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Same-Sex, Same Health? Health Concordance Among Same-Sex and Different-Sex Couples

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  • Russell Spiker

    (Vanderbilt University LGBT Policy Lab)

Abstract

Health concordance–health similarity between intimate partners–is understudied among different-sex cohabiting, same-sex cohabiting, and same-sex married couples due to an overwhelming focus on different-sex married couples. I explore whether existing research and theory extends to health concordance among different-sex cohabiting and same-sex couples. Additionally, I examine health concordance as a site of population health disparities at the couple level. I use the 2008–2018 IPUMS National Health Interview Surveys to perform multinomial logistic regressions of poor-to-fair health and activity limitations concordance on union status, demographic similarity, and socioeconomic resources. Health concordance is common among all couples, characterizing at least 86% of each union status. Marital status differentiates concordance risk for different-sex couples, but not same-sex couples. Same-sex female couples face higher risks of health discordance and concordant disadvantaged health than many other couples, both of which represent major health disadvantages. Union status affects health concordance risk for couples in ways that cannot be easily reduced to marriage, gender, or sex composition. Negative health concordance, especially for same-sex female couples and different-sex cohabitors, warrants further attention as a site of health inequalities. Socioeconomic resources may play a major role in promoting positive health concordance among couples, which could inform policy levers to improve couple health. Health concordance is a site of health disparities because the risk of partners’ concordance in poor health varies considerably depending on union status.

Suggested Citation

  • Russell Spiker, 2021. "Same-Sex, Same Health? Health Concordance Among Same-Sex and Different-Sex Couples," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(6), pages 1313-1340, December.
    • Handle: RePEc:kap:poprpr:v:40:y:2021:i:6:d:10.1007_s11113-021-09654-7
    DOI: 10.1007/s11113-021-09654-7
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    1. Guner, Nezih & Kulikova, Yuliya & Llull, Joan, 2018. "Marriage and health: Selection, protection, and assortative mating," European Economic Review, Elsevier, vol. 104(C), pages 138-166.
    2. Central Bureau for Health Intelligence (CBHI), 2015. "The National Health Profile 2015," Working Papers id:7552, eSocialSciences.
    3. Audrey Light, 2004. "Gender differences in the marriage and cohabitation income premium," Demography, Springer;Population Association of America (PAA), vol. 41(2), pages 263-284, May.
    4. Anne Case & Christina Paxson, 2005. "Sex differences in morbidity and mortality," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 189-214, May.
    5. Lee Lillard & Constantijn Panis, 1996. "Marital status and mortality: The role of health," Demography, Springer;Population Association of America (PAA), vol. 33(3), pages 313-327, August.
    6. Debra Umberson & Mieke Beth Thomeer & Rhiannon A. Kroeger & Corinne Reczek & Rachel Donnelly, 2017. "Instrumental- and Emotion-Focused Care Work During Physical Health Events: Comparing Gay, Lesbian, and Heterosexual Marriages," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(3), pages 498-509.
    7. Umberson, Debra, 1992. "Gender, marital status and the social control of health behavior," Social Science & Medicine, Elsevier, vol. 34(8), pages 907-917, April.
    8. Reczek, Corinne & Umberson, Debra, 2012. "Gender, health behavior, and intimate relationships: Lesbian, gay, and straight contexts," Social Science & Medicine, Elsevier, vol. 74(11), pages 1783-1790.
    9. Hatzenbuehler, M.L. & O'Cleirigh, C. & Grasso, C. & Mayer, K. & Safren, S. & Bradford, J., 2012. "Effect of same-sex marriage laws on health care use and expenditures in sexual minority men: A quasi-natural experiment," American Journal of Public Health, American Public Health Association, vol. 102(2), pages 285-291.
    10. Zajacova, Anna & Huzurbazar, Snehalata & Todd, Megan, 2017. "Gender and the structure of self-rated health across the adult life span," Social Science & Medicine, Elsevier, vol. 187(C), pages 58-66.
    11. Christopher Jepsen & Lisa K. Jepsen, 2015. "Labor-Market Specialization within Same-Sex and Difference-Sex Couples," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 54(1), pages 109-130, January.
    12. Lisa Jepsen & Christopher Jepsen, 2002. "An empirical analysis of the matching patterns of same-sex and opposite-sex couples," Demography, Springer;Population Association of America (PAA), vol. 39(3), pages 435-453, August.
    13. Reczek, Corinne, 2012. "The promotion of unhealthy habits in gay, lesbian, and straight intimate partnerships," Social Science & Medicine, Elsevier, vol. 75(6), pages 1114-1121.
    14. Gonzales, G. & Blewett, L.A., 2014. "National and state-specific health insurance disparities for adults in same-sex relationships," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 95-104.
    15. Dan Black & Gary Gates & Seth Sanders & Lowell Taylor, 2000. "Demographics of the gay and lesbian population in the United States: Evidence from available systematic data sources," Demography, Springer;Population Association of America (PAA), vol. 37(2), pages 139-154, May.
    16. Thomeer, Mieke Beth & Reczek, Corinne & Umberson, Debra, 2015. "Relationship dynamics around depression in gay and lesbian couples," Social Science & Medicine, Elsevier, vol. 147(C), pages 38-46.
    17. Gary S. Becker, 1981. "A Treatise on the Family," NBER Books, National Bureau of Economic Research, Inc, number beck81-1, March.
    18. Meyler, Deanna & Stimpson, Jim P. & Peek, M. Kristen, 2007. "Health concordance within couples: A systematic review," Social Science & Medicine, Elsevier, vol. 64(11), pages 2297-2310, June.
    19. Linda Waite, 1995. "Does marriage matter?," Demography, Springer;Population Association of America (PAA), vol. 32(4), pages 483-507, November.
    20. Michael Rendall & Margaret Weden & Melissa Favreault & Hilary Waldron, 2011. "The Protective Effect of Marriage for Survival: A Review and Update," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 481-506, May.
    21. Guner, Nezih & Kulikova, Yuliya & Llull, Joan, 2018. "Reprint of: Marriage and health: Selection, protection, and assortative mating," European Economic Review, Elsevier, vol. 109(C), pages 162-190.
    22. Hatzenbuehler, M.L. & Keyes, K.M. & Hasin, D.S., 2009. "State-level policies and psychiatric morbidity in lesbian, gay, and bisexual populations," American Journal of Public Health, American Public Health Association, vol. 99(12), pages 2275-2281.
    23. Dan A. Black & Seth G. Sanders & Lowell J. Taylor, 2007. "The Economics of Lesbian and Gay Families," Journal of Economic Perspectives, American Economic Association, vol. 21(2), pages 53-70, Spring.
    24. Michael A. Ash & M. V. Lee Badgett, 2006. "Separate And Unequal: The Effect Of Unequal Access To Employment‐Based Health Insurance On Same‐Sex And Unmarried Different‐Sex Couples," Contemporary Economic Policy, Western Economic Association International, vol. 24(4), pages 582-599, October.
    25. Christine Schwartz & Nikki Graf, 2009. "Assortative matching among same-sex and different-sex couples in the United States, 1990-2000," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 21(28), pages 843-878.
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