Demographic variation in perceived discrimination across countries
Descriptive statistics
Wave 1 of the Global Flourishing Study included a total of 202,898 participants from 22 geographically and culturally diverse countries. The age distribution ranged from 18 to 24 years old (n = 27,007; 13%) to 80 years and older (n = 4,119; 2%). Gender distribution was nearly equal among males (n = 98,411; 49%) and females (n = 103,488; 51%), with only 0.3% of them identifying as other (n = 602). At the time of the interview, 39% of participants were employed by an employer (n = 78,815), 57% had completed 9–15 years of education (n = 115,097), and 53% of them reported being married (n = 106,354). Table 1 summarizes the descriptive statistics for the main demographic variables. Information about race or ethnicity and religious affiliation was not reported systematically across countries. Therefore, these are only included in the country-by-country analysis. All country-specific results and the variations in estimates across countries can be found in the Supplementary Information. We comment on these national variations further in the Results and Discussion sections.
Table 1
Nationally representative descriptive statistics of the observed sample
Characteristic | N = 202,8981 |
Age group | |
18–24 | 27,007 (13%) |
25–29 | 20,700 (10%) |
30–39 | 40,256 (20%) |
40–49 | 34,464 (17%) |
50–59 | 31,793 (16%) |
60–69 | 27,763 (14%) |
70–79 | 16,776 (8.3%) |
80 or older | 4,119 (2.0%) |
Missing | 20 (< 0.1%) |
Gender | |
Male | 98,411 (49%) |
Female | 103,488 (51%) |
Other | 602 (0.3%) |
Missing | 397 (0.2%) |
Marital status | |
Married | 107,354 (53%) |
Separated | 5,195 (2.6%) |
Divorced | 11,654 (5.7%) |
Widowed | 9,823 (4.8%) |
Never | 52,115 (26%) |
Domestic Partner | 14,931 (7.4%) |
Missing | 1,826 (0.9%) |
Employment | |
Employed for an employer | 78,815 (39%) |
Self-employed | 36,362 (18%) |
Retired | 29,303 (14%) |
Student | 10,726 (5.3%) |
Homemaker | 21,677 (11%) |
Unemployed and looking for a job | 16,790 (8.3%) |
None of these/other | 8,431 (4.2%) |
Missing | 793 (0.4%) |
Religious service attendance | |
> 1/week | 26,537 (13%) |
1/week | 39,157 (19%) |
1–3/month | 19,749 (9.7%) |
A few times a year | 41,436 (20%) |
Never | 75,297 (37%) |
Missing | 722 (0.4%) |
Education | |
up to 8 years | 45,078 (22%) |
9–15 years | 115,097 (57%) |
16 + years | 42,578 (21%) |
Missing | 146 (< 0.1%) |
Immigration | |
Born in this country | 190,998 (94%) |
Born in another country | 9,791 (4.8%) |
Missing | 2,110 (1.0%) |
COUNTRY | |
Argentina | 6,724 (3.3%) |
Australia | 3,844 (1.9%) |
Brazil | 13,204 (6.5%) |
Egypt | 4,729 (2.3%) |
Germany | 9,506 (4.7%) |
Hong Kong | 3,012 (1.5%) |
India | 12,765 (6.3%) |
Indonesia | 6,992 (3.4%) |
Israel | 3,669 (1.8%) |
Japan | 20,543 (10%) |
Kenya | 11,389 (5.6%) |
Mexico | 5,776 (2.8%) |
Nigeria | 6,827 (3.4%) |
Philippines | 5,292 (2.6%) |
Poland | 10,389 (5.1%) |
South Africa | 2,651 (1.3%) |
Spain | 6,290 (3.1%) |
Sweden | 15,068 (7.4%) |
Tanzania | 9,075 (4.5%) |
Turkey | 1,473 (0.7%) |
United Kingdom | 5,368 (2.6%) |
United States | 38,312 (19%) |
1n (%) |
Prevalence of perceived discrimination across countries
Next, we examined whether the levels of perceived discrimination vary across countries. Table 2 exhibits the results. The second column presents the proportion of participants in each national sample who reported experiencing discrimination often or always, ordered from highest to lowest. We observed that the proportion of perceived discrimination varied widely across countries, ranging from a low of 0.10 (95% CI 0.09–0.11, sd = 0.30) in Sweden to an astounding high of 0.47 (95% CI 0.46–0.49, sd = 0.50) in Egypt.
Table 2
Ordered means of perceived discrimination with standard deviations
Country | Mean | 95% CI | Standard Deviation |
Egypt | 0.47 | (0.46, 0.49) | 0.50 |
South Africa | 0.37 | (0.35, 0.40) | 0.48 |
Nigeria | 0.34 | (0.31, 0.36) | 0.47 |
Brazil | 0.31 | (0.30, 0.32) | 0.46 |
Kenya | 0.30 | (0.28, 0.31) | 0.46 |
Turkey | 0.29 | (0.26, 0.32) | 0.45 |
Hong Kong | 0.28 | (0.26, 0.30) | 0.45 |
Philippines | 0.26 | (0.25, 0.28) | 0.44 |
United States | 0.26 | (0.25, 0.27) | 0.44 |
Argentina | 0.24 | (0.22, 0.25) | 0.43 |
Mexico | 0.23 | (0.22, 0.24) | 0.42 |
India | 0.22 | (0.21, 0.23) | 0.41 |
United Kingdom | 0.22 | (0.21, 0.24) | 0.42 |
Indonesia | 0.21 | (0.19, 0.23) | 0.41 |
Israel | 0.21 | (0.18, 0.23) | 0.40 |
Spain | 0.19 | (0.18, 0.21) | 0.40 |
Australia | 0.18 | (0.16, 0.19) | 0.38 |
Japan | 0.16 | (0.16, 0.17) | 0.37 |
Germany | 0.15 | (0.14, 0.16) | 0.35 |
Tanzania | 0.14 | (0.12, 0.15) | 0.34 |
Poland | 0.13 | (0.11, 0.15) | 0.34 |
Sweden | 0.10 | (0.09, 0.11) | 0.30 |
As a post-hoc sensitivity analysis we provide the equivalent results of Table 2 with a different dichotomization point where perceived discrimination is treated as always (1) vs often/rarely/never (0) (see Table S2 in SI). We observe small deviations in how countries are ordered based on the proportion of perceived discrimination reported by the respondents, indicating that in some countries, like Turkey and India, the relative proportion of people who report experiencing discrimination “always” vs. “often” is much higher compared to other countries.
Differences in perceived discrimination across demographic categories
The random-effects meta-analysis revealed important differences in the proportions of perceived discrimination reported by different demographic categories across these 22 countries (Table 3). We discuss the most prominent results. In particular, younger adults were more likely to report perceived discrimination compared to older adults (p < .001). This trend was especially robust among participants aged 18–24 (µ = 0.27, 95% CI 0.23–0.31, SE = 0.02) and 25–29 (µ = 0.26, 95% CI 0.23–0.30, SE = 0.02) compared to those aged 60–69 (µ = 0.19, 95% CI 0.15–0.22, SE = 0.02) and 70–79 (µ = 0.16, 95% CI 0.12–0.20, SE = 0.02), as indicated by the non-overlapping confidence intervals.
Table 3
Random effects meta-analysis of perceived discrimination proportions by demographic category
| Prediction Interval | | |
Variable | Category | Proportion | 95% CI of Proportion | SE Analogue (CI Width/4) | LL | UL | tau (τ) | I^2 | Global p-value | |
Age group | < .001** | |
| 18–24 | 0.27 | (0.23,0.31) | 0.02 | 0.13 | 0.47 | 0.09 | 88.5 | | |
| 25–29 | 0.26 | (0.23,0.30) | 0.02 | 0.14 | 0.46 | 0.08 | 86.9 | | |
| 30–39 | 0.25 | (0.22,0.29) | 0.02 | 0.13 | 0.45 | 0.08 | 86.5 | | |
| 40–49 | 0.24 | (0.21,0.28) | 0.02 | 0.12 | 0.45 | 0.08 | 88.5 | | |
| 50–59 | 0.21 | (0.18,0.25) | 0.02 | 0.09 | 0.46 | 0.09 | 90.1 | | |
| 60–69 | 0.19 | (0.15,0.22) | 0.02 | 0.06 | 0.44 | 0.08 | 89.5 | | |
| 70–79 | 0.16 | (0.12,0.20) | 0.02 | 0.03 | 0.44 | 0.08 | 92.7 | | |
| 80 or older | 0.12 | (0.06,0.23) | 0.04 | 0.00 | 0.43 | 0.19 | 99.0 | | |
Gender | < .001** | |
| Male | 0.24 | (0.20,0.27) | 0.02 | 0.11 | 0.45 | 0.08 | 88.7 | | |
| Female | 0.22 | (0.19,0.26) | 0.02 | 0.10 | 0.47 | 0.08 | 88.7 | | |
| Other | 0.48 | (0.19,0.79) | 0.15 | 0.00 | 1.00 | 0.69 | 99.7 | | |
Marital status | < .001** | |
| Married | 0.21 | (0.18,0.26) | 0.02 | 0.08 | 0.46 | 0.09 | 90.8 | | |
| Separated | 0.28 | (0.24,0.31) | 0.02 | 0.14 | 0.50 | 0.08 | 85.3 | | |
| Divorced | 0.22 | (0.18,0.27) | 0.02 | 0.10 | 0.44 | 0.10 | 92.2 | | |
| Widowed | 0.17 | (0.13,0.22) | 0.02 | 0.03 | 0.45 | 0.11 | 95.0 | | |
| Domestic partner | 0.22 | (0.18,0.25) | 0.02 | 0.10 | 0.38 | 0.08 | 88.8 | | |
| Single, never married | 0.26 | (0.22,0.29) | 0.02 | 0.14 | 0.45 | 0.08 | 85.6 | | |
Employment status | < .001** | |
| Employed for an employer | 0.24 | (0.20,0.28) | 0.02 | 0.11 | 0.45 | 0.09 | 90.1 | | |
| Self-employed | 0.24 | (0.20,0.28) | 0.02 | 0.11 | 0.48 | 0.09 | 90.7 | | |
| Retired | 0.17 | (0.14,0.21) | 0.02 | 0.05 | 0.44 | 0.08 | 91.5 | | |
| Student | 0.25 | (0.21,0.29) | 0.02 | 0.10 | 0.45 | 0.09 | 89.9 | | |
| Homemaker | 0.22 | (0.19,0.26) | 0.02 | 0.13 | 0.46 | 0.07 | 85.9 | | |
| Unemployed and looking for a job | 0.27 | (0.24,0.31) | 0.02 | 0.13 | 0.39 | 0.08 | 85.2 | | |
| None of these/other | 0.27 | (0.23,0.31) | 0.02 | 0.13 | 0.43 | 0.09 | 89.7 | | |
Education | < .001** | |
| Up to 8 years | 0.26 | (0.22,0.31) | 0.02 | 0.10 | 0.47 | 0.09 | 89.7 | | |
| 9–15 years | 0.22 | (0.19,0.26) | 0.02 | 0.11 | 0.46 | 0.08 | 89.3 | | |
| 16 + years | 0.21 | (0.18,0.25) | 0.02 | 0.09 | 0.41 | 0.08 | 88.7 | | |
Religious service attendance | < .001** | |
| > 1/week | 0.31 | (0.26,0.35) | 0.02 | 0.13 | 0.61 | 0.10 | 90.5 | | |
| 1/week | 0.28 | (0.24,0.33) | 0.02 | 0.13 | 0.48 | 0.10 | 90.2 | | |
| 1–3/month | 0.28 | (0.24,0.33) | 0.02 | 0.12 | 0.50 | 0.10 | 89.7 | | |
| A few times a year | 0.22 | (0.18,0.25) | 0.02 | 0.09 | 0.49 | 0.08 | 89.1 | | |
| Never | 0.22 | (0.18,0.26) | 0.02 | 0.09 | 0.41 | 0.09 | 90.7 | | |
Immigration status | < .001** | |
| Born in this country | 0.23 | (0.19,0.26) | 0.02 | 0.10 | 0.46 | 0.08 | 89.1 | | |
| Born in another country | 0.25 | (0.22,0.29) | 0.02 | 0.07 | 0.40 | 0.08 | 87.9 | | |
Note: *p < .05; **p < .007 (Bonferroni corrected threshold). Proportion: Estimated overall proportion in the category. 95% CI of Proportion: The 95% CI for the estimated overall proportion of people who reported feeling discriminated always or often for each demographic category. SE Analogue (CI Width/4): Standard error for the estimated overall proportion for each demographic group. Prediction interval: Reflects how the country-specific proportion vary. LL: Lower limit of the 95% prediction interval. UP: Upper limit of the 95% prediction interval. “tau”: Measures the standard deviation of the distribution of means across countries. It is an estimate of how much the mean in that demographic category varies across countries. I^2: Estimates how much of the variability in means is due to heterogeneity across countries vs. sampling variability. Given that the sample sizes of this study are large, the I^2 is high. Global p-value: Tests the null hypothesis that the demographic category does not matter in any of the 22 countries |
Regarding gender, individuals who identified as Other reported higher levels of perceived discrimination on average (µ = 0.48, 95% CI 0.19–0.79, SE = 0.15) compared to those identified as male (µ = 0.24, 95% CI 0.20–0.27, SE = 0.02) or female (µ = 0.22, 95% CI 0.19–0.26, SE = 0.02), though the lower limit of the CI suggested considerable uncertainty due to small samples for the Other category.
When considering other social characteristics, the most pronounced differences in perceived discrimination were observed among respondents with different marital and employment statuses. Salient differences emerged between respondents who identified as separated (µ = 0.28, 95% CI 0.24–0.31, SE = 0.02), or single, never married (µ = 0.26, 95% CI 0.22–0.29, SE = 0.02), and those who identified as widowed (µ = 0.17, 95% CI 0.13–0.22, SE = 0.02). Additionally, retired individuals reported the lowest levels of perceived discrimination (µ = 0.17, 95% CI 0.14–0.21, SE = 0.02), whereas those unemployed and looking for a job (µ = 0.27, 95% CI 0.24–0.31, SE = 0.02), as well as those in the “none of these/other” category (µ = 0.27, 95% CI 0.23–0.31, SE = 0.02) reported the highest levels of perceived discrimination across employment categories.
Perceived discrimination was also associated with higher frequency of religious service attendance (p < .001). Thirty-one percent of participants who attend religious services more than once a week have report discrimination (95% CI 0.26–0.35, SE = 0.02) compared to only 22% of those who attend a few times a year (µ = 0.22, 95% CI 0.18–0.25, SE = 0.02), a 9-percentage point difference.
As a supplementary analysis, we also conducted population weighted meta-analyses. Table S1 in SI provides additional analyses using a population-weighted meta-analysis, adjusting results based on each country's 2023 population size. The findings from both approaches are largely consistent.
Cross-cultural variation in demographic differences
We note that the variation in estimates attributed to heterogeneity across countries was high with I2 ranging from 85.2 to 99.7 and tau (τ) from 0.08 to 0.43. As such, caution must be taken in the interpretation of results of the meta-analysis as homogeneous patterns. Due to space constraints, we highlight selected examples of variability; full results are in the Supplementary Information. For instance, younger adults reported more perceived discrimination than older adults in 15 of 22 countries. However, in Kenya, adults aged 80 + reported more discrimination (µ = 0.41, 95% CI 0.21–0.61, SE = 0.10) than those aged 18–24 (µ = 0.28, 95% CI 0.26–0.30, SE = 0.01). In Mexico, both younger (18–24: µ = 0.28, 95% CI 0.24–0.31, SE = 0.02) and older adults (80 or older: µ = 0.31, 95% CI 0.12–0.49, SE = 0.09) reported higher discrimination than other age categories. No age-discrimination association was found in Egypt, India, Poland, Tanzania, and the Philippines.
While frequent religious service attenders generally reported higher discrimination, the opposite was observed in Kenya, Nigeria, Tanzania, and Turkey, where infrequent attenders reported more discrimination. In the United States, both participants who attend religious services more than once a week (µ = 0.30, 95% CI 0.26–0.34, SE = 0.02) and those who never attend (µ = 0.27, 95% CI 0.25–0.28, SE = 0.01) exhibited high levels of perceived discrimination. No association was found between religious service attendance and perceived discrimination in Indonesia and South Africa.
The meta-analysis results also indicated that individuals born outside the country of interview (µ = 0.25, 95% CI 0.22–0.29, SE = 0.02) reported only very slightly more discrimination compared to those born in the country (µ = 0.23, 95% CI 0.19–0.26, SE = 0.02). However, there was only strong statistical evidence for a difference in 6 of the 22 countries: Germany (µin country = 0.14, 95% CI 0.13–0.15, SE = 0.00; µanother country = 0.19, 95% CI 0.15–0.23, SE = 0.02; p < .001), Japan (µin country = 0.16, 95% CI 0.16–0.17, SE = 0.00; µanother country = 0.28, 95% CI 0.19–0.37, SE = 0.05; p < .001), Mexico (µin country = 0.23, 95% CI 0.21–0.24, SE = 0.01; µanother country = 0.31, 95% CI 0.21–0.42, SE = 0.05; p = .009), Spain (µin country = 0.19, 95% CI 0.17–0.20, SE = 0.01; µanother country = 0.24, 95% CI 0.20–0.27, SE = 0.02; p < .001), Sweden (µin country = 0.09, 95% CI 0.09–0.10, SE = 0.00; µanother country = 0.23, 95% CI 0.20–0.26, SE = 0.02; p < .001), and the United Kingdom (µin country = 0.22, 95% CI 0.20–0.24, SE = 0.01; µanother country = 0.26, 95% CI 0.22–0.31, SE = 0.02; p = .008). This association is heterogeneous and underlies a strong geographical component, with European Union countries predominantly shaping the pattern.
Next, we discuss notable patterns related to differences in perceived discrimination across religious affiliation and race and ethnicity categories, which were not included in the meta-analysis (see SI) because categories varied across countries. Regarding religious affiliation, Muslim respondents were more likely to report higher levels of perceived discrimination compared to the majority religious group in several countries. For example, in the United States, 45% of Muslim respondents have experienced discrimination (µ = 0.45, 95% CI 0.25–0.65, SE = 0.10, p < .001) compared to 25% of Christians (µ = 0.25, 95% CI 0.23–0.26, SE = 0.01; see Table S22b). Furthermore, participants who identified as Black reported higher levels of perceived discrimination on average compared to those identified with the majority racial group in Argentina (µ = 0.48, 95% CI 0.32–0.64, SE = 0.08, p < .001), the United Kingdom (µ = 0.47, 95% CI 0.36–0.58, SE = 0.05, p < .001), and the United States (µ = 0.38, 95% CI 0.34–0.42, SE = 0.02, p < .001; see Tables S1b, S21b, and S22b).
Further remarks on variation across countries are also given in the Discussion.
Childhood predictors of perceived discrimination in adulthood
Descriptive statistics
Table 4 shows the descriptive statistics for childhood predictors. Most respondents indicated they had a very good relationship with their mother (n = 127,836; 63%) and father (n = 107,742; 53%) in childhood. Seventy-five percent of participants grew up within marriage (n = 152,001). At age 12, 41% of the respondents (n = 83,237) attended religious services at least once a week, while 23% never attended (n = 47,445). Fourteen percent of all respondents (n = 29,139) experienced childhood abuse and another 14% (n = 28,732) felt as an outsider in their family growing up. Thirty-three percent of the participants rated their mental health during childhood as excellent (n = 67,121), 9.8% as fair (n = 19,877), and 2.4% as poor (n = 4,906).
Table 4
Nationally representative childhood descriptive statistics of the observed sample
Characteristic | N = 202,8981 |
Relationship with mother | |
Very good | 127,836 (63%) |
Somewhat good | 52,439 (26%) |
Somewhat bad | 11,060 (5.5%) |
Very bad | 4,642 (2.3%) |
Does not apply | 5,965 (2.9%) |
Missing | 956 (0.5%) |
Relationship with father | |
Very good | 107,742 (53%) |
Somewhat good | 55,714 (27%) |
Somewhat bad | 15,807 (7.8%) |
Very bad | 8,278 (4.1%) |
Does not apply | 13,985 (6.9%) |
Missing | 1,372 (0.7%) |
Parent marital status | |
Yes, married | 152,001 (75%) |
No, divorced | 17,726 (8.7%) |
Never married | 15,534 (7.7%) |
No, one or both of them had died | 7,794 (3.8%) |
Missing | 9,843 (4.9%) |
Subjective financial status of family growing up | |
Lived comfortably | 70,861 (35%) |
Got by | 82,905 (41%) |
Found it difficult | 35,852 (18%) |
Found it very difficult | 12,606 (6.2%) |
Missing | 674 (0.3%) |
Abuse | |
Yes | 29,139 (14%) |
No | 167,279 (82%) |
Missing | 6,479 (3.2%) |
Outsider growing up | |
Yes | 28,732 (14%) |
No | 170,577 (84%) |
Missing | 3,589 (1.8%) |
Self-rated health growing up | |
Excellent | 67,121 (33%) |
Very good | 63,086 (31%) |
Good | 47,378 (23%) |
Fair | 19,877 (9.8%) |
Poor | 4,906 (2.4%) |
Missing | 530 (0.3%) |
Immigration status | |
Born in this country | 190,998 (94%) |
Born in another country | 9,791 (4.8%) |
Missing | 2,110 (1.0%) |
Age 12 religious service attendance | |
At least 1/week | 83,237 (41%) |
1–3/month | 33,308 (16%) |
< 1/month | 36,928 (18%) |
Never | 47,445 (23%) |
Missing | 1,980 (1.0%) |
Age group | |
1998–2005; current age: 18–24 | 27,007 (13%) |
1993–1998; age: 25–29 | 20,700 (10%) |
1983–1993; age: 30–39 | 40,256 (20%) |
1973–1983; age 40–49 | 34,464 (17%) |
1963–1973; age 50–59 | 31,793 (16%) |
1953–1963; age 60–69 | 27,763 (14%) |
1943–1953; age 70–79 | 16,776 (8.3%) |
1943 or earlier; age 80+ | 4,119 (2.0%) |
Missing | 20 (< 0.1%) |
Gender | |
Male | 98,411 (49%) |
Female | 103,488 (51%) |
Other | 602 (0.3%) |
Missing | 397 (0.2%) |
Country | |
Argentina | 6,724 (3.3%) |
Australia | 3,844 (1.9%) |
Brazil | 13,204 (6.5%) |
Egypt | 4,729 (2.3%) |
Germany | 9,506 (4.7%) |
Hong Kong | 3,012 (1.5%) |
India | 12,765 (6.3%) |
Indonesia | 6,992 (3.4%) |
Israel | 3,669 (1.8%) |
Japan | 20,543 (10%) |
Kenya | 11,389 (5.6%) |
Mexico | 5,776 (2.8%) |
Nigeria | 6,827 (3.4%) |
Philippines | 5,292 (2.6%) |
Poland | 10,389 (5.1%) |
South Africa | 2,651 (1.3%) |
Spain | 6,290 (3.1%) |
Sweden | 15,068 (7.4%) |
Tanzania | 9,075 (4.5%) |
Turkey | 1,473 (0.7%) |
United Kingdom | 5,368 (2.6%) |
United States | 38,312 (19%) |
1n (%) |
Childhood predictors of perceived discrimination
Table 5 shows the associations between perceived discrimination and childhood predictors from the random effects meta-analysis. A few childhood predictors were clearly linked to lower risk of perceived discrimination in adulthood. For example, those born in 1943–1953 (RR = 0.63, 95% CI 0.53–0.75, I2 = 77.6, p < .001), 1953–1963 (RR = 0.74, 95% CI 0.66–0.82, I2 = 72.9, p < .001), 1963–1973 (RR = 0.84, 95% CI 0.76–0.91, I2 = 74.4, p < .001), and 1973–1983 (RR = 0.92, 95% CI 0.87–0.97, I2 = 53.4, p < .001) were consistently less likely to report discrimination as adults compared to those born between 1998 and 2005. Other typically protective childhood experiences, such as very/somewhat good maternal (RR = 0.95, 95% CI 0.91-1.00, I2 < 0.1, p < .001) or paternal relationship (RR = 0.96, 95% CI 0.92-1.00, I2 < 0.1, p < .001) did not yield conclusive results, since both CIs included 1.00.
Table 5
Random effects meta-analysis of regression of perceived discrimination on childhood predictors
| Estimated Proportion of Effects by Threshold | |
Variable | Category | RR | 95% CI | < 0.90 | > 1.10 | I^2 | Global p-value | |
Relationship with mother | (Ref: Very bad/somewhat bad) | | | | | | < .001** | |
| Very good/somewhat good | 0.95 | (0.91,1.00) | 0.00 | 0.00 | < 0.1ǂ | | |
Relationship with father | (Ref: Very bad/somewhat bad) | | | | | | < .001** | |
| Very good/somewhat good | 0.96 | (0.92,1.00) | 0.00 | 0.00 | < 0.1ǂ | | |
Parent marital status | (Ref: Parents married) | | | | | | < .001** | |
| No, divorced | 1.10 | (1.01,1.19) | 0.05 | 0.45 | 69.1 | | |
| Single, never married | 1.09 | (1.00,1.20) | 0.05 | 0.32 | 74.1 | | |
| No, one or both of them had died | 1.03 | (0.93,1.12) | 0.18 | 0.32 | 54.7 | | |
Subjective financial status of family growing up | (Ref: Got by) | | | | | | < .001** | |
| Lived comfortably | 1.00 | (0.96,1.04) | 0.05 | 0.05 | 54.4 | | |
| Found it difficult | 1.05 | (1.00,1.11) | 0.05 | 0.23 | 55.0 | | |
| Found it very difficult | 1.14 | (1.08,1.20) | 0.00 | 0.77 | 22.1 | | |
Abuse | (Ref: No) | | | | | | < .001** | |
| Yes | 1.44 | (1.36,1.53) | 0.00 | 1.00 | 76.2 | | |
Outsider growing up | (Ref: No) | | | | | | < .001** | |
| Yes | 1.35 | (1.24,1.47) | 0.00 | 0.77 | 86.4 | | |
Self-rated health growing up | (Ref: Good) | | | | | | < .001** | |
| Excellent | 0.96 | (0.89,1.03) | 0.36 | 0.14 | 77.0 | | |
| Very good | 0.95 | (0.91,1.00) | 0.23 | 0.05 | 52.0 | | |
| Fair | 1.06 | (1.00,1.11) | 0.00 | 0.32 | 34.1 | | |
| Poor | 1.18 | (1.11,1.26) | 0.00 | 1.00 | < 0.1ǂ | | |
Immigration status | (Ref: Born in this country) | | | | | | < .001** | |
| Born in another country | 1.06 | (0.98,1.15) | 0.00 | 0.36 | 33.6 | | |
Age 12 religious service attendance | (Ref: Never) | | | | | | < .001** | |
| At least 1/week | 1.14 | (1.03,1.25) | 0.09 | 0.45 | 79.5 | | |
| 1–3/month | 1.18 | (1.03,1.35) | 0.09 | 0.50 | 88.8 | | |
| < 1/month | 1.08 | (1.00,1.17) | 0.09 | 0.36 | 69.2 | | |
Year of birth | (Ref: 1998–2005; age 18–24) | | | | | | < .001** | |
| 1993–1998; age 25–29 | 0.99 | (0.95,1.04) | 0.00 | 0.00 | 12.3 | | |
| 1983–1993; age 30–39 | 0.96 | (0.91,1.01) | 0.23 | 0.05 | 51.2 | | |
| 1973–1983; age 40–49 | 0.92 | (0.87,0.97) | 0.36 | 0.00 | 53.4 | | |
| 1963–1973; age 50–59 | 0.84 | (0.76,0.91) | 0.55 | 0.00 | 74.4 | | |
| 1953–1963; age 60–69 | 0.74 | (0.66,0.82) | 0.77 | 0.00 | 72.9 | | |
| 1943–1953; age 70–79 | 0.63 | (0.53,0.75) | 0.82 | 0.00 | 77.6 | | |
| 1943 or earlier; age 80+ | 0.21 | (0.04,1.15) | 0.77 | 0.23 | 99.4 | | |
Gender | (Ref: Male) | | | | | | < .001** | |
| Female | 0.90 | (0.86,0.94) | 0.59 | 0.00 | 72.2 | | |
| Other | 0.45 | (0.07,2.93) | 0.11 | 0.83 | 99.6 | | |
Note. *p < .05; **p < .004 (Bonferroni corrected threshold); ǂ estimate of heterogeneity is likely unstable, please see our online supplement forest plots for more detail on heterogeneity of effects. |
RR: Risk Ratio, the probability of perceived discrimination for a category of a childhood predictor to the probability of perceived discrimination to the reference category.
95% CI: The 95% CI for the estimated risk ratio of perceived discrimination for each childhood predictor.
Estimated Proportion of Effects by Threshold: Reflects the estimated proportion of effects (e.g. across the implied distribution of effects sizes within the 22 countries) that are either less than a RR of 0.9 or above a RR of 1.1.
I^2: Estimates how much of the variability in means is due to heterogeneity across countries vs. sampling variability. Given that the sample sizes of this study are large, the I^2 is high.
Global p-value: Tests the null hypothesis that the childhood predictor does not matter in any of the 22 countries
Regarding gender identification, females seemed to be 0.90 times as likely as males to report discrimination (95% CI 0.86–0.94, I2 = 72.2, p < .001). In contrast, the meta-analysis suggested that those who identified their gender as “Other” might experience higher, similar, or lower discrimination compared to males (RR = 0.45, 95% CI 0.07–2.93, I2 = 99.6) across countries.
Several childhood experiences were linked with increased risk of perceived discrimination in adulthood, such as (1) physical or sexual abuse growing up (RR = 1.44, 95% CI 1.36–1.53, I2 = 76.2, p < .001), (2) feeling as an outsider in one’s family as a child (RR = 1.35, 95% CI 1.24–1.47, I2 = 86.4, p < .001), (3) attending religious services at age 12, (a) at least once a week (RR = 1.14, 95% CI 1.03–1.25, I2 = 79.5, p < .001) and (b) 1–3 times per month (RR = 1.18, 95% CI 1.03–1.35, I2 = 88.8, p < .001), (4) poor health growing up (RR = 1.18, 95% CI 1.11–1.26, I2 < 0.1, p < .001), (5) parental divorce (RR = 1.10, 95% CI 1.01–1.19, I2 = 69.1, p < .001), and (6) very difficult family finances (RR = 1.14, 95% CI 1.08–1.20, I2 = 22.1, p < .001). However, there was less evidence of a consistent association with other adverse household circumstances, such as being raised by a single parent or experiencing a parental death, as well as experiencing immigration in childhood.
Interestingly, the results of the post-hoc sensitivity analysis with a different dichotomization point in the outcome variable (see Table S5 in SI) indicate that all categories of childhood financial status (as compared to “got by”) increased the risk of perceived discrimination in adulthood (Lived comfortably: RR = 1.16, 95% CI 1.08–1.24, I2 = 19.8, p < .001; found it difficult: RR = 1.08, 95% CI 1.01–1.16, I2 = 2.9, p < .001); found it very difficult: RR = 1.31, 95% CI 1.17–1.47, I2 = 31.6, p < .001), while it made the effects of childhood abuse (RR = 1.63, 95% CI 1.49–1.77, I2 = 50.0, p < .001) and feeling as an outsider in one’s family as a child (RR 1.57, 95% CI 1.35–1.81, I2 = 79.4, p < .001) more pronounced. In contrast, the association with religious service attendance and parental marital status did not hold.
The results of the population weighted meta-analysis were once again largely consistent with the primary analysis.
Cross-cultural variation in childhood predictors
As with demographic variation in perceived discrimination earlier, the meta-analysis of childhood predictors allowed us to identify wide variability in the heterogeneity of effects across countries. For example, although being abused in childhood universally increased the probability of feeling discriminated later in life, the magnitude of that effect varied considerably across countries (τ = .12, I2 = 76.2), ranging from a low risk-ratio of 1.22 (95% CI 1.09–1.36, p < .001) in Japan to a high RR of 2.16 (95% CI 1.54–3.01, p < .001) in Poland. Growing up as an outsider in one’s family – one of the strongest predictors of perceived discrimination in adulthood – was associated with a lower risk of perceived discrimination in India (RR = 0.91, 95% CI 0.81–1.02, p = .014), but had no statistically significant effect in Egypt, Nigeria, South Africa, or Turkey.
Compared to having a very/somewhat bad maternal relationship, a very/somewhat good relationship was linked to a lower risk of perceived discrimination in adulthood only in Argentina (RR = 0.82, 95% CI 0.67-1.00, p < .001), Egypt (RR = 0.88, 95% CI 0.68–1.13, p = .005), Japan (RR = 0.92, 95% CI 0.84–1.02, p < .001), Kenya (RR = 0.88, 95% CI 0.74–1.05, p < .001), and Tanzania (RR = 0.76, 95% CI 0.51–1.12, p < .001). Conversely, it was linked to a higher risk of perceived discrimination in Israel (RR = 1.25, 95% CI 0.82–1.88, p = .009), Mexico (RR = 1.11, 95% CI 0.88–1.39, p = .039), Poland (RR = 1.31, 95% CI 0.75–2.30, p = .012), and Turkey (RR = 1.65, 95% CI 0.95–2.84, p < .001). Similarly, compared to a very/somewhat bad paternal relationship, a very/somewhat good relationship was associated with a lower risk of perceived discrimination in Argentina (RR = 0.90, 95% CI 0.75–1.08, p = .002), Brazil (RR = 0.94, 95% CI 0.86–1.03, p = < .001), Japan (RR = 0.90, 95% CI 0.81–0.99, p < .001), Tanzania (RR = 0.76, 95% CI 0.59–0.97, p < .001), and Turkey (RR = 0.76, 95% CI 0.60–0.97, p < .001). However, it increased the risk in Australia (RR = 1.11, 95% CI 0.87–1.41, p = .042), Indonesia (RR = 1.26, 95% CI 0.88–179, p < .001), and Mexico (RR = 1.14, 95% CI 0.94–1.38, p < .001).
While there is limited evidence linking experiencing immigration in childhood to perceived discrimination in adulthood, some exceptions were noted. Compared to being born in the country, experiencing discrimination in childhood was associated with a somewhat lower risk of adult discrimination in Kenya (RR = 0.76, 95% CI 0.52–1.09, p = .027) and the United States (RR = 0.85, 95% CI 0.71–1.02, p = .006), but a higher risk in Israel (RR = 1.25, 95% CI 1.01–1.55, p < .001) and Sweden (RR = 1.52, 95% CI 1.28–1.80, p < .001).
Country-by-country analysis also revealed that being affiliated with a minority religion at age 12 significantly increased the risk of perceived discrimination in adulthood in 11 out of 22 countries. For example, affiliation with a minority religion at age 12 was associated with higher risk of perceived discrimination by 93% in Germany (95% CI 1.57–2.39, p < .001) and by 197% in Poland (95% CI 1.32–6.72, p < .001). Participants who identified with a minority racial or ethnic group were also more likely to experience discrimination in adulthood in nine countries, with risk ratios ranging from 1.15 (Argentina: 95% CI 1.01–1.31, p < .001) to 1.79 (Israel: 95% CI 0.92–3.49, p = .007). However, the opposite pattern also emerged where race or ethnic minority status was associated with lower probability of feeling discriminated in adulthood in Kenya (RR = 0.83, 95% CI 0.74–0.93, p < .001) and Hong Kong (RR = 0.80, 95% CI 0.69–0.93, p < .001).
Sensitivity analysis
Subsequent sensitivity analysis with calculations of E-values suggested that a few of the correlations we reported were moderately to considerably robust to potentially unmeasured extraneous variables (see Table 6). For instance, an unmeasured variable, associated with both childhood abuse and adult perceived discrimination by risk ratios of 2.24-fold each, above and beyond the covariates we have already accounted for in our model, could explain away the observed association, but weaker joint confounder associations could not. To shift the 95% CI to include the null, an unmeasured confounder that was associated with both childhood abuse and adult perceived discrimination by risk ratios of 2.05-fold each, could suffice, while weaker joint associations with an extraneous variable could not. Some of the other relationships were vulnerable to potential unmeasured confounding as comparatively smaller correlations with unmeasured confounders would suffice to explain away these associations.
Table 6
Sensitivity of meta-analyzed childhood predictors to unmeasured confounding.
Variable | Category | evalue | evalue.limit |
Relationship with mother | (Ref: Very bad/somewhat bad) | | |
| Very good/somewhat good | 1.27 | 1.06 |
Relationship with father | (Ref: Very bad/somewhat bad) | | |
| Very good/somewhat good | 1.25 | 1.06 |
Parent marital status | (Ref: Parents married) | | |
| No, divorced | 1.42 | 1.12 |
| Single, never married | 1.41 | 1.00 |
| No, one or both of them had died | 1.19 | 1.00 |
Subjective financial status of family growing up | (Ref: Got by) | | |
| Lived comfortably | 1.06 | 1.00 |
| Found it difficult | 1.29 | 1.05 |
| Found it very difficult | 1.53 | 1.36 |
Abuse | (Ref: No) | | |
| Yes | 2.24 | 2.05 |
Outsider growing up | (Ref: No) | | |
| Yes | 2.03 | 1.78 |
Self-rated health growing up | (Ref: Good) | | |
| Excellent | 1.25 | 1.00 |
| Very good | 1.27 | 1.00 |
| Fair | 1.30 | 1.07 |
| Poor | 1.65 | 1.47 |
Immigration status | (Ref: Born in this country) | | |
| Born in another country | 1.33 | 1.00 |
Age 12 religious service attendance | (Ref: Never) | | |
| At least 1/week | 1.53 | 1.21 |
| 1–3/month | 1.64 | 1.22 |
| < 1/month | 1.38 | 1.00 |
Year of birth | (Ref: 1998–2005; age 18–24) | | |
| 1993–1998; age 25–29 | 1.08 | 1.00 |
| 1983–1993; age 30–39 | 1.26 | 1.00 |
| 1973–1983; age 40–49 | 1.40 | 1.19 |
| 1963–1973; age 50–59 | 1.68 | 1.41 |
| 1953–1963; age 60–69 | 2.05 | 1.72 |
| 1943 or earlier; age 80+ | 9.08 | 1.00 |
| 1943–1953; age 70–79 | 2.53 | 1.98 |
Gender | (Ref: Male) | | |
| Female | 1.47 | 1.33 |
| Other | 3.91 | 1.00 |