The children of different-sex married couples appear to be advantaged on a range of outcomes relative to the children of different-sex cohabiting couples. Despite the legalization of same-sex marriage in the United States, whether and how this general pattern extends to the children of same-sex married and cohabiting couples is unknown. This study examines this question with nationally representative data from the 2004–2013 pooled National Health Interview Survey (NHIS). Results reveal that children in cohabiting households have poorer health outcomes than children in married households regardless of the sex composition of their parents. Children in same-sex and different-sex married households are relatively similar to each other on health outcomes, as are children in same-sex and different-sex cohabiting households. These patterns are not fully explained by socioeconomic differences among the four different types of families. This evidence can inform general debates about family structure and child health as well as and policy interventions aiming to reduce child health disparities.
The present study advances research on union status and health by providing a first look at alcohol use differentials among different-sex and same-sex married and cohabiting individuals using nationally representative population-based data (National Health Interview Surveys 1997–2011, N = 181,581). The results showed that both same-sex and different-sex married groups reported lower alcohol use than both same-sex and different-sex cohabiting groups. The results further revealed that same-sex and different-sex married individuals reported similar levels of alcohol use, whereas same-sex and different-sex cohabiting individuals reported similar levels of alcohol use. Drawing on marital advantage and minority stress approaches, the findings suggest that it is cohabitation status—not same-sex status—that is associated with elevated alcohol rates.
There is a well-established relationship between union status and health within the general population, and growing evidence of an association between sexual identity and well-being. Yet, what is unknown is whether union status stratifies health outcomes across sexual identity categories. In order to elucidate this question, we analyzed nationally representative population-based data from the National Health Interview Surveys 2013–2014 (N = 53,135) to examine variation in self-rated health by sexual partnership status (i.e., by sexual identity across union status). We further test the role of socioeconomic status and gender in these associations. Results from logistic regression models show that union status stratifies self-rated health across gay, lesbian, and heterosexual populations, albeit in different ways for men and women. Socioeconomic status does not play a major role in accounting for these differences. Findings highlight the need for specific interventions with lesbian women, who appear to experience the most strident disadvantage across union status categories.
Marriage is a social institution and its effects on mental health vary across societies. In societies which emphasize marriage, being married is related to lower depression, lower anxiety, lower suicide risk, and lower substance abuse, on average. Two models explain the relationship between mental health and marital status: causation and selection. Selection models propose that healthy and socially desirable people are more likely to become and stay married. In causation models, marriage confers benefits directly to participants. Divorce and remarriage result in short‐term decreases in mental well‐being. Remarriage positively affects mental health, but less than first marriage. Never‐married and cohabiting people are emerging groups of interest, with research suggesting that effects vary by social norms and selection factors. Social support is the mechanism through which relationships affect mental health. Some caveats and potential avenues of research are also outlined.
Sexual and gender minority (SGM) populations experience disadvantages in physical health, mental health, and socioeconomic status relative to cisgender heterosexual populations. However, extant population research has tended to use objective measures and ignore subjective measures, examined well-being outcomes in isolation, and lacked information on less well studied but possibly more disadvantaged SGM subgroups. In this study, we use Gallup's National Health and Well-Being Index, which permits identification of gay/lesbian, bisexual, queer, same-gender-loving, those who identify as more than one sexual identity, transgender men, transgender women, and nonbinary/genderqueer populations. We estimate bivariate associations and ordinary least-squares regression models to examine differences along five dimensions of well-being: life purpose, residential community belonging, physical and mental health, financial well-being, and social connectedness. The results reveal that most SGM groups experience stark disadvantages relative to heterosexuals and cisgender men, which are most pronounced among bisexual, queer, and nonbinary/genderqueer populations. Intergroup and intragroup variations illuminate even greater disparities in well-being than prior research has uncovered, bringing us closer to a holistic profile of SGM well-being at the population level.
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