scholarly journals Association Between Parental Educational Attainment and Children’s Negative Urgency: Sex Differences

2021 ◽  
Vol 8 (1) ◽  
pp. 14-22
Author(s):  
Shervin Assari
Keyword(s):  
Sex Differences ◽  
Educational Attainment ◽  
Sensation Seeking ◽  
Regression Models ◽  
Parental Education ◽  
Negative Urgency ◽  
Protective Effects ◽  
Cross Sectional ◽  
Wide Range ◽  
Parental Educational Attainment

Background and aims: Negative urgency reflects a specific facet of impulsivity and correlates with a wide range of health-related risk behaviors, including, but not limited to, problematic substance use. Negative urgency is also shaped by family socioeconomic position (SEP), such as parental educational attainment (PEA). This study aimed to explore sex differences regarding protective effects of PEA on children’s negative urgency in the US. Methods: This cross-sectional study used the Adolescent Brain Cognitive Development (ABCD) study data. Baseline ABCD data included 10,535 American children in the age range of 9-10 years old. The independent variable was PEA, treated as a 5-level categorical variable. The primary outcome was negative urgency measured by the Urgency, Premeditation, Perseverance, Sensation Seeking, Positive Urgency, Impulsive Behavior Scale (UPPS-SS). Mixed-effects regression models were applied for data analysis. Results: In sex-stratified regression models, high PEA was predictive of lower levels of negative urgency in female but not male children. In the overall sample, sex showed a statistically significant interaction with PEA on children’s negative urgency, indicating a stronger protective effect of high PEA for female compared to male children. Conclusion: PEA was a more salient determinant of negative urgency in female children than male ones. Our results also showed that American boys tend to have high levels of negative urgency, which is a risk factor of drug use, at all parental education levels.

scholarly journals Family Socioeconomic Status and Exposure to Childhood Trauma: Racial Differences

Children ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. 57 ◽  
Author(s):  
Shervin Assari
Keyword(s):  
Socioeconomic Status ◽  
Educational Attainment ◽  
Racial Differences ◽  
Childhood Trauma ◽  
Parental Education ◽  
Family Income ◽  
Polynomial Regression ◽  
Structured Interview ◽  
Protective Effects ◽  
Parental Educational Attainment

Background: Minorities’ diminished returns (MDRs) refer to weaker effects of socioeconomic status (SES) indicators such as parental educational attainment and family income in generating tangible childhood outcomes for racial and ethnic minorities compared to the majority group, a pattern prevalent in the US. Our existing knowledge is minimal, however, about diminished returns of family SES on reducing exposure to childhood trauma. Aim: To determine if there was a difference between non-Hispanic whites (NHW) and non-Hispanic blacks (NHB) in the effect of SES on exposure to childhood trauma among children ages 8–11 years old. Materials and methods: In this cross-sectional study, we analyzed data from 4696 NHW or NHB American 8–11-year-old children who were participants in the Adolescent Brain Cognitive Development (ABCD) Study. The independent variables were parental educational attainment and family income. The primary outcome was exposure to 1 or 2+ childhood traumas, measured by the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) semi-structured interview. Polynomial regression was used for data analysis. Results: Parental education and family income had statistically significant protective (negative) effects on childhood trauma, indicating children from high income and highly educated families were exposed to a lower level of childhood trauma. However, race/ethnicity showed statistically significant interactions with parental education and family income on exposure to childhood trauma, indicating weaker protective effects of parental education and family income on reducing exposure to trauma for NHB compared to NHW children. Race-specific models showed protective effects of parental education and family income on exposure to childhood trauma for NHW but not NHB children. Conclusion: The protective effects of parental education and family income against exposure to childhood trauma are systematically diminished for NHBs compared to NHWs. To minimize the racial/ethnic health gaps, diminished returns of parental education and family income should be addressed. There is a need for programs and interventions that equalize not only SES but also the marginal returns of SES for ethnic groups. Such efforts require addressing structural and societal barriers that hinder NHB families from translating their SES resources into tangible outcomes. There is a need for studies that can minimize MDRs for NHB families, such that SES can similarly secure tangible outcomes in the presence of SES resources.

scholarly journals Parental Educational Attainment and Frequency of Marijuana Use in Youth: Hispanics’ Diminished Returns

2021 ◽  
Vol 5 (6) ◽  
pp. p47
Author(s):  
Shervin Assari, MD MPH ◽  
Jonathan Schaefer, PhD
Keyword(s):  
Educational Attainment ◽  
Social Stratification ◽  
Maternal Employment ◽  
Marijuana Use ◽  
Protective Effects ◽  
White Youth ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Parental Educational Attainment ◽  
Hispanic White

Background: While socioeconomic status (SES) indicators such as parental educational attainment show robust associations with health behaviors such as substance use, the protective effects of these indicators may differ across racial groups. This phenomenon of weaker associations between SES indicators and health outcomes for marginalized and minoritized groups relative to non-Hispanic White people has been labeled “Marginalization-related Diminished Returns” (MDRs). Here, we test both whether parental educational attainment is associated with marijuana use frequency in youth as well as whether we observe racial and ethnic variation in this association consistent with MDRs. Methods: This study used data from the cross-sectional 2019 Monitoring the Future survey (MTF 2019). Participants included 29,230 youth who were either Hispanic (24.1%), non-Hispanic Black (16.1%), or non-Hispanic White (59.9%). We used weighted logistic regression models to test for (1) associations between maternal educational attainment and youth cannabis use frequency as well as (2) moderation of this association by race/ethnicity, while adjusting for the complex sample design of the MTF 2019 data. Age, sex, father presence, and maternal employment were entered into models as covariates. Results: Overall, children born to mothers with higher educational attainment reported less frequent marijuana use than peers born to mothers with lower educational attainment. However, this association was significantly weaker in Hispanic versus non-Hispanic White youth. Conclusion: The strength of the association between parental educational attainment and youth marijuana use frequency appears to differ across ethnic groups. Specifically, we observed that whereas non-Hispanic White youth from high-SES families tend to report less marijuana use than peers from lower-SES families, Hispanic youth report roughly equal levels of use across the full SES spectrum. This finding is in line with the MDRs framework and may reflect factors such as structural racism, social stratification, and the marginalization of ethnic minority families in the US.

scholarly journals Diminished Returns of Own and Parental Education on Subjective Health of Immigrants in the United States

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Shervin Assari
Keyword(s):  
United States ◽  
Educational Attainment ◽  
Parental Education ◽  
General Social Survey ◽  
The United States ◽  
Subjective Health ◽  
Categorical Variables ◽  
Protective Effects ◽  
Immigration Status ◽  
Parental Educational Attainment

Background: Educational attainment is a strong social determinant of health. Marginalization-related Diminished Returns (MDRs), however, refer to smaller health effects of socioeconomic status, particularly educational attainment for marginalized groups compared to mainstream populations. While multiple studies have documented MDRs of educational attainment for racial, ethnic, and sexual minorities, there are no previous studies on MDRs of education among immigrants.Aims: To understand if the MDRs phenomenon also applies to immigrants, we compared immigrant and non-immigrant American adults for the effects of their own and parental educational attainment on subjective health.Methods: This study used a cross-sectional design and borrowed data from the General Social Survey (1972-2018). GSS is a series of nationally representative surveys in the US. Our analytical sample included 38,399 adults who were either non-immigrants (n = 34903; 90.9%) or immigrants (n = 3496; 9.1%). The main independent variables were own and parental educational attainment measured as four-level categorical variables. The dependent variable (DV) was poor subjective health, measured using a single item. Age, sex, marital status, and year of the survey were the covariates. Immigration status was the moderator.Results: Overall, individuals with higher educational attainment of own and parents reported better subjective health. We, however, found significant interactions between immigration status and both own and parental educational attainment on subjective health which was suggestive of weaker protective effects of own and parental educational attainment against poor subjective health in immigrants than non-immigrant individuals.Conclusions: In the United States, immigrant adults experience poor subjective health disproportionate to the educational attainment of their own and parents. That means we may observe worse than expected health of immigrants across all educational levels and social classes. Public policies should go beyond equal access to education by empowering marginalized people to leverage their education and secure outcomes.

scholarly journals Association between Hippocampal Volume and Working Memory in 10,000+ 9–10-Year-Old Children: Sex Differences

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 411
Author(s):  
Shervin Assari ◽  
Shanika Boyce ◽  
Tanja Jovanovic
Keyword(s):  
Working Memory ◽  
Sex Differences ◽  
Parental Education ◽  
Predictor Variable ◽  
National Sample ◽  
Hippocampal Volume ◽  
Study Data ◽  
Cross Sectional ◽  
The Right

Aim: This study tested sex differences in the association between hippocampal volume and working memory of a national sample of 9–10-year-old children in the US. As the hippocampus is functionally lateralized (especially in task-related activities), we explored the results for the right and the left hippocampus. Methods: This is a cross-sectional study using the Adolescent Brain Cognitive Development (ABCD) Study data. This analysis included baseline ABCD data (n = 10,093) of children between ages 9 and 10 years. The predictor variable was right and left hippocampal volume measured by structural magnetic resonance imaging (sMRI). The primary outcome, list sorting working memory, was measured using the NIH toolbox measure. Sex was the moderator. Age, race, ethnicity, household income, parental education, and family structure were the covariates. Results: In the overall sample, larger right (b = 0.0013; p < 0.001) and left (b = 0.0013; p < 0.001) hippocampal volumes were associated with higher children’s working memory. Sex had statistically significant interactions with the right (b = −0.0018; p = 0.001) and left (b = −0.0012; p = 0.022) hippocampal volumes on children’s working memory. These interactions indicated stronger positive associations between right and left hippocampal volume and working memory for females compared to males. Conclusion: While right and left hippocampal volumes are determinants of children’s list sorting working memory, these effects seem to be more salient for female than male children. Research is needed on the role of socialization, sex hormones, and brain functional connectivity as potential mechanisms that may explain the observed sex differences in the role of hippocampal volume as a correlate of working memory.

scholarly journals Differential Progression of Motor Dysfunction Between Male and Female Fragile X Premutation Carriers Reveals Novel Aspects of Sex-Specific Neural Involvement

2021 ◽  
Vol 7 ◽  
Author(s):  
Danuta Z. Loesch ◽  
Flora Tassone ◽  
Anna Atkinson ◽  
Paige Stimpson ◽  
Nicholas Trost ◽  
...  
Keyword(s):  
Sex Differences ◽  
White Matter ◽  
White Matter Hyperintensities ◽  
Fragile X ◽  
Cognitive Measures ◽  
Cross Sectional ◽  
Male And Female ◽  
Fragile X Premutation ◽  
Wide Range ◽  
Female Carriers

Expansions of the CGG repeat in the non-coding segment of the FMR1 X-linked gene are associated with a variety of phenotypic changes. Large expansions (&gt;200 repeats), which cause a severe neurodevelopmental disorder, the fragile x syndrome (FXS), are transmitted from the mothers carrying smaller, unstable expansions ranging from 55 to 200 repeats, termed the fragile X premutation. Female carriers of this premutation may themselves experience a wide range of clinical problems throughout their lifespan, the most severe being the late onset neurodegenerative condition called “Fragile X-Associated Tremor Ataxia Syndrome” (FXTAS), occurring between 8 and 16% of these carriers. Male premutation carriers, although they do not transmit expanded alleles to their daughters, have a much higher risk (40–50%) of developing FXTAS. Although this disorder is more prevalent and severe in male than female carriers, specific sex differences in clinical manifestations and progress of the FXTAS spectrum have been poorly documented. Here we compare the pattern and rate of progression (per year) in three motor scales including tremor/ataxia (ICARS), tremor (Clinical Tremor Rating scale, CRST), and parkinsonism (UPDRS), and in several cognitive and psychiatric tests scores, between 13 female and 9 male carriers initially having at least one of the motor scores ≥10. Moreover, we document the differences in each of the clinical and cognitive measures between the cross-sectional samples of 21 female and 24 male premutation carriers of comparable ages with FXTAS spectrum disorder (FSD), that is, who manifest one or more features of FXTAS. The results of progression assessment showed that it was more than twice the rate in male than in female carriers for the ICARS-both gait ataxia and kinetic tremor domains and twice as high in males on the CRST scale. In contrast, sex difference was negligible for the rate of progress in UPDRS, and all the cognitive measures. The overall psychiatric pathology score (SCL-90), as well as Anxiety and Obsessive/Compulsive domain scores, showed a significant increase only in the female sample. The pattern of sex differences for progression in motor scores was consistent with the results of comparison between larger, cross-sectional samples of male and female carriers affected with the FSD. These results were in concert with sex-specific distribution of MRI T2 white matter hyperintensities: all males, but no females, showed the middle cerebellar peduncle white matter hyperintensities (MCP sign), although the distribution and severity of these hyperintensities in the other brain regions were not dissimilar between the two sexes. In conclusion, the magnitude and specific pattern of sex differences in manifestations and progression of clinically recorded changes in motor performance and MRI lesion distribution support, on clinical grounds, the possibility of certain sex-limited factor(s) which, beyond the predictable effect of the second, normal FMR1 alleles in female premutation carriers, may have neuroprotective effects, specifically concerning the cerebellar circuitry.

scholarly journals Unequal Protective Effects of Parental Educational Attainment on the Body Mass Index of Black and White Youth

2019 ◽  
Vol 16 (19) ◽  
pp. 3641 ◽  
Author(s):  
Assari ◽  
Boyce ◽  
Bazargan ◽  
Mincy ◽  
Caldwell
Keyword(s):  
Body Mass Index ◽  
Socioeconomic Status ◽  
Health Disparities ◽  
Educational Attainment ◽  
Body Mass ◽  
The United States ◽  
The Body ◽  
Protective Effects ◽  
White Youth ◽  
Parental Educational Attainment

Background: Parental educational attainment is shown to be protective against health problems; the Minorities’ Diminished Returns theory, however, posits that these protective effects tend to be smaller for socially marginalized groups particularly blacks than whites. Aims: To explore racial differences in the effect of parental educational attainment on body mass index (BMI) in a national sample of US adolescents. Methods: In this cross-sectional study, we used baseline data of 10,701 (8678 white and 2023 black) 12–17 years old adolescents in the Population Assessment of Tobacco and Health (PATH; 2013). Parental educational attainment was the predictor. Youth BMI (based on self-reported weight and height) was the dependent variable. Age, gender, ethnicity, and family structure were covariates. Race was the focal moderator. Results: Overall, higher parental educational attainment was associated with lower youth BMI. Race, however, moderated the effect of parental educational attainment on BMI, suggesting that the protective effect of parenting educational attainment on BMI is significantly smaller for black than white youth. Conclusions: In the United States, race alters the health gains that are expected to follow parental educational attainment. While white youth who are from highly educated families are fit, black youth have high BMI at all levels of parental educational attainment. This means, while the most socially privileged group, whites, gain the most health from their parental education, blacks, the least privileged group, gain the least. Economic, social, public, and health policymakers should be aware that health disparities are not all due to lower socioeconomic status (SES) of the disadvantaged group but also diminished returns of SES resources for them. Black–white health disparities exist across all high socioeconomic status (SES) levels.

scholarly journals Parental Educational Attainment and Social Environment of Urban Public Schools in the U.S.: Blacks’ Diminished Returns

Children ◽  
2020 ◽  
Vol 7 (5) ◽  
pp. 44 ◽  
Author(s):  
Shanika Boyce ◽  
Mohsen Bazargan ◽  
Cleopatra H. Caldwell ◽  
Marc A. Zimmerman ◽  
Shervin Assari
Keyword(s):  
Public Schools ◽  
Educational Attainment ◽  
Environmental Risk ◽  
Educational Outcomes ◽  
Parental Education ◽  
Urban Public Schools ◽  
Social Environmental ◽  
Parental Educational Attainment ◽  
Hispanic White ◽  
White Youths

Background: Recent research has documented marginalization-related diminished returns (MDRs) of socioeconomic status (SES), defined as weaker effects of SES indicators, such as parental educational attainment, on securing tangible outcomes for the members of socially marginalized (e.g., racial and ethnic minority) groups, compared to privileged social groups (e.g., non-Hispanic Whites). Aims: To explore race/ethnic differences between non-Hispanic Blacks vs. non-Hispanic Whites who attend urban public schools on the effect of parental education on lower school environmental risk among American high schoolers. Methods: For this cross-sectional study, we borrowed the Education Longitudinal Study (ELS-2002) baseline data, a nationally representative study that enrolled 1706 10th grade youths who were attending urban public schools. From this number, 805 (47.2%) were non-Hispanic Black and 901 (52.8%) were non-Hispanic White youths. The dependent variable was the level of school social environmental risk measured using 18 items as self-reported, and was treated as a continuous variable. The independent variable was parental educational attainment, treated as a continuous measure. Gender, region, and parental marital status were the covariates. Race/ethnicity was the moderating variable. Linear regressions were applied to perform our data analysis. Results: Black students were found to attend schools with higher levels of social environmental risk. Youths with parents with a higher educational attainment were found to attend schools with a lower social environmental risk. We found a significant interaction between race (non-Hispanic Black vs. non-Hispanic White) and parental educational attainment on the level of school social environmental risk, suggesting that the protective effect of high parental education on reducing the school social environmental risk was smaller for non-Hispanic Black than for non-Hispanic White youths. Conclusions: Although high parental educational attainment is protective against social environmental risk for American youths, this protective effect is weaker for non-Hispanic Black than non-Hispanic White youths. The diminished returns of parental education in reducing school social environmental risk may explain why the effects of parental education on educational outcomes are smaller for non-Hispanic Black than non-Hispanic White youths (i.e., MDRs). The social environment indirectly generates racial youth educational disparities through deteriorating non-Hispanic Black youth educational outcomes across all SES levels. To prevent the confounding effects of private, suburban, rural, and Catholic schools, we limited this analysis to public urban schools. More research is needed on other settings.

scholarly journals Minorities’ Diminished Returns of Educational Attainment on Hospitalization Risk: National Health Interview Survey (NHIS)

2019 ◽  
Vol 4 (3) ◽  
pp. 86-91 ◽  
Author(s):  
Shervin Assari ◽  
Mohsen Bazargan
Keyword(s):  
Educational Attainment ◽  
National Health ◽  
National Health Interview Survey ◽  
Total Sample ◽  
The United States ◽  
Protective Effects ◽  
Cross Sectional ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey

Background: As suggested by the Minorities’ Diminished Returns (MDRs) theory, educational attainment shows a weaker protective effect for racial and ethnic minority groups compared to non-Hispanic Whites. This pattern, however, is never shown for hospitalization risk. Objectives: This cross-sectional study explored racial and ethnic variations in the association between educational attainment and hospitalization in the United States. Methods: Data came from the National Health Interview Survey (NHIS 2015). The total sample was 28,959 American adults. Independent variable was educational attainment. The main outcome was hospitalization during the last 12 months. Age, gender, employment, marital status, region, obesity, and number of cardiovascular conditions were covariates. Race and ethnicity were the effect modifiers. Logistic regression models were utilized to analyze the data. Results: From all participants, 16.2% were Black and 11.6% were Hispanic with a mean age of 51 years. Overall, higher education levels were associated with lower odds of hospitalization, independent of all confounders. Educational attainment showed significant interactions with race (odds ratio [OR] =1.04, 95% CI = 1.01-1.08) and ethnicity (OR = 1.04, 95% CI =1.01-1.07) on hospitalization, indicating smaller protective effects of educational attainment on hospitalization of Hispanics and Blacks than nonHispanic Whites. Conclusion: The protective effects of educational attainment on population health are smaller for Blacks and Hispanics compared to non-Hispanic Whites. To prevent health disparities, the diminished returns of educational attainment should be minimized for racial and ethnic minorities. To do so, there is a need for innovative and bold economic, public, and social policies that do not limit themselves to equalizing socioeconomic status, but also help minorities leverage their available resources and gain tangible outcomes.

scholarly journals Do Contributing Factors for Health Inequality Really Indicate Worse Conditions Among Upper Non-manual Workers Than Among Lower Non-manual and Manual Workers in Korea?: A Cross-sectional Study Using a Nationally Representative Survey Data of Korea

2020 ◽  
Author(s):  
Eunjeong Noh ◽  
Young-Ho Khang
Keyword(s):  
Work Environment ◽  
Health Inequality ◽  
Socioeconomic Position ◽  
Weight Control ◽  
Parental Education ◽  
Mortality Rates ◽  
Mean Value ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Wide Range

Abstract Background: Despite the consensus that higher occupational classes tend to have better health and lower mortality rates, a previous study reported reversed occupational gradients in mortality rates among Korean men after the economic crisis in the late 2000s. This study investigated occupational gradients in socioeconomic position and multiple pathway indicators known to affect mortality.Methods: We used data from 4,176 men aged 35–64 in Korea, derived from the 2007-2009 and 2013-2015 Korean National Health and Nutrition Examination Surveys, to compare the age-standardized prevalence and age-adjusted mean value of each contributing factor to health inequality among occupational groups, which were divided into upper non-manual workers, lower non-manual workers, manual workers, and others. Contributing factors included childhood and adulthood socioeconomic position indicators, biological risk factors, health behaviors, psychosocial factors, and work environment.Results: Upper non-manual workers had prominently higher levels of education, income, parental education, and economic activity than lower non-manual and manual workers. The rates of smoking and high-risk alcohol consumption were lower in the non-manual classes, and the rate of weight control activities was higher. Depression and suicidal ideation levels were lower and perceptions of the work environment were better among non-manual workers than among their manual counterparts.Conclusions: This study confirmed occupational inequality in a wide range of socioeconomic positions and pathway indicators in Korea, with consistently favorable patterns for upper non-manual workers. These occupational gradients do not support the previously reported reversed pattern of higher mortality in non-manual groups than in the manual job class in Korea.

scholarly journals Mathematical Performance of American Youth: Diminished Returns of Educational Attainment of Asian-American Parents

2020 ◽  
Vol 10 (2) ◽  
pp. 32 ◽  
Author(s):  
Shervin Assari ◽  
Shanika Boyce ◽  
Mohsen Bazargan ◽  
Cleopatra H. Caldwell
Keyword(s):  
Educational Attainment ◽  
Ethnic Minorities ◽  
Asian Americans ◽  
Asian American ◽  
Test Score ◽  
Parental Education ◽  
Mathematical Performance ◽  
Asian American Youth ◽  
Parental Educational Attainment ◽  
Hispanic White

The Marginalization-related Diminished Returns (MDR) phenomenon refers to the weaker effects of parental educational attainment for marginalized groups, particularly ethnic minorities. This literature, however, is limited to Blacks and Hispanics; thus, it is not clear if the MDR phenomenon also applies to the educational performance of Asian Americans or not. To explore ethnic differences in the association between parental educational attainment and youth mathematical performance among 10th-grade American high schoolers, this cross-sectional study used baseline data from the Education Longitudinal Study, a national survey of 10th-grade American youth. The analytical sample included a total number of 10,142 youth composed of 1460 (14.4%) Asian-American and 8682 (85.6%) non-Hispanic youth. The dependent variable was youth math performance (standard test score). The independent variable was parental education. Gender, both parents living in the same household, and school characteristics (% students receiving free lunch, urban school, and public school) were the covariates. Ethnicity was the moderating variable. Linear regression was used for data analysis. Overall, parental educational attainment was positively associated with math ability (test score). We observed a statistically significant interaction between ethnicity (Asian American) and parental education attainment on the results of math test scores, indicating that the boosting effect of high parental educational attainment on youth math function is smaller for Asian-American youth than for Non-Hispanic White youth. While high parental educational attainment contributes to youth educational outcomes, this association is weaker for Asian-American youth than non-Hispanic White youth. Diminished returns (weaker effects of parental education in generating outcomes for ethnic minorities) that are previously shown for Hispanics and Blacks also apply to Asian Americans.

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