Same-sex marriage and gains in employer-sponsored insurance for US Adults, 2008-2017

Janelle Downing, Paulette Cha

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Objectives. To estimate the effects of same-sex marriage recognition on health insurance coverage. Methods. We used 2008-2017 data from the American Community Survey that represent 18 416 674 adult respondents in the United States. We estimated changes to health insurance outcomes using state-year variation in marriage equality recognition in a difference-in-differences framework. Results. Marriage equality led to a 0.61 percentage point (P = .03) increase in employer-sponsored health insurance coverage, with similar results for men and women. Conclusions. US adults gained employer-sponsored coverage as a result of marriage equality recognition over the study period, likely because of an increase in dependent coverage for newly recognized same-sex married partners.

Original languageEnglish (US)
Pages (from-to)537-539
Number of pages3
JournalAmerican journal of public health
Issue number4
StatePublished - 2020

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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