Evidence map›Paper›PMID 42020647›Full record

ArticleJournal of racial and ethnic health disparities2026

Developmental Associations of Racialized Experiences and Attitudes in the 20s with Health Status Approaching Midlife.

Rick Kosterman, Marina Epstein, Max A Halvorson, Isaac C Rhew, Sarah Danzo, A Karryn Satchell, Danielle M Pandika

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Rick KostermanSocial Development Research Group, School of Social Work, University of Washington, 4320 Brooklyn Ave. NE, Suite 700, Seattle, WA, 98195, USA. rickk@uw.edu.ORCID http://orcid.org/0000-0002-6856-3163
Marina EpsteinSocial Development Research Group, School of Social Work, University of Washington, 4320 Brooklyn Ave. NE, Suite 700, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0003-0901-2502
Max A HalvorsonSocial Development Research Group, School of Social Work, University of Washington, 4320 Brooklyn Ave. NE, Suite 700, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0002-3113-2458
Isaac C RhewDepartment of Psychiatry & Behavioral Sciences, University of Washington, 1959 NE Pacific St., Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0001-9731-8776
Sarah DanzoDepartment of Psychiatry & Behavioral Sciences, University of Washington, 1959 NE Pacific St., Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0003-0637-7901
A Karryn SatchellSocial Development Research Group, School of Social Work, University of Washington, 4320 Brooklyn Ave. NE, Suite 700, Seattle, WA, 98195, USA.ORCID http://orcid.org/0009-0001-0324-6570
Danielle M PandikaSocial Development Research Group, School of Social Work, University of Washington, 4320 Brooklyn Ave. NE, Suite 700, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0002-0974-081X

Funding

SUBSTANCE USE AND TRANSITIONS TO ADULT ROLESR01DA009679 · NIDA · UNIVERSITY OF WASHINGTON · PI HAWKINS, J DAVID · 1996 to 2008
$6.1M
Mechanisms Linking Social and Built Environments to Health in the 30sR01DA033956 · NIDA · UNIVERSITY OF WASHINGTON · PI KOSTERMAN, RICHARD · 2013 to 2017
$2.9M
Health and Functioning in New Midlife Adults: Understanding the Role of Alcohol Use, Social Environments, and Preventive Intervention over the Life CourseR01AG069024 · NIA · UNIVERSITY OF WASHINGTON · PI EPSTEIN, MARINA · 2021 to 2025
$2.5M
NIA NIH HHS R01 AG069024NIDA NIH HHS R01 DA009679NIDA NIH HHS R01 DA033956
6 · The paper itself

Abstract

backgroundMultiple studies have shown an association of experiences of racial discrimination with adverse health outcomes, but relatively few have investigated the health consequences of expressions of discriminatory attitudes or racial animus. This study examined the breadth and persistence of links between racism and health, including how experiences of and expressions of racial discrimination and animus, as well as ethnic belonging, in the 20s were associated with health at age 39.

methodsData were from the Seattle Social Development Project, a longitudinal panel study originating in 1985. Analyses examined survey waves at ages 21 through 39 (1996 through 2014) among 144 Asian, 168 Black, and 327 White participants. Negative binomial regressions modeled associations of prior racialized experiences and attitudes with symptoms of depression, anxiety, and alcohol use disorder, and physical health problems at age 39, accounting for sex, education, and parallel health measures in the 20s.

resultsPrior experiences of discrimination were associated with more mental and physical health problems among all racial groups. Prior dislike of meeting people from other racial or ethnic groups was associated with more alcohol use disorder symptoms among Black and White participants.

conclusionsFindings suggest important associations given the study’s long timeframe and inclusion of key covariates. Potentially enduring health risks up to the cusp of midlife were indicated for experiences of discrimination and, for Black and White individuals, possible harm to those who hold discriminatory attitudes as well. Results may help broaden the perspective of efforts to reduce the harm of racial animus.

Indexed as

Alcohol useEthnic belongingMental healthMidlifePhysical healthRacial discrimination

Identifiers

PMID42020647
PMCPMC13108518

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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.