Black Deaths Matter: A Conceptual Framework for Understanding Racial Disparities in Relationship Loss and Health

Black Americans tend to die at younger ages than white Americans. Black Americans are also more likely than white Americans to experience the premature death of mothers, fathers, siblings, children, and other relatives and friends. In this brief, PRC director Debra Umberson presents a conceptual framework for how disparities in loss launch a lifelong cascade of psychological, social, behavioral, and biological consequences that undermine social connections, health, and well-being over the life course for black Americans.Population Research Cente

Race and Death of Child: Exposure and Consequences for Health Summary of Preliminary Results

Population Research Cente

Perceptions of Shared Power, Gender Conformity, and Marital Quality in Same- and Different-Sex Marriages

Marriage is a key institutional context for the study of gender and gender inequality. One way in which gender inequality is maintained in marriage is through gender norms, which are often upheld by hegemonic masculinity—the pattern of practices that legitimize men’s dominance over women. While studies have focused on how gender conformity (i.e., women embody femininity and men embody masculinity) affects different-sex unions, they have not considered how gender conformity might shape inequalities and marital quality within same-sex unions. Marriage is a key institutional context for the study of gender and gender inequality. This research brief, led by PRC postdoctoral fellow Amanda Pollitt, examines the relationships between gender conformity (i.e., women embody femininity and men embody masculinity), perceptions of shared power, and marital quality in same- and different-sex marriages.This research was supported, in part, by Grant R21AG044585 from the National Institute on Aging (PI, Debra Umberson); Grant P2CHD042849 awarded to the Population Research Center at The University of Texas at Austin by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD); and Grant T32 HD007081, Training Program in Population Studies, awarded to the Population Research Center at The University of Texas at Austin by NICHD.Population Research Cente

Death of a Parent, Racial Inequities, and Cardiovascular Disease Risk in Early to Mid-adulthood.

Black Americans experience the death of a parent much earlier in the life course than White Americans on average. However, studies have not considered whether the cardiovascular health consequences of early parental death vary by race. Using data from the National Longitudinal Study of Adolescent to Adult Health, we explore associations between early parental death and cardiovascular disease (CVD) risk in early to mid-adulthood (N = 4,193). We find that the death of a parent during childhood or adolescence (ages 0-17) or the transition to adulthood (ages 18-27) is associated with increased CVD risk for Black Americans, whereas parental death following the transition to adulthood (ages 28+) undermines cardiovascular health for both Black Americans and White Americans. These findings illustrate how a stress and life course perspective can help inform strategies aimed at addressing both the unequal burden of bereavement and high cardiovascular risk faced by Black Americans

Familial Loss of a Loved One and Biological Aging

Importance: The link between familial loss of a loved one and long-term health decline is complex and not fully understood. Objective: To test associations of losing a parent, sibling, child, or partner or spouse with accelerated biological aging. Design, Setting, and Participants: Data from the National Longitudinal Study of Adolescent to Adult Health, a US population-based longitudinal cohort study, were analyzed. Participants were enrolled from 1994 to 1995 for wave 1, while in grades 7 to 12, and followed up through wave 5 in 2018. The study analyzed participant reports of loss collected at each wave from 1 to 5 over 24 years and used a banked wave 5 blood sample for subsequent DNA methylation testing and epigenetic clock calculation from 2018 to 2024. Data were analyzed from January 2022 to July 2024. Exposure: Loss of biological parents or parental figures, partners or spouses, siblings, or children at waves 1 to 3 or during childhood, adolescence (aged <18 years), or adulthood at wave 4 to wave 5 (aged 18-43 years). Main Outcomes and Measures: Biological aging assessed from blood DNA methylation using the Horvath, PhenoAge, GrimAge, and DunedinPACE epigenetic clocks at wave 5. Results: Data from 3963 participants were analyzed, with a weighted mean (range) age of 38.36 (36.78-39.78) years at wave 5; 2370 (50.3%) were male, 720 (15.97%) were Black, 400 (8.18%) were Hispanic, and 2642 (72.53%) were White. Nearly 40% of participants experienced loss by wave 5 when they were aged 33 to 43 years, and participants who were Black (379 participants [56.67%]), Hispanic (152 participants [41.38%]), and American Indian (18 participants [56.08%]) experienced a greater proportion of losses compared with White participants (884 participants [34.09%]). Those who experienced 2 or more losses tended to have older biological ages for several of the clocks (PhenoAge β = 0.15; 95% CI, 0.02 to 0.28; GrimAge β = 0.27; 95% CI, 0.09 to 0.45; DunedinPACE β = 0.22; 95% CI, 0.10 to 0.34) compared with those with no losses. In contrast, there were no associations with 2 or more losses for the Horvath clock (β = -0.08; 95% CI, -0.23 to 0.06). Conclusions and Relevance: This study reveals associations between various measures of loss experienced from childhood to adulthood and biological aging in a diverse sample of the US population. These findings underscore the potentially enduring impact of loss on biological aging even before middle age and may contribute to understanding racial and ethnic disparities in health and mortality

Family Life Course Statuses and Transitions: Relationships with Health Limitations

In this study, the author uses 25 years of data taken from the 1979 National Longitudinal Study of Youth to examine the relationship between family life course statuses and transitions and work-related health limitations. The author uses a detailed set of statuses and transitions that include marriage, divorce, cohabitation, and parenthood. The measures of health used tap health limitations in the kind and amount of work that can be performed. Using a fixed-effects estimator for dichotomous outcomes, the author finds that marriage is positively related to the health of men but negatively related to the health of women. The author also finds that parenthood is not related to the health of men but is positively related to the health of women. The results also indicate that statuses are more important for determining health limitations than are transitions

Evaluating the Effect of Beauty on Labor Market Outcomes: A Review of the Literature.

An important underlying determinant of wage discrimination, as well as the gender wage gap is the way the labor market rewards individual physical attractiveness. This article surveys the extensive empirical literature of the effect of physical attractiveness on labor market outcomes. Particular attention is given to the channels through which attractiveness may affect individual labor market outcomes and the way attractiveness affects gender wage differentials. Further research is needed on the effect of attractiveness within occupations in order to provide more evidence on its productivity-enhancing channel of transmission and the effect this has on the gender wage gap

Marital Strain Increases Psychological Distress for Couples in Both Same-Sex and Different-Sex Marriages, but Women in Different-Sex Marriages Suffer More

It is well-established that marriage benefits physical and emotional well-being. However, substantial evidence – based almost exclusively on one spouse in heterosexual marriages – demonstrates that marital strain increases psychological distress for married people. In this research brief, PRC graduate student trainee Michael Garcia and PRC director Debra Umberson examine whether and how marital strain reported by both the respondent and his or her spouse is associated with psychological distress and whether differences exist for women and men in lesbian, gay, and heterosexual marriages. They find that people who report higher levels of their own marital strain as well as people whose spouses report higher levels of marital strain experience more psychological distress. They also find that, compared to men in other union types, women married to men report higher levels of distress as a result of their own and their spouse’s marital strain. Women in different-sex marriages also report higher levels of distress compared to women in same-sex marriages, but as a result of self-reported strain only. This research has implications for research on marital dynamics and health as well as on counseling for married heterosexual, lesbian and gay couples.Population Research Cente

How Losing Family Members Earlier than Expected Adds to Racial Disadvantage for U.S. Blacks

PRC director Debra Umberson uses nationally representative data from the National Longitudinal Survey of Youth and the Health and Retirement Study to estimate the differences by race in the likelihood that Blacks will be exposed to more deaths of close family members than Whites throughout their lives. The data shows that Black Americans experience more family member deaths than Whites overall, and specific losses occur earlier in life. Studying this question is important because it could reveal an added layer of racial disadvantage suffered by Blacks that is not captured by differences in life expectancy or mortality alone.Population Research Cente