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Nuclear and Nonnuclear Household Member Loss by Life Course Stage and Race in the United States.

Created on 30 Oct 2026

Authors

Angela R Dixon

Published in

American journal of public health. Pages e1-e10. Oct 29, 2026. Epub Oct 29, 2026.

Abstract

Objectives. To examine exposure to nuclear and nonnuclear household member deaths during childhood and adulthood and racial differences in exposure. Methods. Using Panel Study of Income Dynamics data from 1968 to 2019 for non-Hispanic Black and non-Hispanic White individuals observed in 2019 in the United States, I estimated percentages and adjusted risk ratios from modified Poisson regression for nuclear and nonnuclear household member deaths. Results. Among those who lost a household member during childhood, 40% experienced at least 1 nonnuclear loss; among those bereaved during adulthood, 21% did. During childhood, non-Hispanic Black individuals were 2.8 times as likely as non-Hispanic White individuals to experience at least 1 nonnuclear household member death and 1.9 times as likely to experience a nuclear household member death; during adulthood, they were 2.1 and 1.3 times as likely, respectively. Among non-Hispanic Black individuals, the estimated prevalence of nonnuclear household loss during adulthood (7.2%; 95% confidence interval [CI]  = 5.3, 9.1) was comparable to spousal or partner loss (5.6%; 95% CI = 4.3, 7.0). Conclusions. Nonnuclear household losses are central, not peripheral, to experiences of household bereavement. These findings support expanding public health bereavement measures, screening, and policies to identify all coresidential losses. (Am J Public Health. Published online ahead of print October 29, 2026:e1-e10. https://doi.org/10.2105/AJPH.2026.308768).

PMID:
42956369
Bibliographic data and abstract were imported from PubMed on 30 Oct 2026.

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