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Discrimination Matters: Relations of Perceived Discrimination to Student Mental Health

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An Author Correction to this article was published on 12 September 2020

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Abstract

Although instances of discrimination are increasing across US schools, little is known about the relations of discrimination to mental health outcomes across the full range of school ages or how experiences of discrimination interact with various sociodemographic characteristics. This study entailed analysis of data from approximately 60,700 respondents to the 2011–2012 National Survey of Children’s Health to explore the associations between racial/ethnic discrimination and depression, anxiety, oppositional defiant disorder, and conduct disorder for children and youth ages 6–17. Multivariate logistic regression indicated that experiencing racial discrimination was associated with significantly increased odds of having a range of mental health problems including depression, anxiety problems, and behavior disorders. Moreover, an interaction effect was observed between discrimination, race, and anxiety. No interactions were observed for variables related to age groupings. Implications for school-based mental health practitioners and researchers are discussed.

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  • 12 September 2020

    The first author noticed an error in the description of the referent group for the interaction between student race and discrimination on the outcome of anxiety. The corrected results should read:

References

  • Acevedo-Garcia, D., Rosenfeld, L. E., Hardy, E., McArdle, N., & Osypuk, T. L. (2013). Future directions in research on institutional and interpersonal discrimination and children’s health. American Journal of Public Health, 103, 1754–1763. https://doi.org/10.2105/AJPH.2012.300986.

    Article  PubMed  PubMed Central  Google Scholar 

  • Alegría, M., Green, J. G., McLaughlin, K. A., & Loder, S. (2015). Disparities in child and adolescent mental health and mental health services in the U.S. New York, NY: William T. Grant Foundation.

    Google Scholar 

  • Alegría, M., Lin, J. Y., Green, J. G., Sampson, N. A., Gruber, M. J., & Kessler, R. C. (2012). Role of referrals in mental health service disparities for racial and ethnic minority youth. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 703–711. https://doi.org/10.1016/j.jaac.2012.05.005.

    Article  PubMed  PubMed Central  Google Scholar 

  • Alegría, M., Vallas, M., & Pumariega, A. J. (2010). Racial and ethnic disparities in pediatric mental health. Child and Adolescent Psychiatric Clinics of North America, 19, 759774. https://doi.org/10.1016/j.chc.2010.07.001.

    Article  Google Scholar 

  • American Academy of Pediatrics. (2004). School-based mental health services. Pediatrics, 113, 1839–1845. https://doi.org/10.1542/peds.113.6.1839.

    Article  Google Scholar 

  • Anderson, A. L., & Teicher, M. H. (2008). Stress, sensitive periods and maturational events in adolescent depression. Trends in Neuroscience, 31, 183–191. https://doi.org/10.1016/j.tins.2008.01.004.

    Article  Google Scholar 

  • Blanchard, L. T., Gurka, M. J., & Blackman, J. A. (2006). Emotional, developmental, and behavioral health of American children and their families: A report from the 2003 National Survey of Children’s Health. Pediatrics, 117(6), e1202–e1212.

    Article  Google Scholar 

  • Blank, R. M., Dabady, M., & Citro, C. F. (2004). Measuring racial discrimination. Washington, DC: The National Academies Press. Retrieved June 25, 2017 from http://www.nap.edu/catalog/10887.html.

  • Bower, K. M., Thorpe, R. J., Jr., & LaViest, T. A. (2013). Perceived racial discrimination and mental health in low-income, urban-dwelling whites. International Journal of Health Services, 43, 267–280. https://doi.org/10.2190/HS.43.2.e.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bramlett, M. D., Blumberg, S. J., Zablotsky, B., George, J. M., Ormson, A. E., Frasier, A. M., et al. (2017). Design and operation of the National Survey of Children’s Health, 2011–2012. National Center for Health Statistics, Vital Health Statistics, 1(59), 1–244.

    Google Scholar 

  • Brenner, A. D., Wang, Y., Shen, Y., Boyle, A. E., Polk, R., & Cheng, Y. P. (2018). Racial/ethnic discrimination and well-being during adolescence: A meta-analytic review. American Psychologist, 73, 855–883. https://doi.org/10.1037/amp0000204.

    Article  Google Scholar 

  • Caughy, M. O., O’Campo, P. J., & Muntaner, C. (2004). Experiences of racism among African American parents and the mental health of their preschool-aged children. American Journal of Public Health, 94, 2118–2124.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2013). 20112012 National Survey of Children’s Health frequently asked questions. Retrieved May 24, 2017 from http://www.cdc.gov/nchs/slaits/nsch.htm.

  • Cheng, E. R., Cohen, A., & Goodman, E. (2015). The role of perceived discrimination during childhood and adolescence in understanding racial and socioeconomic influences on depression in young adulthood. The Journal of Pediatrics, 166, 370–377. https://doi.org/10.1016/j.jpeds.2014.10.010.

    Article  PubMed  Google Scholar 

  • Costello, E. J., He, J. P., Sampson, N. A., Kessler, R. C., & Merikangas, K. R. (2014). Services for adolescents with psychiatric disorders: 12-month data from the National Comorbidity Survey-Adolescent. Psychiatric Services, 65, 359–366.

    Article  Google Scholar 

  • Crespi, T. D. (2009). Group counseling in the schools: Legal, ethical, and treatment issues in school practice. Psychology in the Schools, 46, 273–280. https://doi.org/10.1002/pits20373.

    Article  Google Scholar 

  • Cummings, J. R., Ponce, N. A., & Mays, V. M. (2010). Comparing racial/ethnic differences in mental health service use among high-need subpopulations across clinical and school-based settings. Journal of Adolescent Health, 46, 603–606. https://doi.org/10.1016/j.jadohealth.2009.11.221.

    Article  PubMed  Google Scholar 

  • Dunlin-Keita, A., Hannon, L., III, Fernandez, J. R., & Cockerham, W. C. (2011). The defining moment: Children’s conceptualization of race and experiences with racial discrimination. Ethnic and Racial Studies, 34, 662–682. https://doi.org/10.1080/01419870.2011.535906.

    Article  Google Scholar 

  • Estrada-Martinez, L. M., Caldwell, C. H., Bauermeister, J. A., & Zimmerman, M. A. (2012). Stressors in multiple life-domains and the risk for externalizing and internalizing behaviors among African Americans during emerging adulthood. Journal of Youth and Adolescence, 41, 1600–1612. https://doi.org/10.1007/s10964-012-9778-3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Franklin, C. G., Kim, J. S., Ryan, T. N., Kelly, M. S., & Montgomery, K. L. (2012). Teacher involvement in school mental health interventions: A systematic review. Children and Youth Services Review, 34, 973–982.

    Article  Google Scholar 

  • García Coll, C., Lamberty, G., Jenkins, R., McAdoo, H. P., Crnic, K., Waslik, B. H., et al. (1996). An integrative model for the study of developmental competencies in minority children. Child Development, 67, 1891–1914. https://doi.org/10.1111/j.1467-8624.1996.tb01834.x.

    Article  PubMed  Google Scholar 

  • Gibbons, F. X., Yeh, H., Gerrard, M., Cleveland, M. J., Cutrona, C., Simons, R. L., et al. (2007). Early experience with racial discrimination and conduct disorders as predictors of subsequent drug use: A critical period hypothesis. Drug and Alcohol Dependence, 88s, S27–S37. https://doi.org/10.1016/j.drugalcdep.2006.12.015.

    Article  Google Scholar 

  • Jensen, P. S., Goldman, E., Offord, D., Costello, E. J., Friedman, R., Huff, B., et al. (2011). Overlooked and underserved: “Action signs” for identifying children with unmet mental health needs. Pediatrics, 128, 970–979.

    Article  Google Scholar 

  • Kessler, R. C., Mickelson, K. D., & Williams, D. R. (1999). The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. Journal of Health and Social Behavior, 40, 208–230.

    Article  Google Scholar 

  • Krezmien, M. P., Leone, P. E., & Achilles, G. M. (2006). Suspension, race, and disability: Analysis of statewide practices and reporting. Journal of Emotional and Behavioral Disorders, 14, 217–226. https://doi.org/10.1177/10634266060140040501.

    Article  Google Scholar 

  • Leadbeater, B., & Ames, M. E. (2017). The longitudinal effects of oppositional defiant disorder symptoms on academic and occupational functioning in the transition to young adulthood. Journal of Abnormal Child Psychology, 45, 749–763. https://doi.org/10.1007/s10802-016-0190-4.

    Article  PubMed  Google Scholar 

  • McKnight, P. E., & McKnight, K. (2011). Missing data in secondary data analysis. In K. H. Trzesniewski, M. B. Donnellan, & R. E. Lucas (Eds.), Secondary data analysis: An introduction for psychologists. Washington, DC: American Psychological Association Press.

    Google Scholar 

  • McLeod, G. F. H., Horwood, L. J., & Fergusson, D. M. (2016). Adolescent depression, adult mental health and psychosocial outcomes at 30 and 35 years. Psychological Medicine, 46, 1401–1412. https://doi.org/10.1017/S0033291715002950.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7–20.

    PubMed  PubMed Central  Google Scholar 

  • Musu-Gillette, L., Robinson, J., McFarland, J., KewalRamani, A., Zhang, A., & Wilkinson-Flicker, S. (2016). Status and trends in the education of racial and ethnic groups 2016. Retrieved February 22, 2018 from http://nces.ed.gov/pubsearch.

  • Nadimpalli, S. B., & Hutchinson, M. K. (2012). An integrative review of relationships between discrimination and Asian American health. Journal of Nursing Scholarship, 44, 127–135. https://doi.org/10.1111/j.1547-5069.2012.01448.x.

    Article  PubMed  Google Scholar 

  • National Center for Education Statistics. (2015). Digest of education statistics: 2015. Retrieved January 5, 2018 from https://nces.ed.gov/programs/digest/d15/.

  • Osborne, J. W. (2015). Best practices in logistic regression. Thousand Oaks, CA: Sage Publications Inc.

    Book  Google Scholar 

  • Pachter, L. M., & García Coll, C. G. (2009). Racism and child health: A review of literature and future directions. Journal of Developmental and Behavioral Pediatrics, 30, 255–263. https://doi.org/10.1097/DBP.0b013e3181a7ed5a.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pieterse, A. L., Todd, N. R., Neville, H. A., & Carter, R. T. (2012). Perceived racism and mental health among black American adults: A meta-analytic review. Journal of Counseling Psychology, 59, 1–9. https://doi.org/10.1037/a0026208.

    Article  PubMed  Google Scholar 

  • Pincus, F. L. (2003). Reverse discrimination: Dismantling the myth. Boulder, CO: Lynne Reinner Publishers Inc.

    Google Scholar 

  • Prelow, H. M., Danoff-Burg, S., Swenson, R. R., & Pulgiano, D. (2004). The impact of ecological risk and perceived discrimination on the psychological adjustment of African American and European American youth. Journal of Community Psychology, 32, 375–389. https://doi.org/10.1002/jcop.20007.

    Article  Google Scholar 

  • Priest, N., Paradies, Y., Trenerry, B., Truong, M., Karlsen, S., & Kelly, Y. (2013). A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Social Science and Medicine, 95, 115–127. https://doi.org/10.1016/j.socscimed.2012.11.031.

    Article  PubMed  Google Scholar 

  • Ruck, M., & Wortley, S. (2002). Racial and ethnic minority students’ perceptions of school disciplinary practices: A look at some Canadian findings. Journal of Youth and Adolescence, 31, 185–195. https://doi.org/10.1023/A:1015081102189.

    Article  Google Scholar 

  • Sanchez, A. L., Cornacchio, D., Poznanski, B., Golik, A. M., Chou, T., & Comer, J. S. (2018). The effectiveness of school-based mental health services for elementary-aged children: A meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 57, 153–165. https://doi.org/10.1016/j.jaac.2017.11.022.

    Article  PubMed  Google Scholar 

  • Sanders-Phillips, K. (2009). Racial discrimination: A continuum of violence exposure for children of color. Clinical Child and Family Psychological Review, 12, 174–195. https://doi.org/10.1007/s10567-009-0053-4.

    Article  Google Scholar 

  • Skiba, R. J. (2013). Reaching a critical juncture for our kids: The need to reassess school-justice practices. Family Court Review, 51, 380–387. https://doi.org/10.1111/fcre.12034.

    Article  Google Scholar 

  • Skiba, R. J., Horner, R. H., Chung, C. G., Rausch, M. K., May, S. L., & Tobin, T. (2011). Race is not neutral: A national investigation of African American and Latino disproportionality in school discipline. School Psychology Review, 40, 85–107.

    Google Scholar 

  • Soto, J. A., Dawson-Andoh, N. A., & BeLue, R. (2011). The relationship between perceived discrimination and generalized anxiety disorder among African Americans, Afro Caribbeans, and non-Hispanic Whites. Journal of Anxiety Disorders, 25, 258–265. https://doi.org/10.1016/j.janxdis.2010.09.011.

    Article  PubMed  Google Scholar 

  • Southern Poverty Law Center. (2016). Ten days after: Harassment and intimidation in the aftermath of the election. Retrieved October 8, 2017 from https://www.splcenter.org/20161129/ten-days-after-harassment-and-intimidation-aftermath-election.

  • Stockdale, S. E., Lagomasino, I. T., Siddique, J., McGuire, T., & Miranda, J. (2008). Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995–2005. Medical Care, 46, 668–677.

    Article  Google Scholar 

  • Strickland, B. B., Singh, G. K., Kogan, M. D., Mann, M. Y., van Dyck, P. C., & Newacheck, P. W. (2009). Access to the medical home: New findings from the 2005–2006 National Survey of Children with Special Health Care Needs. Pediatrics, 123(6), e996–e1004.

    Article  Google Scholar 

  • Suldo, S. M., Gormley, M. J., DuPaul, G. J., & Anderson-Butcher, D. (2014). The impact of school mental health on student and school-level academic outcomes: Current status of the research and future directions. School Mental Health, 6, 84–98.

    Article  Google Scholar 

  • Umaña-Taylor, A. J., & Updegraff, K. A. (2007). Latino adolescents’ mental health: Exploring the interrelations among discrimination, ethnic identity, cultural orientation, self-esteem, and depressive symptoms. Journal of Adolescence, 30, 549–567.

    Article  Google Scholar 

  • U.S. Department of Health and Human Services. (2014). The health and well-being of children: A portrait of states and the nation, 2011–2012. Rockville, Maryland: Author.

    Google Scholar 

  • van Ginkel, J. R., & Kroonenberg, P. M. (2014). Analysis of variance of multiply imputed data. Multivariate Behavioral Research, 49, 78–91. https://doi.org/10.1080/00273171.2013.855890.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wong, C. A., Eccles, J. S., & Sameroff, A. (2003). The influence of ethnic discrimination and ethnic identification on African American adolescents’ school and socioemotional adjustment. Journal of Personality, 71, 1197–1232. https://doi.org/10.1111/1467-6494.7106012.

    Article  PubMed  Google Scholar 

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Acknowledgements

Data analyses, interpretations, and conclusions are credited to the author and not the NSCH which was only responsible for initial data collection. The contents of this report were developed under a grant from the US Department of Education, # H325D160016. However, those contents do not necessarily represent the policy of the US Department of Education, and you should not assume endorsement by the Federal Government. Project Officer, Sarah J. Allen, Ph.D. Special thanks are due to the Center for Applied Research and Educational Improvement student consultants for assistance with data analysis and imputation pooling.

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Correspondence to Mollie R. Weeks.

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Weeks, M.R., Sullivan, A.L. Discrimination Matters: Relations of Perceived Discrimination to Student Mental Health. School Mental Health 11, 425–437 (2019). https://doi.org/10.1007/s12310-019-09309-1

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