How Spouses Influence Each Other's Health in Same- and Different-Sex Marriages: A Dyadic and Longitudinal Assessment from Mid to Later Life

摘要 数十年的人口研究表明，已婚美国人的健康状况更好，寿命也更长 他们认为，在未婚同龄人中，配偶对彼此健康的影响存在性别差异。直到 然而，最近这项研究完全是基于男女之间的婚姻。2015年，与NIA合作 Support(R21 AG0445850)，我们收集了二元数据，首次对婚姻过程进行了深入分析 以及比较同性婚姻和异性婚姻中合法结婚的中年配偶的健康状况。调查结果显示 强调了同性和异性男女在与健康相关的婚姻动态方面的差异 工会。这些动态可能会影响配偶双方的长期健康，但由于缺乏纵向和 二元数据，科学家们对它们如何做到这一点知之甚少。这个项目的主要目标是构建一部小说， 纵向的二元数据集，用于比较同性和异性已婚伴侣对彼此的影响 中老年的健康行为和身心健康。2015年，我们收集了关于 关系动态、关系和健康史，以及配偶双方的多种健康结果(年龄 35-65)在合法结婚的同性和异性婚姻中(N=838人，419对夫妇；124名同性男子 夫妇，171对同性女性夫妇；124对不同性别的夫妇)。我们还收集了10天的每日日记数据 评估伴侣动态、压力暴露、健康行为以及心理和心理上的每日波动 身体症状。我们提出了时间2和时间3的纵向跟踪：(1)推进科学 了解影响女性长期健康轨迹的关系动态可能会发生怎样的变化 以及同性和异性婚姻中的男性；(2)阐明日常生活中与健康相关的模式 跨越8年的3次婚姻动态变化，以及这些动态在女性和男性中的差异 在同性和异性婚姻中；以及(3)将每日日记和调查数据联系起来，以考虑如何短期 关系进程的波动会影响多种健康结果的长期变化。以结果为基础 从2015年的基线调查和日记数据来看，我们预计，随着时间的推移，女性和男性在相同-和不同- 性婚姻将形成独特的风险模式(例如，损害健康的行为、压力和痛苦 (例如，情绪支持、照料、情绪调节)影响健康。许多 关于婚姻动态对健康的累积影响以及这些影响如何产生的最重要的问题 随着配偶年龄的变化，动态变化需要纵向数据--这些数据目前还不适用于同性 情侣。通过NIA R21 AG044585收集的新的横截面二元数据提供了独特的 有机会对年老的同性和异性已婚夫妇进行纵向数据收集。分析 这些数据将提供关于将婚姻动态与健康联系起来的过程的循证知识 在同性和异性婚姻中，配偶的年龄以及这些过程对男女的影响有何不同。

Abstract Decades of population research show that married Americans are in better health and live longer than their unmarried peers and that there are gender differences in how spouses influence each other’s health. Until recently, however, this research was entirely based on marriages between women and men. In 2015, with NIA support (R21 AG0445850), we collected dyadic data to conduct the first in-depth analysis of marital processes and health comparing legally married midlife spouses in same-sex and different-sex marriages. Findings have highlighted differences in health-related marital dynamics for women and men in same- and different-sex unions. These dynamics likely impact both spouses’ long-term health, but due to a lack of longitudinal and dyadic data, scientists know little about how they do so. The major goal of this project is to construct a novel, longitudinal, dyadic data set to compare how same-sex and different-sex married partners influence each other’s health behaviors and mental and physical health from mid- to later life. In 2015, we collected survey data on relationship dynamics, relationship and health histories, and multiple health outcomes from both spouses (ages 35–65) in legally married same- and different-sex marriages (N=838 individuals, 419 dyads; 124 same-sex men couples, 171 same-sex women couples; 124 different-sex couples). We also collected 10 days of daily diary data to assess daily fluctuation in partner dynamics, stress exposure, health behaviors, and psychological and physical symptoms. We propose a Time 2 and Time 3 longitudinal follow-up to: (1) Advance scientific understanding of how relationship dynamics that influence long-term health trajectories may vary for women and men in same- and different-sex marriages; (2) Elucidate how patterns in daily experiences of health-related marital dynamics change across 3 occasions spanning 8 years and how these dynamics vary for women and men in same- and different-sex marriages; and (3) Link the daily diary and survey data to consider how short-term fluctuations in relationship processes affect longer-term change in multiple health outcomes. Based on results from the 2015 baseline survey and diary data, we expect that over time, women and men in same- and different- sex marriages will develop unique patterns of risk (e.g., health-damaging behaviors, stress and distress transmission) and resilience (e.g., emotional support, caregiving, emotion regulation) that affect health. Many of the most important questions about the cumulative effects of marital dynamics on health and how those dynamics change as spouses age require longitudinal data—data that do not currently exist for same-sex couples. The novel cross-sectional dyadic data collected through NIA R21 AG044585 provide a unique opportunity for a longitudinal data collection on aging same- and different-sex married couples. Analysis of these data will provide evidence-based knowledge about the processes that link marital dynamics to health as spouses age and how these processes vary for women and men in same- and different-sex marriages.