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COVID-19 Racism and Mental Health in Chinese American Families.
Cheah, Charissa S L; Wang, Cixin; Ren, Huiguang; Zong, Xiaoli; Cho, Hyun Su; Xue, Xiaofang.
  • Cheah CSL; University of Maryland, Baltimore County, Baltimore, Maryland; and ccheah@umbc.edu.
  • Wang C; University of Maryland, College Park, Maryland.
  • Ren H; University of Maryland, Baltimore County, Baltimore, Maryland; and.
  • Zong X; University of Maryland, Baltimore County, Baltimore, Maryland; and.
  • Cho HS; University of Maryland, Baltimore County, Baltimore, Maryland; and.
  • Xue X; University of Maryland, Baltimore County, Baltimore, Maryland; and.
Pediatrics ; 146(5)2020 11.
Article in English | MEDLINE | ID: covidwho-740411
ABSTRACT

OBJECTIVES:

The coronavirus disease 2019 (COVID-19) pandemic has fueled xenophobia against Chinese Americans. We examined the rates of 6 types of COVID-19 racism and racial discrimination experienced by Chinese American parents and youth and the associations with their mental health.

METHODS:

We recruited a population-based sample of Chinese American families to participate in this self-reported survey study conducted from March 14, 2020, to May 31, 2020. Eligible parent participants identified as ethnically/racially Chinese, lived in the United States, and had a 4- to 18-year-old child; their eligible children were 10 to 18 years old.

RESULTS:

The sample included 543 Chinese American parents (mean [SD] age, 43.44 [6.47] years; 425 mothers [78.3%]), and their children (N = 230; mean [SD] age, 13.83 [2.53] years; 111 girls [48.3%]). Nearly half of parents and youth reported being directly targeted by COVID-19 racial discrimination online (parents 172 [31.7%]; youth 105 [45.7%]) and/or in person (parents 276 [50.9%]; youth 115 [50.2%]). A total of 417 (76.8%) parents and 176 (76.5%) youth reported at least 1 incident of COVID-19 vicarious racial discrimination online and/or in person (parents 481 [88.5%]; youth 211 [91.9%]). A total of 267 (49.1%) parents and 164 (71.1%) youth perceived health-related Sinophobia in America, and 274 (50.4%) parents and 129 (56.0%) youth perceived media-perpetuated Sinophobia. Higher levels of parent- and youth-perceived racism and racial discrimination were associated with their poorer mental health.

CONCLUSIONS:

Health care professionals must attend to the racism-related experiences and mental health needs of Chinese Americans parents and their children throughout the COVID-19 pandemic via education and making appropriate mental health referrals.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Asian / Coronavirus Infections / Racism / Xenophobia Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male / Middle aged Country/Region as subject: North America / Asia Language: English Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Asian / Coronavirus Infections / Racism / Xenophobia Type of study: Observational study / Qualitative research / Randomized controlled trials Limits: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male / Middle aged Country/Region as subject: North America / Asia Language: English Year: 2020 Document Type: Article