Given the adverse impacts of discrimination on overall well-being, this study tests whether family context, specifically family hostility (FH) and positive family environment (PFE), moderate well-documented associations between discrimination and mental and physical health symptoms. Diverse emerging adults (n = 345) completed an online questionnaire about perceived discrimination due to a broad range of characteristics, positive and negative qualities of their families of origin, and depressive, anxiety, and physical health symptoms. Multiple linear regression analyses indicated that family factors moderated the effects of discrimination, such that discrimination was more strongly linked with health symptoms in the context of low, compared to high, family risk. Conversely, some models showed independent, non-interactive effects of discrimination and family factors on health. Gender differences emerged, though with no consistent pattern of effects. Together, these findings highlight that discrimination and negative family factors are salient social-environmental risks for emerging adults.
AppleyardK.EgelandB.van DulmenM. H.Alan SroufeL. (2005). When more is not better: The role of cumulative risk in child behavior outcomes. Journal of Child Psychology and Psychiatry, 46, 235–245.
2.
AssariS.LankaraniM. M. (2017). Discrimination and psychological distress: Gender differences among Arab Americans. Frontiers in Psychiatry, 8, 23–33.
3.
AssariS.Moazen-ZadehE.CaldwellC. H.ZimmermanM. A. (2017). Racial discrimination during adolescence predicts mental health deterioration in adulthood: Gender differences among blacks. Frontiers in Public Health, 5, 104–114.
4.
AssariS.SmithJ. R.CaldwellC. H.ZimmermanM. A. (2015). Gender differences in longitudinal links between neighborhood fear, parental support, and depression among African American emerging adults. Societies, 5, 151–170.
5.
AyónC.MarsigliaF. F.Bermudez-ParsaiM. (2010). Latino family mental health: Exploring the role of discrimination and familismo. Journal of Community Psychology, 38, 742–756.
6.
BeckA. T.SteerR. A.BrownG. K. (1996). Beck Depression Inventory-II. San Antonio, 78, 490–498.
7.
BennerA. (2017). The toll of racial/ethnic discrimination on adolescents’ adjustment. Child Development Perspectives, 11, 251–256.
8.
BenziesK.MychasiukR. (2009). Fostering family resiliency: A review of the key protective factors. Child & Family Social Work, 14, 103–114.
9.
BlackK.LoboM. (2008). A conceptual review of family resilience factors. Journal of Family Nursing, 14, 33–55.
10.
BrandtM. J.CrawfordJ. T. (2019). Studying a heterogeneous array of target groups can help us understand prejudice. Current Directions in Psychological Science, 28, 292–298.
11.
BrodyG. H.MillerG. E.YuT.BeachS. R. H.ChenE. (2016). Supportive family environments ameliorate the link between racial discrimination and epigenetic aging. Psychological Science, 27, 530–541.
12.
BuehlerC.LangeG.FranckK. L. (2007). Adolescents’ cognitive and emotional responses to marital hostility. Child Development, 78, 775–789.
13.
CaseyL. S.ReisnerS. L.FindlingM. G.BlendonR. J.BensonJ. M.SaydeJ. M.MillerC. (2019). Discrimination in the United States: Experiences of lesbian, gay, bisexual, transgender, and queer Americans. Health Services Research, 54, 1454–1466.
CDC. (2018b). Data table for Figure 11. Hypertension and uncontrolled high blood pressure among adults aged 20 and over, by sex and age: United States, 1999–2000 through 2015–2016. https://www.cdc.gov/nchs/hus/contents2018.htm#Figure_011
16.
ChaeD. H.LeeS.LincolnK. D.IharaE. S. (2012). Discrimination, family relationships, and major depression among Asian Americans. Journal of Immigrant and Minority Health, 14, 361–370.
17.
ClarkR.AndersonN. B.ClarkV. R.WilliamsD. R. (1999). Racism as a stressor for African Americans: A biopsychosocial model. American Psychologist, 54, 805–817.
18.
FeinsteinB. A.GoldfriedM. R.DavilaJ. (2012). The relationship between experiences of discrimination and mental health among lesbians and gay men: An examination of internalized homonegativity and rejection sensitivity as potential mechanisms. Journal of Consulting and Clinical Psychology, 80, 917–927.
19.
FloresE.TschannJ. M.DimasJ. M.BachenE. A.PaschL. A.de GroatC. L. (2008). Perceived discrimination, perceived stress, and mental and physical health among Mexican-origin adults. Hispanic Journal of Behavioral Sciences, 30, 401–424.
20.
FormanE. M.DaviesP. T. (2005). Assessing children’s appraisals of security in the family system: The development of the Security in the Family System (SIFS) scales. Journal of Child Psychology and Psychiatry, 46, 900–916.
21.
FrostD. M.LehavotK.MeyerI. H. (2015). Minority stress and physical health among sexual minority individuals. Journal of Behavioral Medicine, 38, 1–8.
22.
GershoffE. T.Grogan-KaylorA. (2016). Spanking and child outcomes: Old controversies and new meta-analyses. Journal of Family Psychology, 30, 453–469.
23.
GilbertP.MilesJ. N. (2000). Sensitivity to social put-down: It’s relationship to perceptions of social rank, shame, social anxiety, depression, anger and self-other blame. Personality and Individual Differences, 29, 757–774.
24.
GillmoreM. R.ChenA. C. C.HaasS. A.KopakA. M.RobillardA. G. (2011). Do family and parenting factors in adolescence influence condom use in early adulthood in a multiethnic sample of young adults?Journal of Youth and Adolescence, 40, 1503–1518.
25.
HahmH. C.OzonoffA.GaumondJ.SueS. (2010). Perceived discrimination and health outcomes: A gender comparison among Asian-Americans nationwide. Women’s Health Issues, 20, 350–358.
26.
HerrenkohlT. I.HongS.KlikaJ. B.HerrenkohlR. C.RussoM. J. (2013). Developmental impacts of child abuse and neglect related to adult mental health, substance use, and physical health. Journal of Family Violence, 28, 191–199.
27.
HowellK. H.BarnesS. E.MillerL. E.Graham-BermannS. A. (2016). Developmental variations in the impact of intimate partner violence exposure during childhood. Journal of Injury and Violence Research, 8, 1–15.
28.
HughesD.RodriguezJ.SmithE. P.JohnsonD. J.StevensonH. C.SpicerP. (2006). Parents’ ethnic-racial socialization practices: A review of research and directions for future study. Developmental Psychology, 42, 747–770.
29.
JuangL. P.AlvarezA. A. (2010). Discrimination and adjustment among Chinese American adolescents: Family conflict and family cohesion as vulnerability and protective factors. American Journal of Public Health, 100, 2403–2409.
30.
KesslerR. C.AmmingerG. P.Aguilar-GaxiolaS.AlonsoJ.LeeS.UstunT. B. (2007). Age of onset of mental disorders: a review of recent literature. Current Opinion in Psychiatry, 20, 359–364.
31.
KimI. (2014). The role of critical ethnic awareness and social support in the discrimination–depression relationship among Asian Americans: Path analysis. Cultural Diversity and Ethnic Minority Psychology, 20, 52–60.
32.
LambertN. M.StillmanT. F.BaumeisterR. F.FinchamF. D.HicksJ. A.GrahamS. M. (2010). Family as a salient source of meaning in young adulthood. The Journal of Positive Psychology, 5, 367–376.
33.
LeeR. T.PerezA. D.BoykinC. M.Mendoza-DentonR. (2019). On the prevalence of racial discrimination in the United States. PloS one, 14(1), e0210698.
34.
LearyM. R. (1990). Responses to social exclusion: Social anxiety, jealousy, loneliness, depression, and low self-esteem. Journal of Social and Clinical Psychology, 9, 221–229.
35.
LewisT. T.WilliamsD. R.TameneM.ClarkC. R. (2014). Self-reported experiences of discrimination and cardiovascular disease. Current Cardiovascular Risk Reports, 8, 365–380.
36.
LivingstonN. A.FlentjeA.HeckN. C.Szalda-PetreeA.CochranB. N. (2017). Ecological momentary assessment of daily discrimination experiences and nicotine, alcohol, and drug use among sexual and gender minority individuals. Journal of Consulting and Clinical Psychology, 85, 1131–1143.
37.
LogieC.JamesL.TharaoW.LoutfyM. (2013). Associations between HIV-related stigma, racial discrimination, gender discrimination, and depression among HIV-positive African, Caribbean, and Black women in Ontario, Canada. AIDS Patient Care and STDs, 27, 114–122.
38.
MargolinG.JohnR. S.FooL. (1998). Interactive and unique risk factors for husbands’ emotional and physical abuse of their wives. Journal of Family Violence, 13, 315–344.
39.
MastenA. S. (2018). Resilience theory and research on children and families: Past, present, and promise. Journal of Family Theory & Review, 10, 12–31.
40.
MastenA. S.NarayanA. J. (2012). Child development in the context of disaster, war, and terrorism: Pathways of risk and resilience. Annual Review of Psychology, 63, 227–257.
41.
MacDonellK. W. (2012). The combined and independent impact of witnessed intimate partner violence and child maltreatment. Partner Abuse, 3, 358–378.
42.
MorelliS. A.LeeI. A.ArnnM. E.ZakiJ. (2015). Emotional and instrumental support provision interact to predict well-being. Emotion, 15, 484–493.
43.
MulveyK. L.HoffmanA. J.GönültaşS.HopeE. C.CooperS. M. (2018). Understanding experiences with bullying and bias-based bullying: What matters and for whom?. Psychology of violence, 8, 702–712.
44.
ParadiesY.BenJ.DensonN.EliasA.PriestN.PieterseA.GuptaA.KelaherM.GeeG. (2015). Racism as a determinant of health: A systematic review and meta-analysis. PloS One, 10, e0138511.
45.
ParkI. J. K.WangL.WilliamsD. R.AlegriaM. (2018). Coping with racism: Moderators of the discrimination-adjustment link among Mexican-origin adolescents. Child Development, 89, 293–310.
46.
ParkM.CheslaC. (2007). Revisiting Confucianism as a conceptual framework for Asian family study. Journal of Family Nursing, 13, 293–311.
47.
PascoeE. A.Smart RichmanL. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135, 531–554.
PieterseA. L.ToddN. R.NevilleH. A.CarterR. T. (2012). Perceived racism and mental health among Black American adults: A meta-analytic review. Journal of Counseling Psychology, 59, 1–9.
50.
PriestN.ParadiesY.TrenerryB.TruongM.KarlsenS.KellyY. (2013). A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Social Science & Medicine, 95, 115–127.
51.
RasmussenH. F.RamosM. C.HanS. C.PettitC.MargolinG. (2017). How discrimination and perspective-taking influence adolescents’ attitudes about justice. Journal of Adolescence, 62, 70–81.
52.
RepettiR. L.TaylorS. E.SeemanT. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128, 330–366.
53.
RutterM. (1979). Protective factors in children’s responses to stress and disadvantage. Annals of the Academy of Medicine, Singapore, 8, 324–338.
54.
RyanC.HuebnerD.DiazR. M.SanchezJ. (2009). Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123, 346–352.
55.
SchmittM. T.BanscombeN. R.PostmesT.GarciaA. (2014). The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin, 140, 921–948.
56.
SeawellA. H.CutronaC. E.RussellD. W. (2014). The effects of general social support and social support for racial discrimination on African American women’s well-being. Journal of Black Psychology, 40, 3–26.
57.
SpitzerR. L.KroenkeK.WilliamsJ. B.LöweB. (2006). A brief measure for assessing Generalized Anxiety Disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097.
58.
StrausM. A. (1979). Measuring intrafamily conflict and violence: The Conflict Tactics (CT) Scales. Journal of Marriage and Family, 41, 75–88.
59.
StrausM. A.HambyS. L.FinkelhorD.MooreD. W.RunyanD. (1998). Identification of child maltreatment with the Parent–child Conflict Tactics Scales: Development and psychometric data for a national sample of American parents. Child Abuse & Neglect, 22, 249–270.
60.
TaylorS. E. (2010). Mechanisms linking early life stress to adult health outcomes. Proceedings of the National Academy of Sciences, 107, 8507–8512.
61.
UchinoB. N.Holt-LunstadJ.BloorL. E.CampoR. A. (2005). Aging and cardiovascular reactivity to stress: Longitudinal evidence for changes in stress reactivity. Psychology and Aging, 20, 134–143.
62.
VadivelooM.MatteiJ. (2017). Perceived weight discrimination and 10-year risk of allostatic load among US adults. Annals of Behavioral Medicine, 51, 94–104.
63.
VanderValkI.SpruijtE.De GoedeM.MaasC.MeeusW. (2005). Family structure and problem behavior of adolescents and young adults: A growth-curve study. Journal of Youth and Adolescence, 34, 533–546.
64.
VespaJ. (2017). The changing economics and demographics of young adulthood: 1975-2016 (pp. 1-23). US Department of Commerce, Economics and Statistics Administration, US Census Bureau.
65.
WickramaK. A. S.KasparV. (2007). Family context of mental health risk in Tsunami-exposed adolescents: Findings from a pilot study in Sri Lanka. Social Science & Medicine, 64(3), 713–723.
66.
YangH. J.WuJ. Y.HuangS. S.LienM. H.LeeT. S. H. (2014). Perceived discrimination, family functioning, and depressive symptoms among immigrant women in Taiwan. Archives of Women’s Mental Health, 17, 359–366.
