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

基本信息

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
项目类别：
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

项目摘要

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.

项目摘要性别和性别少数（即女同性恋，同性恋，双性恋，酷儿或其他非异性恋或非cis性别）成年人是经历重大心理和身体健康差异的人群。这个项目通过关注浪漫关系的健康背景来解决性和性别少数民族健康，合法婚姻仅适用于性少数夫妇截至2015年，美国，但数十年的研究表明，婚姻对异性恋夫妇。性和性别少数派压力是健康分配的主要驱动力人口和婚姻可能会缓冲或加剧夫妻的少数压力经历。这个纵向研究将检查性少数群体压力和婚姻的交集。它将以多次衡量健康最近结婚的性少数夫妇（包括性别认同）的分析水平通过以下目标进行两年的婚姻。 1）通过重复定量调查在结婚的头两年中压力，关系过程以及身心健康以及关系调解人和少数派压力与健康之间建立良好联系的主持人。 2）通过纵向定性访谈（n = 24-30对AIM 1的夫妇），我们将探索婚姻的不断发展的意义新婚时期，以及对婚姻如何塑造少数压力的看法。 3）使用一对夫妻子（n = 100），我们将反复测量应激的物理标记（皮质醇，α淀粉酶）和关联夫妻日常生活中的关系互动和少数压力。这项研究将衡量自我在性少数夫妇的生活中，在重要的过渡中报告了健康和生物学媒介。拟议的R01对二元过程和生物心理社会健康的PAR-21-281敏感性别和性别少数族裔健康研究（非MD-19-001）和NIMHD的Trans-NIH战略计划科学愿景。我们的飞行员数据表明：1）性少数群体面对健康的独特挑战关系形成，2）他们似乎以根本独特的方式将婚姻视为生活选择，而3）婚姻是理解性少数夫妇的身心健康的潜在关键背景。该项目产生的发现将为意外和批判生活做出重要贡献和关系过渡：婚姻，这是由性取向的社会背景和对性少数夫妇的健康有明显的影响。