Evidence map›Paper›PMID 34481917›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2022

Smaller Hippocampal Volume Among Black and Latinx Youth Living in High-Stigma Contexts.

Mark L Hatzenbuehler, David G Weissman, Sarah McKetta, Micah R Lattanner, Jessie V Ford, Deanna M Barch, Katie A McLaughlin

Abstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 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

44 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Country-level gender inequality is associated with structural differences in the brains of women and men.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Pooled it
  4. Pooled it
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  9. 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
    Article
  10. Article
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  13. The Longitudinal Effects of Exclusionary School Discipline on Adolescent Well-Being.Research on child and adolescent psychopathology · 2025
    Article
  14. Structural Determinants of School Discipline: Examining State-Level Racial Bias and Neighborhood Opportunity.Journal of the American Academy of Child and Adolescent Psychiatry · 2025
    Article
  15. Article
  16. Article
  17. Human development, inequality, and their associations with brain structure across 29 countries.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  18. Article
  19. State-level structural racism and sleep disturbances among Black and Latinx adolescents: Findings from the adolescent brain cognitive development study.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Mark L HatzenbuehlerHarvard University, Cambridge, Massachusetts. Electronic address: markhatzenbuehler@fas.harvard.edu.
David G WeissmanHarvard University, Cambridge, Massachusetts.
Sarah McKettaMailman School of Public Health, Columbia University, New York.
Micah R LattannerHarvard University, Cambridge, Massachusetts.
Jessie V FordMailman School of Public Health, Columbia University, New York.
Deanna M BarchWashington University in St. Louis, Missouri.
Katie A McLaughlinHarvard University, Cambridge, Massachusetts.

Funding

RESEARCH TRAINING PROGRAM IN PSYCHIATRIC EPIDEMIOLOGYT32MH013043 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Katherine M. Keyes · 1985 to 2026
$11.7M
Neurodevelopmental Mechanisms Underlying Stress Vulnerability during AdolescenceR37MH119194 · NIMH · HARVARD UNIVERSITY · PI Katie McLaughlin · 2020 to 2026
$10.6M
Child Trauma and the Development of Neural Systems Underlying Emotion RegulationR01MH103291 · NIMH · UNIVERSITY OF WASHINGTON · PI MCLAUGHLIN, KATIE · 2014 to 2018
$3.8M
Deprivation and Threat: Dimensions of Early Experience and Neural DevelopmentR01MH106482 · NIMH · UNIVERSITY OF WASHINGTON · PI MCLAUGHLIN, KATIE · 2016 to 2020
$3.1M
Neurodevelopmental Mechanisms Underlying Stress Vulnerability during AdolescenceR56MH119194 · NIMH · HARVARD UNIVERSITY · PI MCLAUGHLIN, KATIE · 2019 to 2019
$1.5M
Emotional Awareness: An integrative neural mechanism linking childhood trauma with psychopathologyK99MH127248 · NIMH · HARVARD UNIVERSITY · PI WEISSMAN, DAVID G · 2022 to 2023
$246k
NIMH NIH HHS K99 MH127248NIMH NIH HHS R01 MH103291NIMH NIH HHS R01 MH106482NIMH NIH HHS R37 MH119194NIMH NIH HHS R56 MH119194NIMH NIH HHS T32 MH013043
6 · The paper itself

Abstract

objectiveTo determine whether structural and individual forms of stigma are associated with neurodevelopment in children.

methodStigma related to gender, race, and Latinx ethnicity was measured at the structural level using objective state-level indicators of social policies and prejudicial attitudes and at the individual level using self-reports of perceived discrimination. Respective associations of stigma with hippocampal volume and amygdala reactivity to threat were examined using data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 11,534, mean age 9.9 years), the first multisite neuroimaging study that provided substantial variability in sociopolitical contexts and that included individual-level measures of stigma among youth.

resultsIn a preregistered analysis, Black (B = -58.26, p = .023) and Latinx (B = -40.10, p = .044) youths in higher (vs lower) structural stigma contexts were found to have smaller hippocampal volume, controlling for total intracranial volume, demographics, and family socioeconomic status. This association was also observed at a trend-level among girls (p = .082). The magnitude of the difference in hippocampal volume between high and low structural stigma states was equivalent to the predicted impact of a $20,000 difference in annual family income in this sample. As hypothesized, structural stigma was not associated with hippocampal volume in nonstigmatized youths, providing evidence of specificity. Perceived discrimination was unrelated to hippocampal volume in stigmatized groups. No associations between perceived discrimination or structural stigma and amygdala reactivity to threat were observed.

conclusionThis study provides novel evidence that an objective measure of structural stigma may be more strongly related to hippocampal volume than subjective perceptions of stigma, suggesting that contextual approaches to stigma could yield new insights into neurodevelopment among marginalized youth.

Indexed as

Social ClassSocial StigmaAdolescentChildEthnicityFemaleGender IdentityHippocampusHumanshippocampal volumeneurodevelopmentpopulation neurosciencestigma

Identifiers

PMID34481917
PMCPMC8888779

What OpenQuestion holds

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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.