The Effects of Being an Immigrant and Racial Discrimination on the Mental and Emotional Health of Adolescents

We examine relationships across two focal variables, being an immigrant and experiencing racial discrimination (an adverse childhood experience, or ACE), and the outcome of a mental or emotional health condition for adolescent children in the U.S. Using a nationally representative sample from the National Survey of Children’s Health (NSCH; n = 16,040; 12–17 years old), we find that immigrant teens are 17 percent less likely than native-born teens to have a mental or emotional health condition and that teens who have experienced racial discrimination are almost twice as likely as teens who did not to have a mental or emotional health condition, net of other relationships. Adolescents with a mental or emotional health condition are more likely to be female, White, urban, living in an unsafe neighborhood, having a parent with less education, and coming from a household with a lower income. We find evidence for the healthy immigrant effect in terms of mental health for immigrant teens in the U.S., and also, we find a strong relationship between the ACE of experiencing racial discrimination and poor mental health of adolescents overall.