Tuesday, September 2, 2025 9/2/2025

Sexual minority couples' health during the transition to marriage

Award Number: R01MD018167
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 02/15/2023
PERIOD OF PERFORMANCE END DATE: 03/20/2025

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Sexual minority couples' health during the transition to marriage - PROJECT SUMMARY Sexual and gender minority (i.e., lesbian, gay, bisexual, queer or other non-heterosexual or non-cis gender) adults are a population that experiences significant mental and physical health disparities. This project addresses sexual and gender minority health through a focus on the romantic relationship context of health, specifically at the point of marriage. Legalized marriage is only newly available to sexual minority couples in the United States as of 2015, but decades of research have demonstrated that marriage has health benefits for heterosexual couples. Sexual and gender minority stress is a primary driver of health disparities for this population and marriage may buffer or exacerbate minority stress experiences for couples. This longitudinal study will examine the intersection of sexual minority stress and marriage. It will measure health at multiple levels of analysis among recently-married sexual minority couples, inclusive of gender identity, across the first two years of marriage through the following aims. 1) Through repeated quantitative surveys with sexual minority couples (N=250 couples) over the first two years of marriage, we will examine changes in minority stress, relationship processes, and physical and mental health, as well as relationship mediators and moderators of the well-established link between minority stress and health. 2) Through longitudinal qualitative interviews (N=24-30 couples enrolled from Aim 1), we will explore the evolving meaning of marriage over the newlywed period, as well as perceptions of how marriage shapes minority stress. 3) Using a sub-set of couples (N=100), we will repeatedly measure physiological markers of stress (cortisol, alpha amylase) and associations with relationship interactions and minority stress in couples’ daily lives. This study will measure both self- reported health and biological mediators of health at an important transition in sexual minority couples’ lives. The proposed R01 is responsive to PAR-21-281 on dyadic processes and biopsychosocial health, NIH’s Trans-NIH Strategic Plan for Sexual and Gender Minority Health research (NOT-MD-19-001), and NIMHD’s Scientific Vision. Our pilot data suggest that: 1) sexual minority individuals face unique challenges to healthy relationship formation, 2) they appear to view marriage as a life choice in a fundamentally unique way, and 3) marriage is a potentially critical context for understanding sexual minority couples’ mental and physical health. The discoveries generated by this project will make important contributions to an unexplored and critical life and relationship transition: marriage, which is uniquely shaped by the social context of sexual orientation and has clear implications for the health of sexual minority couples.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2025	UNIVERSITY OF DENVER	2199 S UNIVERSITY BLVD RM 222	DENVER	CO	80210	DENVER	USA	Minority Health and Health Disparities Research	002	3	7/14/2025	NON-COMPETING CONTINUATION	-$632,717
2025	2025	UNIVERSITY OF DENVER	2199 S UNIVERSITY BLVD RM 222	DENVER	CO	80210	DENVER	USA	Minority Health and Health Disparities Research	000	3	11/28/2024	NON-COMPETING CONTINUATION	$632,717
2025	2025	UNIVERSITY OF DENVER	2199 S UNIVERSITY BLVD RM 222	DENVER	CO	80210	DENVER	USA	Minority Health and Health Disparities Research	001	3	3/20/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $691,716 )
2024	2024	COLORADO SEMINARY	2199 S UNIVERSITY BLVD	DENVER	CO	80210	DENVER	USA	Minority Health and Health Disparities Research	001	2	3/20/2024	NON-COMPETING CONTINUATION	$0
2024	2024	COLORADO SEMINARY	2199 S UNIVERSITY BLVD	DENVER	CO	80210	DENVER	USA	Minority Health and Health Disparities Research	000	2	11/5/2023	NON-COMPETING CONTINUATION	$622,544
2024	2024	UNIVERSITY OF DENVER	2199 S UNIVERSITY BLVD RM 222	DENVER	CO	80210	DENVER	USA	Minority Health and Health Disparities Research	002	2	5/28/2024	NON-COMPETING CONTINUATION	$69,172
														Subtotal = $691,716

Issue Date FY: 2023 ( Subtotal = $535,985 )
2023	2023	COLORADO SEMINARY	2199 S UNIVERSITY BLVD	DENVER	CO	80210	DENVER	USA	Minority Health and Health Disparities Research	000	1	2/15/2023	NEW	$535,985
														Subtotal = $535,985

Grand Total All Awards = $1,227,701

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Sexual minority couples' health during the transition to marriage

Award Number: R01MD018167

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 02/15/2023

PERIOD OF PERFORMANCE END DATE: 03/20/2025

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