Skip to main content
NIHPA Author Manuscripts logoLink to NIHPA Author Manuscripts
. Author manuscript; available in PMC: 2019 Aug 1.
Published in final edited form as: J Health Econ Dev. 2019 Spring;1(1):21–31.

Parental Educational Attainment and Academic Performance of American College Students; Blacks’ Diminished Returns

Shervin Assari 1
PMCID: PMC6673665  NIHMSID: NIHMS1040099  PMID: 31372601

Abstract

Background.

As suggested by the Minorities’ Diminished Returns (MDR) theory, socioeconomic status (SES) systemically results in smaller outcomes for non-Whites compared to Whites. We still know very little about diminished trans-generational returns of SES resources such as parental educational attainment (PEA).

Purpose.

This cross-sectional study explored racial variation in the effect of PEA on the college students’ grade point average (GPA) in the US.

Methods.

The Healthy Mind Study (HMS, 2016–2017) is a national telephone of college students in the US. The total sample was 18,072 domestic undergraduate college students who were either non-Hispanic Whites (n = 16,718; %92.50) or non-Hispanic Blacks (n = 1,354; %7.50). The independent variable was PEA. The main outcome was GPA measured using self-reported data. Age, gender, sexual orientation, transgender status, and financial difficulty were covariates. Race/ethnicity was the effect modifier. Linear regression models were used to analyze the data.

Results.

Overall, higher PEA was associated with a higher GPA, independent of all possible confounders. Race/ethnicity, however, showed a significant interaction with PEA on students’ GPA, indicating a smaller positive effect of PEA on non-Hispanic Blacks compared to non-Hispanic Whites college students’ GPA. Race/ethnicity stratified models also showed a larger effect for White than Black students.

Conclusions.

The boosting effect of PEA in GPA is smaller for Black compared to White college students. US should systematically reduce extra costs of upward social mobility for racial and ethnic minority families.

Keywords: educational attainment, race, ethnicity, Blacks, African Americans, socioeconomic status, academic performance, higher education

1. Background

Educational attainment and other socioeconomic status (SES) resources are among the strongest social determinants of development and well-being both for the families and the individuals (13). High educational attainment of self and parents are protective against a wide range of undesired outcomes (46). Families in which parents have higher educational attainment are less likely to experience financial distress, stress, unemployment, poverty, poor health, behaviors, illness, mortality. As a result, one of the main family SES indicators is parental educational attainment (PEA) that has a salient protective factor for offspring (79). Low PEA is also a contributor to racial disparities(1012).

Own educational attainment (13, 14) as well as PEA (1518), however, may not generate equal outcomes across various demographic and social groups. Members of the majority and minority groups may show difference in their abilities to navigate the system and translate their education to a tangible outcome (19). As a result, the magnitude, direction, and the mechanism of the effects of own education and PEA widely varies for US sub-populations (10, 11, 2025).

Empirical evidence has shown that own educational attainment (2628) and PEA (10, 11, 15, 29-31) better translate to desirable outcomes for non-Hispanic Whites than non-Hispanic Blacks. For example, effects of own education on reducing smoking, drinking, diet, obesity, depression, suicidality, chronic disease, and mortality are all less significant for non-Hispanic Blacks than non-Hispanic Whites (15, 19, 2632). There are even studies that show high SES may be associated with poor mental health of non-Hispanic Blacks; however, this pattern is better shown for males than females (21, 3336). In a number of national studies, for male Black youth and adults, high SES was actually positively associated with depression and depressive symptoms, which is opposite of the benefits expected when improving SES (21, 3336). These patterns may be because for non-Hispanic Blacks, high SES may reflect more contact with Whites in the workplace and school, which is linked to perceived discrimination, and this creates risk factors for several poor outcomes(3538).

Although most of this evidence is on the effects of own educational attainment on own outcomes, some recent studies have shown similar patterns for transgenerational effects of PEA (10, 11, 15, 29, 31). In multiple studies that used data from Fragile Families and Child Wellbeing Study (FFCWS), parental economic resources including PEA showed larger effects on youth body mass index (BMI), impulsivity, and self-rated health for non-Hispanic Whites than non-Hispanic Blacks (1518). In a very recent study, PEA better boosted educational attainment for Whites than Blacks (10). In another study, PEA better boosted mental well-being of White than Black college students(11).

A part of these inequalities in gain may be due to education quality, or labor market discrimination which is a form of institutional and structural racism (19). As society differently treats sub-populations, various social groups differ in how they can mobilize their SES resources to gain desired outcomes(39). In addition, non-Whites pay additional psychosocial and social costs for their upward social mobility than Whites (22, 23). Non-Whites are also required to exert more effort to climb the social ladder, in comparison to Whites. Given the history of slavery and Jim Crow laws, ad residual racism in terms of segregation and discrimination in almost all US institutions, particularly education and labor market, it goes to follow that educational attainment better generates employment, increased income, and other desired outcomes for non-Hispanic Whites than non-Hispanic Blacks. As a result, the very same educational attainment brings more employment opportunities and better life conditions for Whites than Blacks(19). Blacks are more likely to gain education in low resource schools in inner cities and poor communities. Blacks are also frequently discriminated against inside (11) and outside (40) schools, which causes several problems. Discrimination reduces the gains that are expected to follow SES resources such as educational attainment (24). All of these processes reduce the effects of own education and PEA on positive outcomes for minorities, particularly non-Hispanic Blacks, compared to non-Hispanic Whites.

1.1. Aims

To explore whether there is any racial differences in transgenerational effects of PEA on academic performance of American college students, we used a national data set to compare the effect of PEA (i.e., defined as the highest education level of parents in the household) on non-Hispanic Black and non-Hispanic White college students’ GPA in the US.

2. Methods

2.1. Design and Setting

The Healthy Mind Study (HMS) is an online (web-based) mental health survey of American college students. A web-based survey, the HMS monitors the mental health of undergraduate and graduate American college students. The survey gathers information on demographic factors, socioeconomics, stress, mental health needs, stigma, and mental health service utilization. Since 2007, HMS has collected data from 175,000 respondents about 150 US colleges and Universities (4147).

2.2. Sample and Sampling

Participating colleges provide the HMS team with a random sample of enrollees. Large colleges provide a sample of 4,000 college students. Smaller colleges provide all of their enrollees (census). Schools with graduate students include samples from both undergraduate and graduate levels. Students are invited to participate in the HMS via email. Participants who do not participate receive up to three reminders to increase their participation in the survey. Follow up (reminder) emails are being sent with two to four days interval. Each email invitation contains a URL that directs the student to the survey website (questionnaire). Inclusion criteria in the current analysis was college students (enrolled for a mastered degree) and being either non-Hispanic White or non-Hispanic Blacks. The exclusion criteria were international student and being enrolled for an associate degree or graduate studies. The analytical sample of this study was 18,072 domestic undergraduate college students who were either non-Hispanic Whites (n = 16,718; %92.50) or non-Hispanic Blacks (n = 1,354; %7.50). To exclude international students, the following item was used: “Are you an international student?” Responses were yes = 1 and no = 0. To limit the sample to undergraduate students, academic levels were measured by asking participants: “What is your field of study?” The responses included undergraduate (pre-business, pre-health, pre-law), graduate (dentistry, law, medicine, social work), natural sciences or mathematics, social sciences (economics, psychology, etc.), humanities (history, languages, philosophy, etc.), architecture or urban planning, art and design, business, education, engineering, music, theatre, or dance, nursing, pharmacy, public health, and public policy. We excluded individuals who were enrolled in an associate or graduate level degree.

2.3. Data Collection

As a web-based survey, HMS applies three standard survey modules to all US college campuses: 1) demographic data, 2) mental health data, and 3) mental health service utilization data. This analysis included the following variables: race/ethnicity, Age, gender, sexual orientation, transgender status, and financial difficulty, PEA, and GPA. Age was a continuous measure. Gender was a dichotomous variable (female=1, male =0). Sexual orientation was asked using the following item: Transgender status was determined by asking participants to report their sex at birth (“What was your sex at birth?”) and the gender that they identified with at the time of survey.

Race/Ethnicity.

In HMS, race/ethnicity was measured as self-identified. Race / ethnicity in the current study was a dichotomous variable (non-Hispanic Blacks =1, non-Hispanic Whites =0).

Parental Educational Attainment (PEA).

The highest level of parental education was measured as PEA (independent variable). PEA was measured using the following single item measure: “What is the highest level of education completed by your parents or stepparents?” Responses included “1) 8th grade or less, 2) 9th—12th grade but no high school degree, 3) high school degree, 4) some college education but no college degree, 5) associate degree, 6) bachelor’s degree, and 7) graduate degree”. PEA was treated as an interval measure that ranged from 1 to 7, with a higher score indicating higher parental educational attainment.

Financial Distress.

Financial distress was measured using the following single item: “How would you describe your financial situation right now?” responses included 1) always stressful, 2) Sometimes stressful, 3) often stressful, 4) never stressful, and 5) rarely stressful. This variable was treated as a numerical variable with a range from 1 to 5, with a higher score indication worse SES (more financial difficulties).

Grade Point Average (GPA).

Participants were asked “What is your current overall GPA?” The answers were “1) D+ or below, 2) C-, 3) C, 4) C+, 5) B-, 6) B, 7) B+, 8) A-, and 9) A, and 10) A+”. GPA was operationalized as an interval variable, ranging from 1 to 10, with a higher score reflecting a higher grade (academic success).

2.4. Data Analysis

We used the Stata 15.0 statistical package for our data analysis. Frequency (%) and mean and standard deviation (SD) were reported for descriptive purposes. For bivariate analysis, to compare non-Hispanic Black and non-Hispanic White college students, we used Chi square and independent samples t test. For multivariable analysis, we ran four linear regression models. First, we ran two linear multivariable regressions in the pooled sample. Model 1 only included the main effects of PEA, race/ethnicity, and study covariates. Model 2 also included the race/ethnicity by PEA interaction term. Then, we ran race/ethnic -stratified models (Model 3 in non-Hispanic Whites and Model 4 in non-Hispanic Blacks). In all models, GPA was the outcome variable, and PEA was the predictor variable. Gender, age, sexual status, transgender status, and financial distress were covariates. Unstandardized regression coefficients (b), SE, 95% Confidence Intervals (CIs), and p values are reported.

2.5. Ethical Aspect

The HMS study protocol is approved by the University of Michigan (UM) Institutional Review Board (IRB). The study has a Certificate of Confidentiality (COC) from the National Institutes of Health (NIH) to protect its participants. All participants gave a written informed consent.

3. Results

3.1. Descriptives

This analysis included 18,072 domestic undergraduate college students who were either non-Hispanic Whites (n = 16,718; %92.50) or non-Hispanic Blacks (n = 1,354; %7.50). Table 1 describes the pooled sample, as well as by race/ethnicity (Table 1).

Table 1.

Descriptive statistics overall and by race/ethnicity.

All
(n = 18,072)
non-Hispanic Whites
(n = 16,718)
non-Hispanic Blacks
(n = 1,354)
n(%) n(%) n(%) n(%) n(%) n(%)
Gender at the Time of Survey*a
Male 34.72(0.00) 34.03–35.42 35.19(0.00) 34.47–35.92 28.94(0.01) 26.59–31.41
Female 65.28(0.00) 64.58–65.97 64.81(0.00) 64.08–65.53 71.06(0.01) 68.59–73.41
Sexual Orientation * a
Heterosexual 16.68(0.00) 16.15–17.23 16.90(0.00) 16.34–17.47 14.06(0.01) 12.31–16.02
Homosexual or Bisexual 83.32(0.00) 82.77–83.85 83.10(0.00) 82.53–83.66 85.94(0.01) 83.98–87.69
Transgender status * a
No 97.81(0.00) 97.58–98.01 97.73(0.00) 97.49–97.94 98.75(0.00) 97.99–99.22
Yes 2.19(0.00) 1.99–2.42 2.27(0.00) 2.06–2.51 1.25(0.00) 0.78–2.01
Mean(CI) Mean(CI) Mean(CI) Mean(CI) Mean(CI) Mean(CI)
Age (Year) * b 21.66(0.04) 21.59–21.73 21.51(0.04) 21.44–21.58 23.45(0.21) 23.03–23.87
Financial distress * b 2.18(0.01) 2.17–2.20 2.15(0.01) 2.13–2.17 2.59(0.03) 2.53–2.64
PEA * b 5.77(0.01) 5.75–5.79 5.83(0.01) 5.81–5.85 5.09(0.04) 5.00–5.17
GPA * b 6.62(0.01) 6.60–6.65 6.70(0.01) 6.68–6.73 5.63(0.05) 5.54–5.73

Notes: Source: The Healthy Mind Study (HMS, 2016–2017);

*

p < 0.05.

a :

Chi Square test,

b :

independent samples t test

As Table 1 shows, non-Hispanic Black and non-Hispanic White college students differed in age, gender, financial distress, PEA, and GPA. Compared to non-Hispanic White students, non-Hispanic Black students were older, were more likely to be females, had more financial difficulty, and reported a lower PEA and GPA (Table 1).

3.2. Linear Regressions in the Overall Sample

Table 2 shows the results of the two linear regression models, both in the overall sample. Model 1 (Main Effect Model) showed a positive effect of PEA on GPA. Model 2 (Interaction Model) showed an interaction between race/ethnicity and PEA on GPA, suggesting a weaker boosting effect of PEA on GPA for non-Hispanic Black compared to non-Hispanic White college students (Table 2).

Table 2.

Summary of two linear regressions by race / ethnicity.

b SE 95% CI t p
Model 1 (Main Effects) (n = 18,072)
Race / ethnicity (non-Hispanic Black) −0.82 0.04 −0.90 −0.73 −18.55 <0.001
Age (Years) 0.01 0.00 0.00 0.01 3.07 0.002
Gender at the Time of Survey (Female) 0.36 0.02 0.31 0.41 14.48 <0.001
Sexual Orientation (Heterosexual) 0.06 0.03 0.00 0.12 1.88 0.060
Transgender status (Transgender) 0.24 0.08 0.08 0.40 2.87 0.004
Transfer Status 0.05 0.02 0.02 0.09 3.27 0.001
Financial distress −0.27 0.01 −0.29 −0.24 −24.13 <0.001
Parental Educational Attainment (PEA) 0.22 0.01 0.20 0.23 24.20 <0.001
Intercept 5.40 0.11 5.19 5.62 48.82 <0.001
Model 2 (Interaction Effects) (n = 18,072)
Race / ethnicity (non-Hispanic Blacks) −0.08 0.15 −0.36 0.21 −0.53 0.597
Age (Years) 0.01 0.00 0.00 0.01 2.77 0.006
Gender at the Time of Survey (Female) 0.36 0.02 0.31 0.41 14.61 <0.001
Sexual Orientation (Heterosexual) 0.06 0.03 0.00 0.12 1.87 0.062
Transgender status (Transgenders) 0.24 0.08 0.08 0.41 2.95 0.003
Transfer Status 0.05 0.02 0.02 0.08 3.16 0.002
Financial distress −0.26 0.01 −0.28 −0.24 −23.82 <0.001
Parental Educational Attainment (PEA) 0.23 0.01 0.21 0.25 24.64 <0.001
Race / ethnicity (non-Hispanic Black) × Parental Educational Attainment (PEA) −0.14 0.03 −0.20 −0.09 −5.29 <0.001
Intercept 5.33 0.11 5.11 5.54 47.69 <0.001

Notes: Source: The Healthy Mind Study (HMS, 2016–2017); Outcome: GPA, CI: Confidence Interval

3.3. Race/Ethnic -Specific Linear Regression Models

Table 3 depicts the results of two linear regression models that were specific to each race/ethnicity. Model 3 and Model 4 showed significant associations between PEA and GPA for non-Hispanic Whites and non-Hispanic Blacks, however, the magnitude of the effect of PEA on GPA was larger for non-Hispanic Whites than non-Hispanic Blacks (Table 3).

Table 3.

Summary of two linear regressions by race/ethnicity.

b SE 95% CI t p
Model 3 (non-Hispanic Whites) (n = 16,718)
Age (Years) 0.01 0.00 0.00 0.01 2.61 0.009
Gender at the Time of Survey (Female) 0.37 0.03 0.32 0.42 14.43 <0.001
Sexual Orientation (Heterosexual) 0.07 0.03 0.00 0.13 2.10 0.036
Transgender status (Transgenders) 0.25 0.08 0.08 0.41 2.94 0.003
Transfer Status 0.06 0.02 0.02 0.09 3.28 0.001
Financial distress −0.27 0.01 −0.29 −0.24 −23.61 <0.001
Parental Educational Attainment (PEA) 0.23 0.01 0.21 0.25 24.61 <0.001
Intercept 5.32 0.12 5.09 5.54 45.56 <0.001
Model 3 (non-Hispanic Blacks) (n = 1,354)
Age (Years) 0.00 0.01 −0.01 0.02 0.42 0.676
Gender at the Time of Survey (Female) 0.28 0.11 0.07 0.49 2.62 0.009
Sexual Orientation (Heterosexual) 0.00 0.14 −0.27 0.28 0.02 0.982
Transgender status (Transgenders) 0.41 0.45 −0.47 1.28 0.92 0.359
Transfer Status −0.03 0.07 −0.16 0.10 −0.42 0.677
Financial distress −0.19 0.05 −0.28 −0.09 −3.88 <0.001
Parental Educational Attainment (PEA) 0.09 0.03 0.03 0.15 2.89 0.004
Intercept 5.45 0.40 4.67 6.23 13.75 <0.001

Notes: Source: The Healthy Mind Study (HMS, 2016–2017); Outcome: GPA; PEA: Parent Educational Attainment, SE: Standard Error; CI: Confidence Interval

4. Discussion

We found an overall positive effect of PEA on GPA among American college students. We also found evidence suggesting that Black-White variations exist in the boosting effect of PEA on college students’ GPA. While both non-Hispanic White and non-Hispanic Black college students showed a GPA gain from their PEA, this gain was significantly larger for non-Hispanic White relative to non-Hispanic Black college students.

These findings are similar to what we already know regarding the diminished returns of SES indicators for non-Hispanic Blacks (10, 11, 19, 26, 2932, 38, 48, 49) and other racial and ethnic groups (50, 51). Such effects are documented within individuals and across generations, and hold for age groups, SES resources, populations, cohorts, and outcomes. Although most of the existing literature is on diminished returns within individuals (one generation), this study is probably most relevant to other trans-generational studies that have documented Blacks’ diminished returns (10, 11, 30). Examples are the effects of family SES particularly PEA on offspring risk of obesity, mental well-being, social mobility, self-rated health, chronic disease, and impulsivity (15, 17, 18).

These results do not blame non-Hispanic Blacks as they are in fact victims. The results are due to the existing racism in the American social system. The US social and political system has failed Black families by charging them extra costs for their upward social mobility. Social mobility is not similarly easy for non-Hispanic Whites and non-Hispanic Blacks (10, 22, 23). Politics in the US have historically maximized the gains of the majority groups, particularly Whites, which comes with a cost to non-Whites (5254).

Highly educated, high SES, motivated, high aspiration Black families face disproportionately high levels of barriers that reduce their chance of gaining health benefits from their available resources. Highly educated and high SES Blacks frequently experience discrimination that reduces the gain of their SES resources (21, 37). US, a race- and ethnic- aware society, treats social groups based on their skin color rather than their potentials, as a result, highly educated Black families do not access the same opportunity structure as high SES Whites.

In various age groups, SES, particularly educational attainment, follows larger gains for non-Hispanic Whites than non-Hispanic Blacks, as shown by the minorities’ diminished returns(48). Educational attainment better correlates with outcomes of youth (35), adults (19), and older adults (55, 56) for non-Hispanic Whites than non-Hispanic Blacks. It is not just educational attainment (14, 16, 57) but other resources such as employment(58), marital status(31), neighborhood quality (59), social contacts (60) and even psychological assets (61, 62) all have smaller effects for non-Hispanic Blacks than for non-Hispanic Whites. These are all indicative of structural and systemic racism (6372).

5. Limitations

This study is not without methodological limitations. First, because of the cross-sectional design, we are unable to make any causal inferences. Research should use longitudinal studies with repeated observations of GPA over time. However, reverse causation is not very likely as poor GPA of offspring is unlikely to result in low educational attainment of the parents (due to temporal order). Second, this study and most of the literature on diminished returns have compared non-Hispanic Blacks and non-Hispanic Whites. As a result, we know less about other racial and ethnic groups. In addition to race and ethnicity, other factors may potentially alter the gains of PEA on college students’ GPA. These include region, wealth, and college characteristics. It is still unknown if similar diminished returns exist for other socially marginalized identities such as sexual orientation and citizenship. Third, not all potential confounders were controlled for in the current study. Researchers may try to replicate the current findings after controlling for wealth, employment, health, and other family and individual factors. Finally, this study only described and did not explore the potential mechanism behind these diminished returns. Research may explore whether wealth, employment, stress, discrimination, or behaviors explain such differential effects. Despite all these methodological limitations, the current study results extend the existing literature on trans-generational diminished returns of SES among minorities.

6. Conclusions

In summary, compared to non-Hispanic Whites, on-Hispanic Black college students gain less GPA from their PEA. This may be due to the complexities of the effects of race/ethnicity on college admission in the US, or racism, discrimination, and societal barriers in the daily lives of non-Hispanic Blacks. As SES resources show diminished returns for non-Whites, policies and programs should address multi-level barriers in the daily lives of racial and ethnic minority groups. Such policies and programs need to go beyond equal access to SES resources such as education across race and ethnic groups. A true equity is probably not achievable unless US society similarly and fairly treats all social groups.

Acknowledgments:

The author wishes to thank Hamid Helmi at Wayne State University, for his input to this paper.

Funding: Shervin Assari is in part supported by the grants 1H0CMS331621 (the Center for Medicare and Medicaid Services; CMS; PI: M. Bazargan); R25 MD007610 (PI: M. Bazargan), 4P60MD006923–05 (National Institute on Minority Health and Health Disparities; NIMHD; PI = Vickie Mays), D084526–03 (National Institute of Child Health and Human Development; NiCHD), CA201415 02 (the National Cancer Institute; NCI; Co-PI = Ritesh Mistry), and DA035811–05 (National Institute on Drug Abuse; NIDA; PI = Marc Zimmerman). Special thanks to Hamid Helmi, Wayne State University, for his help in editing this paper.

Footnotes

Conflicts of Interest: The author declares no conflict of interest.

References

  • 1.Link BG, Phelan J. Social conditions as fundamental causes of disease. J Health Soc Behav. 1995;Spec No:80–94. [PubMed] [Google Scholar]
  • 2.Link BG, Northridge ME, Phelan JC, Ganz ML. Social epidemiology and the fundamental cause concept: on the structuring of effective cancer screens by socioeconomic status. Milbank Q. 1998;76(3):375–402, 304–5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Phelan JC, Link BG, Tehranifar P. Social conditions as fundamental causes of health inequalities: theory, evidence, and policy implications. J Health Soc Behav. 2010;51 Suppl:S28–40. [DOI] [PubMed] [Google Scholar]
  • 4.Brown DC, Hayward MD, Montez JK, Hummer RA, Chiu CT, Hidajat MM. The significance of education for mortality compression in the United States. Demography. 2012;49(3):819–40. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Lawrence EM, Rogers RG, Zajacova A. Educational Attainment and Mortality in the United States: Effects of Degrees, Years of Schooling, and Certification. Popul Res Policy Rev. 2016;35(4):501–25. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Montez JK, Zajacova A, Hayward MD, Woolf SH, Chapman D, Beckfield J. Educational Disparities in Adult Mortality Across U.S. States: How Do They Differ, and Have They Changed Since the Mid-1980s? Demography. 2019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Chassin L, Presson CC, Sherman SJ, Edwards DA. Parent educational attainment and adolescent cigarette smoking. J Subst Abuse. 1992;4(3):219–34. [DOI] [PubMed] [Google Scholar]
  • 8.Kocaoglu B, Moschonis G, Dimitriou M, Kolotourou M, Keskin Y, Sur H, et al. Parental educational level and cardiovascular disease risk factors in schoolchildren in large urban areas of Turkey: directions for public health policy. BMC Public Health. 2005;5:13. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Padilla-Moledo C, Ruiz JR, Castro-Pinero J. Parental educational level and psychological positive health and health complaints in Spanish children and adolescents. Child Care Health Dev. 2016;42(4):534–43. [DOI] [PubMed] [Google Scholar]
  • 10.Assari S Parental Education Attainment and Educational Upward Mobility; Role of Race and Gender. Behav Sci (Basel). 2018;8(11). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Assari S Parental Educational Attainment and Mental Well-Being of College Students; Diminished Returns of Blacks. Brain Sci. 2018;8(11). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Assari S Parental Education Better Helps White than Black Families Escape Poverty: National Survey of Children’s Health. Economies. 2018;6(2):30. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Assari S Combined Racial and Gender Differences in the Long-Term Predictive Role of Education on Depressive Symptoms and Chronic Medical Conditions. J Racial Ethn Health Disparities. 2017;4(3):385–96. [DOI] [PubMed] [Google Scholar]
  • 14.Assari S, Mistry R. Educational Attainment and Smoking Status in a National Sample of American Adults; Evidence for the Blacks’ Diminished Return. Int J Environ Res Public Health. 2018;15(4). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Assari S, Caldwell CH, Mincy R. Family Socioeconomic Status at Birth and Youth Impulsivity at Age 15; Blacks’ Diminished Return. Children (Basel). 2018;5(5). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Assari S, Caldwell CH, Mincy RB. Maternal Educational Attainment at Birth Promotes Future Self-Rated Health of White but Not Black Youth: A 15-Year Cohort of a National Sample. J Clin Med. 2018;7(5). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Assari S, Thomas A, Caldwell CH, Mincy RB. Blacks’ Diminished Health Return of Family Structure and Socioeconomic Status; 15 Years of Follow-up of a National Urban Sample of Youth. J Urban Health. 2018;95(1):21–35. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Assari S, Caldwell CH. Family Income at Birth and Risk of Attention Deficit Hyperactivity Disorder at Age 15: Racial Differences. Children (Basel). 2019;6(1). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Assari S Blacks’ Diminished Return of Education Attainment on Subjective Health; Mediating Effect of Income. Brain Sci. 2018;8(9). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Race Assari S., Intergenerational Social Mobility and Stressful Life Events. Behav Sci (Basel). 2018;8(10). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Assari S, Lankarani MM, Caldwell CH. Does Discrimination Explain High Risk of Depression among High-Income African American Men? Behav Sci (Basel). 2018;8(4). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Fuller-Rowell TE, Doan SN. The social costs of academic success across ethnic groups. Child Dev. 2010;81(6):1696–713. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Fuller-Rowell TE, Curtis DS, Doan SN, Coe CL. Racial disparities in the health benefits of educational attainment: a study of inflammatory trajectories among African American and white adults. Psychosom Med. 2015;77(1):33–40. [DOI] [PubMed] [Google Scholar]
  • 24.Hudson DL, Bullard KM, Neighbors HW, Geronimus AT, Yang J, Jackson JS. Are benefits conferred with greater socioeconomic position undermined by racial discrimination among African American men? J Mens Health. 2012;9(2):127–36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Hudson DL, Neighbors HW, Geronimus AT, Jackson JS. The relationship between socioeconomic position and depression among a US nationally representative sample of African Americans. Soc Psychiatry Psychiatr Epidemiol. 2012;47(3):373–81. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Assari S, Preiser B, Kelly M. Education and Income Predict Future Emotional Well-Being of Whites but Not Blacks: A Ten-Year Cohort. Brain Sci. 2018;8(7). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Assari S, Lapeyrouse LM, Neighbors HW. Income and Self-Rated Mental Health: Diminished Returns for High Income Black Americans. Behav Sci (Basel). 2018;8(5). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Assari S High Income Protects Whites but Not African Americans against Risk of Depression. Healthcare (Basel). 2018;6(2). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Assari S, Moghani Lankarani M. Poverty Status and Childhood Asthma in White and Black Families: National Survey of Children’s Health. Healthcare (Basel). 2018;6(2). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Assari S, Hani N. Household Income and Children’s Unmet Dental Care Need; Blacks’ Diminished Return. Dent J (Basel). 2018;6(2). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 31.Assari S, Caldwell CH, Zimmerman MA. Family Structure and Subsequent Anxiety Symptoms; Minorities’ Diminished Return. Brain Sci. 2018;8(6). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Assari S Family Income Reduces Risk of Obesity for White but Not Black Children. Children (Basel). 2018;5(6). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Assari S, Caldwell CH. High Risk of Depression in High-Income African American Boys. J Racial Ethn Health Disparities. 2018;5(4):808–19. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Assari S Social Determinants of Depression: The Intersections of Race, Gender, and Socioeconomic Status. Brain Sci. 2017;7(12). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 35.Assari S, Gibbons FX, Simons R. Depression among Black Youth; Interaction of Class and Place. Brain Sci. 2018;8(6). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 36.Assari S, Gibbons FX, Simons RL. Perceived Discrimination among Black Youth: An 18-Year Longitudinal Study. Behav Sci (Basel). 2018;8(5). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 37.Assari S Does School Racial Composition Explain Why High Income Black Youth Perceive More Discrimination? A Gender Analysis. Brain Sci. 2018;8(8). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 38.Assari S, Moghani Lankarani M. W orkplace Racial Composition Explains High Perceived Discrimination of High Socioeconomic Status African American Men. Brain Sci. 2018;8(8). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Assari S Health Disparities due to Diminished Return among Black Americans: Public Policy Solutions. Social Issues and Policy Review. 2018;12(1):112–45. [Google Scholar]
  • 40.Assari S, Lee DB, Nicklett EJ, Moghani Lankarani M, Piette JD, Aikens JE. Racial Discrimination in Health Care Is Associated with Worse Glycemic Control among Black Men but Not Black Women with Type 2 Diabetes. Front Public Health. 2017;5:235. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 41.Hefner J, Eisenberg D. Social support and mental health among college students. Am J Orthopsychiatry. 2009;79(4):491–9. [DOI] [PubMed] [Google Scholar]
  • 42.Hunt J, Eisenberg D. Mental health problems and help-seeking behavior among college students. J Adolesc Health. 2010;46(1):3–10. [DOI] [PubMed] [Google Scholar]
  • 43.Czyz EK, Horwitz AG, Eisenberg D, Kramer A, King CA. Self-reported barriers to professional help seeking among college students at elevated risk for suicide. J Am Coll Health. 2013;61(7):398–406. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 44.Hunt JB, Eisenberg D, Lu L, Gathright M. Racial/Ethnic Disparities in Mental Health Care Utilization among U.S. College Students: Applying the Institution of Medicine Definition of Health Care Disparities. Acad Psychiatry. 2015;39(5):520–6. [DOI] [PubMed] [Google Scholar]
  • 45.Han B, Compton WM, Eisenberg D, Milazzo-Sayre L, McKeon R, Hughes A. Prevalence and Mental Health Treatment of Suicidal Ideation and Behavior Among College Students Aged 18–25 Years and Their Non-College-Attending Peers in the United States. J Clin Psychiatry. 2016;77(6):815–24. [DOI] [PubMed] [Google Scholar]
  • 46.Lipson SK, Lattie EG, Eisenberg D. Increased Rates of Mental Health Service Utilization by U.S. College Students: 10-Year Population-Level Trends (2007–2017). Psychiatr Serv. 2018:appips201800332. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Lipson SK, Kern A, Eisenberg D, Breland-Noble AM. Mental Health Disparities Among College Students of Color. J Adolesc Health. 2018;63(3):348–56. [DOI] [PubMed] [Google Scholar]
  • 48.Assari S Unequal Gain of Equal Resources across Racial Groups. Int J Health Policy Manag. 2017;7(1):1–9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.Assari S, Mistry R Erratum: Assari, S.; Mistry, R. Educational Attainment and Smoking Status in a National Sample of American Adults; Evidence for the Blacks’ Diminished Return. Int. J. Environ. Res. Public Health 2018, 15, 763 Int J Environ Res Public Health. 2018;15(10). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 50.Assari S Socioeconomic Status and Self-Rated Oral Health; Diminished Return among Hispanic Whites. Dent J (Basel). 2018;6(2). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 51.Assari S, Farokhnia M, Mistry R. Education Attainment and Alcohol Binge Drinking: Diminished Returns of Hispanics in Los Angeles. Behav Sci (Basel). 2019;9(1). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 52.Bellizzi KM, Aziz NM, Rowland JH, Weaver K, Arora NK, Hamilton AS, et al. Double Jeopardy? Age, Race, and HRQOL in Older Adults with Cancer. J Cancer Epidemiol. 2012;2012:478642. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 53.Gilbert KL, Ray R. Why Police Kill Black Males with Impunity: Applying Public Health Critical Race Praxis (PHCRP) to Address the Determinants of Policing Behaviors and “Justifiable” Homicides in the USA. J Urban Health. 2016;93 Suppl 1:122–40. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54.Muhammad M, De Loney EH, Brooks CL, Assari S, Robinson D, Caldwell CH. “I think that’s all a lie… I think It’s genocide”: Applying a Critical Race Praxis to Youth Perceptions of Flint W ater Contamination. Ethn Dis. 2018;28(Suppl 1):241–6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 55.Assari S, Lankarani MM. Education and Alcohol Consumption among Older Americans; Black-White Differences. Front Public Health. 2016;4:67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 56.Assari S, Nikahd A, Malekahmadi MR, Lankarani MM, Zamanian H. Race by Gender Group Differences in the Protective Effects of Socioeconomic Factors Against Sustained Health Problems Across Five Domains. J Racial Ethn Health Disparities. 2016. [DOI] [PubMed] [Google Scholar]
  • 57.Assari S Education Attainment and ObesityDifferential Returns Based on Sexual Orientation. Behav Sci (Basel). 2019;9(2). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 58.Assari S Life Expectancy Gain Due to Employment Status Depends on Race, Gender, Education, and Their Intersections. J Racial Ethn Health Disparities. 2018;5(2):375–86. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 59.Assari S Perceived Neighborhood Safety Better Predicts Risk of Mortality for Whites than Blacks. J Racial Ethn Health Disparities. 2016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 60.Assari S Whites but Not Blacks Gain Life Expectancy from Social Contacts. Behav Sci (Basel). 2017;7(4). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 61.Assari S, Lankarani MM. Reciprocal Associations between Depressive Symptoms and Mastery among Older Adults; Black-White Differences. Front Aging Neurosci. 2016;8:279. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 62.Assari S General Self-Efficacy and Mortality in the USA; Racial Differences. J Racial Ethn Health Disparities. 2017;4(4):746–57. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 63.Krieger N, Williams D, Zierler S. “Whiting out” white privilege will not advance the study of how racism harms health. Am J Public Health. 1999;89(5):782–3; author reply 4–5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 64.Krieger N Epidemiology, racism, and health: the case of low birth weight. Epidemiology. 2000;11(3):237–9. [DOI] [PubMed] [Google Scholar]
  • 65.Rich-Edwards J, Krieger N, Majzoub J, Zierler S, Lieberman E, Gillman M. Maternal experiences of racism and violence as predictors of preterm birth: rationale and study design. Paediatr Perinat Epidemiol. 2001;15 Suppl 2:124–35. [DOI] [PubMed] [Google Scholar]
  • 66.Krieger N Does racism harm health? Did child abuse exist before 1962? On explicit questions, critical science, and current controversies: an ecosocial perspective. Am J Public Health. 2003;93(2):194–9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 67.Parrott RL, Silk KJ, Dillow MR, Krieger JL, Harris TM, Condit CM. Development and validation of tools to assess genetic discrimination and genetically based racism. J Natl Med Assoc. 2005;97(7):980–90. [PMC free article] [PubMed] [Google Scholar]
  • 68.Krieger N, Smith K, Naishadham D, Hartman C, Barbeau EM. Experiences of discrimination: validity and reliability of a self-report measure for population health research on racism and health. Soc Sci Med. 2005;61(7):1576–96. [DOI] [PubMed] [Google Scholar]
  • 69.Krieger N Does racism harm health? Did child abuse exist before 1962? On explicit questions, critical science, and current controversies: an ecosocial perspective. Am J Public Health. 2008;98(9 Suppl):S20–5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 70.Krieger N Living and Dying at the Crossroads: Racism, Embodiment, and Why Theory Is Essential for a Public Health of Consequence. Am J Public Health. 2016;106(5):832–3. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 71.Bassett MT, Krieger N, Bailey Z. Charlottesville: blatant racism, not grievances, on display. Lancet. 2017;390(10109):2243. [DOI] [PubMed] [Google Scholar]
  • 72.Bailey ZD, Krieger N, Agenor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453–63. [DOI] [PubMed] [Google Scholar]

RESOURCES