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Same-Sex, Same Health? Health Concordance Among Same-Sex and Different-Sex Couples. POPULATION RESEARCH AND POLICY REVIEW 2021. [DOI: 10.1007/s11113-021-09654-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Your friends, my friends, and our family: Informal social participation and mental health through the lens of linked lives. Soc Sci Med 2021; 276:113848. [PMID: 33770570 DOI: 10.1016/j.socscimed.2021.113848] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 02/05/2021] [Accepted: 03/12/2021] [Indexed: 11/23/2022]
Abstract
RATIONALE Social participation is an important predictor of individual health outcomes, but few studies have examined it in the context of marriage relationships, even though the social lives of spouses are inextricably linked. OBJECTIVE To examine whether individuals' mental health is associated with their spouse's contact with friends and family. METHODS Using dyadic data from adults aged 50 and above in the Health and Retirement Study (N = 5030 couples), I examine whether individuals' mental health is associated with their spouse's contact with friends and family (i.e., partner effects) through a longitudinal actor-partner interdependence model. In addition, I test for the presence of gender differences in these effects. Both depressive symptoms and binge drinking are used as measures of mental health to account for the different ways in which men and women may express psychological distress. RESULTS Results show partial evidence that spousal contact with friends and family are associated with one's own mental health outcomes, and that within-dyad discrepancies in informal social participation may be detrimental to mental well-being. CONCLUSIONS These findings highlight the importance of understanding the dynamics between social participation and health through the lens of "linked lives", especially for married couples.
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Pobee RA, Aguree S, Colecraft EK, Gernand AD, Murray-Kolb LE. Food Insecurity and Micronutrient Status among Ghanaian Women Planning to Become Pregnant. Nutrients 2020; 12:E470. [PMID: 32069820 PMCID: PMC7071299 DOI: 10.3390/nu12020470] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Revised: 02/06/2020] [Accepted: 02/10/2020] [Indexed: 01/15/2023] Open
Abstract
We examined the association between food insecurity (FIS) and micronutrient status among Ghanaian women planning to become pregnant. A cross-sectional analysis was completed of 95 women aged 18-35 years, living in the Upper Manya Krobo District in the Eastern Region of Ghana. Questionnaires were administered to collect sociodemographic and food security data; weight and height were measured. Blood was drawn from an antecubital vein; one drop was used to assess hemoglobin via Hemocue. Zinc and copper were analyzed using flame atomic spectrophotometry while iron biomarkers, retinol and 25-hydroxyvitamin D were analyzed using ELISA, ultra-performance liquid chromatography and liquid chromatography-tandem mass spectrometry, respectively. Logistic regression models were used to determine the relationship between food insecurity (FIS) and micronutrient deficiencies. FIS was reported among 23% of the households, while micronutrient deficiencies ranged from 7-28% irrespective of FIS status. Retinol concentrations were negatively associated with FIS (p = 0.043) after controlling for covariates, although levels were within the normal range in both groups. No statistically significant associations between FIS and micronutrient deficiencies were found. Among those with FIS, 59% were deficient in at least one nutrient with 18% deficient in two nutrients. Unmarried women were at higher risk of FIS (p = 0.017) than married women. FIS was associated with retinol concentrations but not other micronutrient biomarkers in Ghanaian women expecting to become pregnant in the next 6 months.
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Affiliation(s)
- Ruth Adisetu Pobee
- Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA 16802, USA
| | - Sixtus Aguree
- Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA 16802, USA
| | - Esi Komeley Colecraft
- Department of Nutrition and Food Science, University of Ghana, 00233 Legon-Accra, Ghana
| | - Alison D. Gernand
- Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA 16802, USA
| | - Laura E. Murray-Kolb
- Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA 16802, USA
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The Marriage Wealth Premium Revisited: Gender Disparities and Within-Individual Changes in Personal Wealth in Germany. Demography 2017; 54:961-983. [PMID: 28432559 DOI: 10.1007/s13524-017-0572-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study examines the association between marriage and economic wealth of women and men. Going beyond previous research that focused on household wealth, I examine personal wealth, which allows identifying gender disparities in the association between marriage and wealth. Using unique data from the German Socio-Economic Panel Study (2002, 2007, and 2012), I apply random-effects and fixed-effects regression models to test my expectations. I find that both women and men experience substantial marriage wealth premiums not only in household wealth but also in personal wealth. However, I do not find consistent evidence for gender disparities in these general marriage premiums. Additional analyses indicate, however, that women's marriage premiums are substantially lower than men's premiums in older cohorts and when only nonhousing wealth is considered. Overall, this study provides new evidence that women and men gain unequally in their wealth attainment through marriage.
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Reczek C, Liu H, Spiker R. Self-rated health at the intersection of sexual identity and union status. SOCIAL SCIENCE RESEARCH 2017; 63:242-252. [PMID: 28202146 PMCID: PMC5319733 DOI: 10.1016/j.ssresearch.2016.09.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2015] [Revised: 12/09/2015] [Accepted: 09/26/2016] [Indexed: 05/21/2023]
Abstract
There is a well-established relationship between union status and health within the general population, and growing evidence of an association between sexual identity and well-being. Yet, what is unknown is whether union status stratifies health outcomes across sexual identity categories. In order to elucidate this question, we analyzed nationally representative population-based data from the National Health Interview Surveys 2013-2014 (N = 53,135) to examine variation in self-rated health by sexual partnership status (i.e., by sexual identity across union status). We further test the role of socioeconomic status and gender in these associations. Results from logistic regression models show that union status stratifies self-rated health across gay, lesbian, and heterosexual populations, albeit in different ways for men and women. Socioeconomic status does not play a major role in accounting for these differences. Findings highlight the need for specific interventions with lesbian women, who appear to experience the most strident disadvantage across union status categories.
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Affiliation(s)
- Corinne Reczek
- Department of Sociology and Women's, Gender, and Sexuality Studies, The Ohio State University, Columbus, OH 43210, USA.
| | - Hui Liu
- Department of Sociology, Michigan State University, East Lansing, MI 48824, USA
| | - Russell Spiker
- Department of Sociology, The University of Cincinnati, Cincinnati, OH 45221, USA
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Denice P. Does it pay to attend a for-profit college? Vertical and horizontal stratification in higher education. SOCIAL SCIENCE RESEARCH 2015; 52:161-178. [PMID: 26004455 DOI: 10.1016/j.ssresearch.2015.02.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2014] [Revised: 12/15/2014] [Accepted: 02/01/2015] [Indexed: 06/04/2023]
Abstract
Despite the recent growth of for-profit colleges, scholars are only beginning to understand the labor market consequences of attending these institutions. Using data from the National Longitudinal Survey of Youth 1997, I find that for-profit associate's degree holders encounter lower hourly earnings than associate's degree holders educated at public or private, nonprofit colleges, and earnings that are not significantly different than high school graduates. However, individuals who complete a bachelor's degree by attending college in either the for-profit or nonprofit sectors encounter positive returns. These findings, robust to model selection, suggest that the distinction between for-profit and nonprofit colleges constitutes an important axis in the horizontal dimension of education at the sub-baccalaureate level, and complicate notions of vertical stratification such that higher levels of educational attainment do not necessarily guarantee a wage premium.
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Affiliation(s)
- Patrick Denice
- Department of Sociology, University of Washington, United States.
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Attitudes on marriage and new relationships: Cross-national evidence on the deinstitutionalization of marriage. DEMOGRAPHIC RESEARCH 2014; 30:1495-1526. [PMID: 26052248 PMCID: PMC4455962 DOI: 10.4054/demres.2014.30.54] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Consistent with the deinstitutionalization-of-marriage thesis, studies report a decline in support for marital conventions and increased approval of other relationship types. Generalizations are limited by the lack of cross-national research for a broad domain of attitudes on marriage and alternative arrangements, and by the lack of consensus on what counts as evidence. OBJECTIVE Acknowledging the conceptual distinction between expectations for behavior inside and outside marriage, we address the deinstitutionalization debate by testing whether support for marital conventions has declined for a range of attitudes across countries. METHODS Based on eleven International Social Survey Program items replicated between the late 1980s and the 2000s, OLS regressions evaluate attitude changes in up to 21 countries. RESULTS Consistent with the deinstitutionalization argument, disapproval declined for marital alternatives (cohabitation, unmarried parents, premarital and same-sex sex). For attitudes on the behavior of married people and the nature of marriage the results are mixed: despite a shift away from gender specialization, disapproval of extramarital sex increased over time. On most items, most countries changed as predicted by the deinstitutionalization thesis. CONCLUSIONS Attitude changes on 'new relationships' and marital alternatives are compatible with the deinstitutionalization of marriage. Beliefs arguably more central to the marital institution do not conform as neatly to this thesis. Because results are sensitive to the indicators used, the deinstitutionalization of marriage argument merits greater empirical and conceptual attention.
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Petersen T, Penner AM, Høgsnes G. From motherhood penalties to husband premia: the new challenge for gender equality and family policy, lessons from Norway. AJS; AMERICAN JOURNAL OF SOCIOLOGY 2014; 119:1434-1472. [PMID: 25097932 DOI: 10.1086/674571] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Given the key role that processes occurring in the family play in creating gender inequality, the family is a central focus of policies aimed at creating greater gender equality. We examine how family status affects the gender wage gap using longitudinal matched employer-employee data from Norway, 1979-96, a period with extensive expansion of family policies. The motherhood penalty dropped dramatically from 1979 to 1996. Among men the premia for marriage and fatherhood remained constant. In 1979, the gender wage gap was primarily due to the motherhood penalty, but by 1996 husband premia were more important than motherhood penalties.
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Killewald A, Gough M. Does Specialization Explain Marriage Penalties and Premiums? AMERICAN SOCIOLOGICAL REVIEW 2013; 78:477-502. [PMID: 24039271 PMCID: PMC3769138 DOI: 10.1177/0003122413484151] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Married men's wage premium is often attributed to within-household specialization: men can devote more effort to wage-earning when their wives assume responsibility for household labor. We provide a comprehensive evaluation of the specialization hypothesis, arguing that, if specialization causes the male marriage premium, married women should experience wage losses. Furthermore, specialization by married parents should augment the motherhood penalty and the fatherhood premium for married as compared to unmarried parents. Using fixed-effects models and data from the NLSY79, we estimate within-gender differences in wages according to marital status and between-gender differences in the associations between marital status and wages. We then test whether specialization on time use, job traits, and tenure accounts for the observed associations. Results for women do not support the specialization hypothesis. Childless men and women both receive a marriage premium. Marriage augments the fatherhood premium but not the motherhood penalty. Changes in own and spousal employment hours, job traits, and tenure appear to benefit both married men and women, although men benefit more. Marriage changes men's labor market behavior in ways that augment wages, but these changes do not appear to occur at the expense of women's wages.
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Denney JT, Gorman BK, Barrera CB. Families, resources, and adult health: where do sexual minorities fit? JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2013; 54:46-63. [PMID: 23315360 DOI: 10.1177/0022146512469629] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Extensive research documents the relevance of families and socioeconomic resources to health. This article extends that research to sexual minorities, using 12 years of the National Health Interview Survey (N = 460,459) to examine self-evaluations of health among male and female adults living in same-sex and different-sex relationships. Adjusting for socioeconomic status eliminates differences between same- and different-sex cohabitors so that they have similarly higher odds of poor health relative to married persons. Results by gender reveal that the cohabitation disadvantage for health is more pronounced for different-sex cohabiting women than for men, but little difference exists between same-sex cohabiting men and women. Finally, the presence of children in the home is more protective for women's than men's health, but those protections are specific to married women. In all, the results elucidate the importance of relationship type, gender, and the presence of children when evaluating health.
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Dribe M, Nystedt P. Educational Homogamy and Gender-Specific Earnings: Sweden, 1990–2009. Demography 2013; 50:1197-216. [DOI: 10.1007/s13524-012-0188-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Abstract
Several studies have shown strong educational homogamy in most Western societies, although the trends over time differ across countries. In this article, we study the connection between educational assortative mating and gender-specific earnings in a sample containing the entire Swedish population born 1960–1974; we follow this sample from 1990 to 2009. Our empirical strategy exploits a longitudinal design, using distributed fixed-effects models capturing the impact of partner education on postmarital earnings, relating it to the income development before union formation. We find that being partnered with someone with more education (hypergamy) is associated with higher earnings, while partnering someone with less education (hypogamy) is associated with lower earnings. However, most of these differences in earnings emerge prior to the time of marriage, implying that the effect is explained by marital selection processes rather than by partner education affecting earnings. The exception is hypogamy among the highly educated, for which there are strong indications that in comparison with homogamy and hypergamy, earnings grow slower after union formation.
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Affiliation(s)
- Martin Dribe
- Centre for Economic Demography, Lund University, P.O. Box 7083, 22007 Lund, Sweden
| | - Paul Nystedt
- Department of Management and Engineering, Linköping University, 581 83 Linköping, Sweden
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Abstract
This study extends research on the relationship between wealth accumulation and union experiences, such as marriage and cohabitation. Using data from the National Longitudinal Survey of Youth 1979, we explore the wealth trajectories of married individuals in light of their premarital cohabitation histories. Over time, marriage positively correlates with wealth accumulation. Most married persons with a premarital cohabitation history have wealth trajectories that are indistinguishable from those without cohabitation experience, with one exception: individuals who marry their one and only cohabiting partner experience a wealth premium that is twice as large as that for married individuals who never cohabited prior to marrying. Results remain robust over time despite cohabiters' selection out of marriage, yet vary by race/ethnicity. We conclude that relationship history may shape long-term wealth accumulation, and contrary to existing literature, individuals who marry their only cohabiting partners experience a beneficial marital outcome. It is therefore important to understand the diversity of cohabitation experiences among the married.
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Affiliation(s)
- Jonathan Vespa
- Center for Human Resource Research, The Ohio State University, Columbus, OH 43221, USA.
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Musick K, Bumpass L. Re-Examining the Case for Marriage: Union Formation and Changes in Well-Being. JOURNAL OF MARRIAGE AND THE FAMILY 2012; 74:1-18. [PMID: 22611285 PMCID: PMC3352182 DOI: 10.1111/j.1741-3737.2011.00873.x] [Citation(s) in RCA: 103] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
This article addresses open questions about the nature and meaning of the positive association between marriage and well-being, namely, the extent to which it is causal, shared with cohabitation, and stable over time. We relied on data from the National Survey of Families and Households (N = 2,737) and a modeling approach that controls for fixed differences between individuals by relating union transitions to changes in well-being. This study is unique in examining the persistence of changes in well-being as marriages and cohabitations progress (and potentially dissolve) over time. The effects of marriage and cohabitation are found to be similar across a range of measures tapping psychological well-being, health, and social ties. Where there are statistically significant differences, marriage is not always more advantageous. Overall, differences tend to be small and appear to dissipate over time, even when the greater instability of cohabitation is taken into account.
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Affiliation(s)
- Kelly Musick
- Department of Policy Analysis and Management, Cornell University, 254 Martha Van Rensselaer Hall, Ithaca, NY 14853-4401 ( )
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Nagata JM, Magerenge RO, Young SL, Oguta JO, Weiser SD, Cohen CR. Social determinants, lived experiences, and consequences of household food insecurity among persons living with HIV/AIDS on the shore of Lake Victoria, Kenya. AIDS Care 2011; 24:728-36. [PMID: 22150119 DOI: 10.1080/09540121.2011.630358] [Citation(s) in RCA: 69] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Food insecurity is a considerable challenge in sub-Saharan Africa, disproportionately affecting persons living with HIV/AIDS. This study investigates the lived experience, determinants, and consequences of food insecurity and hunger among individuals living with HIV/AIDS on the shore of Lake Victoria in Suba District, Kenya. Parallel mixed methods included semi-structured interviews and administration of the Household Food Insecurity Access Scale among a systematic sample of 67 persons living with HIV/AIDS (49 of whom were receiving antiretroviral therapy [ART]). All respondents were either severely (79.1%) or moderately (20.9%) food insecure; no respondents were mildly food insecure or food secure. Qualitative data and simple and multiple linear regression models indicated that significant determinants of food insecurity include increased age, a greater number of children, and not being married. A number of themes related to food insecurity and ART emerged, including: (1) an increase in hunger or appetite since initiating ART; (2) exacerbation of ART-related side effects; and (3) non-adherence to ART due to hunger, food insecurity, or agricultural work responsibilities. HIV interventions should address food insecurity and hunger, particularly among at-risk populations, to promote ART adherence and better health outcomes.
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Affiliation(s)
- Jason M Nagata
- Institute of Social and Cultural Anthropology, University of Oxford, UK.
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Abstract
Given that divorce often represents a high-stakes income gamble, we ask how individual levels of risk tolerance affect the decision to divorce. We extend the orthodox divorce model by assuming that individuals are risk averse, that marriage is risky, and that divorce is even riskier. The model predicts that conditional on the expected gains to marriage and divorce, the probability of divorce increases with relative risk tolerance because risk averse individuals require compensation for the additional risk that is inherent in divorce. To implement the model empirically, we use data for first-married women and men from the 1979 National Longitudinal Survey of Youth to estimate a probit model of divorce in which a measure of risk tolerance is among the covariates. The estimates reveal that a 1-point increase in risk tolerance raises the predicted probability of divorce by 4.3% for a representative man and by 11.4% for a representative woman. These findings are consistent with the notion that divorce entails a greater income gamble for women than for men.
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Affiliation(s)
- Audrey Light
- Department of Economics, Ohio State University, Columbus, OH, USA.
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Schefske SD, Bellows AC, Byrd-Bredbenner C, Cuite CL, Rapport H, Vivar T, Hallman WK. Nutrient analysis of varying socioeconomic status home food environments in New Jersey. Appetite 2010; 54:384-9. [PMID: 20079787 DOI: 10.1016/j.appet.2010.01.007] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2009] [Revised: 12/17/2009] [Accepted: 01/09/2010] [Indexed: 11/16/2022]
Abstract
Home food inventories of Oaxacan Mexican-American and African-American families of low-socioeconomic status living in an urban area in New Jersey with at least one child under the age of 12 were conducted using Universal Product Code scanning. The African-American and Oaxacan household food supplies were compared with a sample of White households, also with at least one child under the age of 12, not of low-socioeconomic status. Nutrient Adequacy Ratios for total fat, saturated fat, cholesterol, sodium, total carbohydrate, sugar, dietary fiber, protein, vitamin A, vitamin C, calcium, and iron were used to quantify the adequacy of household food supplies per 2000 cal. The food supplies of the White households had significantly more calcium, vitamin A, and sugar and less total fat than the other two samples. The home food supplies of African-American households contained significantly less vitamin C than White and Oaxacan households. Compared to both other samples, Oaxacan household food supplies were lower in protein, sodium, and iron. Per 2000 cal, African-American households had the lowest supply of nutrients recommended to be maximized (i.e., vitamin A, vitamin C, calcium, iron, protein, and dietary fiber) and highest supply of nutrients to be minimized (i.e., total fat, cholesterol, sodium, and sugar). Overall household food quality scores were lowest for the African-American sample with no differences between Oaxacan and White household food supply quality scores.
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Affiliation(s)
- Scott D Schefske
- Food Policy Institute, Rutgers, The State University of New Jersey, ASBIII-3 Rutgers Plaza, New Brunswick, NJ 08901, USA.
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Averett SL, Sikora A, Argys LM. For better or worse: relationship status and body mass index. ECONOMICS AND HUMAN BIOLOGY 2008; 6:330-349. [PMID: 18753018 DOI: 10.1016/j.ehb.2008.07.003] [Citation(s) in RCA: 80] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2008] [Accepted: 07/06/2008] [Indexed: 05/26/2023]
Abstract
Recent increases in the incidence of obesity and declines in marriage have prompted policymakers to implement policies to mitigate these trends. This paper examines the link between these two outcomes. There are four hypotheses (selection, protection, social obligation and marriage market) that might explain the relationship between marital status transitions and changes in Body Mass Index (BMI). The selection hypothesis suggests that those with a lower BMI are more likely to be selected into marriage. The protection hypothesis states that married adults will have better physical health as a result of the increased social support and reduced incidence of risky behavior among married individuals. The social obligation hypothesis states that those in relationships may eat more regular meals and/or richer and denser foods due to social obligations which may arise because of marriage. Finally, the marriage market hypothesis indicates that when adults are no longer in the marriage market they may not maintain a healthy BMI because doing so is costly and they are in a stable union-or on the other hand, adults may enhance their prospects in the marriage market by losing weight. Taking advantage of longitudinal data and complete marriage histories in the National Longitudinal Survey of Youth 1979, we estimate individual fixed effects models to examine associations between the change in log BMI and the incidence of overweight and obesity, and changes in relationship status controlling for the effects of aging and other respondent characteristics. We find no support for the marriage protection hypothesis. Rather we find evidence supporting the social obligation and marriage market hypotheses-BMI increases for both men and women during marriage and in the course of a cohabiting relationship. Separate analyses by race and ethnicity reveal substantial differences in the response of BMI to relationship status across these groups.
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Affiliation(s)
- Susan L Averett
- Department of Economics and Business, Lafayette College, Easton, PA 18042, USA.
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Hanson KL, Sobal J, Frongillo EA. Gender and marital status clarify associations between food insecurity and body weight. J Nutr 2007; 137:1460-5. [PMID: 17513407 DOI: 10.1093/jn/137.6.1460] [Citation(s) in RCA: 96] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Prior research shows that food insecurity is associated with being overweight in women, with few and ambiguous results in men. Little is known about the characteristics and roles of individuals who are most likely to be both food insecure and overweight or obese. This study analyzed associations between food insecurity and body weight, and whether gender and marital status are involved in that relationship. Using multiple regression models, we examined food insecurity, marriage, and body weight among 4338 men and 4172 women aged > or = 20 y in the 1999-2002 NHANES. Married men were more likely to be overweight than men in all other marital-status categories except for those living with partners. Divorced men were more likely than never-married men to live in a household with very low food security. Compared with fully food-secure men, marginally food-secure men were heavier, whereas men with low food security were lighter. Compared with fully food-secure women, marginally food-secure women also showed a tendency to be overweight (P = 0.05), whereas women with low food security were more likely to be obese. When considering the interaction between food insecurity and marital status, food insecurity was related to a greater likelihood of obesity among married women, those living with partners, and widows, when compared with never-married women. Sensitivity analyses suggest this effect was concentrated among marginally food-secure women. These findings indicate that food insecurity relates differently to body weight for men and women, and that partnering plays a strong part in this relationship for women.
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Affiliation(s)
- Karla L Hanson
- Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.
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