Sexual minority couples' health during the transition to marriage

婚姻过渡期间性少数夫妇的健康状况

• 批准号: 10585685
• 负责人: Nicholas Perry
• 金额: $ 53.6万
• 依托单位: UNIVERSITY OF DENVER (COLORADO SEMINARY)
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-15 至 2027-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10585685
• 关键词: Acceleration; Address; Adult; Affect; Affective; Alcohol abuse; Alcohol consumption; Biological; Buffers; Cardiovascular Physiology; Climacteric; Couples; Data; Decision Making; Diet; Enrollment; Exercise; Exposure to; Face; Gender; Gender Identity; Happiness; Health; Health Benefit; Health behavior; Heterosexuals; Hydrocortisone; Individual; Inflammation; Interpersonal Violence; Intervention; Interview; Legal; Legal Rights; Lesbian Gay Bisexual; Life; Link; Longevity; Longitudinal Studies; Marriage; Measures; Mediator; Mental Depression; Mental Health; Morbidity - disease rate; Motivation; National Institute on Minority Health and Health Disparities; Outcome; Pathway interactions; Patient Self-Report; Perception; Physiological; Physiology; Population; Process; Psychopathology; Public Policy; Research; Risk; Risk Factors; Risk Reduction; Sex Orientation; Sexual and Gender Minorities; Shapes; Sleep; Social Change; Social Environment; Strategic Planning; Stress; Surveys; United States; United States National Institutes of Health; Vision; alpha-amylase; biopsychosocial; cisgender; critical period; diaries; experience; family support; female couples; gender minority health; gender minority health research; gender minority stress; health disparity; health disparity populations; high risk; immune function; improved; intimate partner violence; longitudinal design; male couples; marginalization; minority health; minority stress; mortality; non-heterosexual; physical conditioning; population health; protective factors; queer; resilience factor; sexual minority; sexual minority female; sexual minority group; sexual minority health; sexual minority male; sexual minority stress; social; social stigma; social stress; stressor; substance use

PROJECT SUMMARY Sexual and gender minority (i.e., lesbian, gay, bisexual, queer or other non-heterosexual or non-cis gender) adults are a population that experiences significant mental and physical health disparities. This project addresses sexual and gender minority health through a focus on the romantic relationship context of health, specifically at the point of marriage. Legalized marriage is only newly available to sexual minority couples in the United States as of 2015, but decades of research have demonstrated that marriage has health benefits for heterosexual couples. Sexual and gender minority stress is a primary driver of health disparities for this population and marriage may buffer or exacerbate minority stress experiences for couples. This longitudinal study will examine the intersection of sexual minority stress and marriage. It will measure health at multiple levels of analysis among recently-married sexual minority couples, inclusive of gender identity, across the first two years of marriage through the following aims. 1) Through repeated quantitative surveys with sexual minority couples (N=250 couples) over the first two years of marriage, we will examine changes in minority stress, relationship processes, and physical and mental health, as well as relationship mediators and moderators of the well-established link between minority stress and health. 2) Through longitudinal qualitative interviews (N=24-30 couples enrolled from Aim 1), we will explore the evolving meaning of marriage over the newlywed period, as well as perceptions of how marriage shapes minority stress. 3) Using a sub-set of couples (N=100), we will repeatedly measure physiological markers of stress (cortisol, alpha amylase) and associations with relationship interactions and minority stress in couples’ daily lives. This study will measure both self- reported health and biological mediators of health at an important transition in sexual minority couples’ lives. The proposed R01 is responsive to PAR-21-281 on dyadic processes and biopsychosocial health, NIH’s Trans-NIH Strategic Plan for Sexual and Gender Minority Health research (NOT-MD-19-001), and NIMHD’s Scientific Vision. Our pilot data suggest that: 1) sexual minority individuals face unique challenges to healthy relationship formation, 2) they appear to view marriage as a life choice in a fundamentally unique way, and 3) marriage is a potentially critical context for understanding sexual minority couples’ mental and physical health. The discoveries generated by this project will make important contributions to an unexplored and critical life and relationship transition: marriage, which is uniquely shaped by the social context of sexual orientation and has clear implications for the health of sexual minority couples.

项目总结 性少数和性别少数(即女同性恋者、男同性恋者、双性恋者、同性恋者或其他非异性恋者或非顺位性别) 成年人是心理和身体健康存在显著差异的人群。这个项目 通过关注健康的浪漫关系背景，处理性少数群体和性别少数群体的健康， 特别是在结婚的时候。合法化婚姻只有在#年性少数夫妇才能获得。 美国自2015年起，但数十年的研究表明，婚姻对健康有益 异性恋情侣。性和性别少数群体的压力是造成这一健康差距的主要原因 人口和婚姻可能会缓冲或加剧夫妇的少数族裔压力体验。这是纵向的 这项研究将探讨性少数群体压力和婚姻的交集。它将在多个方面衡量健康状况 在新婚的性少数夫妇中的分析水平，包括第一次性别认同 通过以下目标结婚两年。1)通过对性行为的反复定量调查 少数族裔夫妇(N=250对)在婚姻的头两年，我们将研究少数族裔的变化 压力、关系过程和身心健康，以及关系调解人和 少数族裔压力与健康之间业已确立的联系的调解人。2)通过纵向定性 访谈(N=24-30对从目标1登记的夫妇)，我们将探索婚姻在过去几年中的演变意义 新婚时期，以及对婚姻如何塑造少数族裔压力的看法。3)使用情侣的子集 (n=100)，我们将重复测量压力的生理标记物(皮质醇、α-淀粉酶)及其相关性 关系互动和夫妻日常生活中的少数民族压力。这项研究将测量两个自我 据报告，在性少数夫妇生活的重要转折期，健康和健康的生物调解人。 建议的R01是对关于二元过程和生物心理社会健康的PAR-21-281的响应，NIH的 跨NIH性和性别少数民族健康研究战略计划(NOT-MD-19-001)，以及NIMHD 科学远景。我们的初步数据表明：1)性少数群体面临着独特的健康挑战 关系的形成，2)他们似乎以一种从根本上独特的方式将婚姻视为一种生活选择，3) 婚姻是了解性少数族裔夫妇心理和身体健康的一个潜在的关键背景。 该项目产生的发现将对未知和关键的生命做出重要贡献 和关系转变：婚姻，这是由性取向和性取向的社会背景独特塑造的 对性少数夫妇的健康有明显的影响。