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 几十年的人口研究表明，已婚的美国人比未婚的同龄人身体更健康，寿命更长 配偶之间在影响彼此健康方面存在性别差异。家长项目让我们 除了研究男女之间不同性别婚姻的健康问题外， 在同性（主要是同性恋）和异性（主要是同性恋）中， 婚姻（婚姻）。父母项目从根本上改变了人们对婚姻和健康的看法， 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 主要由同性恋和异性恋组成文献中的一个重大空白，目前尚未在 迄今为止，父母研究包括了相当一部分双性恋+身份确定的个体。双性恋+认同的人， 由任何非单性身份的人组成，如双性恋，泛性恋，酷儿，非异性恋， （NIH NOSI），占LGBTQ总人口的40%至50%，并且是增长最快的 性少数群体在美国今天。拟议补编将为调查原因奠定基础 在婚姻背景下双性恋+健康的劣势，这仍然是科学家和政策制定者的一个难题。到 要将双性恋+人群的样本纳入到父母项目中，我们必须首先进行一系列探索性的深度访谈 30个双性恋+的人和他们的配偶（任何性别）。最初的R21项目，它接地的父R37， 依赖于对同性恋、女同性恋和异性恋配偶的深入采访，作为获得敏锐洞察力的第一步。 不同性别和性取向群体的婚姻过程。因此，为了将双性恋+小组纳入其中 家长项目，本补充建议60定性访谈，包括30双性恋+的人和他们的配偶， 为招聘双性恋+人士及其配偶提供最佳实践信息，并提供新的初步数据， 使现有的母项目数据化，并为未来一年增加的更大规模的调查和每日日记研究奠定基础， 父母的研究。定性数据揭示了这种模式出现的基本过程， 然后用于制定和完善未来对双性恋+人群进行定量评估的措施。我们建议 以下具体目标：目标1：展示招募双性恋+人士的可行性和具体的科学方法， 他们的配偶。目标2：对双性恋+进行60次深度访谈（例如，双性恋、泛性恋）的人及其配偶 (of任何性行为）来了解双性恋+婚姻中的健康。这将证明科学的重要性和新奇 包括双性恋+的人和他们的配偶，目的是为父母项目提供所需的背景 调查答复，并为母公司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.