Evidence map›Paper›PMID 34399293›Full record

ArticleSocial science & medicine (1982)2021

The effect of racial discrimination on mental and physical health: A propensity score weighting approach.

Shanting Chen, Allen B Mallory

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Article
  4. Article
  5. Mental and Physical Health Impacts of Anti-Asian Violence on Chinese Older Adults.Journal of racial and ethnic health disparities · 2026
    Article
  6. Article
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  8. Hippocampal Volume Moderates the Link between Racial-Ethnic Discrimination and Early Adolescent Depression.Clinical psychological science : a journal of the Association for Psychological Science · 2026
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  17. The Role of Social Support in Cardiovascular Clinical Trial Participation among Black Men: Black Impact.International journal of environmental research and public health · 2022
    Article
  18. Article
  19. Exploring the Effect of Health on Migrants' Social Integration in China.International journal of environmental research and public health · 2022
    Article
  20. Article
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.

Shanting ChenDepartment of Human Development and Family Sciences, University of Texas at Austin, 108 East Dean Keeton Street, Stop A2702, Austin, TX, 78712, United States. Electronic address: chen3640@utexas.edu.
Allen B MalloryHuman Development and Family Science, The Ohio State University, United States. Electronic address: mallory.102@osu.edu.

Funding

Training Program in Population StudiesT32HD007081 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI Aprile Dawn Benner, Abigail Mae Weitzman · 1985 to 2026
$6.8M
Program Development and Pilot CoreP30AG066614 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI KAREN L FINGERMAN · 2020 to 2026
$5.2M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI MARK D. HAYWARD · 2017 to 2026
$5.2M
Identity Stress and Health in Three Cohorts of LGB individualsR01HD078526 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MEYER, ILAN H · 2014 to 2018
$4.1M
The influence of intersections of race, gender, and sexual orientation discrimination for the mental health of LGB youth and adultsF31MH115608 · NIMH · UNIVERSITY OF TEXAS AT AUSTIN · PI MALLORY, ALLEN · 2018 to 2019
$83k
NIA NIH HHS P30 AG066614NICHD NIH HHS P2C HD042849NICHD NIH HHS R01 HD078526NICHD NIH HHS T32 HD007081NIMH NIH HHS F31 MH115608
6 · The paper itself

Abstract

rationaleThe preponderance of research documents the negative consequences of racial discrimination for the mental and physical well-being across several racial/ethnic groups including Black Americans, Hispanic Americans, and Asian Americans. Despite this large body of research, few studies have attempted to evaluate racial discrimination as a casual factor of worse health among racial minority groups. The current study utilized nationally representative data to estimate the causal effect of racial discrimination on cardiovascular disease (CVD), self-rated physical health (SRH), body mass index (BMI), depression disorder, and substance use disorder. In addition, we examined whether the effect of racial discrimination on health was moderated by socio-demographic characteristics (i.e., age, race/ethnicity, sex, socioeconomic status, marital status, geographic location, and health insurance coverage).

methodsData were from the combined National Survey of American Life and the National Latino and Asian American Study. We applied a propensity score weighting approach to estimate the differences between individuals who reported ever (N = 4358) or never (N = 1836) experiencing racial discrimination on a list of health outcomes (e.g., CVD, SRH, BMI, depression disorder, and substance use disorder).

resultsParticipants who reported ever experiencing racial discrimination were about 5 % higher CVD risk, had 0.12 points lower SRH, a 3 % higher probability of a depression disorder, and a 2 % higher probability of a substance use disorder. Moderation effects by race/ethnicity, sex, socioeconomic status, geographic region, and health insurance coverage were found.

conclusionOur study represents one of the first attempts to apply a propensity score weighting approach to causally link racial discrimination to worse health for racial minority individuals. This study adds to a larger body of research documenting the negative association between racial discrimination and health.

Indexed as

RacismAsianBlack or African AmericanHispanic or LatinoHumansPropensity ScoreUnited StatesBMICardiovascular diseaseDepression disorderNationally representativePropensity score weightingRacial discriminationSelf-rated healthSubstance use disorder

Identifiers

PMID34399293
PMCPMC8451383

What OpenQuestion holds

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Registered trials

None linked

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.