Effects of marriage equality legislation on sexual health of the US population

Nikolaou, Dimitrios

doi:10.1002/hec.4612

Cited by 6 publications

(3 citation statements)

References 65 publications

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“…Drawing on a much larger and more representative dataset, the second study examined the effects of legalizing marriage for same-sex couples on rates of STIs in the general population (Nikolaou, 2023). To understand why legislation related to same-sex couples might affect public health in this way, the study's author offered three possible mechanisms.…”

Section: Resultsmentioning

confidence: 99%

“…To evaluate these possibilities, Nikolaou (2023) drew on 20 years of CDC data on statelevel rates of six STIs-syphilis, gonorrhea, chlamydia, hepatitis, HIV, and AIDS-and used a difference-in-differences approach to relate changes in these rates to state-level changes in the legal status of marriage for same-sex couples during this period. Analyses revealed significant effects of granting legal status to the marriages of same-sex couples on three of these STIs.…”

Section: Resultsmentioning

confidence: 99%

“…However, in terms of health care costs, this effect has general implications for public health after all. Because the annual costs of preventing and treating HIV and AIDS are high, reductions in infections observed after changes in marriage recognition policies represent a savings of $1 billion to $6 billion per year for the health care system (Nikolaou, 2023).…”

Section: Resultsmentioning

confidence: 99%

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Twenty Years of Legal Marriage for Same-Sex Couples in the United States: Evidence Review and New Analyses

2024

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Twenty years after the first marriage licenses were issued to same-sex couples in Massachusetts, this report provides a review of evidence and new analyses describing the effects of granting legal status to the marriages of same-sex couples in the United States. For the evidence review, we assembled and evaluated existing research that has examined how any form of legal status (e.g., marriage, civil unions, domestic partnerships) affects well-being in lesbian, gay, bisexual, and transgender individuals; their children; and the general public. For the new analyses, we leveraged data from multiple national datasets (e.g., the American Community Survey, the Current Population Survey, the Panel Study of Income Dynamics, the Monitoring the Future main study) to examine how changes in the legal status of same-sex couples within and across states affected trends in family formation (e.g., marriage and divorce) between 2000 (before marriage was available to same-sex couples in any state) and 2014 (when the last cohort of states chose to issue marriage licenses to same-sex couples before all restrictions on marriage for same-sex couples nationwide were lifted by Obergefell v. Hodges). This report should be of interest to researchers and policymakers considering how to promote the well-being of relationships, U.S. families, and members of gender and sexualminority groups. Preparation of this report was supported by Centerline Liberties, Inc., a 501(c)3 focused on advancing policy solutions that defend core constitutional freedoms and liberties. Social and Behavioral Policy ProgramRAND Social and Economic Well-Being is a division of RAND that seeks to actively improve the health and social and economic well-being of populations and communities throughout the world. This research was conducted in the Social and Behavioral Policy Program within RAND Social and Economic Well-Being. The program focuses on such topics as risk factors and prevention programs, social safety net programs and other social supports, poverty, aging, disability, child and youth health and well-being, and quality of life, as well as other policy concerns that are influenced by social and behavioral actions and systems that affect well-being. For more information, email

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Twenty Years of Legal Marriage for Same-Sex Couples in the United States: Evidence Review and New Analyses

2024

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A review of the effects of legal access to same‐sex marriage

Badgett,

Carpenter,

Lee

et al. 2024

J Policy Anal Manage

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On June 26, 2015, the United States Supreme Court extended nationwide legal access to same‐sex marriage in Obergefell v. Hodges, following a series of court cases and legislative activities at the state and district levels. Similar policies have diffused throughout other countries, especially in western Europe and the Americas. Researchers have used the staggered rollout of legal same‐sex marriage and related policies in the U.S. and elsewhere, along with improved data on lesbian, gay, and bisexual people, to study the effects of marriage equality. In this paper, we review this evidence, focusing on outcomes such as societal attitudes, marriage take‐up, family formation, employment, time use, health insurance coverage, and health. We discuss conceptual frameworks for understanding the likely effects of same‐sex marriage; methodological considerations for studying treatment effects; the policy context surrounding legal same‐sex marriage, including the 2023 Respect for Marriage Act; and important areas for future research.

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