial/ethnic backgrounds can have different experiences and perceptions within neighborhoods that share similar characteristics. The current study examined how neighborhood disadvantage intersects with racial/ethnic background in relation to neural sensitivity to social cues. A racially diverse (59 Hispanic/Latine, 48 White, 37 Black/African American, 15 multi-racial and 6 other) and primarily low to middle socioeconomic status sample of 165 adolescents (88 female; Mage = 12.89) completed a social incentive delay task while undergoing functional magnetic resonance imaging (fMRI) scanning. We tested for differences in the association between neighborhood disadvantage and neural responses to social threat and reward cues across racial/ethnic groups. For threat processing, compared to White youth, neighborhood disadvantage was related to greater neural activation in regions involved in salience detection (e.g. anterior cingulate cortex) for Black youth and regions involved in mentalizing (e.g. temporoparietal junction) for Latine youth. For reward processing, neighborhood disadvantage was related to greater brain activation in reward, salience and mentalizing regions for Black youth only. This study offers a novel exploration of diversity within adolescent neural development and important insights into our understanding of how social environments may 'get under the skull' differentially across racial/ethnic groups.

Examining Ethnic-Racial Identity Negative Affect, Centrality, and Intergroup Contact Attitudes Among White Adolescents.

Given persisting systemic inequities, rising white nationalism, and an increasingly diverse ethnic-racial population, there is a need for empirical research on how White youth develop anti-racist competencies during adolescence. Indicators of adolescents' ethnic-racial identity (ERI), such as ERI negative affect and centrality may play an important role in this process and are important to examine specifically for White youth because they involve feelings and beliefs about membership in a group socially perceived to be dominant. In fact, ERI negative affect and centrality may operate as unique mechanisms through which White youth develop attitudes about interacting with different ethnic-racial groups. Accordingly, the current study used a prospective longitudinal design to test whether White youth's (N = 1243; Mage = 16.09, SD = 1.20; 47% female, 53% male) ERI negative affect and centrality predicted their ethnic-racial intergroup contact attitudes across a school year. Multivariate path analysis indicated that higher centrality at the beginning of the school year predicted greater avoidance attitudes later in the school year, adjusting for earlier avoidance attitudes. The interaction between ERI negative affect and centrality was marginally significant in predicting later avoidance and approach attitudes. The findings suggest that ERI may function as a mechanism through which White youth develop intergroup contact attitudes.

Youth Assets, Neighborhood Factors, Parental Income, and Tobacco Use: A Longitudinal Study of Health Disparities.

This study aimed to assess how the relationship between youth assets and future no-tobacco use among youth might differ according to race/ethnicity, neighborhood factors and socio-economic status. Five waves of annual data were collected from 1111 youth/parent pairs living in Oklahoma, USA who were randomly selected to participate in the Youth Asset Study (YAS). A marginal logistic regression model using all five waves of no-tobacco use, demographics, and their interaction was used to compare the change in tobacco use over time. Among 1111 youth, (Mean age = 14.3; 53% female; 39% White, 28% Hispanic, 24% Black, and 9% other), the percentage of youth tobacco use increased significantly from baseline to wave 5 (4 years after baseline) for all racial/ethnic groups and all parental income groups. Assets were prospectively associated with no tobacco use in the past 30 days for Black, White and Hispanic youth and for youth in all income categories (adjusted odds ratio range = 1.9–2.7). There was one statistically significant association between the neighborhood environment and future no tobacco use. To conclude, the protective effects of youth assets in terms of prevention of tobacco use among youth do not differ by youth race/ethnicity or parental income in the presence of neighborhood environmental factors.

Race Differences in the Association Between Binge Drinking and Treatment Among First-Time Justice-System-Impacted Youth.

We aim to determine whether there are racial/ethnic differences in the association between binge drinking frequency and community-based alcohol treatment among justice-system-impacted adolescents and young adults. We examined whether race/ethnicity moderated the relation between binge drinking and youths' likelihood of receiving alcohol treatment. The sample included 1216 male, first-time-arrested youth from the Crossroads Study (2011-2018). Participants were recruited from CA, PA and LA. Among youth who binge drank occasionally, Black youth were less likely to receive alcohol treatment than White (b = -0.08, 95% confidence interval [CI] [-0.13, -0.04]) and Hispanic/Latino (b = -0.06, 95% CI [-0.09, -0.02]) youth. There were no differences between the White and Hispanic/Latino youth. Black youth who were frequent binge drinkers were as likely to receive alcohol treatment as White youth who binge drank significantly less often. There were no racial/ethnic differences in alcohol treatment at the highest level of binge drinking. Black youth who binge drink occasionally are less likely than White youth to receive alcohol treatment. The present findings highlight a need for efforts to mitigate racial disparities in access to or motivations to seek community-based treatment.

Psychosocial Impact of the COVID-19 Pandemic in Racially/Ethnically Diverse Youth With Diabetes.

This study examined caregiver perceived impact of the Coronavirus Disease 2019 (COVID-19) pandemic on a diverse sample of U.S. youth with diabetes and their families. Caregivers of youth with diabetes completed an electronic survey in English or Spanish at two sites. Participants provided demographic and disease characteristics and completed the COVID-19 Exposure and Family Impact Scales (CEFIS). Glycemic health was assessed via Hemoglobin A1c (HbA1c) from medical chart review. Analysis of variance and analyses of covariance were utilized to examine racial/ethnic differences in glycemic health and in COVID-19 Exposure, Impact, and Distress scales. Hierarchical linear regression was conducted to predict HbA1c. Thematic analysis was conducted on open-ended responses regarding the effects of COVID-19 on youth and families' overall and diabetes-related well-being. Caregivers (n = 114) of youth with diabetes (M = 12.6 ± 3.5 years) completed study measures. Mean HbA1c for Non-Hispanic White youth was lowest and significantly different from Hispanic and Non-Hispanic Black youth. Exposure to COVID-19 stressors differed by race/ethnicity (p < .05) with Hispanic caregivers reporting greatest exposure. CEFIS scales did not predict HbA1c after controlling for demographic/disease variables. Caregivers described child/family changes during COVID (e.g., more time together, health-related hypervigilance), as well as differences in diabetes management during COVID-19. Findings indicate differences in COVID-19 exposure but did not demonstrate other racial/ethnic disparities in COVID-19 impact or distress. Household income was the most important predictor of glycemic health. Addressing structural inequalities experienced by youth with diabetes and their families is critical. Recommendations to support families with diabetes are made.

The Role of Adolescent Anxious Mood, Marijuana Use, and Locus of Control in the School to Prison Pipeline.

Racial disparities are evident in both educational outcomes and incarceration rates when comparing African American and white youth. It is essential to understand the school-to-prison pipeline and the ways in which school discipline practices and other factors disproportionately affect African American students, limit educational attainment, and increase risk for future incarceration in order to improve students' educational and life outcomes. This study explores how marijuana, anxiety and locus of control interact with school disciplinary practices in pushing students out of schools and into the criminal justice system. Analyses utilizing data from the Woodlawn Study, a longitudinal study of African Americans followed from first grade through adolescence, young adulthood, and midlife (n = 1,242), reveal that suspension or expulsion, frequent marijuana use, and locus of control (males only) all predict criminal justice system involvement above and beyond not graduating from high school, but do not interact significantly. This study offers avenues for intervention to reduce disparities.

Exploring Service Use Disparities among Suicidal Black Youth in a Suicide Prevention Care Coordination Intervention.

The aim of this study is to examine service utilization disparities among Black youth participating in Linking Individuals Needing Care (LINC), a 90-day research-informed suicide care coordination intervention. An open trial pilot was conducted to examine the effectiveness of LINC in increasing access to and engagement in mental health and non-mental health services among suicidal youth (N = 587). Other variables of interest included service use facilitators and service use barriers. Generalized linear mixed models with binomial distribution and logit link were performed to ascertain if service use facilitators and barriers were associated with service utilization and if disparities in service use and engagement existed between Black and White suicidal youth through a comparative analysis. Service utilization differences were found between Black and White youth. While Black and White youth were both likely to engage in individual therapy (OR = 1.398, p < .001) and non-mental health services (OR = 1.289, p < .001), utilization rates for mental health and medication management services were lower for Black (55.1% to 60.6%) youth compared to White (66.0% to 71.0%) youth. Specifically, Black youth were significantly less likely than Whites to receive medication management (OR = .466, p = .002). Systemic barriers such long waitlists for care (OR = 1.860, p = .039) and poor relationship with providers (OR = 7.680, p = .028) increased odds of engagement in non-mental health services. Clinical disorders and engagement in suicide-related behaviors increased the likelihood of obtaining care from both medication management and non-mental health services. Care coordination services for suicidal youth can increase access and engagement in mental health and non-mental health services. Culturally adapted models attending to cultural and social assets of Black families are needed to reduce disparities and suicide risk among Black youth.

Racial Disparities in Spatial and Temporal Youth Suicide Clusters.

Deaths by suicide correlate both spatially and temporally, leading to suicide clusters. This study aimed to estimate racial patterns in suicide clusters since2000. Data from the US National Vital Statistics System included all International Classification of Diseases, Tenth Revision (ICD-10)-coded suicide cases from 2000-2019 among American Indian/Alaska Native (AI/AN), Asian/Pacific Islander (A/PI), Black, or White youth and young adults, aged 5-34 years. We estimated age, period, and cohort (APC) trends and identified spatiotemporal clusters using the SaTScan space-time statistic, which identified lower- and higher-than-expected suicide rates (cold and hot clusters) in a prespecified area (150 km) and time interval (15 months). We also calculated the average proportion of deaths by suicide contained in clusters, to quantify the relative importance of spatiotemporal patterning as a driver of overall suicide rates. From 2010-2019, suicide rates increased from between 37% among AI/AN (95% CI= 1.22, 1.55) to 81% among A/PI (95% CI= 1.65, 2.01) groups. Suicide clusters accounted for 0.8%-10.3% of all suicide deaths, across racial groups. Since 2000, the likelihood of detecting cluster increased over time, with considerable differences in the number of clusters in each racial group (4 among AI/AN to 72 among White youth). Among Black youth and young adults, 27 total clusters were identified. Hot clusters were concentrated in southeastern and mid-Atlantic counties. Suicide rates and clusters in youth and young adults have increased in the past 2 decades, requiring attention from policy makers, clinicians, and caretakers. Racially distinct patterns highlight opportunities to tailor individual- and population-level prevention efforts to prevent suicide deaths in emerging high-risk groups.

Minority stressors and suicidal ideation in sexual and gender minority youth assigned female at birth: Prospective associations and racial differences.

Suicidal ideation (SI) disproportionately affects sexual and gender minority (SGM) versus cisgender/heterosexual youth, likely due to the minority stressors (MS) they face. Research has shown cross-sectional associations between SGM MS and suicidality; however, few studies have used longitudinal data or examined racial differences in the effects of MS on SI. The current study tested whether MS prospectively predict next-year SI and whether race moderates these prospective associations. Three hundred and sixty-nine Black, Latinx, and White SGM youth completed baseline measures of MS, SI, and demographics, and SI 6 and 12months later. Internalized stigma, microaggressions, and low support from family and from significant others demonstrated associations with next-year SI. When controlling for baseline SI, however, only low significant other support predicted next-year SI. Moderation analyses indicated that internalized stigma predicted SI for White, but not Black or Latinx, individuals and that lower friend support was associated with SI for Latinx, but not White or Black, individuals. Though minority stressors appear to raise risk for SI among SGM, effects may differ by race. Internalized stigma may be particularly influential for SI among White SGM whereas lack of support from friends may be most influential for SI among Latinx SGM youth.

White Kids on the Block: On Race, Identity and Criminality Among Incarcerated White Youth.

This study contributes to efforts already underway to attend to the reproduction of white supremacy and the ways whiteness manifests across contexts. We examine whiteness and white racial identity development among incarcerated youth, both a group and place not often studied in relation to these two concepts. Using critical ethnographic methods, we explore how processes of white identity development unfold among incarcerated white youth and the ways in which whiteness is lived, negotiated, and challenged within the carceral context. Findings suggest that white youth used pre-existing racial scripts about race, whiteness, and criminality to make sense of and navigate life in the carceral context. Still, we found that these racial scripts were often seeped in anti-black racist logics about criminality in service of whiteness and the construction of superior white identities.

What's Whiteness Got to do With it?

Racism is as ubiquitous as the air we breathe and the water we drink. This special section highlights burgeoning research examining White youth's development in a racist society. This research is urgent given the current political context in the United States. Although promising, developmental science needs to catch up with the groundbreaking research being conducted on Whiteness in other disciplines. Developmental science requires a conceptual reset with the utilization of theories that center racism in youth development acknowledging the privileged status of Whiteness. Developmental science should acknowledge that racism is a universal influence for all youth's development, including White youth.

Racial disparities at rural and urban juvenile detention centers: Unanticipated findings since COVID-19’s reduction in juvenile assessments

ABSTRACT Studies on racial disparity within the juvenile justice system have demonstrated continued disproportionate minority contact (DMC) and racial and ethnic disparity (RED) issues throughout each decision point, especially at earlier stages. Yet, most research has centered on urban areas, with minimal attention given to youth-of-color in rural jurisdictions. As such, the current study utilized juvenile intake and assessment data from a rural Midwestern state, focused on racial and ethnic disparities prior to and per-COVID-19. Using data from a rural state, we examine the monthly counts of juveniles assessed at juvenile intake centers with an interrupted time-series design to explore whether the pandemic’s impact differed by race or ethnicity. Our findings do not support the claim that the pandemic has exacerbated racial or ethnic disparity. Yet, trends suggest white and non-Hispanic youth, as well as youth in rural jurisdictions, are presenting at juvenile intake centers at less reduced rates than their youth-of-color and urban counterparts, per-COVID-19. The results show the pandemic has radically reduced assessments to the juvenile justice system, though this impact is not equally distributed. While intersectional comparisons are not possible at this time, policy implications and future directions are provided.

Considerations for Future Research on Racial Learning Processes and White Youth.

Studying white racial learning processes responsibly, accurately, and effectively requires scholars to build on existing empirical and theoretical work on race, racism, and whiteness across disciplines; embrace creative youth-centered qualitative methods; and remain focused on the larger purpose of this work-dismantling systems of racism and oppression. This comment explores these themes in relation to the special issue on whiteness and adolescence.

Feasibility and acceptability of texting school-aged adolescents to assess daily substance use among community-based black and white youth

BackgroundEcological momentary assessment (EMA) is well-suited to measure adolescent substance use. Previous research with adolescents, particularly racially minoritized adolescents, has predominantly provided mobile devices to participants as a strategy to reduce structural barriers to technology access. This report examined feasibility and acceptability of a text-message-delivered EMA protocol to adolescents’ personal phones. MethodsNon-Hispanic Black and White adolescents aged 14–18 years with mobile phone access and past-30-day substance use were recruited from community settings. Respondents (n = 36; 55.5 % female; 55.5 % White) completed a 14-day diary assessing substance use. ResultsRespondents completed M = 13.8 (SD = 1.36) diaries for a compliance rate of 93.5 %. Black respondents completed significantly fewer diaries (87.9 %) than White respondents (97.9 %) although compliance rates were high among both groups. Adolescents reported high acceptability of the protocol, with 97.1 % willing to participate again. ConclusionFindings suggest text-message-based EMA delivered to personal phones is acceptable and feasible for assessing substance use among adolescents. As the sociodemographic “digital divide” narrows among adolescents, this cost-effective and equitable method becomes more feasible.

Trends in Glycemia between 2002 and 2016 among Incident Youth Cohorts Early in the Course of Type 1 Diabetes: The SEARCH for Diabetes in Youth Study.

Objective Hyperglycemia early in the course of type 1 diabetes (T1D) may increase the risk of cardiometabolic complications later in life. We tested the hypothesis that there were temporal trends in population-level glycemia and insulin pump use near T1D diagnosis among incident youth cohorts diagnosed between 2002 and 2016. Methods Weighted and adjusted regression models were applied to data from the SEARCH for Diabetes in Youth study to analyze trends in hemoglobin A1c (HbA1c), suboptimal glycemia (HbA1c > 9% or not), and insulin pump use among youth with T1D within 30 months of diagnosis. We tested the interaction of year with race and ethnicity, sex, and insulin regimen to assess potential disparities. Results Among the 3,956 youth with T1D, there was a small, clinically insignificant reduction in HbA1c between 2002 (7.9% ± 1.5) and 2016 (7.8% ± 2.4) (fully adjusted change by year (-0.013% [95% CI -0.026, -0.0008], p = 0.04). The proportion of youth with suboptimal glycemia increased with each year, but the adjusted odds did not change. Insulin pump use increased more than fivefold. Although interaction effects of time with race and ethnicity, sex, and insulin regimen were not detected, in 2016, suboptimal glycemia was 4.3 and 1.8 times more prevalent among Black and Hispanic than among non-Hispanic White youth, respectively. Conclusions There was not a clinically significant population-level improvement in glycemia across incident youth cohorts early in the course of T1D, despite severalfold increases in insulin pump use. Comprehensive clinical interventions to improve glycemia early in the T1D course and address disparities are urgently needed.

Reciprocal links between marijuana use and school adjustment in Black and White rural adolescents.

Although research has established that school adjustment is associated with marijuana use (MU) in adolescence, few studies have tested these associations bidirectionally. Using random intercepts cross-lagged panel modeling, this study examined reciprocal associations between MU and school adjustment across 8th to 10th grade, including the transition to high school. Participants included 5470 rural adolescents (59% White, 41% Black) aged 12-17 years in 2002-2005. School adjustment factors predicted subsequent MU (i.e., higher self-reported grades were protective for Black and White youth; valuing education was protective for Black youth; school behavior problems predicted increased MU across the transition to high school for White youth). MU had several adverse effects on school adjustment, particularly during the transition to high school.

Racial/Ethnic Disparity Trends in Children's Mental Health Care Access and Expenditures From 2010-2017: Disparities Remain Despite Sweeping Policy Reform.

To examine trends in mental health care use for Black and Latinx children and adolescents. Data from the Medical Expenditure Panel Survey for 2010-2017 were analyzed to assess trends among youth ages 5-17 in use and expenditures for any mental health care, outpatient mental health care, and psychotropic medication prescription fills. Unadjusted trends for all youth and the subpopulation of youth reporting need for mental health care and disparities adjusting for need were examined. Between 2010 and 2017, Black youth rates of any past year mental health care use decreased (from 9% to 8%), while White (from 13% to 15%) and Latinx (from 6% to 8%) youth rates increased. Among the subpopulation with need and in regression analysis adjusting for need, we identified significant Black-White and Latinx-White disparities in any mental health care use and any outpatient mental health care use in 2010-2011 and 2016-2017, with significant worsening of Black-White disparities over time. White youth were more than twice as likely as Latinx youth to use psychotropic medications, and Latinx-White and Black-White disparities in psychotropic medication prescription fills persisted over time. Black-White disparities existed in overall mental health expenditures (2016-2017) and outpatient mental health expenditures (2010-2011 and 2016-2017). Affordable, ubiquitous access to mental health care for Black and Latinx youth remains an elusive target. Significant disparities exist in receiving mental health care despite reforms and policies designed to increase mental health care access in the general population. Additional outreach and treatment strategies tailored to the cultural, linguistic, and structural needs of youth of color are required.

The policing paradox: Police stops predict youth's school disengagement via elevated psychological distress.

Negative interactions with the legal system can inform adolescents' relationships with schools. The present daily-diary study examined 13,545 daily survey assessments from 387 adolescents (Mage = 13-14; 40% male; 32% Black, 50% White, and 18% Other ethnic-racial minority) across 35 days to assess whether police stops predicted adolescents' school disengagement through their psychological distress as a mediator. Results showed that 9% of youth experienced at least one police stop, and 66 stops occurred in total over the 35-day study course. Youth stopped by the police reported greater next-day school disengagement, and youth's psychological distress mediated the link between police stops and school disengagement. Disengagement did not predict youth's next-day police stops. In addition, ethnic-racial minority youth reported more negative police encounters than did White youth, and the effect of a police stop on next-day psychological distress was more negative for Other ethnic-racial minority youth. Implications for reducing police intervention in adolescents' lives are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Comparison of pain and psychosocial correlates among Hispanic and Non-Hispanic White youth with chronic pain.

Introduction:Despite well-documented pain disparities among adults from non-White and Hispanic groups, less is known about pain disparities in non-White and Hispanic pediatric populations.Objectives:We compare pain and related psychosocial factors at the individual (pain intensity, pain interference, pain catastrophizing, co-occurring symptoms), social (peer relations), and systemic (health insurance) levels among Hispanic and Non-Hispanic White (NHW) youth with chronic pain.Methods:Eight hundred thirty-seven (71.4% female) Hispanic (n = 268, 32%) and NHW (n = 569, 68%) youth ages 8 to 17 years (M = 14.00; SD = 2.54) completed a survey at their initial visit to a pain clinic. Independent sample t tests investigated mean differences in psychosocial factors at the individual and social levels. Chi-squared tests investigated differences at the systemic level. Bivariate correlations for each group were compared using Fisher r-to-z transformations.Results:.Hispanic youth reported higher levels of pain intensity (t[811] = −2.75, P = 0.006). Groups did not differ in reports of other individual or social factors. Non-Hispanic White youth were more likely to have private insurance (OR, 5.66). All examined variables were significantly correlated among NHW youth. Correlations were weaker or nonsignificant among Hispanic youth. Fisher r-to-z transformations revealed these group differences to be significant.Conclusion:Hispanic youth report higher pain levels than NHW counterparts and lower likelihood of having private insurance. Pain and psychosocial factors correlate differently among the 2 groups highlighting a need to better understand the chronic pain experiences of diverse youth because models derived primarily from NHW populations may not generalize across ethnic and racial groups.