Evidence map›Paper›PMID 34779481›Full record

ArticleDemography2022

Structural Heteropatriarchy and Birth Outcomes in the United States.

Bethany G Everett, Aubrey Limburg, Patricia Homan, Morgan M Philbin

Open access · diamondAbstract read
In one paragraph

Article in Demography, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Research on multiple family transitions: An overview.Family transitions (Philadelphia, Penn.) · 2026
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  3. Review
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  12. Variation Between LGBT Estimates and State Policy Context.Population research and policy review · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Bethany G EverettDepartment of Sociology, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-5370-1909
Aubrey LimburgDepartment of Sociology and Institute of Behavioral Science, University of Colorado Boulder, Boulder, CO, USA.ORCID 0000-0002-0437-913X
Patricia HomanDepartment of Sociology, Center for Demography and Population Health, and Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL, USA.ORCID 0000-0003-3609-8188
Morgan M PhilbinDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.ORCID 0000-0001-7608-7921
Columbia University · USFlorida State University · USUniversity of Colorado Boulder · USUniversity of Utah · US

Funding

Network on Life Course Health Dynamics and Disparities in 21st Century America RenewalR24AG045061 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, Sarah A. Burgard · 2014 to 2026
$5.2M
University of Colorado Population CenterP2CHD066613 · NICHD · UNIVERSITY OF COLORADO · PI JANE A MENKEN · 2015 to 2026
$3.7M
The University of Colorado Population CenterR24HD066613 · NICHD · UNIVERSITY OF COLORADO · PI PAMPEL, FRED C · 2010 to 2014
$1.9M
Role of Stress in Shaping Maternal, Infant, and Child OutcomesR01HD091405 · NICHD · UNIVERSITY OF UTAH · PI EVERETT, BETHANY · 2018 to 2020
$959k
Assessing the Impact of State-Level Policies on Drug Use and HIV Risk for YMSMK01DA039804 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHILBIN, MORGAN MARI · 2016 to 2020
$888k
NIA NIH HHS R24 AG045061NICHD NIH HHS P2C HD066613NICHD NIH HHS R01 HD091405NICHD NIH HHS R24 HD066613NIDA NIH HHS K01 DA039804NIMHD NIH HHS L60 MD009936
6 · The paper itself

Abstract

Emerging evidence links structural sexism and structural discrimination against lesbian, gay, and bisexual (LGB) populations to poor health outcomes, but studies have yet to examine the combined effects of these mutually reinforcing systems of inequality. Therefore, we developed a composite measure of structural heteropatriarchy-which includes state-level LGB policies, family planning policies, and indicators of structural sexism (e.g., women's political and economic position relative to men)-and examined its relationship to birth outcomes using data from Waves I to V of the National Longitudinal Study of Adolescent to Adult Health. Multivariate regression analyses demonstrated that higher levels of heteropatriarchy were associated with an increased risk of preterm birth and decreased birth weight, net of important covariates. There was no association between clinical low birth weight and heteropatriarchy, or interactions between heteropatriarchy and individuals' race, ethnicity or sexual identity, suggesting a negative effect of heteropatriarchy on birth outcomes for all pregnant people. This study demonstrates the importance of considering gender and sexuality as mutually reinforcing systems of oppression that impact population health. Future research should examine the impact of heteropatriarchy on additional health outcomes and in conjunction with other structural inequalities such as racism and transgender oppression.

Indexed as

Premature BirthSexismSexual and Gender MinoritiesTransgender PersonsAdultBisexualityFemaleHumansLongitudinal StudiesMalePoliticsPregnancyPregnancy ComplicationsSexualityUnited StatesBirth outcomesGenderHeteropatriarchySexualityStructural stigma

Identifiers

PMID34779481
PMCPMC9179016
OpenAlexW3213282821

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.