Marital transitions and mental health

Most research identifies marital disruption as a precursor for poor mental health but is generally unable to discount the potential selection effect of poor mental health leading to marital disruption. We use data from nine annual waves of the British Household Panel Survey to examine social selection and social causation as competing explanations. Mental health is measured using the general health questionnaire. We examine mental health at multiple time points prior to and after a marital transition through separation or divorce and compare this process to those who experience widowhood. All groups transitioning out of marriage have a higher prevalence of poor mental health afterwards but for those separated or divorced, poor mental health also precedes marital disruption, lending support to both social-causation and social-selection processes. The processes both preceding and after the transition to widowhood differ, with increased prevalence of disorder centering around the time surrounding the death itself     

Marital Status,Marital History,Body Weight,and Obesity

Marital status and marital history are associated with health. Marital history can be represented by the marital trajectory components of timing, transitions, sequence, and duration. We examined whether marital trajectory components add insights beyond marital status in predicting body weight in a retrospective analysis of 3,011 adults. Marital status findings revealed that married men were heavier than separated/divorced men, and never married women were heavier and more often obese than married women. Marital history findings showed that after adjusting for marital status, trajectory measures of age at first marriage, second marriage or second divorce, experiencing widowhood, and duration of separation/divorce were not clearly associated with body weight or obesity. Body weight and obesity appear to be associated with current marital status but not marital history.     

I've Got You Under My Skin: Marital Biography and Biological Risk

Social relationships shape adult health in profound ways. This study informs our understanding of this association by investigating how the transitions, timing, and exposures to marriage are associated with types of biological risk presumed to serve as pathways to disease and disability. Drawing on the 2005–2006 National Social Health and Aging Project (N = 1,062), the authors evaluated how marital biography was associated with cardiovascular, metabolic, and chronic inflammation risk. The results showed that the effects of marital biography were highly sensitive to gender, the dimension of marital biography, and type of biological risk. For example, marital exposure was protective of cardiovascular risk for women, but not men, whereas an earlier age at first marriage had a pernicious effect on chronic inflammation among men, but not women. Health behaviors did not explain these associations. The implications of these findings are discussed as they pertain to under‐the‐skin risk processes and chronic morbidity.     

Marriage,Obesity and Dieting

Despite the importance of marriage as a basic social institution, there has been little analysis of the relationship between marriage and obesity. This paper reviews work on the prevalence of obesity by marital status; factors associated with obesity as a criterion for entry into marriage; the similarity of fatness in marital partners; changes in weight in relationship to marital problems; and the relationship between obesity and marital termination. The application of knowledge about marriage and obesity to weight loss therapy is also considered. More research is needed to specify the extent, form and dynamics of the relationship between obesity and marriage.     

Nonmarital Childbearing, Union History, and Women's Health at Midlife

Despite high rates of nonmarital childbearing in the U.S., little is known about the health of women who have nonmarital births. We use data from the NLSY79 to examine differences in age 40 self-assessed health between women who had a premarital birth and those whose first birth occurred within marriage. We then differentiate women with a premarital first birth according to their subsequent union histories and estimate the effect of marrying or cohabiting versus remaining never-married on midlife self-assessed health, paying particular attention to the paternity status of the mother's partner and the stability of marital unions. To partially address selection bias, we employ multivariate propensity score techniques. Results suggest that premarital childbearing is negatively associated with midlife health for white and black (but not Hispanic) women. We find no evidence that these negative health consequences of nonmarital childbearing are mitigated by either marriage or cohabitation for black women. For other women, only enduring marriage to the biological father is associated with better health than remaining unpartnered.     

Mental health, social relations, and social selection: a longitudinal analysis.

A wide body of literature documents the effect of social networks and social supports on mental health. Fewer studies, however, have examined the reciprocal effect of mental health on social relationships. This problem is examined using data from a national panel survey of adults aged 20-64. For the sample as a whole, support was found for a social selection process, since psychological distress predicted decreases in primary, but not secondary, social relationships. The extent of primary relationships also were found to be associated with subsequent distress, providing evidence that the relationship between mental health and social environment may be transactional. When examined separately by gender, males but not females were found to be vulnerable to the process of social selection, supporting the hypothesis that the expression of distress is less role-appropriate for men and therefore more likely to invite social sanctions. Social causation effects also were observed only among males.     

African American and European American Women's Marital Well‐Being

Using a sample of 247 African American and European American women in their 3rd year of marriage, this study compared the predictors of marital well‐being for each group by focusing on the influences of individual, interpersonal, and social and economic resources. Regression analyses revealed that emotional health (individual), trusting one's spouse (interpersonal), and feeling underbenefited in the relationship (interpersonal) were significant predictors of marital well‐being for both groups of women. Physical health (individual) and in‐law relations (social and economic), however, affected the marital well‐being of only African American women. Findings from this study suggest the need to examine marital well‐being within the context of race.     

Perceived Marital Support and Incident Mental Illness: Evidence from the National Comorbidity Survey

Social support in marriage may be associated with reduced risk for mental illness. Past studies are limited by short follow up and a focus on depression. A two‐wave nationally representative survey in the United States (n = 2,503) is used to examine whether social support in marriage is associated with the onset of each of four clusters of disorders—internalizing, externalizing, phobic, and bipolar—10 years later. Results indicate that higher levels of perceived marital support were protective against internalizing, fear, and bipolar disorders, and against incident externalizing disorders for women. Protective effects of social support in marriage against mental illness are long‐lasting, and sometimes differ by gender. Findings suggest the importance of mental health assessment in clinical practice.     

Selection works both ways: BMI and marital formation among young women

The literature on entry into marriages has almost universally regarded a high body mass index (BMI) to be a disadvantage for women in the marriage market. But the theoretical effect of BMI on marital entry is actually uncertain because women who anticipate poor outcomes in the marriage market are more likely to accept early offers, while women with more desirable characteristics can afford to wait for a better match. Using data from the 1997 National Longitudinal Survey of Youth, we show that female entry into marriage does decline as BMI rises, but that early marriage is nonlinear in BMI. Women with an extremely high BMI or with a BMI in the most attractive range are less likely to marry early.     

Social Background Differences in Early Family Behavior

Social background has historically been recognized as a major factor influencing family behavior, though recent work has largely emphasized racial/ethnic influences. Here we use 1994 – 1995 and 2001 – 2002 Add Health data to examine the cohabitation, first marriage, and first birth experience of young women. In a multistate life table context, hypothetical cohorts specified in terms of race and mother’s education are followed, from age 11 to age 24, as they move through 6 family‐related statuses. The results indicate that, for both Black and White women, a higher level of maternal education is generally associated with less cohabitation, less marriage, fewer first births, and a higher percentage of women who experience none of those transitions before age 24. Racial and social background differences are conceptually and empirically distinct. Because mother’s education is associated with substantially different trajectories of early family behavior for both Blacks and Whites, we argue that social background merits increased attention in research on contemporary American family patterns.     

Marital status, marital transitions, and health: a gendered life course perspective

We work from a life course perspective to assess the impact of marital status and marital transitions on subsequent changes in the self-assessed physical health of men and women. Our results suggest three central conclusions regarding the association of marital status and marital transitions with self-assessed health. First, marital status differences in health appear to reflect the strains of marital dissolution more than they reflect any benefits of marriage. Second, the strains of marital dissolution undermine the self-assessed health of men but not women. Finally, life course stage is as important as gender in moderating the effects of marital status and marital transitions on health.     

Marital Quality,Gender, and Markers of Inflammation in the MIDUS Cohort

Marital quality is an important factor for understanding the relationship between marriage and health. Low‐quality relationships may not have the same health benefits as high‐quality relationships. To understand the association between marital quality and health, we examined associations between two indicators of marital quality (marital support and marital strain) and two biomarkers of inflammation (interleukin‐6 and C‐reactive protein) among men and women in long‐term marriages using data from the Survey of Midlife in the United States (N = 542). Lower levels of spousal support were associated with higher levels of inflammation among women but not men. Higher levels of spousal strain were weakly and inconsistently associated with higher levels of inflammation among women and men; the effects were diminished with the addition of psychosocial and behavioral covariates. These findings suggest marital quality is an important predictor of inflammation, especially among women.     

Marriage Advantages in Perinatal Health: Evidence of Marriage Selection or Marriage Protection?

Marriage is a social tie associated with health advantages for adults and their children, as lower rates of preterm birth and low birth weight are observed among married women. In this study the author tested 2 competing hypotheses explaining this marriage advantage—marriage protection versus marriage selection—using a sample of recent births to single, cohabiting, and married women from the National Survey of Family Growth, 2006–2010. Propensity score matching and fixed effects regression results demonstrated support for marriage selection, as a rich set of early life selection factors account for all of the cohabiting–married disparity and part of the single–married disparity. Subsequent analyses demonstrated that prenatal smoking mediates the adjusted single–married disparity in birth weight, lending some support for the marriage protection perspective. The study's findings sharpen our understanding of why and how marriage matters for child well‐being and provide insight into pre‐conception and prenatal factors describing intergenerational transmissions of inequality via birth weight.     

Changing Gender Norms and Marriage Dynamics in the United States

Using a regional measure of gender norms from the General Social Surveys and marital histories from the Panel Study of Income Dynamics, this study explored how gender norms were associated with women's marriage dynamics between 1968 and 2012. Results suggested that a higher prevalence of egalitarian gender norms predicted a decline in marriage formation. This decline was, however, only true for women without a college degree. For college‐educated women, the association between gender norms and marriage formation became positive when gender egalitarianism prevailed. The findings also revealed an inverted U‐shaped relationship between gender norms and divorce: An initial increase in divorce was observed when gender norms were predominantly traditional. The association, however, reversed as gender norms became egalitarian. No differences by education were found for divorce. The findings partially support the gender revolution framework but also highlight greater barriers to marriage for low‐educated women as societies embrace gender equality.     

The Influence of Union Transitions on White Adults’ Attitudes Toward Cohabitation

Data from the Intergenerational Panel Study of Parents and Children are used to identify the influences of adult union transitions on changes in attitudes toward cohabitation among a sample of 794 young adults. The analysis examines the extent to which attitudes about cohabitation change as a result of entry into and exit from cohabitation and marriage. A dynamic interpretation of union transitions is formulated, and results demonstrate that entry into a first cohabitation and divorce after direct entry into marriage are associated with increasingly positive attitudes toward cohabitation between the ages of 18 and 31. Some evidence suggests that direct entry into stable marriage leads young adults to view cohabitation less favorably.     

Division of Labor,Gender Ideology,and Marital Satisfaction in East Asia

Using data from the 2006 Family Module of the East Asian Social Survey (N = 3,096), this article examines associations of marital satisfaction with divisions of housework and gender ideology in four East Asian societies: urban China, Japan, South Korea, and Taiwan. Compared with Japanese and Korean married women and men, Chinese and Taiwanese spouses were more satisfied with their marriage and had more egalitarian divisions of housework, but simultaneously they held less egalitarian gender ideologies. Multivariate analyses showed that relative share of housework was negatively associated with marital satisfaction for Japanese and Korean men and for Korean and Taiwanese women. Egalitarian gender ideology was significantly associated with lower marital satisfaction only among Taiwanese women. In addition, the negative association between housework and marital satisfaction was more pronounced for Taiwanese women who espoused more egalitarian gender ideologies. The authors discuss how differences in macro‐level social contexts explain these cross‐society variations.     

African American Marital Satisfaction as a Function of Work-Family Balance and Work-Family Conflict and Implications for Social Workers

African Americans are more likely than any other race/ethnic group to report lower levels of marital satisfaction. Due to numerous benefits of marriage such as better physical and mental health, it is important to identify factors that impact African American marital satisfaction. This study examines the impact of work-family conflict and work-family balance on African American marital satisfaction. The results reveal a negative relationship between work-family conflict and marital satisfaction as well as differences in work-family factors that predict husbands' verses wives' marital satisfaction. The article offers implications for social work.     

A Study of Work Participation by Graduate Female Social Workers: Some Implications for Professional Social Work Training

Work participation of graduate women social workers, 40 to 60 years old was studied. The average extent of work for the total group was 61 percent of the time since graduation. Extent of work was related to marital status and to the sequence of marriage and social work training. Teenage committment to work had no effect on the extent of work later in life. Higher work rates were associated with more advanced age, fewer children, and more work experience in the pregraduate period Remedial activities at the community, school, agency, and student levels that begin at the time of professional education and could help increase the extent of work activity are discussed in this paper.     

“What Happens at Home Does Not Necessarily Stay at Home”: The Relationship of Observed Negative Couple Interaction With Physical Health,Mental Health,and Work Satisfaction

Using data from a sample of 281 couples (the Flourishing Families data set), the authors tested a systemic theoretical model that examined the relationship among observed marital interaction, physical and mental health, and work satisfaction. The results showed that negative marital interaction was associated with significantly lower work satisfaction and poorer health for men. Higher negative marital interaction scores were significantly related to elevated depression scores for both women and men. For both men and women, negative couple interaction was associated with work satisfaction through depression and health. Overall, 34% of the variance in work satisfaction for men and 24% for the women was explained by the model. The results suggest that marriage‐to‐work spillover can be costly for families, organizations, and governments.     

Gender Differences in Social Acculturation and Social Capital in Determining Marital and Parental Role Expectations Among People of Mexican Descent

Men and women experience acculturation differently, creating acculturative gaps that may affect traditional family role expectations. In the current study, additive moderation between social acculturation, bonding social capital, and gender in relationship to marital and parental role expectations was explored among Mexican Americans (N = 314). The results indicate that when bonding social capital is at low to moderate levels, women are more committed to marital and parental roles and report more marital reward value as social acculturation increases. However, as bonding social capital and social acculturation increase, women report less marital reward value and marital and parental commitment. The size and quality of personal networks among Mexican American men and women appear to relate to social acculturation’s conditional relationship to family role expectations.