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，已婚美国人比未婚同龄人健康状况更好，寿命更长 而且在配偶如何影响对方的健康方面存在性别差异。父项目感动了我们 超越关于男女之间不同性别婚姻中的健康的工作，来看二元关系和健康 中老年配偶在同性(主要是男同性恋和女同性恋)和异性(主要是同性恋)中的经历 (直白的)婚姻。家长项目已经从根本上改变了人们对婚姻和健康的想法，转向了 关注性别关系背景如何影响同性和异性伴侣的婚姻和健康结果 主要由同性恋者和异性恋者组成。文献中的一个重大空白，目前没有在 到目前为止的父母研究，是纳入了相当大一部分双性恋+已确定的个人。双性恋+被指认的人， 他由任何具有非单性恋性身份的人组成，例如双性恋、双性恋、同性恋、双性恋- 已确定(NIH Nosi)，占LGBTQ总人口的40%至50%，是增长最快的 当今美国的性少数群体。拟议的补编将为调查原因奠定基础。 双性恋+健康在婚姻环境中的劣势，这仍然是科学家和政策制定者的困惑。至 将双性恋+人的样本纳入母公司项目，我们必须首先进行一系列探索性的深度访谈 有30个双性恋者和他们的配偶(任何性取向)。最初的R21项目，它将父R37接地， 依赖于对男同性恋、女同性恋和异性恋配偶的深入采访，作为获得对 不同性别和性取向群体的婚姻过程。因此，目标是将双性恋+小组纳入 家长计划，本附录建议60个定性访谈，包括30个双性恋者和他们的配偶，以 介绍招募双性恋者及其配偶的最佳做法，并为上下文提供新的初步数据- 更新现有的父项目数据，并为未来一年将增加的更大调查和每日日记研究奠定基础 家长研究。定性数据揭示了这些模式产生和可能出现的潜在过程 然后用来制定和改进措施，以便在双性恋+人群中进行未来的量化评估。我们建议 以下具体目标：目标1：显示招募双性恋+人的可行性和具体的科学方法 他们的配偶。目标2：对双性恋者和他们的配偶进行60次深入访谈 (指任何性取向)了解双性恋婚姻中的健康。这将证明科学的重要性和新颖性。 将双性恋者及其配偶纳入其中，目的是为父母项目提供所需的背景 调查答复和为母项目制定适当的调查问题。

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. The Parent project has moved us beyond work on health in different-sex marriages between women and men to look at the dyadic relational and health experiences of mid to later life spouses in same-sex (primarily gay and lesbian-identified) and different-sex (primarily straight-identified) marriages. The Parent project has fundamentally shifted thinking about marriage and health towards a focus on how gendered relational contexts influence marriage and health outcomes for same- and different-sex couples primarily made up of gay, lesbian, and straight people. A significant gap in the literature, currently not addressed in the parent study to date, is the inclusion of a substantial portion of bisexual+ identified individuals. Bisexual+ identified people, who consists of anyone who is of a non-monosexual sexual identity, such as bisexual, pansexual, queer, demisexual- identified (NIH NOSI), make up between 40 and 50 percent of the overall LGBTQ population and are the fastest growing sexual minority group in the U.S. today. The proposed Supplement will lay the foundation for an investigation of the causes of the bisexual+ health disadvantage in the marital context, which remains a puzzle for scientists and policymakers. To incorporate a sample of bisexual+ people into the Parent project, we must first do an exploratory set of in-depth interviews with 30 bisexual+ people and their spouses (of any sexuality). The original R21 project, which grounded the Parent R37, relied on in-depth interviews with gay, lesbian, and straight-identified spouses as a first step to gaining keen insight into the marital processes of different gender and sexuality groups. Thus, with the goal of including a bisexual+ panel in the Parent project, this supplement proposes 60 qualitative interviews, inclusive of 30 bisexual+ people and their spouses, to inform best practices on recruiting bisexual+ people and their spouses and to provide novel preliminary data for contextu- alizing existing Parent project data and for grounding a larger survey and daily diary study to be added in a future year of the Parent study. Qualitative data shed light on the underlying processes through which such patterns emerge and can then be used to develop and refine measures for future quantitative assessments in bisexual+ populations. We propose the following specific aims: Aim 1: Show feasibility of and a specific scientific approach for recruiting bisexual+ people and their spouses. Aim 2: Conduct 60 in-depth interviews with bisexual+ (e.g., bisexual, pansexual) people and their spouses (of any sexuality) to understand health in a bisexual+ marriage. This will demonstrate the scientific importance and novelty of the inclusion of bisexual+ people and their spouses with the goal of providing needed context to the Parent project survey responses and of developing appropriate survey questions for the Parent project.