Social Determinants of Health: the Impact of Racism on Early Childhood Mental Health

Curr Psychiatry Rep. 2021 Mar 12;23(5):23. doi: 10.1007/s11920-021-01240-0.

Abstract

Purpose of review: Despite increased literature on the impact of racism in the past decades, relatively few studies have focused on the effects of racism on younger children. This article reviews research from the past 5 years focusing on the impact of racism on infant and early childhood mental health and socioemotional development.

Recent findings: Longitudinal studies provide evidence that very young children are highly influenced by exposure to multiple and interconnecting levels of racism and discrimination. These forms of exposure (structural and personally mediated, which can be further divided into direct and indirect exposure) are particularly nefarious to young children's socioemotional development and have implications for adolescent and adult mental health with lasting sequelae. Furthermore, the effects of racism on parenting practices and maternal/caregiver mental health appear to indicate mechanisms through which racism affects young children. Although more studies are needed in this area, recent literature indicates that racism is a social determinant of health that adversely impacts infant and early childhood socioemotional, and behavioral development. Future studies should focus on understanding the mechanisms through which racism impacts early childhood development and health, and interventions to prevent and mitigate the effects of racism.

Keywords: Discrimination; Early childhood mental health (ECMH); Infant mental health (IMH); Parenting practices; Racism; Social determinants of health (SDOH).

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child Development
  • Child, Preschool
  • Humans
  • Longitudinal Studies
  • Mental Health
  • Racism*
  • Social Determinants of Health*