Relationships and Health: Comparing Union Types

摘要 已婚的异性恋者比未婚者更健康长寿， 因为健康会随着年龄的增长而增加。然而，由于同性伴侣在美国大部分地区不能合法结婚， 在美国，我们对婚姻对老年男女同性恋者的健康影响知之甚少。的 拟议的项目将首次对法律的婚姻和健康进行深入和系统的分析， 比较一下男女同性恋和异性恋伴侣。该项目的主要目标是评估 已婚男性和女性促进或阻碍彼此的健康，以及这些过程如何在同性恋， 女同性恋和异性恋婚姻这个项目的主要重点是揭示途径， 男同性恋者、女同性恋者和异性恋配偶通过这些过程影响彼此的健康，因此，我们将 收集新的数据，并使用一种独特的适合于解决过程问题的分析方法。R21 期间将用于构建一个新的三部分混合方法数据集。我们将进行面对面的60- 分钟的基线调查与开放式和封闭式的答复，并收集14天的日常过程数据，从 在60个同性婚姻，60个女同性婚姻和60个异性婚姻中的配偶（N=360个个体， 180对夫妇，5 040个日记日）。日常过程（也称为日记）数据非常适合调查 在与配偶的日常互动中展开的心理社会过程，同时也解释了 这些互动。从每段婚姻中的配偶双方获得的日记数据将被同时分析， 评估配偶动态和健康结果的每日波动（即，健康行为，心理状态， 和身体健康症状）以及机制（例如，压力，社会支持），这些因素将夫妻关系 to health健康outcomes结果.基线调查和以前深入收集的开放式问题 采访数据还将提供定性数据来分析解释和阐明的含义和过程 在日常过程分析中发现的重要模式。这一混合方法项目将为卫生政策提供信息 涉及婚姻影响各种夫妻健康的性别动态。我们必须 确定男同性恋、女同性恋和异性恋婚姻中男性和女性面临的最大风险和复原力， 为政策和实践制定最有效的战略。R21机制的目的是支持 初步和新的项目，随后导致更大规模的研究。我们将利用 拟议的项目，为未来R 01应用程序的开发奠定基础，以创建一个关于 同性恋和异性恋人群的婚姻和健康。

Abstract Married heterosexuals enjoy greater health and longevity than the unmarried, and the importance of marriage for health increases as people age. However, since same-sex couples cannot legally marry in most parts of the United States, we know very little about the health implications of marriage for aging gays and lesbians. The proposed project will provide the first in-depth and systematic analysis of legal marriage and health to compare, gay, lesbian, and heterosexual couples. The major goal of the proposed project is to assess how married men and women promote or deter one another's health, and how these processes vary across gay, lesbian, and heterosexual marriages. The primary focus of this project is on revealing the pathways and processes through which gay, lesbian, and heterosexual spouses influence each other's health, therefore we will collect new data and use an analytic approach that is uniquely suited to addressing issues of process. The R21 period will be used to construct a novel three-part mixed-methods dataset. We will conduct face-to-face 60- minute baseline surveys with open and closed-ended responses, and collect 14 days of daily process data from both spouses in 60 gay marriages, 60 lesbian marriages, and 60 heterosexual marriages (N=360 individuals, 180 couples, 5,040 diary days). Daily process (also known as diary) data are uniquely suited to investigating psychosocial processes that unfold in daily interactions with spouses, while also accounting for the contexts of those interactions. The diary data obtained from both spouses in each marriage will be analyzed in tandem to assess daily fluctuation in spousal dynamics and health outcomes (i.e., health behaviors, psychological state, and physical health symptoms) as well as mechanisms (e.g., stress, social support) that link spousal dynamics to health outcomes. Open-ended questions from the baseline survey and previously collected in-depth interview data will also provide qualitative data to analyze meanings and processes that explain and elucidate significant patterns revealed in the daily process analysis. This mixed methods project will inform health policy involving the gendered dynamics through which marriage influences health across couple type. We must identify areas of greatest risk and resilience for men and women in gay, lesbian, and heterosexual marriage to ground the most effective strategies for policy and practice. The purpose of the R21 mechanism is to support preliminary and novel projects that subsequently lead to larger-scale studies. We will utilize findings from the proposed project to ground the development of a future R01 application to create a national dataset on marriage and health in gay, lesbian, and heterosexual populations.