Racism, Diminished Returns of Socioeconomic Resources, and Black Middle-Income Children ’s Health Paradox—Reply

In Reply We appreciate the comments made by Assari and Caldwell in response to our Research Letter. We agree that the phenomenon of marginalization-related diminished returns (MDRs) provides a useful framework for contextualizing our findings. For instance, the Figure shows the odds of perceived racism among Black children compared with White children by household income. Black children with a household income of $75  000 or more had higher odds of perceived racism than those with a household income of less than $75 000 (adjusted odds ratio, 8.23; 95% CI, 5.18-13.08 vs 2.43; 95% CI, 1.62-3.67)—an observation that may be explained by MDRs, as higher-income Black children tend to live in more discrimination- prone environments than their lower-income counterparts.
Source: JAMA Pediatrics - Category: Pediatrics Source Type: research