Format

Send to

Choose Destination
Soc Sci Med. 2018 Feb;199:230-240. doi: 10.1016/j.socscimed.2017.04.018. Epub 2017 Apr 26.

Transmitting Trauma: A systematic review of vicarious racism and child health.

Author information

1
Robert Wood Johnson Clinical Scholars Program, North Campus Research Complex, 2800 Plymouth Road, Building #10, Room G016, Ann Arbor, MI 48109, USA; Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Medical Professional Building, Room D3202, Box: 5718, 1522 Simpson Road East, Ann Arbor, MI 48109-5718, USA. Electronic address: niaheard@umich.edu.
2
Robert Wood Johnson Clinical Scholars Program, North Campus Research Complex, 2800 Plymouth Road, Building #10, Room G016, Ann Arbor, MI 48109, USA. Electronic address: calem@umich.edu.
3
Robert Wood Johnson Clinical Scholars Program, North Campus Research Complex, 2800 Plymouth Road, Building #10, Room G016, Ann Arbor, MI 48109, USA. Electronic address: lincamaj@med.umich.edu.
4
Robert Wood Johnson Clinical Scholars Program, North Campus Research Complex, 2800 Plymouth Road, Building #10, Room G016, Ann Arbor, MI 48109, USA. Electronic address: mchamati@umich.edu.
5
Suzanne Dworak-Peck School of Social Work, University of Southern California, Montgomery Ross Fisher Building, Los Angeles, CA 90089-0411, USA. Electronic address: tyanpark@usc.edu.

Abstract

Racism is a pervasive stressor. Although most research focuses on direct targets, racism can also have unintended victims. Because children's lives are inevitably linked to the experiences of other individuals, and they are in critical phases of development, they are especially vulnerable to such stressors. Despite the growing body of literature on children's direct exposure to racism, little is known about the relationship between vicarious racism (i.e. secondhand exposure to racism) and child health. To examine the state of this literature, we performed a systematic review and screened 1371 articles drawn from 7 databases, with 30 studies meeting inclusion criteria. For these 30, we reviewed research methodology, including conceptualization and measurement of vicarious exposure, sample characteristics, significant associations with child health outcomes, and mediators and/or moderators of those associations. Most studies were published after 2011 in urban areas in the U.S., employed longitudinal designs, and focused on African American populations. Socioemotional and mental health outcomes were most commonly reported with statistically significant associations with vicarious racism. While all studies examined racism indirectly experienced by children, there was no standard definition of vicarious racism used. We organize the findings in a schematic diagram illustrating indirectly-experienced racism and child health outcomes to identify current gaps in the literature and ways in which to bridge those gaps. To further the field, vicarious racism should be uniformly defined and directly measured using psychometrically validated tools. Future studies should consider using children as the informants and follow children into early adulthood to better understand causal mechanisms. Given the recent national exposure to racially-charged events, a deeper understanding of the association between vicarious racism and child health is crucial in fueling research-informed social action to help children, families, and communities exposed to racism. PROSPERO registration number: CRD42016039608.

KEYWORDS:

Child health; Indirect racism; Intergenerational racism; Racial discrimination; Systematic review; Vicarious racism

PMID:
28456418
DOI:
10.1016/j.socscimed.2017.04.018
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center