1. Marriage and health
Marriage and health are closely related.[1] Married people experience lower morbidity and mortality
across such diverse health threats as cancer, heart attacks, and surgery.
There are gender differences in these effects which may be partially due to men's and women’s relative
status. Most research on marriage and health has focused on heterosexual couples, and more work is
needed to clarify the health affects on same-sex marriage.
Simply being married, as well as the quality of one’s marriage, has been linked to diverse measures of
health. Research has examined the social-cognitive, emotional, behavioral and biological processes
involved in these links.
Compared to other relationships
Beyond marriage, social relationships more broadly have a powerful impact on health. A meta-analysis
of 148 studies found that those with stronger social relationships had a 50% lower risk of all-cause
mortality.[4] Conversely, loneliness is associated with increased risk for cardiovascular disease, and
all-cause mortality.[5] Little work has directly compared the health impacts of marriage compared to
those of non-romantic relationships, such as connections with friends or colleagues.[1] However, there
are several reasons why marriage may exert a greater health impact than other relationships, even other
cohabiting relationships: married couples spend time together during a wide variety of activities, such
as eating, leisure, housekeeping, child-care and sleep.[1] Spouses also share resources and investments
such as joint finances or home-ownership. Relative to other relationships, the increased
interdependence of marriage serves as a source for more intense support.[1]
Romantic couples who live together, but are unmarried, may represent a middle ground in health
benefits between those who are married, and those who self-identify as single.[6] However, people live
together without getting married for many different reasons; cohabitation may serve as a prelude to
marriage. Selection factors of race, ethnicity, and social-economic status predispose certain groups to
cohabit unmarried, and these factors also affect the health benefits of marriage and cohabitation
Same-sex marriage
Most research on marriage and health has studied heterosexual couples. Same-sex and opposite-sex
couples share many similarities. Both begin marriage with high levels of relationship satisfaction,
followed by later declines, and both argue with similar frequency about similar issues.[7][8]
However, same-sex couples resolve conflicts more effectively, and distribute household labor more
fairly compared to their heterosexual counterparts.[7][8] Same-sex marriage remains illegal in many

2. countries, and in many parts of the United States (where much research on marriage and health has
been conducted).[1] In these regions same-sex couples are not granted the institutional protections of
marriage or its accompanying legal barriers to relationship dissolution.[9] Moreover, same-sex couples
are more likely to experience discrimination against their sexual orientation, contributing to problems
with mental health and relationship quality.
Gender differences
The health-protective effect of marriage is stronger for men than women.[2][3] Marital status — the
simple fact of being married — confers more health benefits to men than women.[2] Women’s health is
more strongly impacted than men’s by marital conflict or satisfaction, such that unhappily married
women do not enjoy better health relative to their single counterparts.[2][3][11] Laboratory studies
indicate that women have stronger physiological reactions than men in response to marital conflict.
These gender differences may be partially due to men's and women’s relative status in a
relationship.[3] Research in humans and animals suggests subordinate status is linked to greater
physiological reactions to social stress.[3] Indeed subordinate spouses show greater physiological
reactions to arguments with their partner.[12] Both husbands and wives show stronger physiological
reactions to arguments when making demands for change from their partner.[13][14] Women’s
heightened physiological reactions to marital conflict may be due to their relative subordinate position
in marriage
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