Evidence map›Paper›PMID 40114749›Full record

ArticleJournal of marriage and the family2025

Marginalized Identities, Healthcare Discrimination, and Parental Stress about COVID-19.

A Meier, C Kamp Dush, A M VanBergen, S Clark, W Manning

Abstract read
In one paragraph

Article in Journal of marriage and the family, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Mood reactivity to daily family stressors among transgender and nonbinary parents during the COVID-19 pandemic.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026
    Article
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

5 authors.

A MeierCollege of Liberal Arts, University of Minnesota.ORCID 0000-0002-7812-1561
C Kamp DushDepartment of Sociology, University of Minnesota.ORCID 0000-0003-4307-6825
A M VanBergenMinnesota Population Center, University of Minnesota.ORCID 0000-0003-0696-1921
S ClarkDepartment of Sociology, University of Minnesota.
W ManningDepartment of Sociology, Bowling Green State University.ORCID 0000-0002-8063-7380

Funding

Minnesota Population Center Science and Technical CoreP2CHD041023 · NICHD · UNIVERSITY OF MINNESOTA · PI THERESA LOUISE OSYPUK · 2016 to 2026
$4.3M
Mechanisms Underlying Sexual Minority Health Disparities in the United StatesR01HD094081 · NICHD · UNIVERSITY OF MINNESOTA · PI Claire M Kamp Dush, WENDY D. MANNING · 2018 to 2026
$4.3M
Unequal Parenthoods: Population Perspectives on Gender, Race, and Sexual Minority Disparities in Family Stress and Health During CrisesU01HD108779 · NICHD · UNIVERSITY OF MINNESOTA · PI KAMP DUSH, CLAIRE M, MEIER, ANN M · 2021 to 2025
$2.1M
NICHD NIH HHS P2C HD041023NICHD NIH HHS R01 HD094081NICHD NIH HHS U01 HD108779
6 · The paper itself

Abstract

Objective: This paper assesses stress disparities among marginalized parents in 2020-21 during the COVID-19 pandemic through the mechanism of healthcare discrimination. Background: The pandemic upended the lives of American families and had particularly stark mental health consequences for women, racial and ethnic minority (REM), and sexual and gender minority (SGM) parents. Scholars have been called to understand these unequal experiences via marginalizing mechanisms rather than using race, gender, and sexual identities as proxies for racism, sexism, and cis-heterosexism. Method: Structural equation modeling was used to test associations between marginalized identities and parental stress about COVID among partnered parents using healthcare discrimination, a marginalizing mechanism, as a mediator. The data come from The National Couples' Health and Time Study, a population-representative study of couples in the U.S. Results: Findings indicate that compared to non-marginalized parents, Black parents, women, transgender and non-binary parents, and gay, lesbian, and bisexual parents experienced higher levels of parental stress about COVID through heightened healthcare discrimination. When accounting for healthcare discrimination, only one marginalized identity-that of women-was directly associated with parental stress about COVID along with the indirect relationship through healthcare discrimination. Conclusion: These findings highlight healthcare discrimination as a process that puts marginalized parents at risk for heightened stress. Parental stress has the potential to accumulate across the life course and crossover to children and communities.

Indexed as

discriminationhealth caremarginalizedparentsquantitative methodologystress

Identifiers

PMID40114749
PMCPMC11922334

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.