Do the Health Benefits of Marriage Depend on the Likelihood of Marriage?

Marriage promotion initiatives presume substantial health benefits of marriage. Current literature, however, has provided inconsistent results on whether these benefits would be shared by people unlikely to marry. We investigate whether the physical and mental health benefits of marriage depend on the likelihood of marriage. Whereas prior studies have compared health benefits of marriage across a single predictor of marriage chances, we define the likelihood of marriage as a composite of demographic, economic, and health characteristics. Using the National Longitudinal Survey of Youth 1979, we find that married adults are only modestly healthier than unmarried adults in both physical and mental dimensions. People with a higher likelihood of marriage generally do not reap greater health benefits from marriage than their counterparts. The only exception is that continuous marriage is more strongly associated with improved mental health among men who are more likely to be married.     

Revisiting the relationships among gender,marital status,and mental health

Three decades ago, Grove introduced his sex-role theory of mental illness, which attributes women's higher rates of psychological distress to their roles in society. Central to his hypothesis is that marriage is emotionally advantageous for men and disadvantageous for women. This article revisits this topic with data from the National Survey of Families and Households. The analyses indicate that the emotional benefits of marriage apply equally to men and women, but that men and women respond to marital transitions with different types of emotional problems. The implications of these findings for future research on gender and mental health are discussed.     

In sickness and in health: an examination of relationship status and health using data from the Canadian National Public Health Survey

There is an extensive literature suggesting that marriage confers benefits to both men and women in the form of increased earnings, better health and a longer life. Yet, where the focus is on health, most of this work has centered on one or two measures of health outcomes or on certain health behaviors such as smoking or alcohol use and has often failed to include those who cohabit as a separate relationship status. In this paper, we extend the research on the links between health and relationship status in three important ways. First, we consider a wide array of health indicators including self-reported health, chronic conditions, physical limitations, a measure of mental health, body mass index (BMI), and a number of health-related behaviors. Second, we use data from eight waves of the Canadian National Public Health Survey between 1994 and 2008 which allows us to estimate the effect of relationship status on health in a setting in which health insurance is not dependent on marriage. Third, we incorporate cohabitation as a separate relationship status. After controlling for time-invariant factors related to selection into and out of marriage, we find that marriage confers health benefits in the form of improved mental health, and lower levels of alcohol use. Marriage, however, is not without its cost. Similar to studies using U.S. data, marriage results in higher BMI, greater incidence of overweight and obesity and lower probabilities of regular exercise. These benefits and costs accrue to those who marry, and often to cohabiters.     

Marital transitions, marital beliefs, and mental health.

In this paper, we examine whether people's beliefs about the permanence, desirability, and importance of marriage moderate the impact of marital transitions--including marital losses and gains--on depression, a disorder associated with both marital status and role transitions. Using two waves of panel data from the National Survey of Families and Households (N = 10,005), we find that a marital loss results in increased symptoms, whereas a marital gain results in decreased symptoms. We also find, however, that the negative effects of a marital loss are greater for people who believe in the permanence of marriage than they are for those who do not. Conversely, the positive effects of a marital gain are greater for people who believe in the desirability and importance of marriage than they are for those who do not. Our results highlight the potential utility of more systematically incorporating people's beliefs--and sociocultural factors more generally--into theory and research on the impact of stressors on mental health.     

Deviations From Desired Age at Marriage: Mental Health Differences Across Marital Status

Although several factors condition mental health differences between married and never‐married adults, given recent increases in marriage delay and permanent singlehood, one modifying factor—deviation from desired age at marriage—has yet to be examined. Using data from the National Longitudinal Survey of Youth 1979 (N = 7,277), the author tested whether deviation from desired age at marriage shapes the mental health of married and never‐married adults as well as mental health differences between them. The results showed that most respondents failed to meet their initial preference for age at marriage. Marrying both earlier and later than desired (compared to on time) resulted in poorer mental health and fewer benefits compared to never marrying. For the never‐married, mental health was best, and differences compared to the married were nonsignificant, for those nearest their desired age at marriage. As timing deviations increased, however, a mental health deficit among the never‐married emerged.     

“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.     

A Preliminary Understanding of Search Words used by Children,Teenagers and Young Adults in Seeking Information about Depression and Anxiety Online

Abstract

There is a dearth of research related to mental health search word literacy for under 25's. The knowledge of a young person's mental health information search practices is piecemeal, derived from general search literacy studies. A young person’s access to mental health information online is highly due to the level of stigma and poor mental health literacy surrounding depression and anxiety. This study explored what search words young people aged 5–26 (N?=?630) used to identify information and/or help for depression and anxiety. The research hypothesis was supported that those under age 13 would have a more limited use of “disorder” phrases (compared to “thoughts/feeling” phrases) in their search for mental health information related to their symptoms. All age and gender groups were as likely to use thoughts/feelings terms, however, those over 13?years were almost three times more likely to combine their thoughts/feelings terms with disorder terms, compared to those less than 13?years. Results give indication that search engine optimization by expert mental health sources should take into account feeling-based vocabulary used by specific age and gender groups, in order to guide these young people to authoritative mental health information.     

Childhood parental loss and adult depression

Previous research demonstrates convincingly that childhood parental deaths and parental divorces have implications for adult well-being as defined by levels of depression, educational attainment, early age at marriage, and risk of divorce. What this research has failed to examine are the interconnections among these outcomes. Specifically, are the socioeconomic and marital outcomes of parental loss implicated in the observed higher levels of depression? This analysis takes a first step in answering this question. Using data from a sample of 1,755 married men and women, I estimated regression models which examine the extent to which adult socioeconomic status and current marital quality mediate and/or modify the loss-depression relationship. Parental divorce was strongly related to socioeconomic and marital outcomes. Furthermore, current marital quality contributed importantly to understanding the higher levels of depressed mood observed among persons from divorced homes. Parental death was much more weakly related to socioeconomic and marital outcomes, and these outcomes played little role in explaining its relationship to depression. Finally, all of these relationships were stronger among women than men. These findings support the utility of life-course approaches to understanding adult mental health.     

The construction of fear: Americans' preferences for social distance from children and adolescents with mental health problems

Debates about children's mental health problems have raised questions about the reliability and validity of diagnosis and treatment. However, little research has focused on social reactions to children with mental health problems. This gap in research raises questions about competing theories of stigma, as well as specific factors shaping prejudice and discrimination toward those children. Here, we organize a general model of stigma that synthesizes previous research. We apply a reduced version of this model to data from a nationally representative sample responding to vignettes depicting several stigmatizing scenarios, including attention-deficit/hyperactivity disorder (ADHD), depression, asthma, or "normal troubles." Results from the National Stigma Study-Children suggest a gradient of rejection from highest to lowest, as follows: ADHD, depression, "normal troubles," and physical illness. Stigmatizing reactions are highest toward adolescents. Importantly, respondents who label the vignette child's situation as a mental illness compared to those who label the problem as a physical illness or a "normal" situation report greater preferences for social distance, a pattern that appears to result from perceptions that the child is dangerous.     

Does marriage affect men’s labor market outcomes? A European perspective

Does marriage make men more productive, or do more productive men marry? Previous studies have reached different conclusions but have also been conducted using different methodologies in different countries and in different time periods. We use two sources of European panel data (spanning the years 1994–2001 and 2003–2007) to assess the relationship between marriage and labor market outcomes. By using data from 12 countries over a 13 year period, we are able to investigate the impact of marriage in different country groups and across time. We find that selection into marriage accounts for most of the differences in hours worked and wages between married and non-married men. With respect to wages we note that while the difference between married and non-married males has increased over time, the actual effect of marriage has disappeared.     

Personal, health, academic, and environmental predictors of stress for residence hall students

The authors studied contributors to stress among undergraduate residence hall students at a midwestern, land grant university using a 76-item survey consisting of personal, health, academic, and environmental questions and 1 qualitative question asking what thing stressed them the most. Of 964 students selected at random, 462 (48%) responded to the survey. The authors weighted data to reflect the overall university-wide undergraduate population (55% men, 12% minority or international, and 25% freshmen). Women and US citizens experienced greater stress than did men and non-US citizens, respectively. Frequency of experiencing chronic illness, depression, anxiety disorder, seasonal affective disorder, mononucleosis, and sleep difficulties were significant stress predictors. Although alcohol use was a positive predictor, drug use was a negative predictor of stress. Both a conflict and a satisfactory relationship with a roommate, as well as a conflict with a faculty or staff member, were also significant predictors of stress.     

Child Sexual Abuse and Adult Mental Health,Sexual Risk Behaviors,and Drinking Patterns Among Latino Men Who Have Sex With Men

One in five Latino men who have sex with men has experienced child sexual abuse. Although concerning in itself, child sexual abuse may increase an individuals’ likelihood of depression and risk-taking in adult life, including engagement in HIV risk behaviors and alcohol and substance use. It is therefore urgent that researchers and practitioners better understand the long-term effects of child sexual abuse. We utilized logistic and linear regression to assess associations between child sexual abuse (operationalized as forced or coerced sexual activity before age 17) and depression, sexual behaviors, and drinking patterns in a sample of 176 adult Latino men who have sex with men from New York City. Over one-fifth (22%) of participants reported child sexual abuse. In multivariable models, participants with histories of child sexual abuse were significantly more likely than participants without such histories to screen for clinically significant depressive symptoms and heavy drinking and reported more anal sex acts, male sexual partners, and incidents of condomless anal intercourse in the previous three months. These findings confirm a high prevalence of child sexual abuse among Latino men who have sex with men and associations between child sexual abuse and adulthood depressive symptoms, high-risk alcohol consumption, and sexual risk behaviors. We recommend that providers who serve Latino men who have sex with men incorporate child sexual abuse screenings into mental health, HIV prevention, and substance use treatment programs, utilizing approaches that are inclusive of resilience.     

Epidemiological Associations between Gambling Behavior, Substance Use & Mood and Anxiety Disorders

Objective To compare gambling behaviors in a random sample of community residents with and without mental disorders identified by the Composite International Diagnostic Interview (CIDI).Method A large national community survey conducted by Statistics Canada included questions about problems arising from gambling activities as per the Canadian Problem Gambling Index (CPGI). We compared respondents within three gambling severity categories (non-problem, low severity and moderate/high severity gambling) across three diagnostic groupings (mood/anxiety disorders, substance dependence/harmful alcohol use, no selected psychiatric disorder).Results Of the 14,934 respondents age 18–64 years who engaged in at least one type of gambling activity in the previous 12 months, 5.8% fell in the low severity gambling category while 2.9% fell in the moderate/high severity category. Females accounted for 51.7% of the sample. The risk of moderate/high severity gambling was 1.7 times higher in persons with mood or anxiety disorder compared to persons with no selected disorder. For persons with substance dependence or harmful alcohol use, the risk of moderate/high severity gambling was 2.9 times higher. Persons with both mood/anxiety and substance/alcohol disorders were five times more likely to be moderate/high severity gamblers. The odds ratio for females was 0.6 and for those with less than post-secondary education it was 1.52. Differences in age and personal income were not significant.Conclusions Individuals in the community suffering from mood/anxiety disorders and substance dependence/harmful alcohol, and especially those with both, experience a higher risk for gambling problems. The treatment of these comorbidities should be integrated into any problem gambling treatment program.Disclaimer: The data upon which of the analyses contained in this paper derive from surveys conducted by Statistics Canada. The opinions expressed in this paper do not represent the opinions of Statistics Canada.     

Gender roles,marriage, and residential independence

This article examines the effects of gender role attitudes on leaving home for marriage and for unmarried independence among young men and women in the United States in the 1980s. The choice to leave home for unmarried independence is associated with two major changes in family relationships: the shift in parent-child interaction from a traditional emphasis on children's obedience toward a greater stress on independence, and the shift toward more egalitarian definitions of gender roles in both work and family spheres. We ask the following: What is the effect of holding more modern gender role attitudes on gender differences in leaving home for marriage? Does holding more modern gender role attitudes influence patterns of leaving home for marriage and for unmarried independence differently for men and women? We examine these questions with data from sophomores in the High School and Beyond Survey.     

Comparing Offers and Take‐ups of Employee Health Insurance across Race,Gender, and Decade*

How often do U.S. employees receive health insurance offers from employers? When offered, how often do they take up their employer‐based health insurance? This article uses the 1992 and 2002 waves of the National Study of the Changing Workforce (NSCW) to investigate changes in access to (offers) and employees electing to accept, take, or purchase their employers’ health insurance plans (take‐ups) among wage and salaried workers. Although much research has studied employee health benefits, little has examined the intersection of gender and race regarding both offers and take‐ups of such benefits. Logistic regression results indicate that offers and take‐ups of personal health benefits declined from 1992 to 2002, net of salient controls. Further analyses demonstrate that these declines did not affect all workers identically. Offers declined somewhat for both women and men among whites and African Americans, but declined more among Hispanic women and men. Among other ethnoracial groups, offers declined the most among men, but increased among comparable women. Take‐ups declined among white men and Hispanic workers. However, white and African American women's take‐ups did not change and among African American men take‐ups increased. We discuss the need to examine gender and race simultaneously and urge researchers to more closely examine changes in health benefit offers and take‐ups.     

Mental Health Implications of Same-Sex Marriage

SUMMARY

Marriage is a mental health protective factor and homosexuality is sometimes a risk factor. The combined effect of these factors on mental health was examined in this study. We conducted a secondary analysis of an international, cross-sectional survey completed in 2000 (N = 7,616). We examined risks of suicide ideations and attempts, behavioral problems, and treatment histories for male and female participants from Canada and the United States. We found significant relations between sexual orientation and suicidality in all four gender-country groups. We found significant associations between relationship status and suicidality for men but not women in both countries. Behavioral problems and treatment histories were equivocal. We discuss the mental health implications of these findings for same-sex marriage.     

Associations among trauma,depression, and alcohol use profiles and treatment motivation and engagement in college students

ABSTRACT

Objective: This study examined how profiles of alcohol use and symptoms of common mental health disorders (depression and posttraumatic stress disorder [PTSD]) influenced the perceived need for and actual seeking of different types of treatment (for alcohol versus psychological distress) in college student drinkers. Participants: Undergraduate students (n = 164) were assessed between September 2009 and August 2015. Methods: We classified students into different symptom profiles using model-based clustering and compared these profiles on a variety of variables. Results: The cluster model yielded three profiles: Low Risk (n = 66), Concomitant (n = 35), and Heavy Drinking (n = 63). Students in these profiles significantly differed in alcohol consumption, alcohol-related cognitions and problems, and perceptions of need and prior engagement in treatment. Conclusion: A variety of strategies can be used to engage students experiencing heavy drinking and/or mental health problems into treatment on campus.     

Age at marriage,sex-ratios,and ethnic heterogamy

"This paper focuses on the effects of age at marriage and the sex-ratio on patterns of ethnic homogamy among Israeli women. We hypothesize that later marriages are more likely than early marriages to be heterogamous as the 'marriage market' shifts from school to the work-place. By the same token, when facing severe marriage squeezes women will be forced to out-marry. Employing data from the 1983 census, we model mate selection of women from Afro-Asian and Euro-American origin in various birth-cohorts. The results do not fully support our hypotheses: we find that in and of itself, age at marriage does not enhance ethnic heterogamy."     

The (In)Significance of Race and Discrimination among Latino Youth: The Case of Depressive Symptoms

Abstract

Despite the growing population of Latinos in the United States, there is little research that explores how discrimination affects the mental health of Latino youth along racial lines. In this paper we ask two closely related questions. First, do black Latino youth have higher or lower symptoms of depression than nonblack Latinos? Second, is the relationship between race and depression among Latino youth buffered by discrimination stress? Results from the Transitions Study show that black Latino youth have significantly higher symptoms of depression than nonblack Latinos. The relationship between race and depression depends on daily—but not on lifetime—experiences of discrimination. The combined effect of race and discrimination holds in the face of a wide range of measures of stress, including major lifetime events, recent life events, and chronic stressors. These findings encourage future research that considers the mental health effects of racial variation among Latinos.     

Mental Well‐Being Differences in Cohabitation and Marriage: The Role of Childhood Selection

Prior studies have found that marriage benefits well‐being, but cohabitation may provide similar benefits. An analysis of the British Cohort Study 1970, a prospective survey following respondents to age 42, examines whether partnerships in general, and marriage in particular, influence mental well‐being in midlife. Propensity score matching indicates whether childhood characteristics are a sufficient source of selection to eliminate differences in well‐being between those living with and without a partner and those cohabitating and married. The results indicate that matching on childhood characteristics does not eliminate advantages to living with a partner; however, matching eliminates differences between marriage and cohabitation for men and women more likely to marry. On the other hand, marriage may provide benefits to women less likely to marry unless they have shared children and are in long‐lasting partnerships. Hence, childhood selection attenuates differences between cohabitation and marriage, except for women less likely to marry.