Skip to main content
Top
Published in: Maternal and Child Health Journal 9/2019

01-09-2019 | Biomarkers | Brief Reports

Associations Between Maternal Experiences of Discrimination and Biomarkers of Toxic Stress in School-Aged Children

Authors: Eileen M. Condon, Margaret L. Holland, Arietta Slade, Nancy S. Redeker, Linda C. Mayes, Lois S. Sadler

Published in: Maternal and Child Health Journal | Issue 9/2019

Login to get access

Abstract

Objective

To examine associations between maternal experiences of discrimination and child biomarkers of toxic stress in a multiethnic, urban sample of mothers and children (4–9 years).

Methods

Data were drawn from a cross-sectional study of maternal–child dyads (N = 54) living in low-income neighborhoods in New Haven, Connecticut, USA. Mothers reported experiences of discrimination. Noninvasive biomarkers of toxic stress were collected to assess neuroendocrine (hair cortisol), immune (salivary cytokines, c-reactive protein), and cardiovascular (blood pressure) functioning in children.

Results

Maternal experiences of discrimination were associated with increased log-transformed salivary interleukin-6 (IL-6) levels in children (β = 0.15, p = 0.02).

Conclusions

Vicarious racism, or indirect exposure to discrimination experienced by caregivers, is associated with poor health outcomes for children. Immune pathways may be a biological mechanism through which racial discrimination “gets under the skin,” but additional research is needed to fully understand these relationships. Uncovering the physiological mechanisms linking vicarious racism with child health is an important step towards understanding possible early roots of racial and ethnic health inequities.
Literature
go back to reference Acevedo-Garcia, D., Rosenfeld, L. E., Hardy, E., McArdle, N., & Osypuk, T. L. (2013). Future directions in research on institutional and interpersonal discrimination and children’s health. American Journal of Public Health, 103(10), 1754–1763.CrossRefPubMedPubMedCentral Acevedo-Garcia, D., Rosenfeld, L. E., Hardy, E., McArdle, N., & Osypuk, T. L. (2013). Future directions in research on institutional and interpersonal discrimination and children’s health. American Journal of Public Health, 103(10), 1754–1763.CrossRefPubMedPubMedCentral
go back to reference Bender, R., & Lange, S. (2001). Adjusting for multiple testing—when and how? Journal of Clinical Epidemiology, 54(4), 343–349.CrossRefPubMed Bender, R., & Lange, S. (2001). Adjusting for multiple testing—when and how? Journal of Clinical Epidemiology, 54(4), 343–349.CrossRefPubMed
go back to reference Condon, E. M. (2018). Chronic stress in children and adolescents: A review of biomarkers for use in pediatric research. Biological Research for Nursing, 20(5), 473–496.CrossRefPubMedPubMedCentral Condon, E. M. (2018). Chronic stress in children and adolescents: A review of biomarkers for use in pediatric research. Biological Research for Nursing, 20(5), 473–496.CrossRefPubMedPubMedCentral
go back to reference Condon, E. M., Sadler, L. S., & Mayes, L. C. (2018). Toxic stress and protective factors in multi-ethnic school age children: A research protocol. Research in Nursing & Health, 41, 97–106.CrossRef Condon, E. M., Sadler, L. S., & Mayes, L. C. (2018). Toxic stress and protective factors in multi-ethnic school age children: A research protocol. Research in Nursing & Health, 41, 97–106.CrossRef
go back to reference Cook, D. G., Mendall, M. A., Whincup, P. H., Carey, I. M., Ballam, L., Morris, J. E., … Strachan, D. P. (2000). C-reactive protein concentration in children: Relationship to adiposity and other cardiovascular risk factors. Atherosclerosis, 149(1), 139–150. https://doi.org/10.1016/s0021-9150(99)00312-3. Cook, D. G., Mendall, M. A., Whincup, P. H., Carey, I. M., Ballam, L., Morris, J. E., … Strachan, D. P. (2000). C-reactive protein concentration in children: Relationship to adiposity and other cardiovascular risk factors. Atherosclerosis, 149(1), 139–150. https://​doi.​org/​10.​1016/​s0021-9150(99)00312-3.
go back to reference Heard-Garris, N., Cale, M., Camaj, L., Hamati, M., & Dominguez, T. (2018). Transmitting trauma: A systematic review of vicarious racism and child health. Social Science and Medicine, 199, 230–240.CrossRefPubMed Heard-Garris, N., Cale, M., Camaj, L., Hamati, M., & Dominguez, T. (2018). Transmitting trauma: A systematic review of vicarious racism and child health. Social Science and Medicine, 199, 230–240.CrossRefPubMed
go back to reference Hughes, D., Rodriguez, J., Smith, E. P., Johnson, D. J., Stevenson, H. C., & Spicer, P. (2006). Parents’ ethnic-racial socialization practices: A review of research and directions for future study. Developmental Psychology, 42(5), 747.CrossRefPubMed Hughes, D., Rodriguez, J., Smith, E. P., Johnson, D. J., Stevenson, H. C., & Spicer, P. (2006). Parents’ ethnic-racial socialization practices: A review of research and directions for future study. Developmental Psychology, 42(5), 747.CrossRefPubMed
go back to reference Krieger, N. (2012). Methods for the scientific study of discrimination and health: An ecosocial approach. American Journal of Public Health, 102(5), 936–944.CrossRefPubMedPubMedCentral Krieger, N. (2012). Methods for the scientific study of discrimination and health: An ecosocial approach. American Journal of Public Health, 102(5), 936–944.CrossRefPubMedPubMedCentral
go back to reference Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N., Pieterse, A.,… Gee, G. (2015). Racism as a determinant of health: A systematic review and meta-analysis. PLoS ONE, 10(9), e0138511. Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N., Pieterse, A.,… Gee, G. (2015). Racism as a determinant of health: A systematic review and meta-analysis. PLoS ONE, 10(9), e0138511.
go back to reference Phelan, J. C., & Link, B. G. (2015). Is racism a fundamental cause of inequalities in health? Annual Review of Sociology, 41, 311–330.CrossRef Phelan, J. C., & Link, B. G. (2015). Is racism a fundamental cause of inequalities in health? Annual Review of Sociology, 41, 311–330.CrossRef
go back to reference Priest, N., Paradies, Y., Trenerry, B., Truong, M., Karlsen, S., & Kelly, Y. (2013). A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Social Science and Medicine, 95, 115–127.CrossRefPubMed Priest, N., Paradies, Y., Trenerry, B., Truong, M., Karlsen, S., & Kelly, Y. (2013). A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Social Science and Medicine, 95, 115–127.CrossRefPubMed
go back to reference Sadler, L. S., Slade, A., Close, N., Webb, D. L., Simpson, T., Fennie, K., et al. (2013). Minding the baby: Enhancing reflectiveness to improve early health and relationship outcomes in an interdisciplinary home-visiting program. Infant Mental Health Journal, 34(5), 391–405. https://doi.org/10.1002/imhj.21406.CrossRefPubMed Sadler, L. S., Slade, A., Close, N., Webb, D. L., Simpson, T., Fennie, K., et al. (2013). Minding the baby: Enhancing reflectiveness to improve early health and relationship outcomes in an interdisciplinary home-visiting program. Infant Mental Health Journal, 34(5), 391–405. https://​doi.​org/​10.​1002/​imhj.​21406.CrossRefPubMed
go back to reference Scheller, J., Chalaris, A., Schmidt-Arras, D., & Rose-John, S. (2011). The pro-and anti-inflammatory properties of the cytokine interleukin-6. Biochimica et Biophysica Acta (BBA)—Molecular Cell Research, 1813(5), 878–888.CrossRef Scheller, J., Chalaris, A., Schmidt-Arras, D., & Rose-John, S. (2011). The pro-and anti-inflammatory properties of the cytokine interleukin-6. Biochimica et Biophysica Acta (BBA)—Molecular Cell Research, 1813(5), 878–888.CrossRef
go back to reference Shonkoff, J. P., Garner, A. S., Siegel, B. S., Dobbins, M. I., Earls, M. F., McGuinn, L., … Wegner, L. M. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246. Shonkoff, J. P., Garner, A. S., Siegel, B. S., Dobbins, M. I., Earls, M. F., McGuinn, L., … Wegner, L. M. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246.
go back to reference Slade, A., Holland, M. L., Ordway, M. R., Carlson, E. A., Jeon, S., Close, N., … Sadler, L. S. (2019). Minding the Baby®: Enhancing parental reflective functioning and infant attachment in an attachment-based, interdisciplinary home visiting program. Development and Psychopathology. https://doi.org/10.1017/s0954579418001463. Slade, A., Holland, M. L., Ordway, M. R., Carlson, E. A., Jeon, S., Close, N., … Sadler, L. S. (2019). Minding the Baby®: Enhancing parental reflective functioning and infant attachment in an attachment-based, interdisciplinary home visiting program. Development and Psychopathology. https://​doi.​org/​10.​1017/​s095457941800146​3.
go back to reference Svetaz, M. V., Chulani, V., West, K. J., Voss, R., Kelley, M. A., Raymond-Flesch, M., … Barkley, L. (2018). Racism and Its Harmful Effects on Nondominant Racial-Ethnic Youth and Youth-Serving Providers: A Call to Action for Organizational Change: The Society for Adolescent Health and Medicine. Journal of Adolescent Health, 63(2), 257–261. Svetaz, M. V., Chulani, V., West, K. J., Voss, R., Kelley, M. A., Raymond-Flesch, M., … Barkley, L. (2018). Racism and Its Harmful Effects on Nondominant Racial-Ethnic Youth and Youth-Serving Providers: A Call to Action for Organizational Change: The Society for Adolescent Health and Medicine. Journal of Adolescent Health, 63(2), 257–261.
go back to reference Yasui, M. (2015). A review of the empirical assessment of processes in ethnic-racial socialization: Examining methodological advances and future areas of development. Developmental Review, 37, 1–40.CrossRef Yasui, M. (2015). A review of the empirical assessment of processes in ethnic-racial socialization: Examining methodological advances and future areas of development. Developmental Review, 37, 1–40.CrossRef
Metadata
Title
Associations Between Maternal Experiences of Discrimination and Biomarkers of Toxic Stress in School-Aged Children
Authors
Eileen M. Condon
Margaret L. Holland
Arietta Slade
Nancy S. Redeker
Linda C. Mayes
Lois S. Sadler
Publication date
01-09-2019
Publisher
Springer US
Keyword
Biomarkers
Published in
Maternal and Child Health Journal / Issue 9/2019
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-019-02779-4

Other articles of this Issue 9/2019

Maternal and Child Health Journal 9/2019 Go to the issue