ArticleAmerican journal of preventive medicine2023
Structural Racism and Well-Being Among Young People in the U.S.
Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- State Racism Index and physical function: The REasons for Geographic and Racial Differences in Stroke (REGARDS) study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Systems-Level Interventions to Disrupt Structural Racism and Improve Black Adolescent Health Outcomes: A Scoping Review.Societies (Basel, Switzerland) · 2026Article
- Pandemic-Related Stressors Linked to Cannabis and Nicotine Use in a Longitudinal Study of Asian, Latinx, and White Young Adults.Journal of studies on alcohol and drugs · 2026Article
- A Tale of Two Childhoods: State-Level Ethnoracism is Associated with Fewer Adverse Childhood Experiences (ACEs) for Non-Hispanic White Relative to Hispanic Youth.Journal of racial and ethnic health disparities · 2026Article
- Structural stressors, neurocognition in reward-related decision making and substance use risk in Puerto Rican early adolescents at two sites: study design.Frontiers in public health · 2026Observational
- Measuring the spatial scale of structural racism and discrimination: Consequences for estimated life expectancy.Social science & medicine (1982) · 2026Article
- Association of Stress from Racism and High Depressive Symptomatology among a Community Sample of Young African American Women.Journal of racial and ethnic health disparities · 2025Article
- Discrimination and Mental Health Among Black and Latino People Living with HIV: Understanding the Role of Religion and Spirituality.AIDS and behavior · 2025Article
- Structural influences on psychiatric emergency department visits among racial and ethnic minority youth in North Carolina: A neighborhood-level analysis.Health & place · 2024Article
- Racial inequities and rareJournal of clinical & translational endocrinology · 2024Article
- Breaking Academic Silos: Pedagogical Recommendations for Equitable Obesity Prevention Training and Research During an Age of Nutrition Polarization.AJPM focus · 2024Article
- Evaluating the network adequacy of vision care services for children in Arizona: A cross sectional study.AIMS public health · 2024Article
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Authors and funding
3 authors.
Funding
Abstract
introductionStructural racism has clear and pernicious effects on population health. However, there is a limited understanding of how structural racism impacts young people's well-being. The objective of this ecologic cross-sectional study was to assess the relationship between structural racism and well-being for 2,009 U.S. counties from 2010 to 2019.
methodsPopulation-based data on demographics, health, and other variables related to young people's ability to thrive are used to construct a previously validated composite index that serves as a proxy of young people's well-being. The index is regressed on several forms of structural racism (segregation, economic, and educational) both independently and jointly while accounting for county-fixed effects, time trends, and state-specific trends as well as weighting for child population. Data were analyzed from November 2021 through March 2023.
resultsHigher levels of structural racism are associated with lower well-being. A 1-SD increase in Black-White child poverty disparity is associated with a -0.034 (95% CI= -0.019, -0.050) SD change in index score. When accounting for multiple structural racism measures, associations remain statistically significant. In joint models, only estimates for economic racism measures remain significant when additionally controlling for demographic, socioeconomic, and adult health measures (β= -0.015; 95% CI= -0.001, -0.029). These negative associations are heavily concentrated in counties where Black and Latinx children are overrepresented.
conclusionsStructural racism-particularly of the kind that produces racialized poverty outcomes-has a meaningful adverse association with child and adolescent well-being, which may produce lifelong effects. Studies of structural racism among adults should consider a lifecourse perspective.
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