Pub Date : 2025-08-03DOI: 10.1177/00221465251353534
Hope Xu Yan
Despite awareness of racial-ethnic health inequalities in the United States, research on racial-ethnic differences in mothers' mental health remains scarce. Using data from the Early Childhood Longitudinal Study: 2010-2011 Kindergarten (N = 8,495), this study employs the stress process model to explore racial-ethnic differences in mothers' parenting stress and its associations with depression. To capture the multidimensionality of mothers' parenting stress, I conduct latent profile analysis to identify five types of parenting stress. Mothers' distributions across different types of parenting stress vary by race-ethnicity even when their overall parenting stress levels are similar. The relationships between each type of parenting stress and depression also differ by race-ethnicity. The findings underscore the need to consider different dimensions and types of parenting stress mothers face when studying racial-ethnic disparities in the mental health consequences of motherhood and exploring social inequalities in the relationship between stress and depression.
{"title":"Racial-Ethnic Differences in Mothers' Parenting Stress and Its Associations with Depression.","authors":"Hope Xu Yan","doi":"10.1177/00221465251353534","DOIUrl":"https://doi.org/10.1177/00221465251353534","url":null,"abstract":"Despite awareness of racial-ethnic health inequalities in the United States, research on racial-ethnic differences in mothers' mental health remains scarce. Using data from the Early Childhood Longitudinal Study: 2010-2011 Kindergarten (N = 8,495), this study employs the stress process model to explore racial-ethnic differences in mothers' parenting stress and its associations with depression. To capture the multidimensionality of mothers' parenting stress, I conduct latent profile analysis to identify five types of parenting stress. Mothers' distributions across different types of parenting stress vary by race-ethnicity even when their overall parenting stress levels are similar. The relationships between each type of parenting stress and depression also differ by race-ethnicity. The findings underscore the need to consider different dimensions and types of parenting stress mothers face when studying racial-ethnic disparities in the mental health consequences of motherhood and exploring social inequalities in the relationship between stress and depression.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"724 1","pages":"221465251353534"},"PeriodicalIF":5.0,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-03DOI: 10.1177/00221465251353536
Xuewen Yan,Robert Crosnoe
Although raising children with serious conditions is known to be associated with poorer parental well-being, recent research following a life course perspective highlights how these associations accumulate over time. Expanding this perspective on long-term dynamics of this parental experience, this study examined how three conceptualizations of the "intensity" of this parental role-caregiving duration, cumulative transitions into this role, and the number of affected children-shaped maternal physical health in midlife. Fixed-effects modeling of panel data from the National Longitudinal Survey of Youth 1979 (n = 8,305) revealed that all three dimensions significantly predicted poorer maternal physical health, with particular salience for cumulative transitions and the number of affected children. These associations were generally weaker when mothers had higher income or greater labor force participation, although such buffering effects applied more consistently to labor force participation and specifically to repeated transitions and mothers of two (vs. one) affected children.
{"title":"Life Course Dynamics in the Health of Mothers Raising Children with Serious Conditions.","authors":"Xuewen Yan,Robert Crosnoe","doi":"10.1177/00221465251353536","DOIUrl":"https://doi.org/10.1177/00221465251353536","url":null,"abstract":"Although raising children with serious conditions is known to be associated with poorer parental well-being, recent research following a life course perspective highlights how these associations accumulate over time. Expanding this perspective on long-term dynamics of this parental experience, this study examined how three conceptualizations of the \"intensity\" of this parental role-caregiving duration, cumulative transitions into this role, and the number of affected children-shaped maternal physical health in midlife. Fixed-effects modeling of panel data from the National Longitudinal Survey of Youth 1979 (n = 8,305) revealed that all three dimensions significantly predicted poorer maternal physical health, with particular salience for cumulative transitions and the number of affected children. These associations were generally weaker when mothers had higher income or greater labor force participation, although such buffering effects applied more consistently to labor force participation and specifically to repeated transitions and mothers of two (vs. one) affected children.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"10 1","pages":"221465251353536"},"PeriodicalIF":5.0,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-03DOI: 10.1177/00221465251355487
Hyunmin Yu,Matthew D McHugh,Stephen Bonett,Daniela Golinelli,Tari Hanneman,José A Bauermeister
The Healthcare Equality Index (HEI) evaluates compliance with LGBTQ+ (lesbian, gay, bisexual, transgender, queer or questioning, and other sexual and gender diverse individuals) inclusion in U.S. health care facilities and is associated with greater patient satisfaction. We examined how hospitals' metropolitan location and state-level LGBTQ+ health care policies are associated with voluntary HEI participation and performance. This cross-sectional study analyzed 6,120 U.S. hospitals from the 2022 American Hospital Association Annual Survey. Multilevel logistic regression assessed the relationship and varying impact of metropolitan status and state policies on HEI participation and HEI Leader status (highest performance). State policies had a stronger positive association with nonmetropolitan hospitals. Each additional policy increased HEI participation odds by 58% for nonmetropolitan hospitals (adjusted odds ratio [aOR] = 1.58; 95% confidence interval [CI] = 1.19, 2.10) and 21% for metropolitan hospitals (aOR = 1.21; 95% CI = 1.02, 1.43). No significant associations with HEI Leader status were observed. Strengthening LGBTQ+ inclusive state policies may encourage hospitals, particularly in nonmetropolitan areas, to adopt LGBTQ+ inclusion initiatives.
{"title":"Multilevel Examination of Hospital Participation in the Healthcare Equality Index (HEI): The Role of Geographic Location and State Health Care Policies.","authors":"Hyunmin Yu,Matthew D McHugh,Stephen Bonett,Daniela Golinelli,Tari Hanneman,José A Bauermeister","doi":"10.1177/00221465251355487","DOIUrl":"https://doi.org/10.1177/00221465251355487","url":null,"abstract":"The Healthcare Equality Index (HEI) evaluates compliance with LGBTQ+ (lesbian, gay, bisexual, transgender, queer or questioning, and other sexual and gender diverse individuals) inclusion in U.S. health care facilities and is associated with greater patient satisfaction. We examined how hospitals' metropolitan location and state-level LGBTQ+ health care policies are associated with voluntary HEI participation and performance. This cross-sectional study analyzed 6,120 U.S. hospitals from the 2022 American Hospital Association Annual Survey. Multilevel logistic regression assessed the relationship and varying impact of metropolitan status and state policies on HEI participation and HEI Leader status (highest performance). State policies had a stronger positive association with nonmetropolitan hospitals. Each additional policy increased HEI participation odds by 58% for nonmetropolitan hospitals (adjusted odds ratio [aOR] = 1.58; 95% confidence interval [CI] = 1.19, 2.10) and 21% for metropolitan hospitals (aOR = 1.21; 95% CI = 1.02, 1.43). No significant associations with HEI Leader status were observed. Strengthening LGBTQ+ inclusive state policies may encourage hospitals, particularly in nonmetropolitan areas, to adopt LGBTQ+ inclusion initiatives.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"30 1","pages":"221465251355487"},"PeriodicalIF":5.0,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-24DOI: 10.1177/00221465251353533
Signe Svallfors
Armed conflict has been linked to fertility changes globally, but little is known about how reproductive autonomy is affected. Unwanted fertility is likely to occur during conflicts due to escalations of sexual violence and restricted access to contraception and abortion, especially among marginalized groups. Drawing on an intersectional lens of reproductive justice, this study investigates the relationship between women's exposure to local conflict violence and experiences of unwanted births in Colombia. The study is based on a nationally representative sample of 16,476 children born between 1999 and 2015, from the Demographic and Health Surveys, linked to spatiotemporal conflict data from the Uppsala Conflict Data Program. Results from fixed effects regressions show that exposure to conflict is indeed associated with a higher probability of experiencing unwanted births, especially among socioeconomically disadvantaged people. The study also evaluates how patterns vary by the frequency, intensity, duration, geographical scope, and type of conflict.
{"title":"Armed Conflict and Unwanted Births in Colombia.","authors":"Signe Svallfors","doi":"10.1177/00221465251353533","DOIUrl":"https://doi.org/10.1177/00221465251353533","url":null,"abstract":"Armed conflict has been linked to fertility changes globally, but little is known about how reproductive autonomy is affected. Unwanted fertility is likely to occur during conflicts due to escalations of sexual violence and restricted access to contraception and abortion, especially among marginalized groups. Drawing on an intersectional lens of reproductive justice, this study investigates the relationship between women's exposure to local conflict violence and experiences of unwanted births in Colombia. The study is based on a nationally representative sample of 16,476 children born between 1999 and 2015, from the Demographic and Health Surveys, linked to spatiotemporal conflict data from the Uppsala Conflict Data Program. Results from fixed effects regressions show that exposure to conflict is indeed associated with a higher probability of experiencing unwanted births, especially among socioeconomically disadvantaged people. The study also evaluates how patterns vary by the frequency, intensity, duration, geographical scope, and type of conflict.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"110 1","pages":"221465251353533"},"PeriodicalIF":5.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144693429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-23DOI: 10.1177/00221465251349827
Susan Markens,Marzena Woinska
In this article, we offer a novel exploration of how medical professionals other than physicians approach uncertainty in their training and work practices by using the concept of "work object." Drawing on 65 in-depth interviews with genetic counselors and related health professionals, we illustrate how reconceiving medical uncertainty as a work object opens up and contributes to analytic perspectives that challenge classical assumptions that uncertainty is antithetical to biomedical expertise and instead can be a source of expert authority. In particular, rather than strategizing to minimize or resolve uncertainty and positioning it as exceptional and transitory, we find that the genetic counseling profession foregrounds it as central and ongoing to the profession's work and expertise. Overall, in positioning uncertainty at the front stage of their work, we show how the genetic counseling profession bolsters its expert status by normalizing and routinizing uncertainty as a central and permanent work object.
{"title":"At the Front Stage: Uncertainty as a Medical Work Object.","authors":"Susan Markens,Marzena Woinska","doi":"10.1177/00221465251349827","DOIUrl":"https://doi.org/10.1177/00221465251349827","url":null,"abstract":"In this article, we offer a novel exploration of how medical professionals other than physicians approach uncertainty in their training and work practices by using the concept of \"work object.\" Drawing on 65 in-depth interviews with genetic counselors and related health professionals, we illustrate how reconceiving medical uncertainty as a work object opens up and contributes to analytic perspectives that challenge classical assumptions that uncertainty is antithetical to biomedical expertise and instead can be a source of expert authority. In particular, rather than strategizing to minimize or resolve uncertainty and positioning it as exceptional and transitory, we find that the genetic counseling profession foregrounds it as central and ongoing to the profession's work and expertise. Overall, in positioning uncertainty at the front stage of their work, we show how the genetic counseling profession bolsters its expert status by normalizing and routinizing uncertainty as a central and permanent work object.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"678 1","pages":"221465251349827"},"PeriodicalIF":5.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144684147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-10DOI: 10.1177/00221465251349818
Ethan Siu Leung Cheung, David S. Curtis, Sara Grineski, Yehua Dennis Wei, Ming Wen
This study examines the spatial polarization of income and racial-ethnic groups as predictors of prevalent and incident cardiometabolic disease and tests the extent to which local environmental features act as mediators. Spatial income and racial polarization are defined using the Index of Concentration at the Extremes. Using two waves of data from the Midlife in the United States study, generalized Poisson regression model results indicate that county- and tract-level income polarization are independently associated with prevalence and incidence of cardiometabolic disease. Results from path models showed that more income-privileged counties and tracts generally had greater parkland availability, lower social risks, less air pollution, fewer extreme heat days, and more tree canopy cover—but lower walkability. However, associations between income polarization and cardiometabolic disease are not substantively attenuated when accounting for these tract-level features. The findings show how income polarization locally and regionally patterns both environmental inequities and cardiometabolic disease.
{"title":"Spatial Social Polarization and Cardiometabolic Disease Prevalence and Incidence: What Is the Role of the Neighborhood Environment?","authors":"Ethan Siu Leung Cheung, David S. Curtis, Sara Grineski, Yehua Dennis Wei, Ming Wen","doi":"10.1177/00221465251349818","DOIUrl":"https://doi.org/10.1177/00221465251349818","url":null,"abstract":"This study examines the spatial polarization of income and racial-ethnic groups as predictors of prevalent and incident cardiometabolic disease and tests the extent to which local environmental features act as mediators. Spatial income and racial polarization are defined using the Index of Concentration at the Extremes. Using two waves of data from the Midlife in the United States study, generalized Poisson regression model results indicate that county- and tract-level income polarization are independently associated with prevalence and incidence of cardiometabolic disease. Results from path models showed that more income-privileged counties and tracts generally had greater parkland availability, lower social risks, less air pollution, fewer extreme heat days, and more tree canopy cover—but lower walkability. However, associations between income polarization and cardiometabolic disease are not substantively attenuated when accounting for these tract-level features. The findings show how income polarization locally and regionally patterns both environmental inequities and cardiometabolic disease.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"25 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144594505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-09DOI: 10.1177/00221465251340649
Betsy Priem,Geoffrey T Wodtke,Kerry Ard
Racial disparities in exposure to pollution exacerbate health and developmental inequalities. This study examines racial differences in cumulative exposure to a comprehensive set of neurotoxic air pollutants during early childhood, when individuals are especially vulnerable to their harms, and it investigates whether these disparities are attributable to or intersect with socioeconomic status (SES). Integrating the Early Childhood Longitudinal Study-Birth Cohort with data on industrial-source and criteria air pollutants from the U.S. Environmental Protection Agency, we estimate Gini coefficients to quantify racial inequality in pollution exposure and employ inverse probability weighting and other intersectional analyses to explore their link with SES. Our findings reveal large racial disparities in exposure to neurotoxic pollutants from birth through kindergarten entry, with Black and Hispanic children consistently exposed at the highest levels. Although socioeconomic factors do not explain these disparities, they do interact with them, resulting in more pronounced racial differences among children of lower SES.
{"title":"Racial Disparities in Childhood Exposure to Neurotoxic Air Pollution.","authors":"Betsy Priem,Geoffrey T Wodtke,Kerry Ard","doi":"10.1177/00221465251340649","DOIUrl":"https://doi.org/10.1177/00221465251340649","url":null,"abstract":"Racial disparities in exposure to pollution exacerbate health and developmental inequalities. This study examines racial differences in cumulative exposure to a comprehensive set of neurotoxic air pollutants during early childhood, when individuals are especially vulnerable to their harms, and it investigates whether these disparities are attributable to or intersect with socioeconomic status (SES). Integrating the Early Childhood Longitudinal Study-Birth Cohort with data on industrial-source and criteria air pollutants from the U.S. Environmental Protection Agency, we estimate Gini coefficients to quantify racial inequality in pollution exposure and employ inverse probability weighting and other intersectional analyses to explore their link with SES. Our findings reveal large racial disparities in exposure to neurotoxic pollutants from birth through kindergarten entry, with Black and Hispanic children consistently exposed at the highest levels. Although socioeconomic factors do not explain these disparities, they do interact with them, resulting in more pronounced racial differences among children of lower SES.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"109 1","pages":"221465251340649"},"PeriodicalIF":5.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01DOI: 10.1177/00221465251343322
Erin R. Hamilton, Sara Alcay
The migration of Mexican immigrants and their U.S.-born children from the United States to Mexico raises questions about the health of American citizens transitioning into adulthood in Mexico. Combining data from Mexican and U.S. birth records from 2015 to 2019, we analyzed the health of 12,373 infants born to U.S.-born women delivering in Mexico and compared them to infants born to Mexican-born women in Mexico, Mexican-born women in the United States, and U.S.-born women of Mexican origin in the United States. Contrary to the immigrant health advantage in the United States, we found an infant health disadvantage for U.S.-born immigrants in Mexico. U.S.-born mothers in Mexico were younger and had lower rates of health insurance coverage, but these differences did not account for their higher likelihood of adverse infant health outcomes.
{"title":"Immigrant Health Advantage? The Birth Outcomes of U.S.-Born Women in Mexico and Mexican-Origin Women in the United States","authors":"Erin R. Hamilton, Sara Alcay","doi":"10.1177/00221465251343322","DOIUrl":"https://doi.org/10.1177/00221465251343322","url":null,"abstract":"The migration of Mexican immigrants and their U.S.-born children from the United States to Mexico raises questions about the health of American citizens transitioning into adulthood in Mexico. Combining data from Mexican and U.S. birth records from 2015 to 2019, we analyzed the health of 12,373 infants born to U.S.-born women delivering in Mexico and compared them to infants born to Mexican-born women in Mexico, Mexican-born women in the United States, and U.S.-born women of Mexican origin in the United States. Contrary to the immigrant health advantage in the United States, we found an infant health disadvantage for U.S.-born immigrants in Mexico. U.S.-born mothers in Mexico were younger and had lower rates of health insurance coverage, but these differences did not account for their higher likelihood of adverse infant health outcomes.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"39 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144534087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-16DOI: 10.1177/00221465251340421
Olivia Gruwell,Daniel L Carlson,Richard J Petts
COVID-19 led to substantial increases in parents' stress due partially to the challenges of home education. The highly politicized decision to reopen schools in person in fall 2020, nevertheless, was not associated with reductions in parents' stress. Using a stress process perspective, we argue that the association of school modality with parents' stress in fall 2020 likely depended on parents' COVID concerns. Analysis of survey data from November 2020 shows that incompatibility between parents' COVID concerns and children's school modalities were associated with greater stress. Parents with no concerns reported the lowest stress when children learned in person and the highest stress when children were mandated to learn virtually. Among parents with COVID concerns, the opposite was true. Because few parents expressed no COVID concerns, in-person learning was more often associated with higher stress than lower stress, helping explain why school reopening did not markedly improve U.S. parents' mental health.
{"title":"School Modality Options, COVID Concerns, and Parents' Stress.","authors":"Olivia Gruwell,Daniel L Carlson,Richard J Petts","doi":"10.1177/00221465251340421","DOIUrl":"https://doi.org/10.1177/00221465251340421","url":null,"abstract":"COVID-19 led to substantial increases in parents' stress due partially to the challenges of home education. The highly politicized decision to reopen schools in person in fall 2020, nevertheless, was not associated with reductions in parents' stress. Using a stress process perspective, we argue that the association of school modality with parents' stress in fall 2020 likely depended on parents' COVID concerns. Analysis of survey data from November 2020 shows that incompatibility between parents' COVID concerns and children's school modalities were associated with greater stress. Parents with no concerns reported the lowest stress when children learned in person and the highest stress when children were mandated to learn virtually. Among parents with COVID concerns, the opposite was true. Because few parents expressed no COVID concerns, in-person learning was more often associated with higher stress than lower stress, helping explain why school reopening did not markedly improve U.S. parents' mental health.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"592 1","pages":"221465251340421"},"PeriodicalIF":5.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-16DOI: 10.1177/00221465251340020
Zhiyong Lin, Kara Joyner, Wendy D. Manning
Although social isolation is a critical public health issue, there is a gap in understanding how it varies by sexual orientation. Using minority stress, minority strength, and life course perspectives, this study investigates how social isolation trajectories differ by sexual orientation from ages 18 to 42 using longitudinal data from the National Longitudinal Study of Adolescent to Adult Health (2001–2018, N = 30,250 observations). Results from growth curve models reveal that sexual minority respondents experience higher levels of isolation than heterosexual respondents from early adulthood to early midlife. Specifically, respondents who identify as lesbian, gay, or bisexual report the highest levels of social isolation; completely heterosexual respondents have the lowest levels; and mostly heterosexual respondents fall in between. Notably, mostly heterosexual respondents experience a more rapid increase in isolation than the other two groups. Analyses conducted separately by sex and each dimension of social isolation reveal important nuances.
{"title":"Sexual Orientation and Social Isolation from Early Adulthood to Early Midlife","authors":"Zhiyong Lin, Kara Joyner, Wendy D. Manning","doi":"10.1177/00221465251340020","DOIUrl":"https://doi.org/10.1177/00221465251340020","url":null,"abstract":"Although social isolation is a critical public health issue, there is a gap in understanding how it varies by sexual orientation. Using minority stress, minority strength, and life course perspectives, this study investigates how social isolation trajectories differ by sexual orientation from ages 18 to 42 using longitudinal data from the National Longitudinal Study of Adolescent to Adult Health (2001–2018, N = 30,250 observations). Results from growth curve models reveal that sexual minority respondents experience higher levels of isolation than heterosexual respondents from early adulthood to early midlife. Specifically, respondents who identify as lesbian, gay, or bisexual report the highest levels of social isolation; completely heterosexual respondents have the lowest levels; and mostly heterosexual respondents fall in between. Notably, mostly heterosexual respondents experience a more rapid increase in isolation than the other two groups. Analyses conducted separately by sex and each dimension of social isolation reveal important nuances.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"22 1","pages":"221465251340020"},"PeriodicalIF":5.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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