A Population‐Based Study of Alcohol Use in Same‐Sex and Different‐Sex Unions

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.     

Cigarette Smoking in Same-Sex and Different-Sex Unions: The Role of Socioeconomic and Psychological Factors

Cigarette smoking has long been a target of public health intervention because it substantially contributes to morbidity and mortality. Individuals in different-sex marriages have lower smoking risk (i.e., prevalence and frequency) than different-sex cohabiters. However, little is known about the smoking risk of individuals in same-sex cohabiting unions. We compare the smoking risk of individuals in different-sex marriages, same-sex cohabiting unions, and different-sex cohabiting unions using pooled cross-sectional data from the 1997–2010 National Health Interview Surveys (N = 168,514). We further examine the role of socioeconomic status (SES) and psychological distress in the relationship between union status and smoking. Estimates from multinomial logistic regression models reveal that same-sex and different-sex cohabiters experience similar smoking risk when compared to one another, and higher smoking risk when compared to the different-sex married. Results suggest that SES and psychological distress factors cannot fully explain smoking differences between the different-sex married and same-sex and different-sex cohabiting groups. Moreover, without same-sex cohabiter’s education advantage, same-sex cohabiters would experience even greater smoking risk relative to the different-sex married. Policy recommendations to reduce smoking disparities among same-sex and different-sex cohabiters are discussed.     

Before and After “I Do”: Marriage Processes for Mid-Life Gay and Lesbian Married Couples

ABSTRACT

This qualitative study examines how mid-life gay and lesbian married individuals articulate their decision to marry. Using 2013 data from 30 mid-life couples in Massachusetts, this study challenges previous literature that conceptualized marriage as entirely positive or negative for same-sex individuals. Mid-life individuals’ unique social and historical context influence their experiences of marriage, as mid-life individuals have witnessed the rise and feasibility of marriage equality, have formed relationships outside of the bounds of marriage, and have been in committed relationships long before they married. Using the framework of ambivalence, our findings provide three main contributions to the literature. First, we show that marital ambivalence is a common experience in our sample. Second, we detail how marital ambivalence is indicative of the age, life-course stage, and length of relationship for mid-life lesbian and gay individuals. Third, we explore ambivalence at the level of the relationship, not just as an individual experience. This study provides new insight into how sexuality shapes both intimate relationship dynamics as well as the effect of same-sex marriage on LGBT communities and identities.     

The Promise and Perils of Population Research on Same-Sex Families

As a follow-up to our 2016 study, this article presents new findings examining the relationship between same-sex family structure and child health using the 2008–2015 National Health Interview Survey (NHIS). After discussing NIHS data problems, we examine the relationship between family structure and a broad range of child well-being outcomes, including school days lost, behavior, parent-rated health, emotional difficulties, and activity limitations. We find both similarities (school days lost, behavior, parent-rated health) and differences (emotional difficulties and activity limitations) across our two studies using different survey years, but our overall conclusions are robust. We further discuss the implications of our findings for future research on this topic, including how to account for biological relatedness in a study on child health in same-sex families.     

Childbearing Biographies as a Method to Examine Diversity and Clustering of Childbearing Experiences: A Research Brief

Population Research and Policy Review - Due to increasing heterogeneity in if, when, and under what conditions women have children, the timing, spacing, and other demographic aspects of...     

Diet and Exercise in Parenthood: A Social Control Perspective

Previous work on social control—the direct and indirect regulation of an individual's health behaviors by others—suggests that parent–child relationships promote healthy diet and exercise. Yet parenthood is associated with less healthy diet and exercise patterns. The authors investigated this paradox by examining social control processes in 40 in‐depth interviews with mothers and fathers. They found that parenthood involves social control processes that both promote and compromise healthy behavior, contributing to contradictory perceived effects of parenthood on health behavior. Moreover, the dynamics of social control appear to unfold in different ways for mothers and fathers and depend on the child's gender and life stage, suggesting that gender and age dyads are central to understanding the seemingly contradictory consequences of parenthood at the population level. These articulations of gendered social control processes provide new insight into the consequences of the gendered organization of parenthood for diet and exercise.