The death of a parent or sibling during childhood is an adverse experience that increases risk for future behavioral health, academic, and relational problems, as well as earlier mortality. Efforts to estimate childhood bereavement prevalence rates have been hampered by methodological, reporting, and data source limitations. In the absence of national tracking systems in the United States, a quantitative statistical model has been introduced with the aim of estimating the prevalence of this public health issue to aid in needs assessment and service provision. A hybrid of binomial probability and life table methods was applied to develop the Childhood Bereavement Estimation Model (CBEM), which utilizes U.S. vital statistics data to generate current and projected estimates of the number of youth impacted by the death of a parent or sibling. National and state CBEM estimates are reported. Notable differences among geographies and associated public health implications are discussed, contextualizing childhood bereavement among other social determinants of health and calling for a more comprehensive approach to this underresourced issue. Nationally, CBEM Projected Estimates reveal that 6.99% of children-nearly 5.0 million-have or will have experienced the death of a parent or sibling by age 18. For youth under 25, this estimate more than doubles to almost 12.9 million. The CBEM offers social service professionals a tool for raising awareness about the magnitude of childhood bereavement and assessing the need for grief services within specific localities to ultimately equip communities in developing effective preventive interventions that are inclusive and accessible. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

童年丧亲：了解美国的患病率和相关逆境。

父母或兄弟姐妹在儿童时期的死亡是一种不利的经历，它增加了未来行为健康，学业和关系问题以及更早死亡的风险。方法，报告和数据来源的限制阻碍了估计儿童丧亲患病率的努力。在美国缺乏国家跟踪系统的情况下，引入了一种定量统计模型，其目的是估计该公共卫生问题的普遍性，以帮助进行需求评估和提供服务。应用了二项式概率和生命表方法的混合方法来开发儿童丧亲估计模型（CBEM），该模型利用美国生命统计数据来生成当前和预计的受父母或同胞死亡影响的青年人数的估计值。报告了国家和州的CBEM估算。讨论了地域之间的显着差异以及相关的公共卫生影响，将儿童丧亲之痛与其他健康问题社会决定因素相关联，并呼吁对这一资源不足的问题采取更全面的方法。在全国范围内，CBEM预估估计​​显示，到18岁时，将有6.99％的儿童（近500万）已经或将要丧生父母或兄弟姐妹。对于25岁以下的年轻人，这一估计数翻了一番，达到近1,290万。CBEM为社会服务专业人士提供了一种工具，用于提高人们对儿童丧亲之痛的认识，并评估特定地区对悲伤服务的需求，以最终使社区有能力制定包容各方且可及的有效预防措施。