期刊论文详细信息
BMC Public Health
Parent-reported measures of child health and wellbeing in same-sex parent families: a cross-sectional survey
Elise Davis1  Jennifer Power2  Ruth McNair3  Elizabeth Waters1  Simon R Crouch1 
[1] The Jack Brockhoff Child Health and Wellbeing Program, The Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia;The Bouverie Centre, La Trobe University, Brunswick, Victoria, Australia;The Department of General Practice, The University of Melbourne, Carlton, Victoria, Australia
关键词: Parenting;    Sexuality;    Stigma;    Child health;   
Others  :  1129154
DOI  :  10.1186/1471-2458-14-635
 received in 2014-02-13, accepted in 2014-06-19,  发布年份 2014
PDF
【 摘 要 】

Background

It has been suggested that children with same-sex attracted parents score well in psychosocial aspects of their health, however questions remain about the impact of stigma on these children. Research to date has focused on lesbian parents and has been limited by small sample sizes. This study aims to describe the physical, mental and social wellbeing of Australian children with same-sex attracted parents, and the impact that stigma has on them.

Methods

A cross-sectional survey, the Australian Study of Child Health in Same-Sex Families, was distributed in 2012 to a convenience sample of 390 parents from Australia who self-identified as same-sex attracted and had children aged 0-17 years. Parent-reported, multidimensional measures of child health and wellbeing and the relationship to perceived stigma were measured.

Results

315 parents completed the survey (completion rate = 81%) representing 500 children. 80% of children had a female index parent while 18% had a male index parent. Children in same-sex parent families had higher scores on measures of general behavior, general health and family cohesion compared to population normative data (β = 2.93, 95% CI = 0.35 to 5.52, P = .03; β = 5.60, 95% CI = 2.69 to 8.52, P = <.001; and β = 6.01, 95% CI = 2.84 to 9.17, P = <.001 respectively). There were no significant differences between the two groups for all other scale scores. Physical activity, mental health, and family cohesion were all negatively associated with increased stigma (β = -3.03, 95% CI = -5.86 to -0.21, P = .04; β = -10.45, 95% CI = -18.48 to -2.42, P = .01; and β = -9.82, 95% CI = -17.86 to -1.78, P = .02 respectively) and the presence of emotional symptoms was positively associated with increased stigma (β =0.94, 95% CI = 0.08 to 1.81, P = .03).

Conclusions

Australian children with same-sex attracted parents score higher than population samples on a number of parent-reported measures of child health. Perceived stigma is negatively associated with mental health. Through improved awareness of stigma these findings play an important role in health policy, improving child health outcomes.

【 授权许可】

   
2014 Crouch et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150225233014239.pdf 231KB PDF download
【 参考文献 】
  • [1]Same-sex couple families http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/2071.0main+features852012-2013 webcite
  • [2]Trewin D: 2005 Year Book Australia. Canberra: Australian Bureau of Statistics; 2005.
  • [3]Leonard W, Pitts M, Mitchell A, Lyons A, Smith A, Patel S, Couch M, Barrett A: Private Lives 2: the Second National Survey of the Health and Wellbeing of Gay, Lesbian, Bisexual and Transgender (GLBT) Australians. Melbourne: The Australian Research Centre in Sex, Health & Society, La Trobe University; 2012.
  • [4]Bos HMW, Van Balen F, Van Den Boom DC: Lesbian families and family functioning: an overview. Patient Educ Couns 2005, 59:263-275.
  • [5]Perrin EC, Hagan JF Jr, Coleman WL, Foy JM, Goldson E, Howard BJ, Navarro A, Tanner JL, Tolmas HC: Technical report: coparent or second-parent adoption by same-sex parents. Pediatr 2002, 109:341-344.
  • [6]Tasker F: Children in lesbian-led families: a review. Clin Child Psychol Psychiatry 1999, 4:153-166.
  • [7]Stacey J, Biblarz T: (How) does the sexual orientation of parents matter? Am Soc Rev 2001, 66:159-183.
  • [8]Kuvalanka KA, Teper B, Morrison OA: COLAGE: providing community, education, leadership, and advocacy by and for children of GLBT parents. J GLBT Fam Stud 2006, 2:71-92.
  • [9]Anderssen N, Amlie C, Ytter EA: Outcomes for children with lesbian or gay parents. A review of studies from 1978 to 2000. Scand J Psychol 2002, 43:335-351.
  • [10]Clarke V, Kitzinger C, Potter J: ‘Kids are just cruel anyway’: lesbian and gay parents’ talk about homophobic bullying. Brit J Soc Psychol 2004, 43:531-550.
  • [11]Fairtlough A: Growing up with a lesbian or gay parent: young people’s perspectives. Health Soc Care Community 2008, 16:521-528.
  • [12]Fitzgerald B: Children of lesbian and gay parents: a review of the literature. Marriage Fam Rev 1999, 29:57-75.
  • [13]Heineman TV: A boy and two mothers: new variations on an old theme or a new story of triangulation? Beginning thoughts on the psychosexual development of children in nontraditional families. Psychoanal Psychol 2004, 21:99-115.
  • [14]Pawelski JG, Perrin EC, Foy JM, Allen CE, Crawford JE, Del Monte M, Kaufman M, Klein JD, Smithi K, Springer S, Tanner JL, Vickers DL: The effects of marriage, civil union, and domestic partnership laws on the health and well-being of children. Pediatr 2006, 118:349-364.
  • [15]Rimalower L, Caty C: The mamas and the papas: the invisible diversity of families with same-sex parents in the United States. Sex Educ 2009, 9:17-32.
  • [16]Bos H, Gartrell N: Adolescents of the USA national longitudinal lesbian family study: can family characteristics counteract the negative effects of stigmatization? Fam Process 2010, 49:559-572.
  • [17]Bos HMW, Gartrell NK, van Balen F, Peyser H, Sandfort TGM: Children in planned lesbian families: a cross-cultural comparison between the United States and the Netherlands. Am J Orthopsychiatry 2008, 78:211-219.
  • [18]Bos HMW, van Balen F, van den Boom DC, Sandfort TGM: Minority stress, experience of parenthood and child adjustment in lesbian families. J Reprod Infant Psychol 2004, 22:291-304.
  • [19]Gershon TD, Tschann JM, Jemerin JM: Stigmatization, self-esteem, and coping among the adolescent children of lesbian mothers. J Adolesc Health 1999, 24:437-445.
  • [20]Javaid GA: The children of homosexual and heterosexual single mothers. Child Psychiatry Hum Dev 1993, 23:235-248.
  • [21]Va Ray RG: School experiences of the children of lesbian and gay parents. Fam Matters 2001, 59:7.
  • [22]Tasker F, Golombok S: Adults raised as children in lesbian families. Am J Orthopsychiatry 1995, 65:203-215.
  • [23]Gartrell N, Rodas C, Deck A, Peyser H, Banks A: The national Lesbian family study: 4. Interviews with the 10-year-old children. Am J Orthopsychiatry 2005, 75:518-524.
  • [24]Schmied V, Donovan J, Kruske S, Kemp L, Homer C, Fowler C: Commonalities and challenges: a review of Australian state and territory maternity and child health policies. Contemp Nurse 2011, 40:106-117.
  • [25]McNair R, Brown R, Perlesz A, Lindsay J, De Vaus D, Pitts M: Lesbian parents negotiating the health care system in Australia. Health Care Women Int 2008, 29:91-114.
  • [26]Brewaeys A, Van Hall EV: Lesbian motherhood: the impact on child development and family functioning. J Psychosom Obstet Gynaecol 1997, 18:1-16.
  • [27]Chan RW, Brooks RC, Raboy B, Patterson CJ: Division of labor among lesbian and heterosexual parents: associations with children’s adjustment. J Fam Psychol 1998, 12:402-419.
  • [28]Flaks DK, Ficher I, Masterpasqua F, Joseph G: Lesbians choosing motherhood: a comparative study of lesbian and heterosexual parents and their children. Dev Psychol 1995, 31:105-114.
  • [29]Golombok S, Tasker F, Murray C: Children raised in fatherless families from infancy: family relationships and the socioemotional development of children of lesbian and single heterosexual mothers. J Child Psychol Psychiatry 1997, 38:783-791.
  • [30]Perlesz A, Power J, Brown R, McNair R, Schofield M, Pitts M, Barrett A, Bickerdike A: Organising work and home in same-sex parented families: findings from the work love play study. Aust N Z J Fam Therapy 2010, 31:374-391.
  • [31]Biblarz TJ, Stacey J: How does the gender of parents matter? J Marriage Fam 2010, 72:3-22.
  • [32]Cameron P: Gay fathers’ effects on children: a review. Psychol Rep 2009, 104:649-659.
  • [33]Bos HHMW: Planned gay father families in kinship arrangements. Aust N Z J Fam Therapy 2010, 31:356-371.
  • [34]Dempsey D: Same-Sex Parented Families in Australia. 2013.
  • [35]Crouch S, Waters EB, McNair R, Power J, Davis E, van Mourik L: Triumphs and challenges in recruiting same-sex parent families. Aust N Z J Public Health 2014, 38:37-38.
  • [36]Wainright JL, Russell ST, Patterson CJ: Psychosocial adjustment, school outcomes, and romantic relationships of adolescents with same-sex parents. Child Dev 2004, 75:1886-1898.
  • [37]Crouch S, McNair R, Waters EB, Power J: What makes a same-sex parented family? Med J Aust 2013, 199:94-96.
  • [38]Crouch SR, Waters E, McNair R, Power J, Davis E: ACHESS–the Australian study of child health in same-sex families: background research, design and methodology. BMC Public Health 2012, 12:646.
  • [39]Waters E, Salmon L, Wake M: The parent-form child health questionnaire in Australia: comparison of reliability, validity, structure, and norms. J Pediatr Psychol 2000, 25:381-391.
  • [40]Data Outcomes and Evaluation Division: Preliminary Findings: 2009 Victorian Child Health and Wellbeing Survey. Melbourne: Department of Education and Early Childhood Development; 2009.
  • [41]Davis E, Waters E, Wake M, Goldfeld S, Williams J, Mehmet-Radji O, Oberklaid F: Population health and wellbeing: identifying priority areas for Victorian children. Aust New Zealand Health Policy 2005, 2:16.
  • [42]Power JJ, Perlesz A, Schofield MJ, Pitts MK, Brown R, McNair R, Barrett A, Bickerdike A: Understanding resilience in same-sex parented families: the work, love, play study. BMC Public Health 2010, 10:115.
  • [43]Landgraf JM, Abetz L, Ware JA: The CHQ User’s Manual. First edition. Boston, MA: The Health Institute, New England Medical Center; 1996.
  • [44]Raat H, Landgraf JM, Oostenbrink R, Moll HA, Essink-Bot ML: Reliability and validity of the infant and toddler quality of life questionnaire (ITQOL) in a general population and respiratory disease sample. Qual Life Res 2007, 16:445-460.
  • [45]Hawes DJ, Dadds MR: Australian data and psychometric properties of the strengths and difficulties questionnaire. Aust N Z J Psychiatry 2004, 38:644-651.
  • [46]Taylor CL, Christensen D, Lawrence D, Mitrou F, Zubrick SR: Risk factors for children’s receptive vocabulary development from four to eight years in the longitudinal study of Australian children. PLoS One 2013, 8:e73046.
  • [47]2011 census QuickStats http://www.censusdata.abs.gov.au/census_services/getproduct/census/2011/quickstat/0 webcite
  • [48]Australian Institute of Health and Welfare: A picture of Australia’s Children 2012. Canberra: AIHW; 2012.
  • [49]Golombok S, Perry B, Burston A, Murray C, Mooney-Somers J, Stevens M, Golding J: Children with lesbian parents: a community study. Dev Psychol 2003, 39:20-33.
  • [50]Desai S, Alva S: Maternal education and child health: is there a strong causal relationship? Demogr 1998, 35:71-81.
  • [51]Family characteristics and transitions, Australia, 2006-07 http://www.abs.gov.au/ausstats/abs@.nsf/mf/4442.0 webcite
  • [52]Barrett AE, Turner RJ: Family structure and mental health: the mediating effects of socioeconomic status, family process, and social stress. J Health Soc Behav 2005, 46:156-169.
  • [53]Priest N, Paradies Y, Stewart P, Luke J: Racism and health among urban aboriginal young people. BMC Public Health 2011, 11:568.
  • [54]McDonald C, Anderson B: The view from somewhere: locating lesbian experience in women’s health. Health Care Women Int 2003, 24:697-711.
  文献评价指标  
  下载次数:6次 浏览次数:11次