Multi-level Predictors of Structural Racism and Discrimination and Associations With Health and Well-being Across the Life Course in Diverse Families

Inclusion criteria

• willingness to provide informed consent (parent/guardian), parental consent (parent/guardian) and assent (minor participants) and the ability for participants to comply with study requirements
• They are the child's primary caregiver, i.e., they are the adult who spends the largest proportion of time caring for the child (e.g., cleaning, feeding, etc.) or they spent an exactly equal proportion to another caregiver (e.g., parents each with 50% of childcare responsibilities).
• They reside in Athens-Clarke County or surrounding counties (i.e., Barrow, Jackson, Madison, Oglethorpe, and Oconee) served by the Piedmont Healthcare Coalition region
• Have access to a smartphone or other internet-connected device (e.g., iPad; home computer; laptop)
• Are able to read either English or Spanish

UMN site:

• participation in the original Family Matters Ecological Momentary Assessment sub-study
• did not withdraw from the Family Matters study
• ability to participate in an in-person visit (e.g., within driving distance to make an in-person visit)
• The original Family Matters study enrolled vulnerable populations including children, pregnant women, disadvantaged persons, and non-English speakers.

UGA site:

• Child has a racial/ethnic identity reported by the parent as Black, Hispanic, or White Reside in Athens-Clarke County or surrounding counties (i.e., Barrow, Jackson, Madison, Oglethorpe, and Oconee) served by the Piedmont Healthcare Coalition region
• Have access to a smartphone or other internet-connected device (e.g., iPad; home computer; laptop)
• Are able to read either English or Spanish
• Aged 8 to 18 years old

Exclusion criteria

• Medically necessary dietary restrictions (e.g., feeding tubes)
• BMI < 5%ile
• A diagnosis of a serious and persistent mental illness
• The child's parent/caregiver believes that the child is not developmentally able to participate in study components (e.g., severe autism)
• The family already has one parent or one child enrolled in the study
• There are no more availabilities in the family's census tract (limited to 10 households per tract). UGA also is interested in recruiting families from a range of census tracts in the Athens, GA area. If UGA finds that many families are coming from a few census tracts, they may restrict enrollment of new participants who are from those already-represented census tracts.