In the article “Resilience in Adolescence, Health, and Psychosocial Outcomes,” in this issue of Pediatrics, Brody et al1 present thought-provoking findings on the associations between race/ethnicity, social disadvantage, and personal striving at age 16 and psychosocial and physical health outcomes at age 29. They found that black and white high-striving adolescents experienced more positive psychosocial outcomes at age 29 than nonstrivers.1 However, among the strivers, blacks from disadvantaged backgrounds had an increased risk of type 2 diabetes in adulthood compared with black adolescents who came from less-disadvantaged backgrounds.1 The compelling question raised by their work is whether striving among disadvantaged black youth leads to poor health outcomes despite positive progress and resilience in other aspects of life.
In the United States, blacks aged ≥20 years have disproportionately higher prevalence rates (13.2%) of diabetes than do whites (7.6%) and are twice as likely to die of this...
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