Abstract
Over 80% of bias motivated violent victimization is motivated by race or ethnicity and over 50% of bias victimization occurs in Non-Hispanic Whites (NHW). Our aim was to determine the risk and health impacts of race/ethnicity motivated violent victimization by victim race/ethnicity. We examined data from the National Crime Victimization Survey (2003–2015) to estimate violent victimization risk by victim race/ethnicity across race/ethnicity bias victimization, other types of bias victimizations, and non-bias violent victimizations. We examined incident and offender characteristics for race/ethnicity motivated victimization by victim race/ethnicity. The risk of race/ethnicity motivated violent victimization was greater for Non-Hispanic Blacks (NHB) and Hispanics than for NHWs (IRR=1.4; 95% CI: 1.0–2.0, and IRR=1.6; 95% CI: 1.2–2.1). This translates into an additional 46.7 incidents per 100,000 person-years (95%CI 1.4–92.1) for the NHB population and an additional 60.3 incidents per 100,000 person-years (95%CI 20.3–100.4) for the Hispanic population. Violent incidents for NHB victims more frequently resulted in injury or medical care. Nearly 40% of NHB victims reported difficulties at school or work related to the incident where only 21.5% of NHWs and 11.7% of Hispanic victims reported similar problems. Roughly 37% of NHB victims identified a NHW offender and 45% of NHW victims identified a NHB offender. Hispanic victims identified NHB or NHW offenders in over 70% of incidents. Although literature suggests that NHWs account for the majority of bias victimizations, the risk of non-fatal violent victimization motivated by race/ethnicity is greater for NHBs and Hispanics. Crimes perpetrated against NHBs are likely more severe and victim/offender racial incongruity is common. Findings provide empiric evidence on race/ethnicity-related structural disadvantage with adverse health consequences.
INTRODUCTION
The United States Department of Justice prosecutes hate crimes defined as, “…acts of physical harm and specific criminal threats motivated by animus based on race, color, national origin, religion, gender, sexual orientation, gender identity, or disability.(“Hate Crimes, The United States Department of Justice,” n.d.) Despite an overall trend towards decreasing violent victimizations between 2004 and 2015 in the United States, the rate of hate or bias motivated victimization has remained largely stagnant.(Masucci & Langton, 2017; Truman & Morgan, 2016) In data from the National Crime Victimization Survey (NCVS) between 2011 and 2015, 80% of all bias crimes were race or ethnicity motivated and nearly 90% of all bias crimes involved violence. (Masucci & Langton, 2017) Violent victimization and chronic community violence are known public health concerns related to physical injury, emotional trauma, and poor health outcomes that ripple throughout networks and communities.(Copeland, Keeler, Angold, & Costello, 2007; Schilling, Aseltine, & Gore, 2007; Yimgang, Wang, Paik, Hager, & Black, 2017)
LITERATURE REVIEW
Powers and Socia provide an excellent overview of current theories surrounding the intersection of violence and race. (Powers & Socia, 2018) Intraracial and interracial violent victimizations are unique entities and the character of each relates to the racial dyad of the offender and victim, the presence of bias, the population distribution, and existing social structures. (Powers & Socia, 2018) Prior literature suggests the impact of race on injury severity and frequency of attacks may be influenced by several distinct, yet not mutually exclusive, dynamic interactions. (Felson & Pare, 2010; Jacobs & Wood, 1999; Messner, Mchugh, & Felson, 2004) The adversary effect is one theory describing these interactions where an offender may anticipate forceful retaliation from the victim and utilize weapons and firearms for protection. (Felson & Pare, 2010; Powers & Socia, 2018) In the NCVS, Black victims were more commonly the target of assault with a firearm and less commonly the target of unarmed assault regardless of the race and gender of the offender. (Felson & Pare, 2010; Felson & Messner, 1996) Felson suggested this may be related to the perception of a physical retaliatory threat stereotypically associated with African Americans. Lethal outcomes after violent victimizations were more common for Black victims compared to Whites using the NCVS with national homicide data. (Felson & Messner, 1996). Felson argues this association of race with a lethal outcome was due to the adversary effect. (Felson & Messner, 1996)
In addition to a direct assessment of the target victim’s unique characteristics, race may be considered in a collective sense where the victim bears the liability for all grievances held by the offender. This racial animosity can potentially influence the frequency of interracial violent encounters. (Black, 1983) In the classic example, the long history of injustice towards Blacks in the United States leads to higher rates of Black offenders victimizing Whites compared to White offenders victimizing Blacks in interracial crime. (Chilton & Galvin, 1985; Wilbanks, 1985) In the reverse direction, racial theory suggests that as minorities accrue higher population proportions and greater influence socially, economically, politically, and culturally, the majority group responds with actions that attempt to subjugate the minority returning them to a position of submission. (Blalock, 1967) This can happen in several ways: 1) increasing the size and power of policing (Liska, Lawrence, & Benson, 1981), 2) increasing arrests (Brown & Warner, 1992) and, 3) removing minority protections. (King, 2007) Powers and Socia suggest violent victimizations of minority populations, regardless of explicit bias motivation, also fits into racial theory. (Powers & Socia, 2018) Although much attention is dedicated towards understanding interracial victimization, intraracial violence is far more common largely due to existing social structures and formal or informal racial segregation. (Becker, 2007)
Disaggregating explicit offender bias motivated by animus towards the race or ethnicity of the victim from underlying societal undertones related to the victim’s race such as the adversary effect, racial animosity, or racial threat can be difficult. Even so, victim perceptions and legal definitions are such that bias can be captured in legal frameworks and databases. (Ann Arbor MI: Inter-university Consortium for Political and Social Research, 2016; “Hate Crimes, The United States Department of Justice,” n.d.; “National Incident-Based Reporting System, Data Collection: Methodology,” n.d.) Powers and Socia used the National Incident-Based Reporting System to compare single offender-single victim interracial bias violence with non-bias interracial and intraracial violence. (Powers & Socia, 2018) They found that the risk of minor and major injury depended on the races in the offender-victim dyad and the presence of bias. Black-on-White racially motivated bias crime had the highest odds of both minor and major injury compared to non-bias White-on-White crime. Interestingly, Klein and Allison found that White offenders and Black victims were the most common racial combination of violent encounters using the United States Extremism Database paired with national homicides captured by the Federal Bureau of Investigation and controlling for age, sex, region, relationship, weapons, and number of offenders. (Klein & Allison, 2017) Both Powers and Socia and Klein and Allison use data at the event-level and do not include population denominators.
Bias motivated violent victimization may be more severe compared to victimizations of comparable non-bias motivated violent crimes.(Fetzer & Pezzella, 2016; Pezzella & Fetzer, 2015) A review of hate crime victimizations from Boston area police records has demonstrated evidence of brutality, emotional injury, and psychological trauma associated with these crimes.(Pezzella & Fetzer, 2015) Prior analyses suggest that the risk of injury may differ based on the specific bias motivation.(Pezzella & Fetzer, 2015) Specifically, one report has suggested that Anti-White violent crimes are associated with a higher risk of severe injury compared to non-bias violent crimes and is consistent with findings from Powers and Socia.(Pezzella & Fetzer, 2015; Powers & Socia, 2018) Also, in NCVS data from 2011–2015 Non-Hispanic Whites accounted for over half of all bias violent victimizations that may include animus based on race, ethnicity, gender, religion, sexual orientation, disability, associations, and/or perceived characteristics.(Masucci & Langton, 2017) Considering only anti-race bias, studies estimating one group’s risk compare to another have produced mixed results. Using incident and crime databases from the 1990s, the odds of victimization was higher for blacks. (Messner et al., 2004; Torres, 1999) Data from the 2005 NCVS, however, suggest that proportions of victims by race were similar. (Harlow, 2005) This may be counter to commonly held perceptions on bias victimization. With regards to race and ethnicity motivated bias violent crimes, data using population rates of victimization across different racial and ethnic groups is sparse. Also, prior work on severity often consider only Black and White races but few also include Hispanic ethnicity when evaluating severity or consequences of victimization across different demographic populations.
CURRENT STUDY
Taken together, knowledge is limited on frequency and severity of race/ethnicity bias victimization using population weighted data at the national level for more recent years. Further, according to racial threat and racial animosity theories, demographic shifts, trends in economic and social well-being, and population distribution can influence interracial violence that may or may not be explicitly recorded as bias-related yet reflects interracial friction. Knowing that explicit bias may result from both racial tension inherent in society along with personal hatred leading to more severe violence (Powers & Socia, 2018), population rates of bias victimization may also approximate basal levels of societal antipathy towards certain groups. This may be especially true as hostility towards minority groups becomes more common. (Craig & Richeson, 2014) Population rates are critical to answer our research questions and necessitate a data source such as the NCVS and not the NIBRS. To specifically answer this question on population rates and population risk-ratios, we analyzed national data from the NCVS to characterize the risk of non-fatal race/ethnicity motivated violent crimes among Non-Hispanic Black and Hispanic individuals compared to Non-Hispanic Whites. Answers to the research questions below contribute to the overall literature in several ways. First, population-based estimates for bias motivated victimizations using current national level population data for distinct race/ethnicity groups do not currently exist. Second, we quantify risk using a data source based on self-report that does not filter through law enforcement frameworks. This is critical to better estimate the baseline risk of race/ethnicity motivated violent attacks knowing the barriers to official reporting for vulnerable populations.(Torres, 1999) Third, fewer studies include Hispanics with Non-Hispanic Blacks and Non-Hispanic Whites when investigating race/ethnicity bias victimization and severity. Fourth, a flexible approach to visualizing victimization trends may account for differential findings for specific groups with elevated risk in prior literature.
Research Question 1:
Are Non-Hispanic Black and Hispanic individuals at greater risk for race/ethnicity motivated violent crime compared to Non-Hispanic Whites?
Research Question 2:
Are race/ethnicity motivated violent crimes more severe for Non-Hispanic Black and Hispanic victims juxtaposed to Non-Hispanic Whites?
Research Question 3:
Longitudinally, what trends are suggested by examining annual rates of victimizations from race/ethnicity bias, other bias, and non-bias by victim race/ethnicity group?
METHODS
Data Source
The Bureau of Justice Statistics’ (BJS) NCVS collects annual data on personal and household victimization using a nationally representative sample of United States residential addresses. The survey was first administered in 1973 (named the National Crime Survey) and maintains four principle objectives: 1) collect thorough information on victims of crime and the consequences they suffer, 2) provide estimates of the numbers and types of crime, 3) establish uniform measures for selected crime types, and 4) compare victimization trends over time.(Ann Arbor MI: Inter-university Consortium for Political and Social Research, 2016) In addition to collecting detailed information about the characteristics of sampled household members, all persons age 12 or older in sampled households are asked detailed, incident-level questions about experiences with personal and property crimes both reported and not reported to police.(Ann Arbor MI: Inter-university Consortium for Political and Social Research, 2016) BJS offers a concatenated file that includes the years 1992 to 2015 as a free download.(“Nataional Crime Victimization Survey, Concenated File, 1992–2015 (ICPSR 36456),” n.d.)
Measures
Population Risk Outcomes
The NCVS contains several variables on bias motivation. Prior reports published by the Department of Justice (DOJ) and BJS define hate or bias crime as an incident perceived by the victim as bias-motivated and confirmed by the presence of hate language or hate symbols, or the event was established separately by the police as a hate crime.(Masucci & Langton, 2017) Categories for potential bias motivation are protected under the federal crime statutes. (“Hate Crime Laws,” n.d.)The NCVS includes information on the specific perceived bias motivation such as race, ethnicity, gender, sexuality, religion, disability, an associated person (e.g. the characteristic of a friend, family member, or colleague), or a perceived characteristic of the victim whether or not they actually possess that feature. We define two distinct variables of perceived bias motivation: 1) race or ethnicity motivated, or 2) any other perceived bias motivation (i.e. all other possibilities). We included all perceived bias motivated crimes and did not exclude based on the absence of hate language, symbols, or police confirmation. Incidents not categorized in either bias victimization group comprised the group of non-bias victimizations. The NCVS alters the survey periodically; questions on specific bias motivation were introduced in 2003 and have remained consistent through the available data from 2015. For this analysis, we considered the years 2003 to 2015 only.
Exposure
The exposure variable of victim race/ethnicity was created using two separate variables for race and ethnicity and coded to reflect three mutually exclusive groups: Non-Hispanic White (NHW), Non-Hispanic Black (NHB), and Hispanic. American Indian/Alaska Native, Asian, Hawaiian/Pacific Islander, and all multi-racial combinations were not included due to limited power to detect differences in these groups.
Covariates
The NCVS provides victim education by number of years and specific degrees attained and in the raw form has 26 levels. In balancing granularity of data with practicality of use, we categorized educational attainment as elementary school only, high school (no graduation), high school graduation, some college, associates degree or bachelor’s degree, or an advanced degree. Marital status is given in the NCVS as a categorical variable with levels of married, widowed, divorced, separated, and never married. We used United States region of the individual also as a categorical variable. The Northeast includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, New Jersey, New York, and Pennsylvania. The Midwest includes the following states: Illinois, Indiana, Michigan, Ohio, Wisconsin, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota. The South includes the following states: Delaware, District of Columbia, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, West Virginia, Alabama, Kentucky, Mississippi, Tennessee, Arkansas, Louisiana, Oklahoma, and Texas. The West includes the following states: Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, Wyoming, Alaska, California, Hawaii, Oregon, and Washington. (“United States Census Bureau,” n.d.) We did not re-categorize marital status or region and the values reflect the raw NCVS responses for those questions. Victim age is provided in continuous whole-number years and treated as a linear continuous variable.
Victimization Outcomes
We used standard DOJ definitions of violent crime, serious violent crime (completed aggravated assault with injury, sexual attack with minor assault, threatened assault with weapon, etc.), and simple assault (simple assault completed with injury, assault without weapon without injury, etc.) (Table 1).(Truman & Morgan, 2016) We included only violent victimizations (both serious violent crime and simple assault) and excluded property crime. Weapons are defined as firearms, knives, sharp objects, or blunt objects, or other and coded as yes if any of the previously mentioned weapons were present. Firearm presence during the incident was a composite variable that included handguns, other guns, or unknown gun types and coded as yes if any of the previously mentioned firearms were present. Injuries are coded separately in NCVS as sexual assault or attempted sexual assault injuries, knife or stab wounds, gunshot or bullet wounds, broken bones or teeth, internal injuries, knocked unconscious, bruises or cuts, or other. If any of these injuries were present the event was coded as yes. Medical care includes self-care, home-based care, and professional care from first-responders or hospital based medical providers. Incident characteristics including the number and race of offenders and the activity at the time of the incident are self-reported by victims. Victims also self-reported whether victimization led to subsequent life difficulties.
Table 1.
Violent Crime, Serious Violent Crime, and Simple Assault
| Violent Crimes |
|---|
| Completed rape |
| Attempted rape |
| Sexual attack with serious assault |
| Sexual attack with minor assault |
| Completed robbery with injury from serious assault |
| Completed robbery with injury from minor assault |
| 07 Completed robbery without injury from minor assault |
| Attempted robbery with injury from serious assault |
| Attempted robbery with injury from minor assault |
| Attempted robbery without injury |
| Completed aggravated assault with injury |
| Attempted aggravated assault with weapon |
| Threatened assault with weapon |
| Simple assault completed with injury |
| Sexual assault without injury |
| Unwanted sexual contact without force |
| Assault without weapon without injury |
| Verbal threat of rape |
| Verbal threat of sexual assault |
| Verbal threat of assault |
Serious Violent Crime = Pink
Simple Assault = Blue
Statistical Analysis
We calculated survey weighted proportions of respondent characteristics based on the NCVS universe for the years 2003–2015 across the three race/ethnicity groups.(Shook, Couzens, & Berzofsky, 2014) Average annual incidence rates were calculated for each victimization category and for each race/ethnicity group using frequency and survey weights as described in the NCVS User Guide for Direct Variance Estimation.(Shook et al., 2014) We calculated incidence rate ratios (IRR) for each victimization outcome using a survey weighted Poisson regression and a multi-level categorical variable for victim race/ethnicity as the exposure with NHW as the reference group. To test the sensitivity of our findings against the choice of model, we also calculated IRRs using negative binomial regression models. We estimated incidence rate differences (IRD) using the average marginal effect based on Poisson model results. We calculated estimates using three different statistical models. Model 1 included the race/ethnicity groups only (unadjusted). Given the differences in age distribution between the three race/ethnicity groups, we also calculated estimates after controlling for age (Model 2). Education, marital status, and region may occur on the causal pathway after race/ethnicity and before victimization potentially acting as mediators in the relationship. (VanderWeele & Robinson, 2014) These variables are commonly used in multivariable analysis aimed at measuring socioeconomic status. (Dolbier et al., 2013; Shavers, 2007; Zheng & George, 2012) In analyses aiming to estimate the influence of race/ethnicity on the outcome of interest, approaches that adjust for socioeconomic status are controversial.(Kaufman & Cooper, 2001; VanderWeele & Robinson, 2014) Controlling for these variables may attenuate any association between race/ethnicity and outcomes; however, these are often included in models to assess whether differences in such socioeconomic measures may account for any observed disparities by race/ethnicity.(Rangrass, Ghaferi, & Dimick, 2014; Samuel et al., 2014; Siddiqi, Wang, Quinn, Nguyen, & Christy, 2016) As such, we calculated estimates (Model 3) that included education, marital status, and region. By providing this model, appraisal of our estimates side-by-side with other analyses that control for socioeconomic status are possible. We also calculated weighted proportions of incident characteristics among all race/ethnicity motivated violent bias crimes across the three race/ethnicity groups. Finally, we estimated yearly incidence rates for each crime type and each race/ethnicity group using two-year rolling averages and fit with natural cubic splines and two knots. Natural cubic splines were chosen to minimize the impact of any single yearly estimate given the limited number of observations for each year-group-victimization type combination and to avoid the assumption of linearity in the trends by year.(Durrleman & Simon, 1989)
RESULTS
For the years 2003 to 2015, the NCVS sample included 2,080,786 individuals age 12 years or older with a weighted distribution of 72.3% (95%CI 71.4 −73.3) NHW, 12.6% (95%CI 11.9 −13.3) NHB, and 15.1% (95%CI 14.3–15.9) Hispanic origin. In this NCVS universe, a smaller proportion of NHB were male (45.5% vs. 49.0% in NHW and 50.0% in Hispanics), married (31.0% vs. 53.6 in NHW and 44.9% in Hispanics), and a greater proportion lived in the Southern United States (55.4% vs. 33.6% in NHW and 36.4 in Hispanics). The population proportions between the ages of 12 and 39 were highest for Non-Hispanic Black and Hispanics (51.6% and 62.6%, respectively vs. 40.3% in NHW). Smaller proportions of NHBs and Hispanics had advanced education compared to the population of NHW (4.6% and 2.9%, respectively vs. 9.3% in NHW) (Table 2).
Table 2.
Characteristics for Non-Hispanic Blacks, Non-Hispanic Whites, and Hispanic Origin in NCVS (weighted proportions), 2003-2015
| Variable | Non-Hispanic White (N=1,535,155) |
Non-Hispanic Black (N=238,003) |
Hispanic (N=307,628) |
|||
|---|---|---|---|---|---|---|
| % | 95% CI | % | 95% CI | % | 95% CI | |
| Male | 49.0 | [48.9, 49.2] | 45.5 | [45.0, 45.9] | 50.0 | [49.6, 50.4] |
| Age | ||||||
| 12 to 19 | 11.2 | [11.0, 11.4] | 16.5 | [16.1, 17.0] | 19.1 | [18.7, 19.5] |
| 20 to 29 | 14.5 | [14.1, 14.8] | 18.2 | [17.8, 18.7] | 23.2 | [22.8, 23.7] |
| 30 to 39 | 14.6 | [14.4, 14.8] | 16.9 | [16.5, 17.2] | 20.3 | [19.9, 20.7] |
| 40 to 49 | 17.1 | [17.0, 17.3] | 17.3 | [16.9, 17.7] | 16.5 | [16.2, 16.8] |
| 50 to 59 | 17.4 | [17.1, 17.6] | 14.9 | [14.6, 15.3] | 10.5 | [10.3, 10.8] |
| 60 to 69 | 12.6 | [12.3, 12.8] | 9.0 | [8.7, 9.3] | 5.9 | [5.7, 6.2] |
| 70+ | 12.8 | [12.5, 13.1] | 7.2 | [6.8, 7.5] | 4.4 | [4.2, 4.6] |
| Educational Attainment | ||||||
| Elementary School Only | 6.9 | [6.8, 7.1] | 10.2 | [9.9, 10.6] | 23.5 | [22.9, 24.2] |
| High School (No Graduation) | 11.0 | [10.7, 11.2] | 18.6 | [18.0, 19.2] | 21.7 | [21.3, 22.2] |
| High School (Graduation or equivalent) | 27.4 | [27.0, 27.9] | 29.7 | [29.1, 30.4] | 25.0 | [24.5, 25.6] |
| Some College, Associates, or Bachelor Degree | 45.4 | [44.9, 45.9] | 36.9 | [36.1, 37.7] | 26.9 | [26.3, 27.4] |
| Advanced Degree | 9.3 | [9.1, 9.5] | 4.6 | [4.4, 4.9] | 2.9 | [2.7, 3.1] |
| Marital Status | ||||||
| Married | 53.6 | [53.3, 54.0] | 31.0 | [30.4, 31.6] | 44.9 | [44.4, 45.5] |
| Widowed | 6.4 | [6.2, 6.5] | 5.8 | [5.6, 6.1] | 2.8 | [2.6, 2.9] |
| Divorced | 10.2 | [10.0, 10.3] | 10.2 | [9.9, 10.5] | 6.5 | [6.3, 6.8] |
| Separated | 1.4 | [1.3, 1.4] | 4.0 | [3.8, 4.2] | 3.1 | [3.0, 3.2] |
| Never Married | 28.5 | [28.1, 28.8] | 49.0 | [48.5, 49.6] | 42.7 | [42.2, 43.1] |
| Region | ||||||
| Northeast | 19.6 | [18.8, 20.4] | 16.0 | [14.9, 17.1] | 13.9 | [12.8, 15.1] |
| Midwest | 27.0 | [25.9, 28.2] | 19.5 | [18.1, 20.8] | 10.2 | [8.8, 11.7] |
| South | 33.6 | [32.4, 34.8] | 55.4 | [53.1, 57.8] | 36.4 | [33.7, 39.2] |
| West | 19.8 | [18.5, 21.0] | 9.2 | [8.4, 10.0] | 39.6 | [37.0, 42.2] |
The overall average annual rate of non-fatal violent victimization for all three race/ethnicity groups was 2525.3 per 100,000 (95%CI 2422.9–2627.6). Non-Hispanic Blacks had the highest average annual rate of non-fatal violent victimization in non-bias violent crime (2768.8 per 100,000) and perceived non-race and non-ethnicity bias motivated violent crime (92.8 per 100,000). For perceived race/ethnicity motivated bias violent crime Hispanics had the highest rate (157.4 per 100,000) (Table 3). The unadjusted rate of non-bias violent victimization was higher for NHB compared to NHW (IRR 1.2, 95%CI 1.1 −1.3); however, with adjustment for age as a continuous variable, this difference in rate did not persist. Hispanics had a lower risk of non-bias violent victimization compared to NHW in age-adjusted models (IRR 0.7, 95%CI 0.6–0.7). Incidence rate ratios larger than one indicate elevated risk compared to the reference group.
Table 3.
Perceived Bias in Non-Fatal Violent Crime By Victim Race/Ethnicity, Incidence Rate and (average annual incidence per 100,000 US Population age 12 or older), Incidence Rate Ratios (IRR), and Incidence Rate Difference (IRD) 2003-2015
| Model 1 | Model 2 | Model 3 | |||||
|---|---|---|---|---|---|---|---|
| Rate* (95% CI) | IRR (95%CI) |
IRD (95%CI) | IRR (95%CI) |
IRD (95%CI) | IRR (95%CI) |
IRD (95%CI) | |
| Bias Motivated: Race or Ethnicity | |||||||
| Non-Hispanic White | 97.1 [79.1, 115.1] | Ref | Ref | Ref | |||
| Non-Hispanic Black | 143.8 [102.1, 185.5] | 1.4 [1.0, 2.0] | 46.7 [1.4, 92.1] | 1.3 [0.9, 1.8] | 31.1 [−11.4, 73.6] | 1.3 [0.9, 1.8] | 29.8 [−14.9, 74.5] |
| Hispanic Origin | 157.4 [123.4, 191.4] | 1.6 [1.2, 2.1] | 60.3 [20.3, 100.4] | 1.3 [1.0, 1.7] | 31.5 [−3.4, 66.4] | 1.1 [0.8, 1.5] | 17.0 [−18.9, 53.0] |
| Bias Motivated: Other Bias** | |||||||
| Non-Hispanic White | 80.1 [61.9, 98.4] | Ref | Ref | Ref | |||
| Non-Hispanic Black | 92.8 [56.0, 129.6] | 1.1 [0.7, 1.7] | 12.6 [−27.4, 52.7] | 0.9 [0.6, 1.4] | −1.0 [−39.4, 37.4] | 0.9 [0.5, 1.4] | −5.2 [−45.6, 35.1] |
| Hispanic Origin | 73.7 [39.0, 108.3] | 0.9 [0.5, 1.4] | −6.4 [−45.3, 32.4] | 0.7 [0.4, 1.1] | −25.2 [−60.7, 10.3] | 0.6 [0.4, 1.0] | −31.0 [−65.3, 3.3] |
| Non-Bias Victimization | |||||||
| Non-Hispanic White | 2269.7 [2162.9, 2376.5] | Ref | Ref | Ref | |||
| Non-Hispanic Black | 2768.8 [2526.1, 3011.5] | 1.2 [1.1, 1.3] | 499.1 [244.3, 753.8] | 1.0 [0.9, 1.1] | 92.5 [−143.4, 328.4] | 1.0 [0.9, 1.1] | −13.7 [−247.8, 220.4] |
| Hispanic Origin | 1987.3 [1840.0, 2134.5] | 0.9 [0.8, 1.0] | −282.4 [−453.5, −111.3] | 0.7 [0.6, 0.7] | −803.5 [−958.0, −649.1] | 0.7 [0.6, 0.7] | −865.6 [−1031.0, −700.1] |
average annual incidence per 100,000 US Population age 12 or older
Includes religion, disability, gender, sexual orientation, associated person, and perceived characteristics
Model 1 = Crude (No adjustment)
Model 2 = Adjusted for age as a continuous variable
Model 3 = Adjusted for age as a continuous variable, educational attainment, household income, and marital status
The crude rate of race or ethnicity bias motivated violent victimization was higher for both NHB and Hispanics compared to NHW (IRR 1.4 95%CI 1.0–2.0, and IRR 1.6 95%CI 1.2–2.1). In age-adjusted models, the estimate was attenuated for both NHB and Hispanics. The model that additionally accounted for education, marital status, and region provided similar estimates to the model adjusting only for age (Table 3). There were an estimated additional 46.7 (95%CI 1.4–92.1) and 60.3 (20.3–100.4) race/ethnicity motivated bias events per 100,000 person-years for NHB and Hispanics, respectively. There was no difference in rate of victimization between groups for non-race/ethnicity bias motivated violent victimization (Table 3). Incidence rate differences larger than zero indicate the additional number of victimizations per population. Figure 1 shows changes over time by victimization type and race/ethnicity of the victim. In panel A, overall rates of non-bias victimization are decreasing over time in all race/ethnicity groups. Panel B demonstrates that while non-race/ethnicity bias victimizations were initially increasing for both NHBs and NHWs, those trends have been the reverse for Hispanics. Panel C suggests that while race/ethnicity motivated bias victimizations are decreasing for NHWs and Hispanics the trend for NHBs since 2010 has been slowly increasing.
Figure 1.

Crime type by victim race/ethnicity by year (fit with natural cubic spline).
Among race/ethnicity motivated violent victimization, weapon and firearm involvement did not differ between exposure categories (Table 4). Violent incidents more frequently resulted in injury or ended in some sort of medical care for NHB victims. Nearly 40% of NHB victims reported difficulties at school or work related to the incident where this was true in only 22.3% of NHW and 11.7% of Hispanic victims. Between 10% and 25% of victims across all three groups reported that the incident contributed to difficulties with friends or family, with the highest estimates for NHB and NHW victims, and less commonly for Hispanic victims (Table 4). The majority of incidents for all three groups involved a single offender. Single offenders were most commonly of a different race or ethnicity than the victim. For NHB victims, 37.2% identified a NHW offender, and for NHW victims 45.0% identified a NHB offender. Hispanics were more commonly victimized while in transit to work or school 29.1% (95%CI 16.0 −47.0) compared to NHB victims and NHW victims (14.5% and 14.4, respectively).
Table 4.
Characteristics of Race/Ethnicity Motivated Bias Crimes by Race/Ethnicity, 2003–2015
| Variable | Non-Hispanic White | Non-Hispanic Black | Hispanic | |||
|---|---|---|---|---|---|---|
| % | 95% CI | % | 95% CI | % | 95% CI | |
| Type of Crime | ||||||
| Simple Assault | 68.88 | [60.5, 76.2] | 61.06 | [47.7, 72.9] | 66.27 | [55.4, 75.7] |
| Serious Violent Crime | 31.12 | [23.8, 39.5] | 38.94 | [27.1, 52.3] | 33.73 | [24.3, 44.6] |
| Incident Characteristics | ||||||
| Involved a Weapon | 21.6 | [15.7, 28.8] | 28.3 | [19.2, 39.5] | 24.4 | [16.0, 35,3] |
| Involved a Firearm | 5.9 | [3.9, 8.8] | 7.8 | [4.2, 14.3] | 9.2 | [5.2, 15.7] |
| Single Offender*** | 53.7 | [46.5, 60.8] | 63.5 | [50.5, 74.8] | 61.7 | [49.0, 72.9] |
| Mutliple Offenders*** | 42.6 | [35.6, 49.9] | 35.7 | [24.5,.48.6] | 36.9 | [26.2, 49.2] |
| Single Offender-White*** | 10.8 | [5.6, 19.8] | 37.2 | [18.7, 60.4] | 33.6 | [16.0, 57.4] |
| Single Offender-Black or African American**** | 45.0 | [29.7, 61.3] | 7.4 | [2.2, 22.2] | 39.9 | [19.5, 64.5] |
| Single Offender - Hispanic or Latino**** | 3.5 | [1.5, 7.6] | 15.5 | [5.3, 37.5] | 5.5 | [1.9, 15.1] |
| Activity at time of Incident | ||||||
| Working | 22.8 | [12.9, 37.1] | 12.9 | [6.6, 23.9] | 9.7 | [4.7, 19.1] |
| On Way to/from Work/School | 14.4 | [8.8, 22.8] | 14.5 | [7.8, 25.5] | 29.1 | [16.0, 47.0] |
| Shopping/Errands | 7.6 | [4.5, 12.6] | 8.2 | [2.2, 26.1] | 8.3 | [3.8, 17.3] |
| School | 13.3 | [5.8, 27.7] | 12.2 | [5.3, 25.5] | 21.4 | [8.1, 45.8] |
| Home | 21.9 | [13.0, 34.5] | 30.2 | [16.0, 49.4] | 20.9 | [9.3, 40.6] |
| Leisure-Not at Home | 20.0 | [13.8, 28.0] | 22.0 | [12.5, 35.8] | 10.5 | [5.7, 18.8] |
| Harms | ||||||
| Suffered an Injury | 20.7 | [13.7, 30.1] | 31.6 | [20.9, 44.7] | 19.2 | [12.6, 28.1] |
| Being A Victim Led to Problems at School or Work** | 22.3 | [13.5, 34.5] | 39.6 | [25.3, 56.0] | 11.7 | [6.3, 20.7] |
| Being A Victim Led to Problems with Family or Friends** | 21.5 | [12.8, 33.9] | 23.2 | [11.5, 41.2] | 13.8 | [7.8, 23.3] |
| Victim Response | ||||||
| Received Medical Care* for Injuries | 7.4 | [5.2, 10.4] | 14.5 | [7.8, 25.4] | 10.6 | [5.4, 19.6] |
| Received Medical Care at a Clinic, Emergency Room, or Hospital | 4.8 | [3.2, 7.1] | 5.9 | [2.8, 12.0] | 4.1 | [2.0, 8.2] |
| Reported Incident to Police | 43.9 | [35.4, 52.8 | 47.4 | [34.4, 60.8] | 46.3 | [34.4, 58.7] |
Includes Self-Treatment
Variable only available after 2008, 3rd quarter. Estimates are from 2008.3 to 2015
Proportions may not =100% due to respondent’s not knowing or an uninterpretable entry. See NVCS Codebook for details on Residue entries
Due to coding changes in offender race/ethnicity in the NCVS, estimates for are based on the years 2012–2015
Results from the sensitivity analysis generating IRRs using negative binomial regression models are presented in the supplementary tables and are not meaningfully different from the main analysis.
DISCUSSION
To our knowledge, this is the first detailed investigation of perceived race/ethnicity motivated violent victimization suggesting differences in risk based on victim race/ethnicity. After age-adjustment that controls for the potential confounding of victim age in the association between race/ethnicity and victimization, we found a 30% higher risk of race/ethnicity bias motivated violent victimization for Non-Hispanic Blacks and Hispanics, compared to Non-Hispanic Whites. Despite NHWs accounting for the majority of all bias violent victimizations according NCVS, the unadjusted risk for race/ethnicity motivated violent bias crime is 40% higher for NHBs and 60% higher for Hispanics. In models adjusting for age, marital status, education, and region the risk estimate for NHBs did not change from the model adjusting only for age, however, for Hispanics the elevated risk did not persist compared to NHWs. This may suggest that elevated risk of victimization for Hispanics may be weaved into sociodemographic factors that occur after race/ethnicity such as education, marital status, and region. In addition to the risk of race/ethnicity motivated bias victimization for NHBs and Hispanics, these data suggest a more frequent serious violent crime, including those entailing weapon and firearm involvement, more injuries, and higher proportions receiving medical care. These data also demonstrate that the downstream impact from the victimization on work, school, and social life is substantial with the highest proportion of difficulties reported by NHBs. The cubic spline fitted curve suggests that the population rates of race/ethnicity motivated bias victimizations may be rising more recently for NHBs while rates for Hispanics and NHWs may be declining. This aligns with data suggesting racial animosity more recently is rising. (Craig & Richeson, 2014)
Our results contribute to the existing literature on race/ethnicity bias victimization. Prior BJS reports have not included annual incidence rates for specific bias motivations. According to BJS, the average annual rate of violent bias crime victimization in the years 2004 through 2015 was 90 per 100,000.(Masucci & Langton, 2017) We report for NHWs (over 70% of the sample) that the average annual rate of violent bias crime victimization was 97.1 per 100,000 for race/ethnicity motivated and 80.1 per 100,000 for other bias motivation (Table 2). Knowing the overall BJS rate is a weighted average of rates by specific motivation (80% are race/ethnicity motivated), our results separated by motivation are consistent with the published overall annual rate of 90 per 100,000.
Pezzella and Fetzer analyzed the 2010 National Incident Based Reporting System (NIBRS) to evaluate the risk of severe injury among bias and non-bias violent crime.(Pezzella & Fetzer, 2015) The authors compare specific biases (Anti-White, Anti-Black, Anti-Lesbian, etc.) to non-bias crimes and report the risk of serious injury. In their analysis, only Anti-White and Anti-Lesbian attacks resulted in higher odds of serious injury (OR 2.5 and 2.7, respectively) and Anti-Black attacks had lower odds of serious injury compared to non-bias crimes (OR 0.5). These findings contrast somewhat with our results where we found more injuries in race/ethnicity motivated bias crimes among NHBs than in NHWs and Hispanics. The discrepancy in findings is likely related to different data samples and different definitions used for bias crime. The NIBRS includes only bias crimes reported to the police while the NCVS includes unreported crimes. Additionally, the NIRBS is not a nationally representative sample and most major cities are not included.(Masucci & Langton, 2017; “National Incident-Based Reporting System, Data Collection: Methodology,” n.d.)
The disaggregation of hate crimes into specific bias motivation has led to important public health discoveries. Prior analyses into anti-lesbian, gay, bisexual, and transgender (anti-LGBT) bias motivated victimization demonstrated concerning associations between exposure to bias motivated assault and risk of suicide and substance abuse.(Duncan & Hatzenbuehler, 2014; Duncan, Hatzenbuehler, & Johnson, 2014; Mereish, O’Cleirigh, & Bradford, 2014) Further, the intersection of sexual orientation, race, and gender, among other identity defining characteristics may be have important public health consequences when considering the effects of, and resilience from, bias victimization.(Dunbar, 2006; Mereish et al., 2014) Detailed and sophisticated analytic approaches are necessary to better understand these relationships and the public health implications knowing that specific bias motivated victimizations may have variable risks and consequences in different scenarios and for different groups.
These data demonstrate that victims report a perpetrator from another race/ethnicity group in a majority of cases. Although this finding is expected given the nature of the topic, in the context of other results the implications may be broader. Specifically, although documented race/ethnicity bias victimization is relatively rare, hate crime is known to create personal and community instability, diminish inclusion and trust between groups, and can potentially exacerbate uneven power dynamics at a society level.(Pezzella & Fetzer, 2015) Taking together the higher overall risk of victimization among NHBs and Hispanics, the greater burden of severity for NHBs, and the race/ethnicity profile of offenders suggests an environment of structural disadvantage of certain groups compared to others. This structural disadvantage includes preservation of power disparities between majority and minority population similar to descriptions in the racial theory of interracial violence.(Blalock, 1967) For these reasons, taking a public health approach to understanding race/ethnicity motivated violent victimization is an appropriate step to capture how inequity is manifest in health outcomes amidst the complex interactions between social structures, individual risks, identity, and legal frameworks.
These data have limitations. The NCVS is a large, multiyear dataset and the data are subject to both sampling and non-sampling survey error.(National Crime Victimization Survey, Technical Documentation, 2014) Also, the information contained in the NCVS is entirely self-report. This is an important aspect to consider as bias victimization among vulnerable groups are thought to be underreported to law enforcement. (Berrill, 1990; Herek, Gillis, & Cogan, 1999; Torres, 1999) The biases inherent in databases that requires reporting to authorities are well documented. (Boyd, Berk, & Hamner, 1996; Haider-Markel, 2002; McDevitt, Levin, & Bennett, 2002; Nolan & Akiyama, 1999) Whether or not these barriers to reporting are present also for national surveys has not been empirically studied to our knowledge with regards to bias victimization. However, it is reasonable to ask whether differential barriers to self-reporting of race/ethnicity bias victimization on national surveys among race/ethnicity groups might affect our results. Current limitations in available evidence do not provide for sufficient guidance to infer the direction or magnitude of those potential differences. In addition to consideration of underreporting of events to law enforcement or on national surveys, the information provided in the NCVS is not verified by outside sources. Also, given the nature of the data collection mechanism, these are exclusively non-fatal events. With the knowledge that bias crimes may in fact be more severe, limiting our outcome to non-fatal victimization would bias our results towards the null. In consideration of the association between victim race/ethnicity and risk of race/ethnicity motivated violent victimization, to interpret the estimates in Model 3 as the direct effect of race/ethnicity several assumptions would have to be met, many of which are difficult to test in these data.(VanderWeele & Robinson, 2014) Additional analyses to elaborate the complex interactions between race/ethnicity, socioeconomic status, and risk of race/ethnicity motivated violent victimization would ultimately be informative.
CONCLUSIONS
Although Non-Hispanic Whites account for the majority of bias victimizations, the risk of non-fatal violent victimization motivated by race/ethnicity is higher for Non-Hispanic Blacks and Hispanics compared to Non-Hispanic Whites. Also, the crimes perpetrated against Non-Hispanic Blacks are more severe in the immediate and post-victimization period. There is incongruity between victim and offender race/ethnicity in most cases, which, when considering the differential risk and severity of these crimes suggests an environment of structural disadvantage of certain groups compared to others. Programs seeking to attenuate racial or ethnic tensions are likely to create public health benefits, especially for communities of color.
Supplementary Material
Acknowledgments
This study was supported by grant 5 T32 HD057822–08 from NICHD.
REFERENCES
- Ann Arbor MI: Inter-university Consortium for Political and Social Research. (2016). National Crime Victimization Survey, Concatenated File, 1992–2015 (National Crime Victimization Survey (NCVS) Series No. ICPSR Study No. 36456). United States Department of Justice, Office of Justice Programs. Bureau of Justice Statistics. Retrieved from 10.3886/ICPSR36456.v1 [DOI] [Google Scholar]
- Becker S (2007). Race and Violent Offender “Propensity”: Does the Intraracial Nature of Violent Crime Persist on the Local Level? Justice Research and Policy, 9(2), 53–86. 10.3818/JRP.9.2.2007.53 [DOI] [Google Scholar]
- Berrill KT (1990). Anti-Gay Violence and Victimization in the United States: An Overview. Journal of Interpersonal Violence, 5(3), 274–294. 10.1177/088626090005003003 [DOI] [Google Scholar]
- Black D (1983). Crime as Social Control. American Sociological Review, 48(1), 34. 10.2307/2095143 [DOI] [Google Scholar]
- Blalock HM (1967). Toward a theory of minority-group relations. New York, N.Y.: Wiley. [Google Scholar]
- Boyd EA, Berk RA, & Hamner KM (1996). “Motivated by Hatred or Prejudice”: Categorization of Hate-motivated Crimes in Two Police Divisions. Law & Society Review, 30(4), 819. 10.2307/3054119 [DOI] [Google Scholar]
- Brown CM, & Warner BD (1992). Immigrants, Urban Politics, and Policing in 1900. American Sociological Review, 57(3), 13. [Google Scholar]
- Chilton R, & Galvin J (1985). Race, Crime, and Criminal Justice. Crime & Delinquency, 31(1), 3–13. 10.1177/0011128785031001001 [DOI] [Google Scholar]
- Copeland WE, Keeler G, Angold A, & Costello EJ (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64(5), 577–584. 10.1001/archpsyc.64.5.577 [DOI] [PubMed] [Google Scholar]
- Craig MA, & Richeson JA (2014). More Diverse Yet Less Tolerant? How the Increasingly Diverse Racial Landscape Affects White Americans’ Racial Attitudes. Personality and Social Psychology Bulletin, 40(6), 750–761. 10.1177/0146167214524993 [DOI] [PubMed] [Google Scholar]
- Dolbier CL, Rush TE, Sahadeo LS, Shaffer ML, Thorp J, & Community Child Health Network Investigators. (2013). Relationships of race and socioeconomic status to postpartum depressive symptoms in rural African American and non-Hispanic white women. Maternal and Child Health Journal, 17(7), 1277–1287. 10.1007/s10995-012-1123-7 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dunbar E (2006). Race, gender, and sexual orientation in hate crime victimization: identity politics or identity risk? Violence and Victims, 21(3), 323–337. [DOI] [PubMed] [Google Scholar]
- Duncan DT, & Hatzenbuehler ML (2014). Lesbian, gay, bisexual, and transgender hate crimes and suicidality among a population-based sample of sexual-minority adolescents in Boston. American Journal of Public Health, 104(2), 272–278. 10.2105/AJPH.2013.301424 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Duncan DT, Hatzenbuehler ML, & Johnson RM (2014). Neighborhood-level LGBT hate crimes and current illicit drug use among sexual minority youth. Drug and Alcohol Dependence, 135, 65–70. 10.1016/j.drugalcdep.2013.11.001 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Durrleman S, & Simon R (1989). Flexible regression models with cubic splines. Statistics in Medicine, 8(5), 551–561. [DOI] [PubMed] [Google Scholar]
- Felson RB, & Messner SF (1996). TO KILL OR NOT TO KILL? LETHAL OUTCOMES IN INJURIOUS ATTACKS*. Criminology, 34(4), 519–545. 10.1111/j.1745-9125.1996.tb01218.x [DOI] [Google Scholar]
- Felson RB, & Pare P-P (2010). Firearms and fisticuffs: Region, race, and adversary effects on homicide and assault. Social Science Research, 39(2), 272–284. 10.1016/j.ssresearch.2009.07.004 [DOI] [Google Scholar]
- Fetzer MD, & Pezzella FS (2016). The Nature of Bias Crime Injuries: A Comparative Analysis of Physical and Psychological Victimization Effects. Journal of Interpersonal Violence. 10.1177/0886260516672940 [DOI] [PubMed] [Google Scholar]
- Haider-Markel DP (2002). Regulating Hate: State and Local Influences on Hate Crime Law Enforcement. State Politics & Policy Quarterly, 2(2), 126–160. 10.1177/153244000200200202 [DOI] [Google Scholar]
- Harlow CW (2005). Hate Crime Reported by Victims and Police (Special Report No. NCJ 209911). Bureau of Justice Statistics. [Google Scholar]
- Hate Crime Laws. (n.d.). Retrieved January 29, 2018, from https://www.justice.gov/crt/hate-crime-laws
- Hate Crimes, The United States Department of Justice. (n.d.). Retrieved December 18, 2017, from https://www.justice.gov/crt/hate-crimes-0
- Herek GM, Gillis JR, & Cogan JC (1999). Psychological sequelae of hate-crime victimization among lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology, 67(6), 945–951. 10.1037/0022-006X.67.6.945 [DOI] [PubMed] [Google Scholar]
- Jacobs D, & Wood K (1999). Interracial Conflict and Interracial Homicide: Do Political and Economic Rivalries Explain White Killings of Blacks or Black Killings of Whites? American Journal of Sociology, 105(1), 157–190. 10.1086/210270 [DOI] [Google Scholar]
- Kaufman JS, & Cooper RS (2001). Commentary: considerations for use of racial/ethnic classification in etiologic research. American Journal of Epidemiology, 154(4), 291–298. [DOI] [PubMed] [Google Scholar]
- King RD (2007). The Context of Minority Group Threat: Race, Institutions, and Complying with Hate Crime Law. Law & Society Review, 41(1), 189–224. 10.1111/j.1540-5893.2007.00295.x [DOI] [Google Scholar]
- Klein BR, & Allison K (2017). Accomplishing Difference: How Do Anti-race/Ethnicity Bias Homicides Compare to Average Homicides in the United States? Justice Quarterly, 1–27. 10.1080/07418825.2017.1351576 [DOI] [Google Scholar]
- Liska AE, Lawrence JJ, & Benson M (1981). Perspectives on the Legal Order: The Capacity for Social Control. American Journal of Sociology, 87(2), 413–426. 10.1086/227465 [DOI] [Google Scholar]
- Masucci M, & Langton L (2017). Hate Crime Victimization, 2004–2015 (Special Report No. NCJ 250653). U.S. Department of Justice, Offie of Justice Programs, Bureau of Justice Statistics. [Google Scholar]
- McDevitt J, Levin J, & Bennett S (2002). Hate Crime Offenders: An Expanded Typology. Journal of Social Issues, 58(2), 303–317. 10.1111/1540-4560.00262 [DOI] [Google Scholar]
- Mereish EH, O’Cleirigh C, & Bradford JB (2014). Interrelationships between LGBT-based victimization, suicide, and substance use problems in a diverse sample of sexual and gender minorities. Psychology, Health & Medicine, 19(1), 1–13. 10.1080/13548506.2013.780129 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Messner SF, Mchugh S, & Felson RB (2004). DISTINCTIVE CHARACTERISTICS OF ASSAULTS MOTIVATED BY BIAS*. Criminology, 42(3), 585–618. 10.1111/j.1745-9125.2004.tb00530.x [DOI] [Google Scholar]
- Nataional Crime Victimization Survey, Concenated File, 1992–2015 (ICPSR 36456). (n.d.). Retrieved from http://www.icpsr.umich.edu/icpsrweb/NACJD/studies/36456
- National Crime Victimization Survey, Technical Documentation. (2014). Retrieved from https://www.bjs.gov/content/pub/pdf/ncvstd13.pdf
- National Incident-Based Reporting System, Data Collection: Methodology. (n.d.). Retrieved January 29, 2018, from https://www.bjs.gov/index.cfm?ty=dcdetail&iid=301#Methodology
- Nolan JJ, & Akiyama Y (1999). An Analysis of Factors that Affect Law Enforcement Participation in Hate Crime Reporting. Journal of Contemporary Criminal Justice, 15(1), 111–127. 10.1177/1043986299015001008 [DOI] [Google Scholar]
- Pezzella FS, & Fetzer MD (2015). The Likelihood of Injury Among Bias Crimes: An Analysis of General and Specific Bias Types. Journal of Interpersonal Violence. 10.1177/0886260515586374 [DOI] [PubMed] [Google Scholar]
- Powers RA, & Socia KM (2018). Racial Animosity, Adversary Effect, and Hate Crime: Parsing Out Injuries in Intraracial, Interracial, and Race-Based Offenses. Crime & Delinquency, 001112871877956. 10.1177/0011128718779566 [DOI] [Google Scholar]
- Rangrass G, Ghaferi AA, & Dimick JB (2014). Explaining racial disparities in outcomes after cardiac surgery: the role of hospital quality. JAMA Surgery, 149(3), 223–227. 10.1001/jamasurg.2013.4041 [DOI] [PubMed] [Google Scholar]
- Samuel CA, Landrum MB, McNeil BJ, Bozeman SR, Williams CD, & Keating NL (2014). Racial disparities in cancer care in the Veterans Affairs health care system and the role of site of care. American Journal of Public Health, 104 Suppl 4, S562–571. 10.2105/AJPH.2014.302079 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schilling EA, Aseltine RH, & Gore S (2007). Adverse childhood experiences and mental health in young adults: a longitudinal survey. BMC Public Health, 7, 30. 10.1186/1471-2458-7-30 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shavers VL (2007). Measurement of socioeconomic status in health disparities research. Journal of the National Medical Association, 99(9), 1013–1023. [PMC free article] [PubMed] [Google Scholar]
- Shook B, Couzens GL, & Berzofsky M (2014). User’s Guide to National Crime Victimization Survey Direct Variance Estimation. RTI International. [Google Scholar]
- Siddiqi AA, Wang S, Quinn K, Nguyen QC, & Christy AD (2016). Racial Disparities in Access to Care Under Conditions of Universal Coverage. American Journal of Preventive Medicine, 50(2), 220–225. 10.1016/j.amepre.2014.08.004 [DOI] [PubMed] [Google Scholar]
- Torres S (1999). Hate Crimes Against African Americans: The Extent of the Problem. Journal of Contemporary Criminal Justice, 15(1), 48–63. 10.1177/1043986299015001004 [DOI] [Google Scholar]
- Truman JL, & Morgan RE (2016). Criminal Victimization, 2015 (Bulletin No. NCJ 250180). US Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. [Google Scholar]
- United States Census Bureau. (n.d.). Retrieved from https://www.census.gov/
- VanderWeele TJ, & Robinson WR (2014). On the Causal Interpretation of Race in Regressions Adjusting for Confounding and Mediating Variables: Epidemiology, 25(4), 473–484. 10.1097/EDE.0000000000000105 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilbanks W (1985). Is Violent Crime Intraracial? Crime & Delinquency, 31(1), 117–128. 10.1177/0011128785031001007 [DOI] [Google Scholar]
- Yimgang DP, Wang Y, Paik G, Hager ER, & Black MM (2017). Civil Unrest in the Context of Chronic Community Violence: Impact on Maternal Depressive Symptoms. American Journal of Public Health, 107(9), 1455–1462. 10.2105/AJPH.2017.303876 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zheng H, & George LK (2012). Rising U.S. income inequality and the changing gradient of socioeconomic status on physical functioning and activity limitations, 1984–2007. Social Science & Medicine (1982), 75(12), 2170–2182. 10.1016/j.socscimed.2012.08.014 [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
