Methods: This study uses a cross-sectional descriptive design at the state level. Bereavement data come from the Childhood Bereavement Estimation Model (CBEM; Judi's House/JAG Institute), using 2015–2019 CDC WONDER mortality and natality data and American Community Survey population estimates, including state-level breakdowns by race and ethnicity. Benefit receipt data come from the Moore Social Security administrative dataset, with county-level child beneficiary counts from 2015 to 2019 aggregated to the state level. Analyses examine state-level variation in benefit receipt rates and explore associations with the racial and ethnic composition of bereaved populations.
Results: Nationally, child bereavement is unequally distributed. Black and American Indian and Alaska Native children experience parental bereavement at approximately 1.3 times the rate of White children, and in 44 of 50 states, children in the lowest-income counties face higher bereavement rates than those in the highest-income counties. Child survivor benefit receipt rates vary nearly threefold across states, from roughly 17 to 49 beneficiaries per 1,000 children, a pattern not explained by bereavement rates alone. States where Hispanic children make up the largest share of the bereaved population show coverage rates averaging about 13 percentage points lower than states with the smallest proportion, consistent with prior evidence that foreign-born children are represented among Social Security child beneficiaries at roughly half their share of the overall child population. The geographic and racial patterning of these disparities suggests barriers beyond awareness alone, such as challenges related to legal establishment of a parent-child relationship, immigration status, and/or geographic access to SSA field offices.
Conclusions & Implications: When bereaved children do not receive benefits their parent earned, the barrier is not a lack of program funding. It is a failure of administrative delivery. This study documents systematic variation in benefit receipt, with the lowest access concentrated among children already facing higher rates of parental loss. These findings motivate a broader research agenda currently underway applying quasi-experimental methods to identify the causal effects of specific administrative barriers. For social work researchers and practitioners, the findings point toward expanding the response to include structural reforms in how social insurance benefits reach families navigating loss.
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