Zhang Zhe, Solazzo Alexa, Gorman Bridget K
Department of Sociology, Rice University, USA.
Digital Health and Analytics, Humana, USA.
SSM Popul Health. 2020 Sep 25;12:100668. doi: 10.1016/j.ssmph.2020.100668. eCollection 2020 Dec.
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.
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).
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.
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.
先前的研究发现，教育与健康之间的关联可能因性别等社会地位而有所不同。然而，现有的研究均未检验教育与自评健康之间的关系在不同性取向群体中是否等同，此外，这些关联在男性和女性中是否存在差异。运用交叉性视角，我们将当前关于教育作为资源替代或倍增的争论扩展至包括性取向在内的范畴。
我们使用行为风险因素监测系统（BRFSS）的数据来回答这些问题，该数据是2011年至2017年期间美国44个州和领地成年居民的概率抽样样本（n = 1,219,382）。
支持资源倍增理论的是，我们发现，与同性别的异性恋者相比，教育对双性恋成年人，尤其是双性恋女性的健康保护作用较小。另一方面，男同性恋者和女同性恋者与同性别的异性恋者相比，教育与健康之间的关联似乎相似。在不同性取向群体间进行性别比较时，我们发现，与异性恋男性相比，资源替代可能仅在异性恋女性中起作用。
总之，本研究表明，教育与健康之间的关系可能取决于美国成年人的性别和性取向的交叉情况。
