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Death of a Parent, Racial Inequities, and Cardiovascular Disease Risk in Early toMid-adulthood
Michael A Garcia1, Belinda L Needham2, Bridget J Goosby1
1The University of Texas at Austin, Austin, TX, USA.
Journal of Health and Social Behavior
|October 5, 2024
Summary
Early parental death increases cardiovascular disease (CVD) risk for Black Americans. This risk extends to White Americans when parental death occurs later in life, highlighting racial disparities in bereavement and heart health.
Area of Science:
- Sociology and Public Health
- Life Course Epidemiology
- Racial Health Disparities
Background:
- Black Americans experience parental death earlier than White Americans.
- The racial differences in cardiovascular health consequences of early parental death are understudied.
- Bereavement and cardiovascular disease (CVD) risk are significant public health concerns.
Purpose of the Study:
- To investigate the association between early parental death and cardiovascular disease (CVD) risk.
- To examine if these associations differ by race (Black vs. White Americans).
- To explore the impact of parental death timing across the life course on CVD risk.
Main Methods:
- Utilized data from the National Longitudinal Study of Adolescent to Adult Health (N = 4,193).
- Analyzed associations between parental death occurring at different life stages (0-17, 18-27, 28+ years).
- Assessed cardiovascular disease (CVD) risk in early to mid-adulthood.
Main Results:
- Parental death during childhood/adolescence (0-17) or young adulthood (18-27) is linked to higher CVD risk in Black Americans.
- Parental death after age 28 is associated with increased CVD risk for both Black and White Americans.
- Racial disparities exist in the timing and cardiovascular impact of parental bereavement.
Conclusions:
- The timing of parental death significantly influences cardiovascular health outcomes, with distinct racial patterns.
- A stress and life course perspective is crucial for understanding and addressing health disparities.
- Findings can inform targeted strategies to mitigate bereavement burdens and cardiovascular risk among Black Americans.
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