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Bisexuality, Union Status, and Gender Composition of the Couple: Reexamining Marital Advantage in Health

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  • Ning Hsieh

    (Michigan State University)

  • Hui Liu

    (Michigan State University)

Abstract

It has long been documented that married individuals have better health outcomes than unmarried individuals. However, this marital advantage paradigm has been developed primarily based on heterosexual populations. No studies to date have examined the health effects of marriage among bisexuals, one of the most disadvantaged but understudied sexual minority groups, although a few have shown mixed results for gays and lesbians. Similarly, no research has examined how the gender composition of a couple may shape bisexuals’ health outcomes above and beyond the effects of sexual orientation. We analyzed pooled data from the 2013–2017 National Health Interview Survey (n = 154,485) and found that the health advantage of marriage applied only to heterosexuals and, to a lesser extent, gays and lesbians. Married bisexuals, however, exhibited poorer health than unmarried bisexuals when socioeconomic status and health behaviors were adjusted for. Moreover, bisexuals in same-gender unions were healthier than bisexuals in different-gender unions primarily because of their socioeconomic advantages and healthier behaviors. Together, our findings suggest that bisexuals, particularly those in different-gender unions, face unique challenges in their relationships that may reduce the health advantage associated with marriage.

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  • Ning Hsieh & Hui Liu, 2019. "Bisexuality, Union Status, and Gender Composition of the Couple: Reexamining Marital Advantage in Health," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1791-1825, October.
    • Handle: RePEc:spr:demogr:v:56:y:2019:i:5:d:10.1007_s13524-019-00813-2
    DOI: 10.1007/s13524-019-00813-2
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    References listed on IDEAS

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    Cited by:

    1. Christopher S. Carpenter & Gilbert Gonzales Jr. & Tara McKay & Dario Sansone, 2020. "Effects of the Affordable Care Act Dependent Coverage Mandate on Health Insurance Coverage for Individuals in Same-Sex Couples," NBER Working Papers 26978, National Bureau of Economic Research, Inc.
    2. Solveig Glestad Christiansen & Øystein Kravdal, 2023. "Union Status and Disability Pension," European Journal of Population, Springer;European Association for Population Studies, vol. 39(1), pages 1-19, December.

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