Education and health: The joint role of gender and sexual identity

Background: Prior research has found that education's association with health can differ by social positions such as gender. Yet, none of the existing work has tested whether the relationship between education and self-rated health is equivalent across sexual orientation groups, and additionall...

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Main Authors: Zhe Zhang, Alexa Solazzo, Bridget K. Gorman
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827320303050
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author Zhe Zhang
Alexa Solazzo
Bridget K. Gorman
author_facet Zhe Zhang
Alexa Solazzo
Bridget K. Gorman
author_sort Zhe Zhang
collection DOAJ
description Background: Prior research has found that education's association with health can differ by social positions such as gender. Yet, none of the existing work has tested whether the relationship between education and self-rated health is equivalent across sexual orientation groups, and additionally, if these associations differ for men and women. Deploying the intersectionality perspective, we expand current debates of education as a resource substitution or multiplication to include sexual orientation. Methods: We answer these questions using data from the Behavioral Risk Factor Surveillance System (BRFSS), a probability-based sample of adults living in 44 US states and territories for selected years between 2011 and 2017 (n = 1,219,382). Results: Supporting resource multiplication, we find that compared to their same-gender heterosexual counterparts, education is less health-protective for bisexual adults, especially bisexual women. Gay men and lesbian women, on the other hand, seem to have similar associations of education with health as their same-gender heterosexual counterparts. Turning to gender comparisons across sexual identity groups, we find that resource substitution may operate only among heterosexual women when compared with heterosexual men. Conclusions: In sum, this study suggests that the relationship between education and health may depend on the intersection of gender and sexual orientation among U.S. adults.
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spelling doaj.art-1958db44d57447b68b527a15da3c16162022-12-21T22:48:07ZengElsevierSSM: Population Health2352-82732020-12-0112100668Education and health: The joint role of gender and sexual identityZhe Zhang0Alexa Solazzo1Bridget K. Gorman2Department of Sociology, Rice University, USA; Corresponding author. MS-28, 6100 Main Street, Houston, TX, 77005, USA.Digital Health and Analytics, Humana, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, USA; Division of Adolescent Medicine, Boston Children's Hospital, USADepartment of Sociology, Rice University, USABackground: Prior research has found that education's association with health can differ by social positions such as gender. Yet, none of the existing work has tested whether the relationship between education and self-rated health is equivalent across sexual orientation groups, and additionally, if these associations differ for men and women. Deploying the intersectionality perspective, we expand current debates of education as a resource substitution or multiplication to include sexual orientation. Methods: We answer these questions using data from the Behavioral Risk Factor Surveillance System (BRFSS), a probability-based sample of adults living in 44 US states and territories for selected years between 2011 and 2017 (n = 1,219,382). Results: Supporting resource multiplication, we find that compared to their same-gender heterosexual counterparts, education is less health-protective for bisexual adults, especially bisexual women. Gay men and lesbian women, on the other hand, seem to have similar associations of education with health as their same-gender heterosexual counterparts. Turning to gender comparisons across sexual identity groups, we find that resource substitution may operate only among heterosexual women when compared with heterosexual men. Conclusions: In sum, this study suggests that the relationship between education and health may depend on the intersection of gender and sexual orientation among U.S. adults.http://www.sciencedirect.com/science/article/pii/S2352827320303050EducationSelf-rated healthIntersectionalitySexual minority healthGender
spellingShingle Zhe Zhang
Alexa Solazzo
Bridget K. Gorman
Education and health: The joint role of gender and sexual identity
SSM: Population Health
Education
Self-rated health
Intersectionality
Sexual minority health
Gender
title Education and health: The joint role of gender and sexual identity
title_full Education and health: The joint role of gender and sexual identity
title_fullStr Education and health: The joint role of gender and sexual identity
title_full_unstemmed Education and health: The joint role of gender and sexual identity
title_short Education and health: The joint role of gender and sexual identity
title_sort education and health the joint role of gender and sexual identity
topic Education
Self-rated health
Intersectionality
Sexual minority health
Gender
url http://www.sciencedirect.com/science/article/pii/S2352827320303050
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