Rationale
A small but growing body of research documents associations between structural
forms of stigma (e.g., same-sex marriage bans) and sexual minority health. These
studies, however, have focused on a limited number of outcomes and have not examined
whether sociodemographic characteristics, such as race/ethnicity and education,
influence the relationship between policy change and health among sexual minorities.
Objective
To determine the effect of civil union legalization on sexual minority
women’s perceived discrimination, stigma consciousness, depressive symptoms, and
four indicators of hazardous drinking (heavy episodic drinking, intoxication, alcohol
dependence symptoms, adverse drinking consequences) and to evaluate whether such effects
are moderated by race/ethnicity or education.
Methods
During the third wave of data collection in the Chicago Health and Life
Experiences of Women study (N=517), Illinois passed the Religious
Freedom Protection and Civil Union Act, legalizing civil unions in Illinois
and resulting in a quasi-natural experiment wherein some participants were interviewed
before and some after the new legislation. Generalized linear models and interactions
were used to test the effects of the new legislation on stigma consciousness, perceived
discrimination, depression, and hazardous drinking indicators. Interactions were used to
assess whether the effects of policy change were moderated by race/ethnicity or
education.
Results
Civil union legislation was associated with lower levels of stigma
consciousness, perceived discrimination, depressive symptoms, and one indicator of
hazardous drinking (adverse drinking consequences) for all sexual minority women. For
several other outcomes, the benefits of this supportive social policy were largely
concentrated among racial/ethnic minority women and women with lower levels of
education.
Conclusions
Results suggest that policies supportive of the civil rights of sexual
minorities improve the health of all sexual minority women, and may be most beneficial
for women with multiply marginalized statuses.