, Volume 53, Issue 5, pp 1605–1630 | Cite as

Family Structure and Child Health: Does the Sex Composition of Parents Matter?

  • Corinne Reczek
  • Russell Spiker
  • Hui Liu
  • Robert Crosnoe


The children of different-sex married couples appear to be advantaged on a range of outcomes relative to the children of different-sex cohabiting couples. Despite the legalization of same-sex marriage in the United States, whether and how this general pattern extends to the children of same-sex married and cohabiting couples is unknown. This study examines this question with nationally representative data from the 2004–2013 pooled National Health Interview Survey (NHIS). Results reveal that children in cohabiting households have poorer health outcomes than children in married households regardless of the sex composition of their parents. Children in same-sex and different-sex married households are relatively similar to each other on health outcomes, as are children in same-sex and different-sex cohabiting households. These patterns are not fully explained by socioeconomic differences among the four different types of families. This evidence can inform general debates about family structure and child health as well as policy interventions aiming to reduce child health disparities.


Family structure Marriage Cohabitation Same-sex families Child health 



This work was supported in part by the following grants: The Office of the Director, National Institutes of Health, and the Eunice Kennedy Shriver National Institute of Child Health & Human Development (R03HD078754, PIs: Corinne Reczek, Hui Liu); The Ohio State University Institute for Population Research through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development of the National Institutes of Health (P2CHD058484); and a K01 Mentored Research Scientist Career Development Award to Hui Liu (K01AG043417) from the National Institute on Aging.


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Copyright information

© Population Association of America 2016

Authors and Affiliations

  • Corinne Reczek
    • 1
  • Russell Spiker
    • 2
  • Hui Liu
    • 3
  • Robert Crosnoe
    • 4
  1. 1.Department of SociologyThe Ohio State UniversityColumbusUSA
  2. 2.Department of SociologyThe University of CincinnatiCincinnatiUSA
  3. 3.Department of SociologyMichigan State UniversityEast LansingUSA
  4. 4.Department of SociologyThe University of Texas at AustinAustinUSA

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