COVID-19-Associated Orphanhood and Caregiver Death in the United States




Methods: We quantified COVID-19-associated caregiver loss and orphanhood in the US and for
each state using fertility and excess and COVID-19 mortality data. We assessed burden and rates
of COVID-19-associated orphanhood and deaths of custodial and co-residing grandparents,
overall and by race/ethnicity. We further examined variations in COVID-19-associated
orphanhood by race/ethnicity for each state.

Results: We found that from April 1, 2020 through June 30, 2021, over 140,000 children in the
US experienced the death of a parent or grandparent caregiver. The risk of such loss was 1.1 to
4.5 times higher among children of racial and ethnic minorities, compared to Non-Hispanic
White children. The highest burden of COVID-19-associated death of parents and caregivers
occurred in Southern border states for Hispanic children, Southeastern states for Black children,
and in states with tribal areas for American Indian/Alaska Native populations.

Author(s): Hillis SD, Blenkinsop A, Villaveces A, et al.

Publication Date: 2021, accessed 12 Oct 2021

DOI: 10.1542/peds.2021-053760

Citation: Hillis SD, Blenkinsop A, Villaveces A, et al. COVID-19-associated orphanhood and
caregiver death in the United States. Pediatrics. 2021; doi: 10.1542/peds.2021-053760

Publication Site: Pediatrics