Evidence map›Paper›PMID 34816276›Full record

ArticlePediatrics2021

Discrimination and Subsequent Mental Health, Substance Use, and Well-being in Young Adults.

Yvonne Lei, Vivek Shah, Christopher Biely, Nicholas Jackson, Rebecca Dudovitz, Elizabeth Barnert, Emily Hotez, Alma Guerrero, Anthony L Bui, Narayan Sastry and 1 more

Abstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–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

36 citing papers in PubMed.

  1. Article
  2. Co-occurrence of racism-based trauma symptoms and depressive symptoms among college students of color.Psychological trauma : theory, research, practice and policy · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Yvonne LeiDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
Vivek ShahDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
Christopher BielyDepartments of Pediatrics.
Nicholas JacksonMedicine Statistics Core.
Rebecca DudovitzDepartments of Pediatrics.
Elizabeth BarnertDepartments of Pediatrics.
Emily HotezDivision of General Internal Medicine.
Alma GuerreroDepartments of Pediatrics.
Anthony L BuiDepartment of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington.
Narayan SastryInstitute for Social Research, University of Michigan, Ann Arbor, Michigan.
Adam SchickedanzDepartments of Pediatrics.

Funding

A Pilot Trial of a Network Intervention for Youth after IncarcerationK23DA045747 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BARNERT, ELIZABETH · 2018 to 2022
$1.0M
Effectiveness & Implementation of Medical-Financial Partnerships for Parent Health-Related Quality of Life and Child Developmental RiskK23HD099308 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SCHICKEDANZ, ADAM · 2019 to 2023
$885k
NICHD NIH HHS K23 HD099308NIDA NIH HHS K23 DA045747
6 · The paper itself

Abstract

objectivesDiscrimination has been shown to have profound negative effects on mental and behavioral health and may influence these outcomes early in adulthood. We aimed to examine short-term, long-term, and cumulative associations between different types of interpersonal discrimination (eg, racism, sexism, ageism, and physical appearance discrimination) and mental health, substance use, and well-being for young adults in a longitudinal nationally representative US sample.

methodsWe used data from 6 waves of the Transition to Adulthood Supplement (2007-2017, 1834 participants) of the Panel Study of Income Dynamics. Outcome variables included self-reported health, drug use, binge drinking, mental illness diagnosis, Languishing and Flourishing score, and Kessler Psychological Distress Scale score. We used logistic regression with cluster-robust variance estimation to test cross-sectional and longitudinal associations between discrimination frequency (overall, cumulative, and by different reason) and outcomes, controlling for sociodemographics.

resultsIncreased discrimination frequency was associated with higher prevalence of languishing (relative risk [RR] 1.34 [95% CI 1.2-1.4]), psychological distress (RR 2.03 [95% CI 1.7-2.4]), mental illness diagnosis (RR 1.26 [95% CI 1.1-1.4]), drug use (RR 1.24 [95% CI 1.2-1.3]), and poor self-reported health (RR 1.26 [95% CI 1.1-1.4]) in the same wave. Associations persisted 2 to 6 years after exposure to discrimination. Similar associations were found with cumulative high-frequency discrimination and with each discrimination subcategory in cross-sectional and longitudinal analyses.

conclusionsIn this nationally representative longitudinal sample, current and past discrimination had pervasive adverse associations with mental health, substance use, and well-being in young adults.

Indexed as

Psychological DistressAdultAge FactorsAgeismApathyBinge DrinkingCross-Sectional StudiesFemaleHealth StatusHumansInterpersonal RelationsLogistic ModelsLongitudinal StudiesMaleMental DisordersPrejudice

Identifiers

PMID34816276
PMCPMC9126825

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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.