This article utilizes the Panel Study of Income Dynamics to demonstrate how disadvantages in healthy life expectancies accumulated across generations create disparate kin structures among African American families in the United States. The analysis quantifies the overlap in parents’ healthy years with their adult children’s healthy life expectancies and examines how much the overlap coincides with the adult children’s childrearing years. Non-Hispanic Black adults experienced parental illness and death sooner than non-Hispanic White adults, and their parents’ poor health coincided longer with their own health declines. Non-Hispanic White adults, on the other hand, enjoyed more years in good health with two healthy parents. The intergenerational accumulation of unequal healthy life expectancies directly translated into unequal kin structures for the subsequent third generation. Race inequities in the intergenerational kin structure and health were greater among women than among men, and non-Hispanic Black women spent the most years raising children in poor health with unhealthy or deceased parents. Disparities in the intergenerational tempos of fertility, mortality, and morbidity are building profound structural racial inequities within a fundamental social institution—the family.

中文翻译：

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代际种族健康不平等给亲属网络带来的结构性缺陷

本文利用收入动态小组研究来证明健康预期寿命的劣势如何在美国非裔美国家庭中造成不同的亲属结构。该分析量化了父母的健康年限与其成年子女的健康预期寿命的重叠程度，并检查了重叠程度与成年子女的育儿年限的吻合程度。非西班牙裔黑人成年人比非西班牙裔白人成年人更早经历父母的疾病和死亡，而且他们父母的健康状况不佳与他们自己的健康状况下降相一致的时间更长。另一方面，非西班牙裔白人成年人在两个健康的父母的陪伴下，可以享受更长的健康时光。不平等的健康预期寿命的代际积累直接转化为随后的第三代不平等的亲属结构。女性在代际亲属结构和健康方面的种族不平等比男性更大，非西班牙裔黑人女性大部分时间都在与不健康或已故的父母一起抚养健康状况不佳的孩子。生育率、死亡率和发病率的代际节奏差异正在家庭这一基本社会机构内造成深刻的结构性种族不平等。