For many Chinese-Canadian youth, the pandemic was not just a health crisis, but a period of intensified racialization that damaged their mental well-being and hindered their access to support.
Anti-Asian racism is not new, but the COVID-19 pandemic amplified its reach and intensity and had a direct and damaging impact on the daily lives and mental well-being of Chinese-Canadian youth. In response, many have developed strategies to navigate the rules of racism to overcome discriminatory encounters at the expense of their emotional and mental health. Dr. Carla Hilario and her colleagues examine these experiences and strategies, highlighting youth’s struggles with racialization and the barriers that make professional mental health services feel out of reach.
“We must not mistake the resilience of youth for a positive outcome. Enduring racism is a painful, lifelong burden—not a rite of passage.”
Key Findings
- During the COVID-19 pandemic, Chinese-Canadian youth experienced an increase in racism. These encounters became more frequent, “blatant,” and “violent” than their previous experiences.
- Chinese-Canadian youth referred to a set of “rules” to navigate racism, including ignoring it, confronting perpetrators, educating others, or even going along with it to preserve relationships—often at a personal and emotional cost.
- Experiences of racism led to feelings of loneliness, anger, and a decreased sense of self-worth. Some affected youth faced barriers to mental health care, including a lack of providers who can understand their experiences with racism.
Recommendations
- Mental health services can prioritize psychological safety for racialized youth by promoting and providing culturally safe care. Without it, individuals experiencing discrimination will not necessarily be able to access and/or receive the support they need.
- Healthcare institutions can implement mandatory anti-racism training to better equip service providers working with youth. All institutions serving racialized youth need the tools to identify and address barriers to care and inclusion.
Implications for Current Events
A recent University of Ottawa survey has sounded the alarm on Canada’s national youth mental health crisis. Results show that racialized and Indigenous communities suffer disproportionately higher rates of depression and anxiety than their white counterparts. Racial discrimination was found to be a key driver, with the survey warning that chronic exposure can impair the overall health and academic or workplace outcomes of racialized youth. While the survey data confirms the link, the survey does not address how racialized youth navigate daily experiences of racial discrimination and their mental well-being.
Dr. Carla Hilario and her colleagues’ research provides a deeper understanding of these lived experiences. Focusing on the experiences of Chinese-Canadian youth during the COVID-19 pandemic, their study reveals the strategies that youth developed to negotiate and overcome anti-Asian racism. The research documents the profound psychological toll of racialization—like anger and isolation—to the coping mechanisms they built through mutual support. Ultimately, Dr. Hilario and her colleagues emphasize that these experiences with racism have a lasting negative effect on youth mental health and their access to care. They encourage healthcare professionals to recognize the impact of racism and to conduct anti-racism training to support racialized youth.
About the Authors
Carla Hilario (RN, PhD) is a nurse scientist, Michael Smith Health Research BC Scholar, and Assistant Professor at the University of British Columbia-Okanagan. Dr. Hilario’s research examines the structural and social determinants of young people’s health, including migration as a determinant of mental health outcomes and access to health care services for newcomers, immigrants, refugees, and racialised young people.
Capri Kong is a PhD student in the Department of Sociology at the University of British Columbia. She holds a BA degree and a Master’s degree from the University of British Columbia. Her current research studies the characteristics and dynamics of friendship networks among first- and second-generation immigrants and their influence on immigrants’ sense of belonging and integration into Canadian society.
Original Research
Ng, Isabella, Carla Hilario, and Jordana Salma. 2025. ““If I Stay Quiet, the Only Person that Gets Hurt is Me”: Anti-Asian Racism and the Mental Health of Chinese-Canadian Youth during the COVID-19 Pandemic.” Canadian Journal of Nursing Research 57 (1): 33-46.
Copyright: UBC Centre for Migration Studies
Availability: Web & Print
Publication date: March 20, 2026
Pages: 3
This publication is part of the CMS Migration Insights Series. The research briefs synthesize peer-reviewed, published academic research by CMS affiliates.
