Daily implementation of health-protective behaviors and family life during the early months of the COVID-19 pandemic.

The coronavirus disease (COVID-19) pandemic has necessitated the use of health-protective behaviors (HPB), such as social distancing, staying at home, frequent handwashing, and wearing facemasks to mitigate the transmission of disease. An investigation of interpersonal costs associated with the use of HPB can help inform strategies to promote their sustained implementation. This study examined the daily associations between the implementation of HPB and family functioning and assessed moderation by coparenting quality, economic strain, and the number of days that state-level stay-at-home policies had been in effect, during the early days of the pandemic. Mothers and fathers from 155 families with children who were 9 years old, on average, completed daily reports of HPB, parental stress, and family relationship quality over eight consecutive days in April or May of 2020. Hierarchal linear models showed that HPB was associated with increased levels of parental stress and interparental conflict. Negative coparenting relations exacerbated the next-day association between HPB and interparental conflict. HPB was also associated with increased levels of parent-child and interparental closeness, but these linkages dissipated for families who had spent more days under state-level stay-at-home policies. Although crucial for public health, the implementation of HPB may have detrimental short-term effects on daily family life. Family support and interventions are necessary to minimize the psychosocial burden of these important public health measures and increase their sustained adherence.

Impact of the COVID-19 Pandemic on Parent, Child, and Family Functioning.

To quantify the impact of the COVID-19 pandemic and public health interventions on parent and child mental health and family relationships, we examined change in individual and family functioning in a sample of parents enrolled in a prevention trial; we examined change before the pandemic (2017-2019) when children were an average of 7 years old to the first months after the imposition of widespread public health interventions in the United States (2020) with paired t tests and HLM models. We examined moderation by parent gender, education, family income, and coparenting conflict. We found large deteriorations from before the pandemic to the first months of the pandemic in child internalizing and externalizing problems and parent depression, and a moderate decline in coparenting quality. Smaller changes were found for parent anxiety and parenting quality. Mothers and families with lower levels of income were at particular risk for deterioration in well-being. Results indicate a need for widespread family support and intervention to prevent potential family "scarring," that is, prolonged, intertwined individual mental health and family relationship problems.

Para cuantificar el efecto de la pandemia de la COVID-19 y de las intervenciones de salud pública en la salud mental de los padres y los niños y en las relaciones familiares, analizamos los cambios en el funcionamiento individual y familiar en una muestra de padres inscriptos en un ensayo de prevención; estudiamos el cambio antes de la pandemia (2017-2019) cuando los niños tenían un promedio de 7 años hasta los primeros meses después de la imposición de las intervenciones generalizadas de salud pública en los Estados Unidos (2020) con pruebas t apareadas y modelos lineales jerárquicos. Analizamos la moderación por género, educación, ingresos familiares y conflicto de cocrianza de los padres. Hallamos grandes deterioros desde antes de la pandemia hasta los primeros meses de la pandemia en problemas de interiorización y exteriorización de los niños y depresión de los padres, y una disminución moderada de la calidad de la cocrianza. También encontramos cambios más pequeños en la ansiedad de los padres y la calidad de la crianza. Las madres y las familias con niveles más bajos de ingresos estuvieron en riesgo particular de deterioro del bienestar. Los resultados indican la necesidad de apoyo familiar generalizado y de intervenciones para prevenir posibles «secuelas¼ familiares, p. ej.: salud mental individual interconectada y prolongada y problemas en las relaciones familiares.

Building long-term family resilience through universal prevention: 10-year parent and child outcomes during the COVID-19 pandemic.

As the COVID-19 pandemic has been highly stressful for parents and children, it is clear that strategies that promote long-term family resilience are needed to protect families in future crises. One such strategy, the Family Foundations program, is focused on promoting supportive coparenting at the transition to parenthood. In a randomized trial, we tested the long-term intervention effects of Family Foundations on parent, child, and family well-being one to two months after the imposition of a national shelter-in-place public health intervention in 2020. We used regression models to test intervention impact on outcomes reported on by parents in a standard questionnaire format and a series of 8 days of daily reports. We also tested moderation of intervention impact by parent depression and coparenting relationship quality. Relative to control families, intervention families demonstrated significantly lower levels of individual and family problems (general parent hostility, harsh and aggressive parenting, coparenting conflict, sibling relationship conflict, and children's negative mood and behavior problems), and higher levels of positive family relationship quality (positive parenting, couple relationship quality, sibling relations, and family cohesion). For some outcomes, including coparenting conflict, harsh parenting, and child behavior problems, intervention effects were larger for more vulnerable families-that is, families with higher pre-pandemic levels of parent depression or lower levels of coparenting relationship quality. We conclude that targeted family prevention programming is able to promote healthy parent and child functioning during unforeseen future periods of acute stress. The long-term benefits of a universal approach to family support at the transition to parenthood indicate the need for greater investment in the dissemination of effective approaches.

Dado que la pandemia de COVID-19 ha sido muy estresante para padres e hijos, está claro que se necesitan estrategias que promuevan la resiliencia familiar a largo plazo para proteger a las familias en crisis futuras. Una de esas estrategias, el programa Family Foundations, se centra en promover la crianza compartida de apoyo en la transición a la paternidad. En un ensayo aleatorizado, probamos los efectos de la intervención a largo plazo de Family Foundations en el bienestar de los padres, el niño y la familia uno o dos meses después de la imposición de una intervención nacional de salud pública de refugio en el lugar en 2020. Usamos modelos de regresión para evaluar el impacto de la intervención en los resultados informados por los padres en un formato de cuestionario estándar y una serie de 8 días de informes diarios. También probamos la moderación del impacto de la intervención por la depresión de los padres y la calidad de la relación de coparentalidad. En relación con las familias de control, las familias de intervención demostraron niveles significativamente más bajos de problemas individuales y familiares (hostilidad general de los padres, crianza dura y agresiva, conflicto de crianza conjunta, conflicto de relaciones entre hermanos y problemas de comportamiento y estado de ánimo negativos de los niños) y niveles más altos de calidad de relación familiar positiva (crianza positiva, calidad de la relación de pareja, relaciones entre hermanos y cohesión familiar). Para algunos resultados, incluido el conflicto de crianza compartida, la crianza severa y los problemas de comportamiento infantil, los efectos de la intervención fueron mayores para las familias más vulnerables, es decir, familias con niveles más altos de depresión de los padres prepandémicos o niveles más bajos de calidad de la relación de crianza compartida. Concluimos que los programas de prevención familiar específicos pueden promover el funcionamiento saludable de padres e hijos durante períodos futuros imprevistos de estrés agudo. Los beneficios a largo plazo de un enfoque universal del apoyo familiar en la transición a la paternidad indican la necesidad de una mayor inversión en la difusión de enfoques eficaces.

Sexual minority women and parenthood: Perceptions of friendship among childfree and new parents.

Many individuals experience shifts in their friendship networks after becoming parents. The current study investigated the narratives of how a sample of sixty-six sexual minority women, most of whom do not yet have children but who expect to be parents in the future, perceive the changes in friendship networks following becoming parents. A thematic analysis uncovered three themes: (1) general expectations surrounding future parenthood and friendships; (2) changes in lifestyle and priorities; and (3) LGBTQ + community attachment. Further, the theme of general expectations surrounding future parenthood and friendships was largely represented among lesbian and queer women, while the theme of changes in lifestyle and priorities was predominately represented among lesbian women, and finally, the theme of LGBTQ + community attachment was shared among all sexual minority women in our sample across different sexual identities. We discuss the diversity of shared and non-shared narratives among sexual minority women, the intentionality in how friendship during parenthood is perceived, as well as why some themes were particularly prevalent among women with specific sexual identities.

Variation in behavioral engagement during an active learning activity leads to differential knowledge gains in college students.

There are many pedagogical techniques used by educators in higher education; however, some techniques and activities have been shown to be more beneficial to student learning than others. Research has demonstrated that active learning and learning in which students cognitively engage with the material in a multitude of ways result in better understanding and retention. The aim of the present study was to determine which of three pedagogical techniques led to improvement in learning and retention in undergraduate college students. Subjects partook in one of three different types of pedagogical engagement: hands-on learning with a model, observing someone else manipulate the model, and traditional lecture-based presentation. Students were then asked to take an online quiz that tested their knowledge of the new material, both immediately after learning the material and 2 wk later. Students who engaged in direct manipulation of the model scored higher on the assessment immediately after learning the material compared with the other two groups. However, there were no differences among the three groups when assessed after a 2-wk retention interval. Thus active learning techniques that involve direct interaction with the material can lead to learning benefits; however, how these techniques benefit long-term retention of the information is equivocal.

Stability of Self-Reported Same-Sex and Both-Sex Attraction from Adolescence to Young Adulthood.

This study examined how sexual attraction varied across age, gender of participant, and gender of romantic partner, from adolescence to early adulthood. Comparisons between same-sex and both-sex attracted individuals were of particular interest. Using the National Longitudinal Study of Adolescent Health (AddHealth), we examined the responses of participants who reported experiencing same-sex attractions or both-sex attractions at least once within four waves (n = 1889). Results indicated that same-sex attractions became more stable over time, whereas both-sex attraction remained unstable even into adulthood. Compared with males, females were less stable in same-sex attraction, but more stable in both-sex attraction. The majority of people who reported same-sex attraction did not report having a same-sex romantic partner before they entered adulthood, and those who reported a same-sex romantic partner were more likely to maintain their same-sex attraction than those who did not. As males got older, the gender of their romantic partner tended to become more consistent with their sexual attraction. However, for females, the consistency between the gender of their romantic partner and sexual attraction did not change over time.

Sexual identity, partner gender, and sexual health among adolescent girls in the United States.

OBJECTIVES: We examined associations between adolescent girls' sexual identity and the gender of their sexual partners, on one hand, and their reports of sexual health behaviors and reproductive health outcomes, on the other. METHODS: We analyzed weighted data from pooled Youth Risk Behavior Surveys (2005 and 2007) representative of 13 US jurisdictions, focusing on sexually experienced girls in 8th through 12th grade (weighted n=6879.56). We used logistic regression with hierarchical linear modeling to examine the strength of associations between reports about sexual orientation and sexual and reproductive health. RESULTS: Sexual minority girls consistently reported riskier behaviors than did other girls. Lesbian girls' reports of risky sexual behaviors (e.g., sex under the influence of drugs or alcohol) and negative reproductive health outcomes (e.g., pregnancy) were similar to those of bisexual girls. Partner gender and sexual identity were similarly strong predictors of all of the sexual behaviors and reproductive health outcomes we examined. CONCLUSIONS: Many sexual minority girls, whether categorized according to sexual identity or partner gender, are vulnerable to sexual and reproductive health risks. Attention to these risks is needed to help sexual minority girls receive necessary services.

Sexual Minority Mothers: A Dyadic Exploration of Stigma, Identity, Support, and Parental Wellbeing.

For all couples, regardless of sexual orientation, transition to parenthood often increases stress, although, according to minority stress theory (MST), same-sex couples often experience additional stressors specifically related to their sexual orientation. In this study of 34 same-sex female couples (68 sexual minority mothers) who conceived their children with the use of sperm donation, we explored the intrapersonal and interpersonal influences of sexuality-related stigma, sexual identity, sexuality disclosure ("outness"), and social support on the wellbeing of each partner among these couples. We found support for MST, although the process worked differently based on the mother's role. Among the pregnant (gestational) mothers, personal experiences of sexuality related stigma, social support, and sexual identity disclosure were all associated with their individual wellbeing. In contrast, among the non-pregnant (non-gestational) mothers, these associations were more interpersonal in nature. Specifically, the non-gestational mothers' wellbeing was unrelated to their personal experiences of sexuality stigma but was associated with their partner's (the gestational mother's) reports of sexual identity centrality and affirmation and support from friends. In all, we found support for MST, such that greater sexuality stigma was associated with poorer wellbeing, but this relationship functioned differently depending on the mother's role.

"I Think It's Too Early to Know": Gender Identity Labels and Gender Expression of Young Children With Nonbinary or Binary Transgender Parents.

Little is known about gender expression among children with transgender parents. In the United States, we surveyed 64 nonbinary or binary transgender parents of children aged 18 to 71 months. Most parents reported a marginalized sexual identity and a White racial identity. Many declined to label their child's gender identity, and this was particularly true among those with younger children. Scores indicated that, on average, children's play was conventionally gendered. However, scores indicated significantly more gender-expansive play in the present sample than in normed samples, particularly among children assigned male at birth. Findings support transfamily theory (McGuire et al., 2016) and illustrate differences among families with nonbinary and binary transgender parents.

Division of Labor Among Transgender and Gender Non-binary Parents: Association With Individual, Couple, and Children's Behavioral Outcomes.

The division of unpaid labor is an important aspect in understanding co-parenting dynamics, along with individual well-being, couple functioning, and family dynamics. This study explores the division of household and childcare unpaid labor, well-being, relationship functioning, and child behavioral outcomes in 163 transgender and gender non-binary (TGNB) parents. Research exploring the division of labor among cisgender heterosexual couples has found that cisgender women in heterosexual couples disproportionately conduct more of the household and childcare labor (e.g., Lachance-Grzela and Bouchard, 2010). In addition, among heterosexual (e.g., Lachance-Grzela and Bouchard, 2010) and same-sex couples (Tornello et al., 2015b), discrepancies in the division of unpaid labor has been associated with individual well-being, along with couple functioning. We know very little about the factors that predict how labor is divided, along with the impact these arrangements among of families headed by TGNB parents. In this study, TGNB parents reported dividing their household and childcare labor in an egalitarian fashion and wanted to divide their labor in that way. The gender of participants, gender design of the couple, educational attainment, and legal status of the couple's relationship were not associated with the division of unpaid labor. In contrast, participants who reported making a lower proportion of the household income, worked less hours in paid employment, and were genetically related to their eldest child, reported completing significantly more childcare-related tasks, but not household labor. Using multiple regressions, participants' genetic relatedness to their eldest child was the only significant predictor of performing greater unpaid childcare labor. Lastly, discrepancies in the household, but not childcare labor, predicted parental well-being and couple functioning. The division of labor among TGNB couples was unrelated to their child behavior outcomes. This study not only sheds light on the dynamics of TGNB-headed families, but also additional factors that influence the division of unpaid labor and how this division affects individuals within the family system.

Understanding Parenting Intentions Among Childfree Gay Men: A Comparison With Lesbian Women and Heterosexual Men and Women.

INTRODUCTION: There is a growing interest in the parenting intentions of gay men. Prior research has found that gay men are less likely to become parents compared to their heterosexual and lesbian peers, but we know very little about why this discrepancy exists. Our first aim was to investigate whether the strength of parenting intentions is similar or different among childfree gay men compared to lesbian women, and heterosexual men and women. Our second aim was to explore the extent to which the theory of planned behavior (TPB) model (attitude, subjective norms, and self-efficacy) is universal in predicting the strength of parenting intentions across gender and/or sexual orientation. METHODS: The study was based on a United States cross-sectional, internet-based survey of childfree people who want to become parents in the future. The sample consisted of 58 gay men, 66 lesbian women, 164 heterosexual people (128 women and 36 men). RESULTS: A Bayesian ANCOVA showed no support for a gender difference in the strength of parenting intentions. Moderate evidence was provided for gay men and lesbian women reporting a similar strength of parenting intentions compared to their heterosexual peers. Bayesian linear regression analyses showed that perceived positive and negative life changes were stronger predictors of the strength of parenting intentions for men than for women. Perceived positive life changes predicted the strength of parenting intentions similarily across sexual orientations. For gay men and lesbian women, perceived parental acceptance of future parenthood was a weaker predictor of the strength of parenting intentions compared to heterosexual people. CONCLUSION: Those who perceived parenthood as bringing positive life changes, especially for men, expressed stronger parenting intentions.

Adult Children of Gay Fathers: Parent-Child Relationship Quality and Mental Health.

According to family systems theory, parent-child relationships are an important aspect of individual wellbeing. This study explored associations among parental disclosure, parent-child relationships, and wellbeing among 84 adult children with gay fathers. We explored associations between the adult children's wellbeing and the children's ages at sexual orientation disclosure, geographic distance, relationship quality, and closeness with their fathers. We found that when parental disclosure had occurred earlier in the adult child's life, participants reported feeling closer to fathers in adulthood. Those who reported closer relationships with their fathers reported greater wellbeing. Using a stepwise regression, we found that adult children's reports of closeness with fathers were the best predictors of adult children's wellbeing.

Parenting Intentions Among Transgender Individuals.

PURPOSE: We know very little about how transgender people create their families and the issues involved in these decisions. This qualitative study explored the parenting intentions and desires of 32 self-identified transgender individuals who want to become parents in the future. METHODS: Data were collected using an open-ended survey with 32 transgender men and transgender women regarding when and how they want to become parents in the future. RESULTS: We found that transgender individuals expressed specific desires for parenthood, such as biological relatedness and barriers to parenthood, such as physical limitations or lack of legal protections, which influence how transgender individuals choose to become parents in the future. For example, many participants described wanting to be biologically related to a future child and how this can be complicated by being transgender due to hormonal treatments, surgeries, or not having the biological means of become a parent using "traditional" methods. CONCLUSIONS: The barriers and desires discussed provide invaluable insight into the parenting intentions and reproductive health of transgender people. This study revealed numerous examples where healthcare professionals could benefit from this new knowledge, such as increasing communication with patients about these desires and issues related to treatment and reproduction.

Sexual orientation and future parenthood in a 2011-2013 nationally representative United States sample.

Previous researchers have found evidence for differences in parenting goals between lesbian and gay people and their heterosexual peers. However, no previous research has quantified the parenting goals of bisexual people or evaluated parenting goals as a function of sexual partner gender. In addition, political and social climates for sexual minority people had improved rapidly since the last representative data on lesbian and gay peoples' plans for parenthood were collected. We analyzed data from 3,941 childless lesbian, gay, bisexual, and heterosexual participants from the 2011-2013 National Survey of Family Growth (NSFG; United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, 2014), a nationally representative sample of United States residents aged 15 to 44 years. We found that statistically significant, within-gender sexual orientation differences in parenting plans persist, despite social and legal changes. Consistent with hypotheses, bisexual men's parenting desires and intentions were similar to those of their heterosexual male peers and different from those of their gay male peers, while bisexual women's reports were more mixed. Also consistent with hypotheses, the gender of the most recent sexual partner was a strong predictor of parenting goals. We discuss implications for mental and reproductive health-care providers, attorneys, social workers, and others who interact with sexual minority adults. (PsycINFO Database Record

Gay grandfathers: Intergenerational relationships and mental health.

This study explored the experiences of 79 gay grandfathers with their adult children and grandchildren. According to family systems theory, intergenerational relationships such as parent-grandparent dyads or parent-child-grandparent triads are important to understanding individual functioning within the family system. Consistent with findings of earlier research on heterosexual grandparents, gay grandfathers reported closer relationships with grandchildren who lived near them and with whom they had frequent contact. In addition, gay grandfathers who reported that they had disclosed their sexual orientation to grandchildren reported closer relationships with them. Consistent with findings for heterosexual grandparents, greater perceived social support was associated with better mental health among gay grandfathers. In addition, reactions of adult children to grandfathers' disclosure of sexual orientation were also associated with grandfathers' mental health; positive responses were associated with better mental health. Thus, over and above factors known to affect intergenerational relationships and mental health among older people, we found that some variables specific to gay grandfathers were also important predictors of their relationship quality with their grandchildren and of their mental health. (PsycINFO Database Record

Sexual orientation and sexual and reproductive health among adolescent young women in the United States.

PURPOSE: We studied sexual and reproductive health among self-identified bisexual, lesbian, and heterosexual adolescent young women. Prior research has suggested that bisexual and lesbian young women may be at greater risk for many negative health outcomes, including risky sexual and reproductive health behavior. METHODS: Using data from the U.S. nationally representative 2006-2010 National Survey of Family Growth (NSFG), we examined sexual and reproductive health among young women 15-20 years of age as a function of sexual orientation. We used logistic regression and ANCOVA to examine differences in sexual and reproductive health across groups while controlling for demographic group differences. RESULTS: Bisexual and lesbian young women reported elevated sexual and reproductive health risks. Bisexual and lesbian participants reported being younger at heterosexual sexual debut, and having more male and female sexual partners, than did heterosexual participants. Further, they were more likely than heterosexual young women to report having been forced to have sex by a male partner. Bisexual young women reported the earliest sexual debut, highest numbers of male partners, greatest use of emergency contraception, and highest frequency of pregnancy termination. CONCLUSIONS: Overall, sexual minority young women-especially those who identified as bisexual-were at higher sexual and reproductive risk than their heterosexual peers.

Overnight Custody Arrangements, Attachment, and Adjustment Among Very Young Children.

Large numbers of infants and toddlers have parents who live apart due to separation, divorce, or nonmarital/noncohabiting child-bearing, yet this important topic, especially the controversial issue of frequent overnights with nonresidential parents, is understudied. The authors analyzed data from the Fragile Families and Child Wellbeing Study, a longitudinal investigation of children born to primarily low-income, racial/ethnic minority parents that is representative of 20 U.S. cities with populations over 200,000. Among young children whose parents lived apart, 6.9% of infants (birth to age 1) and 5.3% of toddlers (ages 1 to 3) spent an average of at least 1 overnight per week with their nonresident parent. An additional 6.8% of toddlers spent 35% - 70% of overnights with nonresident parents. Frequent overnights were significantly associated with attachment insecurity among infants, but the relationship was less clear for toddlers. Attachment insecurity predicted adjustment problems at ages 3 and 5, but frequent overnights were not directly linked with adjustment problems at older ages.

Predictors of parenting stress among gay adoptive fathers in the United States.

The authors examined correlates of parenting stress among 230 gay adoptive fathers across the United States through an Internet survey. As with previous research on adoptive parents, results showed that fathers with less social support, older children, and children who were adopted at older ages reported more parenting stress. Moreover, gay fathers who had a less positive gay identity also reported more parenting stress. These 4 variables accounted for 33% of the variance in parenting stress; effect sizes were medium to large. Our results suggest the importance of social support and a positive gay identity in facilitating successful parenting outcomes among gay adoptive fathers.