Evidence map›Paper›PMID 30646634›Full record

ArticleChildren (Basel, Switzerland)2019

Family Income at Birth and Risk of Attention Deficit Hyperactivity Disorder at Age 15: Racial Differences.

Shervin Assari, Cleopatra Howard Caldwell

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. "To Be Twice as Good to Get Half": Minorities' Diminished Returns.Journal of biomedical and life sciences · 2025
    Article
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  7. Immigration, Educational Attainment, and Subjective Health in the United States.Journal of mental health & clinical psychology · 2024
    Article
  8. Article
  9. Immigration Status, Socioeconomic Status, and Self-Rated Health in Europe.International journal of environmental research and public health · 2022
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Shervin AssariCenter for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI 48104, USA. assari@umich.edu.ORCID 0000-0002-5054-6250
Cleopatra Howard CaldwellCenter for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI 48104, USA. cleoc@umich.edu.

Funding

Fragile Families and the Transition to AdulthoodR01HD036916 · NICHD · PRINCETON UNIVERSITY · PI Kathryn Edin, Jane Waldfogel · 1999 to 2026
$46.3M
ECONOMIC STATUS, PUBLIC POLICY, AND CHILD NEGLECTR01HD039135 · NICHD · PRINCETON UNIVERSITY · PI PAXSON, CHRISTINA H · 2000 to 2004
$3.1M
Child Care and Parental Employment in Fragile FamiliesR01HD040421 · NICHD · COLUMBIA UNIVERSITY TEACHERS COLLEGE · PI BROOKS-GUNN, JEANNE · 2002 to 2006
$2.8M
NICHD NIH HHS R01 HD036916NICHD NIH HHS R01 HD039135NICHD NIH HHS R01 HD040421
6 · The paper itself

Abstract

backgroundSocioeconomic status (SES) resources protect children and adults against the risk of medical and psychiatric conditions. According to the Minorities' Diminished Returns theory, however, such protective effects are systemically weaker for the members of racial and ethnic minority groups compared to Whites.

aimsUsing a national data set with 15 years of follow up, we compared Black and White youth for the effects of family SES at birth on the risk of Attention Deficit Hyperactivity Disorder (ADHD) at age 15. Methods

resultsIn the overall sample, high family income at birth was not associated with the risk of ADHD at age 15, independent of all covariates. Despite this relationship, we found a significant interaction between race and family income at birth on subsequent risk of ADHD, indicating a stronger effect for Whites compared to Blacks. In stratified models, we found a marginally significant protective effect of family SES against the risk of ADHD for White youths. For African American youth, on the other hand, family SES was shown to have a marginally significant risk for ADHD.

conclusionsThe health gain that follows family income is smaller for Black than White families, which is in line with the Minorities' Diminished Returns. The solution to health disparities is not simply policies that aim to reduce the racial gap in SES, because various racial health disparities in the United States are not due to differential access to resources but rather the impact of these resources on health outcomes. Public policies, therefore, should go beyond equalizing access to resources and also address the structural racism and discrimination that impact Blacks' lives. Policies should fight racism and should help Black families to overcome barriers in their lives so they can gain health from their SES and social mobility. As racism is multi-level, multi-level interventions are needed to tackle diminished returns of SES.

Indexed as

Attention Deficit Hyperactivity Disorder (ADHD)Blacksclassethnicityincomepoverty statusracesocioeconomic positionsocioeconomic status

Identifiers

PMID30646634
PMCPMC6352113

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.