This article explores the relationships among early marriage (before age 26 years), cohabitation, and health for African Americans and Whites during the transition to adulthood using the National Longitudinal Study of Adolescent Health (Add Health). The study examines three categories of health outcomes relevant to young adulthood: physical health, mental health, and health risk behaviors. Lagged dependent variable models are used to examine the health effects of early marriage and cohabitation accounting for potential health selection into unions. The results indicate that early marriage by young adults does not have protective effects for African Americans; the authors also find more negative effects for African American men than for women. There are mixed results for Whites with some protective effects of marriage for binge drinking. Early marriage for African Americans and Whites is associated with increased body mass index. Cohabitation is uniformly associated with negative health outcomes for all racial and gender groups.
Allison, P.D. ( 1990). Change scores as dependent variables in regression analysis . In C. C. Clogg (Ed.), Sociological methodology (pp. 93-114). Oxford, UK: Basil Blackwell.
2.
Aneshensel, C.S., & Sucoff, C.A. ( 1996). The neighborhood context of adolescent mental health . Journal of Health and Social Behavior, 37, 293-310.
3.
Andersen, R.E., Crespo, C.H., Bartlett, S.J., Cheskin, L.J., & Pratt, M. ( 1998). Relationship of physical activity and television watching with body weight and level of fatness among children: Results from the third National Health and Nutrition Examination Survey. Journal of the American Medical Association, 279, 938-942.
4.
Anderson, E. ( 1989). Sex codes and family life among inner-city youth. Annals of the American Academy of Political and Social Science, 501, 59-78.
5.
Anderson, E. ( 1999). The code of the street: Decency, violence, and the moral life of the inner city. New York: W. W. Norton.
6.
Anderson, E. ( 2008). Against the wall: Poor, young, black, and male. Philadelphia: University of Pennsylvania Press.
7.
Bachman, J.G., O’Malley, P.M., Schulenberg, J.E., Johnston, L.D., Bryant, A.L., & Merline, A.C. ( 2002). The decline of substance use in young adulthood: Changes in social activities, roles, and beliefs. Mahwah, NJ: Lawrence Erlbaum.
8.
Bachman, J.G., Wadsworth, K.N., O’Malley, P.M., Johnston, L.D., & Schulenberg, J.E. (1997). Smoking, drinking, and drug use in young adulthood. Mahwah, NJ: Lawrence Erlbaum.
9.
Ben-Shlomo, Y., & Kuh, D. ( 2002). A life course approach to chronic disease epidemiology: Conceptual models, empirical challenges and interdisciplinary perspectives . International Journal of Epidemiology, 31, 285-293.
10.
Bronfrenbrenner, U. ( 2005). Making human beings human: Bioecological perspectives on human development. Thousand Oaks, CA: Sage.
11.
Bronfrenbrenner, U., & Morris, P. ( 1998). The ecology of developmental processes. In W. Damon (Series Ed.) and R. Lerner (Vol. Ed.), Handbook of child psychology: Vol. 1. Theoretical models of human development (5th ed., pp. 992-1028). New York: Wiley.
12.
Browning, S.L., & Miller, R.R. ( 1999). Marital messages: The case of black women and their children . Journal of Family Issues, 20, 633-647.
13.
Burton, L.M., & Sorensen, S. ( 1993). Temporal dimensions of intergenerational caregiving in African-American multigeneration families. In S. H. Zarit, L. I. Pearlin, & K. W. Schaie (Eds.), Caregiving systems: Informal and formal helpers (pp. 47-66). Mahwah, NJ: Lawrence Erlbaum.
14.
Call, K.T., Riedel, A.A., Hein, K., McLoyd, V.Petersen, A., & Kipke, M. ( 2002). Adolescent health and well-being in the 21st century: A global perspective. Journal of Research on Adolescence, 12, 69-98.
15.
Case, A., Fertig, A., & Paxson, C. ( 2005). The lasting impact of childhood health and circumstance . Journal of Health Economics, 24, 365-389.
16.
Cook, S., Weitzman, M., Auinger, P., Nguyen, M., & Dietz, W.H. ( 2003). Prevalence of a metabolic syndrome phenotype in adolescents . Archives of Pediatrics & Adolescent Medicine, 157, 821-827.
17.
Curran, P.J., Muthén, B.O., & Harford, T.C. ( 1998). The influence of changes in marital status on developmental trajectories of alcohol use in young adults. Journal of Studies on Alcohol, 59, 647-658.
18.
Duncan, G., Wilkerson, B., & England, P. ( 2006). Cleaning up their act: The effects of marriage and cohabitation on licit and illicit drug use. Demography, 43, 691-710.
19.
Edin, K. ( 2000). How low-income single mothers talk about marriage. Social Problems, 47, 112-133.
20.
Edin, K., & Kefalas, M. ( 2005). Promises I can keep: Why poor women put motherhood before marriage. Berkeley: University of California Press.
21.
Elder, G.H., Jr. ( 1997). The life course and human development. In R. M. Lerner & W. Damon (Eds.), Handbook of child psychology: Vol. 1. Theoretical models of human development (pp. 939-991). New York: Wiley.
22.
Elo, I.T., & Preston, S.H. ( 1992). Effects of early-life conditions on adult mortality: A review. Population Index, 58, 186-212.
23.
Erikssen, G. ( 2001). Physical fitness and changes in mortality: The survival of the fittest. Sports Medicine, 31, 571-576.
24.
Fuligni, A.J., & Hardway, C. ( 2004). Preparing diverse adolescents for the transition to adulthood . The Future of Children, 14, 99-119.
25.
Furstenberg, F.F., Jr. , Cook, T.D. , Eccles, J., Elder, G.H., Jr., & Sameroff , A. (1999). Managing to make it: Urban families and adolescent success. Chicago: University of Chicago Press.
26.
Goldman, N. ( 1993). Marriage selection and mortality patterns: Inferences and fallacies. Demography, 30, 189-208.
27.
Goldman, N. ( 1994). Social factors and health: The causation-selection issue revisited. Proceedings of the National Academy of Sciences of the United States of America, 91, 1251-1255.
28.
Goodman, E., Hinden, B.R., & Khandelwal, S. (2000). Accuracy of teen and parental reports of obesity and body mass index. Pediatrics, 106, 52-58.
29.
Gore, S., Aseltine, R., Colton, M.E., & Lin, B. ( 1997). Life after high school: Development, stress, and well-being . In I. Gotlib & B. Wheaton (Eds.), Stress and adversity over the life course (pp. 197-214). New York: Cambridge University Press.
30.
Hagan, J., & Foster, H. ( 2003). S/He’s a rebel: Toward a sequential stress theory of delinquency and gendered pathways to disadvantage in emerging adulthood . Social Forces, 82, 53-86.
31.
Halfon, N., & Hochstein, M. ( 2002). Life course health development: An integrated framework for developing health, policy, and research. Milbank Quarterly , 80, 433-479.
32.
Harris, K.M. ( 2010). An integrative approach to health. Demography , 47, 1-22.
33.
Harris, K.M., & Cheng, M. ( 2005, August). Family structure role models and the context of nonmarital childbearing. Paper presented at the annual meeting of the American Sociological Association, Philadelphia.
34.
Harris, K.M., Florey, F., Tabor, J.W., Bearman, P.S., Jones, J., & Udry, J.R. ( 2003). The National Longitudinal Study of Adolescent Health: Research design. Retrieved September 21, 2004, from http://www.cpc.unc.edu/projects/addhealth/design
35.
Harris, K.M. ( 2010). An integrative approach to health. Demography , 47, 1-22.
36.
Harris, K.M., Gordon-Larsen, P., Chantala, K., & Udry, J.R. ( 2006). Longitudinal trends in race and ethnic disparities in leading health indicators from adolescence to young adulthood. Archives of Pediatrics and Adolescent Medicine, 160, 74-81.
37.
Hogan, D.P., & Astone, N.M. ( 1986). The transition to adulthood. Annual Review of Sociology, 12, 109-130.
38.
House, J.S., & Williams, D.R. (2000). Understanding and reducing socioeconomic and racial/ethnic disparities in health. In B. D. Smedley & S. L. Syme (Eds.), Promoting health: Intervention strategies from social and behavioral research (pp. 81-124). Washington, DC: National Academies Press.
39.
Iceland, J., Weinberg, D.H., & Steinmetz, E. ( 2002). Racial and ethnic residential segregation in the United States: 1980-2000. Washington, DC: U.S. Census Bureau, Series CENSR-3, U.S. Government Printing Office. Retrieved September 21, 2008, from http://www.census.gov/hhes/www./housing/housing_patterns/pdf/censr-3.pdf
40.
James, S.A. ( 1985). Psychosocial and environmental factors in black hypertension . In W. D. Hall, N. B. Shulman, & E. Saunders (Eds.), Hypertension in blacks: Epidemiology, pathophysiology, and treatment (pp. 132-143). Chicago: Year Book Medical.
41.
James, S.A., Fowler-Brown, A., Raghunathan, T.E., & Van Hoewyk, J. (2006). Life-course socioeconomic position and obesity in African American women: The Pitt County study. American Journal of Public Health, 96, 554-560.
42.
Jeffery, R.W., & Rick, A.M. ( 2002). Cross-sectional and longitudinal associations between body mass index and marriage-related factors. Obesity Research , 10, 809-815.
43.
Johnson, D. ( 2005). Two-wave panel analysis: Comparing statistical methods for studying the effects of transitions. Journal of Marriage and Family, 67, 1061-1075.
44.
Kawachi, I., & Berkman, L.F. ( 2003). Neighborhoods and health. New York : Oxford University Press.
45.
Koball, H., Moiduddin, E., Henderson, J., Goesling, B., & Besculides, M. (2010). What do we know about the link between marriage and health?Journal of Family Issues , 31, 1019-1040.
46.
Kumanyika, S., & Grier, S. ( 2006). Targeting interventions for ethnic minority and low-income populations. The Future of Children, 16, 187-120.
47.
Lee, H., Harris, K.M., & Gordon-Larsen, P. (2009). Life course perspectives on the links between poverty and obesity during the transition to young adulthood . Population Research and Policy Review, 28, 505-532.
48.
Lynch, J., & Smith, G.D. ( 2005). A life course approach to chronic disease epidemiology . Annual Review of Public Health, 26, 1-35.
49.
Mays, V.M., Cochran, S.D., & Barnes, N.W. ( 2007). Race, race-based discrimination, and health outcomes among African Americans. Annual Review of Psychology, 58, 201-225.
50.
McDowell, M.A., Fryar, C.D., Hirsch, R., & Ogden, C.L. ( 2005). Anthropometric reference data for children and adults: U.S. population, 1999-2002. Advance Data from Vital and Health Statistics. Retrieved February 14, 2009, from http://www.cdc.gov/nchs/data/ad/ad361.pdf
51.
McTigue, K.M., Garrett, J.M., & Popkin, B.M. ( 2002). The natural history of obesity: Weight change in a large U.S. longitudinal survey. Annals of Internal Medicine, 136, 857-864.
52.
Miller-Tutzauer, C., Leonard, K.E., & Windle, M. ( 1991). Marriage and alcohol use: A longitudinal study of "maturing out." Journal of Studies on Alcohol, 52, 434-440.
53.
Muntner, P., He, J., Cutler, J.A., Wildman, R.P., & Whelton, P.K. ( 2004). Trends in blood pressure among children and adolescents . Journal of the American Medical Association, 291, 2107-2113.
54.
Nomaguchi, K.M., & Bianchi, S.M. ( 2004). Exercise time: Gender differences in the effects of marriage, parenthood, and employment. Journal of Marriage and Family , 66, 413-430.
55.
Osgood, W.D., Foster, M.E., Flanagan, C., & Ruth, G.R. ( 2005). On your own without a net: The transition to adulthood for vulnerable populations. Chicago: University of Chicago Press.
56.
Osypuk, T.L., Galea, S., McArdle, N., & Acevedo-Garcia, D. (2009). Quantifying separate and unequal racial-ethnic distributions of neighborhood poverty in metropolitan America. Urban Affairs Review, 45, 25-65.
57.
Pattillo, M. ( 1999). Black picket fences: Privilege and peril among the black middle class. Chicago: University of Chicago Press.
58.
Pattillo, M. ( 2005). Black middle-class neighborhoods. Annual Review of Sociology, 31, 305-329.
59.
Perreira, K., Deeb-Sossa, N., Harris, K.M., & Bollen, K. ( 2005). What are we measuring? An evaluation of the CES-D across race, ethnicity, and immigrant generation. Social Forces, 83, 1567-1601.
60.
Radloff, L.S. ( 1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement , 1, 385-401.
61.
Schulenberg, J., Maggs, J.L., & Hurrelmann, K. (1997). Negotiating developmental transitions during adolescence and young adulthood: Health risks and opportunities . In J. Schulenberg, J. L. Maggs, & K. Hurrelmann (Eds.), Health risks and developmental transitions during adolescence (pp. 1-19). Cambridge, UK: Cambridge University Press.
62.
Sellers, R.M., Caldwell, C.H., Schmeelk-Cone, K.H., & Zimmerman, M.A. (2003). Racial identity, racial discrimination, perceived stress, and psychological distress among African American young adults. Journal of Health and Social Behavior , 44, 302-317.
63.
Settersten, R.A., Jr. , Furstenberg, F.F., Jr., & Rumbaut , R.G. (2004). On the frontier of adulthood: Theory, research, and public policy. Chicago: University of Chicago Press.
64.
Shanahan, M.J. ( 2000). Pathways to adulthood in changing societies: Variability and mechanisms in life course perspective. Annual Review of Sociology, 26, 667-692.
65.
Sherry, B., Jefferds, M.E., & Grummer-Strawn, L.M. (2007). Accuracy of adolescent self-report of height and weight in assessing overweight status. Archives of Pediatrics & Adolescent Medicine, 61, 1154-1161.
66.
Stack, C. ( 1974). All our kin: Strategies for survival in a black community . New York: Harper.
67.
Teachman, J.D. ( 1983). Early marriage, premarital fertility, and marital dissolution . Journal of Family Issues, 4, 105-126.
68.
Teachman, J.D., Polonko, K.A., & Scanzoni, J. ( 1986). Family demography: Recent trends and developments in the field. In M. D. Sussman & S. K. Steinmetz (Eds.), Handbook of marriage and the family (pp. 3-36). New York: Plenum Press.
69.
Uecker, J.E., & Stokes, C.E. ( 2008). Early marriage in the United States. Journal of Marriage and the Family, 70, 835-846.
70.
Waldron, I., Hughes, M.E., & Brooks, T.L. ( 1996). Marriage protection and marriage selection: Prospective evidence for reciprocal effects of marital status and health. Social Science & Medicine, 43, 113-123.
71.
Williams, D.R., & Collins, C. ( 1995). U.S. socioeconomic and racial differences in health: Patterns and explanations. Annual Review of Sociology, 21, 349-386.
72.
Williams, D.R., & Collins, C. ( 2001). Racial residential segregation: A fundamental cause of racial disparities in health. Public Health Reports, 116, 404-416.
73.
Williams, D.R., Neighbors, H.W., & Jackson, J.S. ( 2003). Racial-ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93, 200-208.
74.
Wilson, W.J. ( 1987). The truly disadvantaged: The inner city, the underclass, and public policy. Chicago: University of Chicago Press.
75.
Woldoff, R.A., & Ovadia, S. ( 2009). Not getting their money’s worth: African-American disadvantages in converting income, wealth, and education into residential quality. Urban Affairs Review, 45, 66-91.
76.
Wood, R., Goesling, B., & Avellar, S. ( 2007). The effects of marriage on health: A synthesis of recent research evidence. Princeton, NJ: Mathematica Policy Research. Retrieved January 6, 2009, from http://aspe.hhs.gov/hsp/07/marriageonhealth/index.htm
