Relationships and Health: Comparing Union Types

摘要 已婚的异性恋者比未婚者享有更多的健康和长寿，以及婚姻的重要性 对于健康的需求随着人们年龄的增长而增加。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。这个 拟议的项目将首次对合法婚姻和健康进行深入和系统的分析 试比较男同性恋、女同性恋和异性恋情侣。拟议项目的主要目标是评估如何 已婚男性和女性相互促进或阻碍彼此的健康，以及这些过程在同性恋中是如何变化的， 女同性恋者和异性恋婚姻。这个项目的主要关注点是揭示 男同性恋、女同性恋和异性恋配偶影响彼此健康的过程，因此我们将 收集新数据，并使用一种特别适合于解决流程问题的分析方法。R21 周期将被用来构建一个新的三部分混合方法数据集。我们将面对面进行60- 包括开放式和封闭式答复的分钟基准调查，并从以下位置收集14天的每日流程数据 60个同性婚姻、60个女同性恋婚姻和60个异性婚姻中的配偶双方(N=360人， 180对夫妇，5040天日记)。日常流程(也称为日记)数据特别适合于调查 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步分析以 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)以及将配偶动态联系起来的机制(例如，压力、社会支持 对健康的影响。基线调查中的开放式问题和以前深入收集的问题 访谈数据还将提供定性数据，以分析解释和阐明的含义和过程 在日常流程分析中发现了显著的模式。这一混合方法项目将为卫生政策提供信息 涉及到婚姻影响不同类型夫妇健康的性别动态。我们必须 确定男同性恋和异性恋婚姻中的男性和女性最危险和最有弹性的领域 为政策和实践奠定最有效的战略基础。R21机制的目的是支持 初步和新颖的项目，随后导致更大规模的研究。我们将利用来自 为未来R01应用程序的开发奠定基础的拟议项目，以在其上创建国家数据集 男同性恋、女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.