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19-09-2019

Bisexuality, Union Status, and Gender Composition of the Couple: Reexamining Marital Advantage in Health

Authors: Ning Hsieh, Hui Liu

Published in: Demography | Issue 5/2019

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Abstract

It has long been documented that married individuals have better health outcomes than unmarried individuals. However, this marital advantage paradigm has been developed primarily based on heterosexual populations. No studies to date have examined the health effects of marriage among bisexuals, one of the most disadvantaged but understudied sexual minority groups, although a few have shown mixed results for gays and lesbians. Similarly, no research has examined how the gender composition of a couple may shape bisexuals’ health outcomes above and beyond the effects of sexual orientation. We analyzed pooled data from the 2013–2017 National Health Interview Survey (n = 154,485) and found that the health advantage of marriage applied only to heterosexuals and, to a lesser extent, gays and lesbians. Married bisexuals, however, exhibited poorer health than unmarried bisexuals when socioeconomic status and health behaviors were adjusted for. Moreover, bisexuals in same-gender unions were healthier than bisexuals in different-gender unions primarily because of their socioeconomic advantages and healthier behaviors. Together, our findings suggest that bisexuals, particularly those in different-gender unions, face unique challenges in their relationships that may reduce the health advantage associated with marriage.

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Appendix
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Footnotes
1
According to the General Social Survey (GSS), the percentage of self-identified bisexuals in the United States has steadily grown from 1.5 % in 2008 to 3.2 % in 2016. Data were accessed from the GSS Data Explorer website at gssdataexplorer.​norc.​org.
 
Literature
go back to reference Anderson, E., & McCormack, M. (2016). The changing dynamics of bisexual men’s lives: Social research perspectives. Cham, Switzerland: Springer.CrossRef Anderson, E., & McCormack, M. (2016). The changing dynamics of bisexual men’s lives: Social research perspectives. Cham, Switzerland: Springer.CrossRef
go back to reference Bauer, G. R., & Jairam, J. A. (2008). Are lesbians really women who have sex with women (WSW)? Methodological concerns in measuring sexual orientation in health research. Women & Health, 48, 383–408.CrossRef Bauer, G. R., & Jairam, J. A. (2008). Are lesbians really women who have sex with women (WSW)? Methodological concerns in measuring sexual orientation in health research. Women & Health, 48, 383–408.CrossRef
go back to reference Becker, G. S. (2009). A treatise on the family. Cambridge, MA: Harvard University Press. Becker, G. S. (2009). A treatise on the family. Cambridge, MA: Harvard University Press.
go back to reference Blau, P. M. (1964). Exchange and power in social life. New York, NY: John Wiley. Blau, P. M. (1964). Exchange and power in social life. New York, NY: John Wiley.
go back to reference Boehmer, U., Bowen, D. J., & Bauer, G. R. (2007). Overweight and obesity in sexual-minority women: Evidence from population-based data. American Journal of Public Health, 97, 1134–1140.CrossRef Boehmer, U., Bowen, D. J., & Bauer, G. R. (2007). Overweight and obesity in sexual-minority women: Evidence from population-based data. American Journal of Public Health, 97, 1134–1140.CrossRef
go back to reference Boehmer, U., Miao, X., Linkletter, C., & Clark, M. A. (2012). Adult health behaviors over the life course by sexual orientation. American Journal of Public Health, 102, 292–300.CrossRef Boehmer, U., Miao, X., Linkletter, C., & Clark, M. A. (2012). Adult health behaviors over the life course by sexual orientation. American Journal of Public Health, 102, 292–300.CrossRef
go back to reference Bostwick, W. B., Boyd, C. J., Hughes, T. L., & McCabe, S. E. (2010). Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. American Journal of Public Health, 100, 468–475.CrossRef Bostwick, W. B., Boyd, C. J., Hughes, T. L., & McCabe, S. E. (2010). Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. American Journal of Public Health, 100, 468–475.CrossRef
go back to reference Carr, D., & Springer, K. W. (2010). Advances in families and health research in the 21st century. Journal of Marriage and Family, 72, 743–761.CrossRef Carr, D., & Springer, K. W. (2010). Advances in families and health research in the 21st century. Journal of Marriage and Family, 72, 743–761.CrossRef
go back to reference Conron, K. J., Mimiaga, M. J., & Landers, S. J. (2010). A population-based study of sexual orientation identity and gender differences in adult health. American Journal of Public Health, 100, 1953–1960.CrossRef Conron, K. J., Mimiaga, M. J., & Landers, S. J. (2010). A population-based study of sexual orientation identity and gender differences in adult health. American Journal of Public Health, 100, 1953–1960.CrossRef
go back to reference Courtenay, W. H. (2000). Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science & Medicine, 50, 1385–1401.CrossRef Courtenay, W. H. (2000). Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science & Medicine, 50, 1385–1401.CrossRef
go back to reference Denney, J. T., Gorman, B. K., & Barrera, C. B. (2013). Families, resources, and adult health: Where do sexual minorities fit? Journal of Health and Social Behavior, 54, 46–63.CrossRef Denney, J. T., Gorman, B. K., & Barrera, C. B. (2013). Families, resources, and adult health: Where do sexual minorities fit? Journal of Health and Social Behavior, 54, 46–63.CrossRef
go back to reference Diamond, L. (2008). Female bisexuality from adolescence to adulthood: Results from a 10-year longitudinal study. Developmental Psychology, 44, 5–14.CrossRef Diamond, L. (2008). Female bisexuality from adolescence to adulthood: Results from a 10-year longitudinal study. Developmental Psychology, 44, 5–14.CrossRef
go back to reference Elia, J. P. (2014). Bisexuality and schooling: Erasure and implications for health. Journal of Bisexuality, 14, 36–52.CrossRef Elia, J. P. (2014). Bisexuality and schooling: Erasure and implications for health. Journal of Bisexuality, 14, 36–52.CrossRef
go back to reference Fredriksen-Goldsen, K., Kim, H., Barkan, S., Balsam, K., & Mincer, S. (2010). Disparities in health-related quality of life: A comparison of lesbians and bisexual women. American Journal of Public Health, 100, 2255–2261.CrossRef Fredriksen-Goldsen, K., Kim, H., Barkan, S., Balsam, K., & Mincer, S. (2010). Disparities in health-related quality of life: A comparison of lesbians and bisexual women. American Journal of Public Health, 100, 2255–2261.CrossRef
go back to reference Fu, H., & Goldman, N. (1996). Incorporating health into models of marriage choice: Demographic and sociological perspectives. Journal of Marriage and the Family, 58, 740–758.CrossRef Fu, H., & Goldman, N. (1996). Incorporating health into models of marriage choice: Demographic and sociological perspectives. Journal of Marriage and the Family, 58, 740–758.CrossRef
go back to reference Furnham, A. (2009). Sex differences in mate selection preferences. Personality and Individual Differences, 47, 262–267.CrossRef Furnham, A. (2009). Sex differences in mate selection preferences. Personality and Individual Differences, 47, 262–267.CrossRef
go back to reference Gorman, B. K., Denney, J. T., Dowdy, H., & Medeiros, R. A. (2015). A New piece of the puzzle: Sexual orientation, gender, and physical health status. Demography, 52, 1357–1382.CrossRef Gorman, B. K., Denney, J. T., Dowdy, H., & Medeiros, R. A. (2015). A New piece of the puzzle: Sexual orientation, gender, and physical health status. Demography, 52, 1357–1382.CrossRef
go back to reference Hackl, A. M., Boyer, C. R., & Galupo, M. P. (2013). From “Gay marriage controversy” (2004) to “Endorsement of same-sex marriage” (2012): Framing bisexuality in the marriage equality discourse. Sexuality & Culture, 17, 512–524.CrossRef Hackl, A. M., Boyer, C. R., & Galupo, M. P. (2013). From “Gay marriage controversy” (2004) to “Endorsement of same-sex marriage” (2012): Framing bisexuality in the marriage equality discourse. Sexuality & Culture, 17, 512–524.CrossRef
go back to reference Hogan, D. P. (2012). Family consequences of children’s disabilities. New York, NY: Russell Sage Foundation. Hogan, D. P. (2012). Family consequences of children’s disabilities. New York, NY: Russell Sage Foundation.
go back to reference Hsieh, N. (2014). Explaining the mental health disparity by sexual orientation: The importance of social resources. Society and Mental Health, 4, 129–146.CrossRef Hsieh, N. (2014). Explaining the mental health disparity by sexual orientation: The importance of social resources. Society and Mental Health, 4, 129–146.CrossRef
go back to reference Hsieh, N., & Ruther, M. (2016). Sexual minority health and health risk factors: Intersection effects of gender, race, and sexual identity. American Journal of Preventive Medicine, 50, 746–755.CrossRef Hsieh, N., & Ruther, M. (2016). Sexual minority health and health risk factors: Intersection effects of gender, race, and sexual identity. American Journal of Preventive Medicine, 50, 746–755.CrossRef
go back to reference Hughes, M. E., & Waite, L. J. (2009). Marital biography and health at mid-life. Journal of Health and Social Behavior, 50, 344–358.CrossRef Hughes, M. E., & Waite, L. J. (2009). Marital biography and health at mid-life. Journal of Health and Social Behavior, 50, 344–358.CrossRef
go back to reference Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.CrossRef Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.CrossRef
go back to reference Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press. Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press.
go back to reference Israel, T., & Mohr, J. J. (2004). Attitudes toward bisexual women and men. Journal of Bisexuality, 4(1–2), 117–134.CrossRef Israel, T., & Mohr, J. J. (2004). Attitudes toward bisexual women and men. Journal of Bisexuality, 4(1–2), 117–134.CrossRef
go back to reference Johnson, D. R., & Wu, J. (2002). An empirical test of crisis, social selection, and role explanations of the relationship between marital disruption and psychological distress: A pooled time-series analysis of four-wave panel data. Journal of Marriage and Family, 64, 211–224.CrossRef Johnson, D. R., & Wu, J. (2002). An empirical test of crisis, social selection, and role explanations of the relationship between marital disruption and psychological distress: A pooled time-series analysis of four-wave panel data. Journal of Marriage and Family, 64, 211–224.CrossRef
go back to reference LeBlanc, A. J., Frost, D. M., & Wight, R. G. (2015). Minority stress and stress proliferation among same-sex and other marginalized couples. Journal of Marriage and Family, 77, 40–59.CrossRef LeBlanc, A. J., Frost, D. M., & Wight, R. G. (2015). Minority stress and stress proliferation among same-sex and other marginalized couples. Journal of Marriage and Family, 77, 40–59.CrossRef
go back to reference Link, B. G., & Phelan, J. (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior, 35, 80–94.CrossRef Link, B. G., & Phelan, J. (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior, 35, 80–94.CrossRef
go back to reference Liu, H., Reczek, C., & Brown, D. (2013). Same-sex cohabitors and health: The role of race-ethnicity, gender, and socioeconomic status. Journal of Health and Social Behavior, 54, 25–45.CrossRef Liu, H., Reczek, C., & Brown, D. (2013). Same-sex cohabitors and health: The role of race-ethnicity, gender, and socioeconomic status. Journal of Health and Social Behavior, 54, 25–45.CrossRef
go back to reference Liu, H., & Umberson, D. J. (2008). The times they are a changin’: Marital status and health differentials from 1972 to 2003. Journal of Health and Social Behavior, 49, 239–253.CrossRef Liu, H., & Umberson, D. J. (2008). The times they are a changin’: Marital status and health differentials from 1972 to 2003. Journal of Health and Social Behavior, 49, 239–253.CrossRef
go back to reference Liu, H., & Zhang, Z. (2013). Disability trends by marital status among older Americans, 1997–2010: An examination by gender and race. Population Research and Policy Review, 32, 103–127.CrossRef Liu, H., & Zhang, Z. (2013). Disability trends by marital status among older Americans, 1997–2010: An examination by gender and race. Population Research and Policy Review, 32, 103–127.CrossRef
go back to reference Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.CrossRef Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.CrossRef
go back to reference Musick, K., Brand, J. E., & Davis, D. (2012). Variation in the relationship between education and marriage: Marriage market mismatch? Journal of Marriage and Family, 74, 53–69.CrossRef Musick, K., Brand, J. E., & Davis, D. (2012). Variation in the relationship between education and marriage: Marriage market mismatch? Journal of Marriage and Family, 74, 53–69.CrossRef
go back to reference Pallotta-Chiarolli, M. (2016). Women in relationships with bisexual men: Bi men by women. Lanham, MD: Lexington Books. Pallotta-Chiarolli, M. (2016). Women in relationships with bisexual men: Bi men by women. Lanham, MD: Lexington Books.
go back to reference Reczek, C., Gebhardt-Kram, L., Kissling, A., & Umberson, D. (2018). Health care work in marriage: How gay, lesbian, and heterosexual spouses encourage and coerce medical care. Journal of Health and Social Behavior, 59, 554–568.CrossRef Reczek, C., Gebhardt-Kram, L., Kissling, A., & Umberson, D. (2018). Health care work in marriage: How gay, lesbian, and heterosexual spouses encourage and coerce medical care. Journal of Health and Social Behavior, 59, 554–568.CrossRef
go back to reference Reczek, C., Liu, H., & Spiker, R. (2017). Self-rated health at the intersection of sexual identity and union status. Social Science Research, 63, 242–252.CrossRef Reczek, C., Liu, H., & Spiker, R. (2017). Self-rated health at the intersection of sexual identity and union status. Social Science Research, 63, 242–252.CrossRef
go back to reference Reczek, C., & Umberson, D. (2012). Gender, health behavior, and intimate relationships: Lesbian, gay, and straight contexts. Social Science & Medicine, 74, 1783–1790.CrossRef Reczek, C., & Umberson, D. (2012). Gender, health behavior, and intimate relationships: Lesbian, gay, and straight contexts. Social Science & Medicine, 74, 1783–1790.CrossRef
go back to reference Regan, P. C. (1998). What if you can’t get what you want? Willingness to compromise ideal mate selection standards as a function of sex, mate value, and relationship context. Personality and Social Psychology Bulletin, 24, 1294–1303.CrossRef Regan, P. C. (1998). What if you can’t get what you want? Willingness to compromise ideal mate selection standards as a function of sex, mate value, and relationship context. Personality and Social Psychology Bulletin, 24, 1294–1303.CrossRef
go back to reference Rendall, M. S., Weden, M. M., Favreault, M. M., & Waldron, H. (2011). The protective effect of marriage for survival: A review and update. Demography, 48, 481–506.CrossRef Rendall, M. S., Weden, M. M., Favreault, M. M., & Waldron, H. (2011). The protective effect of marriage for survival: A review and update. Demography, 48, 481–506.CrossRef
go back to reference Sen, A. (2002). Health: Perception versus observation. BMJ, 324, 860–861.CrossRef Sen, A. (2002). Health: Perception versus observation. BMJ, 324, 860–861.CrossRef
go back to reference Simon, R. W. (2002). Revisiting the relationships among gender, marital status, and mental health. American Journal of Sociology, 107, 1065–1096.CrossRef Simon, R. W. (2002). Revisiting the relationships among gender, marital status, and mental health. American Journal of Sociology, 107, 1065–1096.CrossRef
go back to reference Springer, K. W., & Mouzon, D. M. (2011). “Macho men” and preventive health care: Implications for older men in different social classes. Journal of Health and Social Behavior, 52, 212–227.CrossRef Springer, K. W., & Mouzon, D. M. (2011). “Macho men” and preventive health care: Implications for older men in different social classes. Journal of Health and Social Behavior, 52, 212–227.CrossRef
go back to reference StataCorp. (2015). Stata 14 base reference manual. College Station, TX: Stata Press. StataCorp. (2015). Stata 14 base reference manual. College Station, TX: Stata Press.
go back to reference Tabatabai, A. (2015). Lesbian, queer, and bisexual women in heterosexual relationships: Narratives of sexual identity. Lanham, MD: Lexington Books. Tabatabai, A. (2015). Lesbian, queer, and bisexual women in heterosexual relationships: Narratives of sexual identity. Lanham, MD: Lexington Books.
go back to reference Thomeer, M. B., LeBlanc, A. J., Frost, D. M., & Bowen, K. (2018). Anticipatory minority stressors among same-sex couples: A relationship timeline approach. Social Psychology Quarterly, 81, 126–148.CrossRef Thomeer, M. B., LeBlanc, A. J., Frost, D. M., & Bowen, K. (2018). Anticipatory minority stressors among same-sex couples: A relationship timeline approach. Social Psychology Quarterly, 81, 126–148.CrossRef
go back to reference Thomeer, M. B., & Reczek, C. (2016). Happiness and sexual minority status. Archives of Sexual Behavior, 45, 1745–1758.CrossRef Thomeer, M. B., & Reczek, C. (2016). Happiness and sexual minority status. Archives of Sexual Behavior, 45, 1745–1758.CrossRef
go back to reference Thomeer, M. B., Reczek, C., & Umberson, D. (2015). Relationship dynamics around depression in gay and lesbian couples. Social Science & Medicine, 147, 38–46.CrossRef Thomeer, M. B., Reczek, C., & Umberson, D. (2015). Relationship dynamics around depression in gay and lesbian couples. Social Science & Medicine, 147, 38–46.CrossRef
go back to reference Uchino, B. N., Smith, T. W., & Berg, C. A. (2014). Spousal relationship quality and cardiovascular risk: Dyadic perceptions of relationship ambivalence are associated with coronary-artery calcification. Psychological Science, 25, 1037–1042.CrossRef Uchino, B. N., Smith, T. W., & Berg, C. A. (2014). Spousal relationship quality and cardiovascular risk: Dyadic perceptions of relationship ambivalence are associated with coronary-artery calcification. Psychological Science, 25, 1037–1042.CrossRef
go back to reference Umberson, D., Donnelly, R., & Pollitt, A. M. (2018). Marriage, social control, and health behavior: A dyadic analysis of same-sex and different-sex couples. Journal of Health and Social Behavior, 59, 429–446.CrossRef Umberson, D., Donnelly, R., & Pollitt, A. M. (2018). Marriage, social control, and health behavior: A dyadic analysis of same-sex and different-sex couples. Journal of Health and Social Behavior, 59, 429–446.CrossRef
go back to reference Umberson, D., Williams, K., Powers, D. A., Liu, H., & Needham, B. (2006). You make me sick: Marital quality and health over the life course. Journal of Health and Social Behavior, 47, 1–16.CrossRef Umberson, D., Williams, K., Powers, D. A., Liu, H., & Needham, B. (2006). You make me sick: Marital quality and health over the life course. Journal of Health and Social Behavior, 47, 1–16.CrossRef
go back to reference Waite, L., & Gallagher, M. (2000). The case for marriage: Why married people are happier, healthier and better off financially. New York, NY: Doubleday. Waite, L., & Gallagher, M. (2000). The case for marriage: Why married people are happier, healthier and better off financially. New York, NY: Doubleday.
go back to reference Wight, R. G., LeBlanc, A. J., & Lee Badgett, M. V. (2012). Same-sex legal marriage and psychological well-being: Findings from the California Health Interview Survey. American Journal of Public Health, 103, 339–346.CrossRef Wight, R. G., LeBlanc, A. J., & Lee Badgett, M. V. (2012). Same-sex legal marriage and psychological well-being: Findings from the California Health Interview Survey. American Journal of Public Health, 103, 339–346.CrossRef
go back to reference Zivony, A., & Lobel, T. (2014). The invisible stereotypes of bisexual men. Archives of Sexual Behavior, 43, 1165–1176.CrossRef Zivony, A., & Lobel, T. (2014). The invisible stereotypes of bisexual men. Archives of Sexual Behavior, 43, 1165–1176.CrossRef
Metadata
Title
Bisexuality, Union Status, and Gender Composition of the Couple: Reexamining Marital Advantage in Health
Authors
Ning Hsieh
Hui Liu
Publication date
19-09-2019
Publisher
Springer US
Published in
Demography / Issue 5/2019
Print ISSN: 0070-3370
Electronic ISSN: 1533-7790
DOI
https://doi.org/10.1007/s13524-019-00813-2

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