Association Between Family Type and Type of Health Insurance Coverage by State Marriage Policies

Private Versus UninsuredPublic Versus Uninsured
naOR95% CIaOR95% CI
Same-sex marriage, civil unions, or domestic partnershipsa
 Opposite-sex, married240 9571.00Reference1.00Reference
 Opposite-sex, unmarried18 8070.500.45–0.55**1.321.20–1.45**
 Same-sex, dual male3600.430.20–0.95*0.880.38–2.05
 Same-sex, dual female7440.810.48-1.371.270.71–2.25
No provisions
 Opposite-sex, married1 128 8321.00Reference1.00Reference
 Opposite-sex, unmarried82 8710.480.46–0.50**1.511.44–1.58**
 Same-sex, dual male12890.620.41–0.93*1.240.84–1.85
 Same-sex, dual female26880.600.45–0.79**1.080.82–1.42
  • Source: 2008–2010 American Community Survey. Models are weighted and adjusted for children's age group, race and ethnicity, gender, citizenship, disability, relationship to reference parent, age of reference parent, parents' combined income relative to federal poverty guidelines, work status of parents, highest educational attainment of parents, total number of children in household, primary language spoken at home, and survey year. **P < .01; *P < .05.

  • a As of January 1, 2008, states included California, Massachusetts, New Jersey, Vermont, and the District of Columbia.21