Child Well-Being in Same-Sex Parent Families: Review of Research Prepared for American Sociological Association Amicus Brief

Recent legal cases before the Supreme Court of the United States were challenging federal definitions of marriage created by the Defense of Marriage Act and California’s voter approved Proposition 8 which limited marriage to different-sex couples only. Social science literature regarding child well-being was being used within these cases, and the American Sociological Association sought to provide a concise evaluation of the literature through an amicus curiae brief. The authors were tasked in the assistance of this legal brief by reviewing literature regarding the well-being of children raised within same-sex parent families. This article includes our assessment of the literature, focusing on those studies, reviews and books published within the past decade. We conclude that there is a clear consensus in the social science literature indicating that American children living within same-sex parent households fare just, as well as those children residing within different-sex parent households over a wide array of well-being measures: academic performance, cognitive development, social development, psychological health, early sexual activity, and substance abuse. Our assessment of the literature is based on credible and methodologically sound studies that compare well-being outcomes of children residing within same-sex and different-sex parent families. Differences that exist in child well-being are largely due to socioeconomic circumstances and family stability. We discuss challenges and opportunities for new research on the well-being of children in same-sex parent families.     

Methods Used and Topics Addressed in Quantitative Health Research on Gay,Bisexual and Other Men Who Have Sex With Men: A Systematic Review of the Literature

Research on sexual minority men (gay, bisexual, and other men who have sex with men) was examined with regard to the measures of sexual orientation used, the methods of research, and the main health outcomes under study. A systematic review of English-language quantitative studies was conducted focused on the health of sexual minority men published in 2010 (n = 250). The results provide a snapshot of the literature and revealed that research on sexual minority men overwhelmingly focused on HIV, STIs, and sexual health for which sexual orientation was most commonly defined behaviorally. For topics of mental health or body/fitness outcomes, sexual orientation was most commonly defined by identity. Most study samples were venue-based, and only 8.8% of published papers drew data from population-based samples. The findings suggest that there exists a need for research on sexual minority men’s health beyond STIs and HIV that will examine mental and physical health outcomes beyond sexual risk, uses probability-based samples, and addresses intersectional concerns related to race/ethnicity and age.     

Patterns of Mental Health Care Utilization Among Sexual Orientation Minority Groups

Prior studies of the utilization of mental health professionals by sexual minority populations have relied on data that are now dated or not nationally representative. These studies have also provided mixed findings regarding gender differences in the utilization of mental health professionals among sexual minority individuals. Using data from the 2013–2015 National Health Interview Surveys, this study investigates (1) how sexual minority individuals compare to heterosexual participants in their utilization of mental health professionals; and (2) gender differences in that utilization. The results indicate sexual minority individuals utilize mental health care professionals at higher rates than heterosexual individuals even after controlling for measures of mental health and other demographic characteristics; this is true for both men and women. However, gender moderates the sexual minority effect on utilization rates. Sexual minority men utilize mental health professionals at a high rate, such that their utilization rates are similar to sexual minority women, contrary to the gender gap seen among heterosexuals.     

Fertility Differences between the Majority and Minority Nationality Groups in China

There is an extensive sociological and demographic literature about why racial and ethnic minority groups in the U.S. have different levels of fertility, usually higher, than the majority white group. The four major hypotheses are the subcultural hypothesis, the social characteristics hypothesis, the minority group status hypothesis, and the economic hypothesis. In this paper we focus on fertility patterns of the majority Han and the larger minority groups in China and examine the degree to which the above hypotheses may be useful in articulating the reasons why the fertility of the Han majority differs from that of the minorities. We first present a brief historical review of the genesis and development of the majority and minority nationalities in China. We next present short vignettes of each of the eight minority nationalities we will be examining. We then review the Western literature on fertility differentials between majority and minority nationalities, and summarize the theoretical expectations behind the four prominent hypotheses to be tested. Finally, we present the results of the analysis, and draw out the implications of our work.     

A Systematic Review of the Psychometric Properties of Composite LGBT Prejudice and Discrimination Scales

ABSTRACT

Prejudice and discrimination against LGBT individuals is widespread and has been shown to have negative consequences for sexual and gender minority persons’ physical and psychological wellbeing. A recent and problematic trend in the literature is to compositely measure prejudice toward and discrimination against LGBT persons. As such, a review of the psychometric properties of scales assessing, in a combinatory fashion, negative attitudes and/or behaviors toward LGBT persons is warranted. In the current study, 32 scales were identified, and their psychometric properties were evaluated. Most of the scales reviewed did not provide sufficient information regarding item development and refinement, scale dimensionality, scale score reliability, or validity. Properties of the reviewed scales are summarized, and recommendations for better measurement practice are articulated.     

Sexual orientation and education politics: gay and lesbian representation in American schools

In what has sometimes provoked a "culture war" over America's schools, gays and lesbians have sought an expanded voice in the making of education policy. This paper explores the factors that promote gay representation on school boards, how this variable in turn influences gay representation in both administrative and teaching positions, and how all three forms of gay representation relate to school board policies regarding sexual orientation education. Three of the four models drawn from the social movement literature help to explain gay school board representation. In a manner similar to other minority groups, gay representation on school boards directly or indirectly promotes the appointment of gays to administrative and teaching positions and the adoption of policies that address the problems faced by gay and lesbian students in the public schools.     

Who is mommy tonight? Lesbian parenting issues

Developing an identity as mother and establishing what it means to mother is a task not defined by sexual orientation. Both heterosexual and homosexual women encounter role models and the dictates of society when mothering (Nelson, 1996). The present study explores how 18 lesbian adoptive parents, 49 lesbian parents who formed their families biologically, and 44 heterosexual adoptive parents experience and perceive their parenting role, how they respond when their children seek them or their partner for particular nurturing, and how the parents negotiate the cultural expectation of a primary caregiver. Lesbian couples were more equal in their division of childcare than heterosexual parents, and lesbian adoptive parents were the most egalitarian. In all types of dual parent families, parents were sought by their child for different activities. In heterosexual adoptive and lesbian biological families, the child's parental preference was rarely a source of conflict between partners. Lesbian adoptive parents were more likely to report that this preference caused occasional conflict. Reasons for this conflict are discussed in light of societal expectations of women and the role of mother.     

Parental Cohabitation Experiences and Adolescent Behavioral Outcomes

Children are increasingly spending time in cohabiting parent families. Most studies that examine the implications of parental cohabitation focus on parental living arrangements at a single point in time. Using data from the National Survey of Family Growth (NSFG), we assess whether and how parental cohabitation during childhood influences adolescent girls’ well-being. This work moves beyond prior studies by specifically considering the effects of the exposure to, transitions, and age at which children lived in cohabiting parent families. The results indicate living in cohabiting parent families is consequential for earlier sexual initiation, likelihood of having a teen birth, and high school graduation. Prior work suggests that the explanation for the negative effect of parental cohabitation is family instability. Yet, our empirical work shows that family instability does not explain the relationship between cohabitation and negative child outcomes. We conclude that the best way to understand the implications of parental cohabitation is to adopt a dynamic family experience model.

An Ecological Framework for Sexual Minority Women’s Health: Factors Associated With Greater Body Mass

In recent years, many studies have focused on the body of sexual minority women, particularly emphasizing their larger size. These studies rarely offer theoretically based explanations for the increased weight, nor study the potential consequences (or lack thereof) of being heavier. This article provides a brief overview of the multitude of factors that might cause or contribute to larger size of sexual minority women, using an ecological framework that elucidates upstream social determinants of health as well as individual risk factors. This model is infused with a minority stress model, which hypothesizes excess strain resulting from the stigma associated with oppressed minority identities such as woman, lesbian, bisexual, woman of color, and others. We argue that lack of attention to the upstream social determinants of health may result in individual-level victim blaming and interventions that do not address the root causes of minority stress or increased weight.     

Research on sexual orientation: definitions and methods

An extensive survey of the research literature on sexual orientation was undertaken for the purpose of determining how sexual orientation had been conceptually and operationally defined and how research subjects had been identified and selected. Two hundred-twenty-eight articles from 47 different journals were analyzed. Sexual orientation, it was found, was conceptually defined in 28 studies and operationally defined in 168. In 196 studies respondents were identified on the basis of the settings in which they were found. Because of the great variation in both conceptual and operational definitions, it was almost impossible to determine with certainty the theoretical frameworks used in the studies. The wide divergency in the definitions of sexual orientation, the investigators conclude, is symptomatic of an underlying conceptual confusion.     

An Exploration of Sexual Minority Stress Across the Lines of Gender and Sexual Identity

Despite growing evidence to suggest that gays, lesbians, and bisexuals experience a range of stressors and consequences related to their sexual minority status, no known studies to date have employed focus group discussion to explore and document their perceptions of sexual minority stress. In this exploratory study, we present focus group data on a range of sexual minority stressors as described by 43 gay men, lesbians, and bisexual men and women. We explore gender and sexual identity differences in the respondents' perceptions of heteronormativity, disclosure issues in different social settings, sources of support, and strategies for coping with stress. Respondents reported that women's same-sex relationships were eroticized and distorted to accommodate heterosexual male desire, while men were negatively depicted as sexually promiscuous and deviant. These differing stereotypes held important consequences for disclosure decisions and affected men's and women's social interactions with heterosexual men. Bisexual respondents reported unique strategies to cope with exclusion and isolation associated with misunderstandings about their sexual identities. Directions for future research on sexual minority stress are discussed.     

Same-Sex Sexuality and Educational Attainment: The Pathway to College

Research finds lower levels of academic performance among sexual minority high school students, but some studies suggest sexual minorities have higher levels of educational attainment in adulthood. To further our understanding of how and why sexual orientation is associated with educational success, this study turns attention to the pathways to college completion, examining points along educational trajectories in which sexual minorities fall behind or surpass their heterosexual peers. Using data from the National Longitudinal Study of Adolescent to Adult Health, we find that sexual minority women are less likely than women with no same-sex sexuality to complete college, in part due to their high school performance and transition into college. Men who experience same-sex sexuality only in adolescence struggle in high school, but men who experience same-sex sexuality for the first time in adulthood are more likely to earn a college degree than men who do not experience same-sex sexuality.     

"It ain't all as bad as it may seem": young Black lesbians' responses to sexual prejudice

This article explores the ways in which young, Black lesbians manage their sexual minority identity when experiencing sexual prejudice. Fourteen Black lesbians between the ages of 16 and 24 participated in semistructured interviews. Instances of sexual prejudice and the young women's responses were thematically analyzed using open and axial qualitative coding techniques. Results indicated that participants experienced sexual prejudice frequently and even within the lesbian community. Responses to sexual prejudice included: cognitive reframing of heterosexist messages, passing, gaining support from self-created gay families, and fighting back (physically and verbally) in the event of isolated instances of sexual prejudice. Analysis focuses on how gender identity relates to experiences of sexual prejudice and identity management strategies. Findings suggest that there are parallels between the management strategies of these women and young, Black gay and bisexual males and between these women and Black women who are coping with sexism and racism.     

Sexual minority youth victimization and social support: the intersection of sexuality, gender, race, and victimization

In comparison to heterosexual youth, sexual minority youth are more likely to experience victimization. Multiple studies have connected anti-gay prejudice and anti-gay victimization to negative outcomes. Research shows that social support may protect sexual minorities from the harmful effects of anti-gay victimization. However, rates of victimization and the negative outcomes linked to sexual identity within the sexual minority community have been relatively unexplored. Using data from three years of statewide data from heterosexual and sexual minority adolescents in grades 9-12, this study examines victimization, substance use, suicidality, and access to social support by sexuality. Results indicate that sexual minority youth are at increased risk for victimization, substance use, suicidality, and social isolation compared to their heterosexual counterparts. Results also indicate that there is very little bivariate difference within the sexual minority community. Multivariate results indicate differences among sexual minorities' experiences with victimization and substance use.     

Are LGBT Populations at a Higher Risk for Suicidal Behaviors in Australia? Research Findings and Implications

The aim of this article is to review the Australian literature about suicidality in minority sexual identity and/or behavior groups in order to determine the evidence base for their reported higher vulnerability to suicidal behaviors than heterosexual and non-transgendered individuals in the Australian context, as well as to identify the factors that are predictive of suicidal behaviors in these groups in Australia. A literature search for all available years (until the end of 2012) was conducted using the databases Scopus, Medline, and Proquest for articles published in English in peer-reviewed academic journals. All peer-reviewed publications that provided empirical evidence for prevalence and predictive factors of suicidal behaviors among LGBT individuals (or a subset thereof) in Australia were included. Reference lists were also scrutinized to identify “gray” literature for inclusion. The results revealed that there is only limited research from Australia. Nevertheless, although no population-based studies have been published, research indicates that sexual minorities are indeed at a higher risk for suicidal behaviors. In order to further the understanding of suicidal behaviors and potential prevention among LGBT groups in the Australia, further research is needed, particularly on fatal suicidal behaviors.     

Dishonorable Passions: Sodomy Laws in America 1861–2003 by William N. Eskridge

This article develops a model that describes relations among environmental characteristics, discrimination and visibility management, and the experience of minority stressors by lesbian, gay, and bisexual (LGB) youth. The article elaborates on how visibility management (i.e., regulating the exposure of one's sexual orientation) of LGB youth can function as a coping strategy and is, therefore, closely tied to the experience of minority stressors. Qualitative support is found for the theoretical model in conducting 24 in-depth interviews with LGB youth. The analysis also shows that LGB youth use specific mannerisms, gender-nonconformist behaviors, and other indirect cues to make themselves visible or invisible as LGBs.     

Understanding stillbirth stigma: A scoping literature review

BackgroundThe World Health Organization, and the 2011 and 2016 Lancet Stillbirth series as well as medical and scientific literature, have all called for stillbirth stigma to be reduced. However, few studies have explored or attempted to conceptualise the meaning of stigma in the context of stillbirth.AimTo explore the current knowledge surrounding stillbirth stigma, specifically the extent, type and experiences of bereaved parents.MethodsA five-stage scoping review framework was utilised. A search of relevant databases (MedLine, EMBASE, PsychInfo, PsychArticles, and Ovid Emcare) was undertaken with several key words related to ‘stillbirth’ and ‘stigma.’ The reference lists of included studies were also searched.FindingsA total of 23 resources met the inclusion criteria for this review. A thematic analysis regarding how stigma was conceptualised and/or experienced within results and/or discussion was employed on these studies. Five over-arching themes, with several sub-themes, were discovered: Type of stigma, identity, silence, bereaved mothers’ experiences of stigma in low-income countries and transformation.DiscussionStillbirth stigma remains an under-researched topic. Few articles conceptualised the experiences of the bereaved parent within a stigma framework. However, examples of bereaved parents enduring stigma were found within the literature. Common stigmatising experiences included, bereaved parents’ identities being challenged; and feelings of shame, guilt, and blame after their stillbirth. Stigmatising experiences could be different based on the bereaved parent’s cultural background.ConclusionFurther research which attempts to conceptualise stillbirth stigma and explores those experiences from a bereaved parent perspective is needed to help inform stigma reduction strategies.     

Beyond Happiness: Minority Stress and Life Meaning Among LGB Individuals

ABSTRACT

Scholars have recently started to examine how minority stressors are associated with wellbeing outcomes among lesbian, gay, and bisexual (LGB) people. Such studies have examined mainly hedonic wellbeing, and those that have investigated eudaimonic wellbeing have tended to use composite measures. The present study draws from this literature to examine how minority stressors are associated with a key indicator of eudaimonic wellbeing: life meaning. Drawing from the minority stress model, we examined these associations using structural equation modeling among 266 LGB adults. Expectations of rejection and identity concealment, but not discrimination or internalized homophobia, had significant negative associations with life meaning. Discrimination had negative indirect associations with life meaning via expectations of rejection and concealment. Our results highlight the nuanced relations that exist between minority stressors and life meaning and highlight the need to move beyond composite measures of wellbeing. Implications for clinical practice and directions for research are discussed.     

Married-Couple Families With Step,Adopted, and Biological Children

National estimates of the numbers of families with step, adopted, and biological children have not previously been developed. In this work, parent types for children in married-couple families were indirectly identified by using marriage and birth dates. Families were then classified by the types of children present. A large majority (79 percent) had only biological children; however, a significant minority (16 percent) had at least one stepchild and 4 percent had at least one adopted child. This analysis provides national estimates of the numbers and characteristics of married-couple families with step, adopted, and biological children.