Fraternal Birth Order Research Articles

Extreme right-handedness, older brothers, and sexual orientation in men.

Two of the most consistent correlates of sexual orientation in men are handedness and fraternal birth order (i.e., number of older brothers). In the present study, the relationship among handedness, older brothers, and sexual orientation was studied in 4 samples of heterosexual and gay or bisexual men (N = 944). Unlike previous studies, which have only observed an increased rate of non-right-handedness in gay or bisexual men relative to heterosexual men, an elevated rate of extreme right-handedness was found in gay or bisexual men relative to heterosexual men. The results also demonstrated that older brothers moderate the relationship between handedness and sexual orientation. Specifically, older brothers increase the odds of being gay or bisexual in moderate right-handers only; in both non-right-handers and extreme right-handers, older brothers do not affect (or decrease) the odds of being gay or bisexual. The results have implications for an early neurodevelopmental origin to sexual orientation in men.

Supplementary Analyses Regarding Langevin, Langevin, and Curnoe’s (2007) Findings on Fraternal Birth Order in Homosexual Men

A recent article by Langevin, Langevin, and Curnoe (2007) reported mixed results regarding the fraternal birth order effect, that is, the repeatedly observed finding that older brothers correlate with homosexuality in later-born males. Using a fraternal birth order index computed as older brothers minus younger brothers, Langevin et al. found that the "homoerotic" probands were born later among their brothers than were the "heteroerotic" probands in their full sample (N = 1194) and in their subsample over age 19 (N = 1122), but not in their subsample over age 31 (N = 698) or in their subsample with mothers over age 46 at the proband's birth (N = 727). The present writer concluded that the results obtained with the larger samples are more reliable, based on analyses demonstrating that (1) the larger samples are unlikely to be seriously affected by incomplete sibships, and (2) the smaller samples have poor statistical power. A separate analysis, based on an approximate reconstruction of Langevin et al.'s raw data, indicated that their heteroerotic probands reported a ratio of 104 older brothers per 100 older sisters, which is close to the normative population value of 106, whereas their homoerotic probands reported a ratio of 137, indicating a statistically significant excess of older brothers. These results suggest that Langevin et al.'s data showed significant evidence of a fraternal birth order effect and that their data were consistent with previous studies of this phenomenon.

Fraternal Birth Order and Ratio of Heterosexual/Homosexual Feelings in Women and Men

Studies of the 2-3% of persons who identify as homosexual found men but not women had more older brothers than persons who identify as heterosexual. The present study investigated the birth order in the approximately 20% of men and women who anonymously report some homosexual feelings, few of whom identify as homosexual. The number of older brothers and sisters was investigated in seven cohorts: 319 male twins; and 49,54, and61 female and 66,116, and 50 male medical students. Both women and men who anonymously reported homosexual feelings had a greater mean number of older brothers and sisters than did those who reported no homosexual feelings. The difference was stronger in relation to brothers than sisters. The birth order effect was not related to the strength of the subjects' degree of homosexual compared with heterosexual feelings. Its presence in women could not be accounted for by the widely accepted hypothesis that the birth order effect is due to a maternal immune reaction provoked only by male fetuses. The lack of relationship between the strength of the effect and degree of homosexual feelings in the men and women suggests the influence of birth order on homosexual feelings was not due to a biological, but a social process in the subjects studied. Investigating the neglected significant percentage of predominantly heterosexual men and women who anonymously report some homosexual feelings may aid in understanding the factors influencing sexual orientation, and identity.

The biology of human psychosexual differentiation

Most attempts to identify biological underpinnings of gender identity and sexual orientation in humans have investigated effects of sex steroids, so pivotal in the differentiation of the genitalia, showing strong parallels between animals and the human. The information on humans is derived from the so-called ‘experiments of nature’, clinical entities with a lesser-than-normal androgen exposure in XY subjects and a higher than normal androgen exposure in XX subjects. Prenatal androgenization appears to predispose to a male gender identity development, but apparently not decisively since 40–50% of 46,XY intersexed children with a history of prenatal androgen exposure do not develop a male gender identity. Obviously, male-to-female transsexuals, with a normal androgen exposure prenatally (there is no serious evidence to the contrary) develop a female gender identity, through unknown biological mechanisms apparently overriding the effects of prenatal androgens. The latest studies in 46, XX subjects exposed to prenatal androgens show that prenatal androgenization of 46,XX fetuses leads to marked masculinization of later gender-related behavior but does not lead to gender confusion/dysphoria. The example of female-to-male transsexuals, without evidence of prenatal androgen exposure, indicates that a male gender identity can develop without a significant androgen stimulus. So we are far away from any comprehensive understanding of hormonal imprinting on gender identity formation. Brain studies in homosexuals have not held up in replication studies or are in need of replication in transsexuals. Genetic studies and the fraternal birth order hypothesis provide indications of familial clustering of homosexuality but in many homosexuals these genetic patterns cannot be identified. The biological explanations advanced for the birth order hypothesis lack any experimental support.

O brother, where art thou? The fraternal birth-order effect on male sexual orientation

Sigmund Freud has a lot to answer for. As the 20th century began, he convinced medical professionals that abnormal family relationships caused children to develop a homosexual orientation, which could be “cured” by psychoanalysis. Not until the 1970s would psychiatric and psychological associations finally repudiate this idea that gay people have any illness that needs treating. Since then, a host of reports bolster the idea that prenatal events, rather than family relations, affect the likelihood that a person will grow up to be straight or gay. For example, for each additional brother that precedes him, a boy’s chance of growing up to be gay increases by a third. If Freud had known that, he might have suggested that the presence of older brothers shifts family dynamics, subjecting the youngest son to a social milieu that leads to homosexuality. However, in this issue of PNAS, Anthony Bogaert (1) provides evidence that the social influence of an older brother is irrelevant to whether his younger brother will develop a homosexual orientation. It is the number of older biological brothers the mother carried, not the presence of older brothers while growing up, that makes some boys grow up to be gay. Older stepbrothers in the home have no effect, although older biological brothers raised apart still exert their influence. These data, by elimination, strengthen the notion that the common denominator between biological brothers, the mother, provides a prenatal environment that fosters homosexuality in her younger sons.

Interaction of fraternal birth order and handedness in the development of male homosexuality

The present study investigated evidence for an interaction between two of the best established etiologic factors, or markers of etiologic factors, in the literature on male homosexuality: fraternal birth order and hand preference. By combining five samples, the authors produced study groups of 1774 right-handed heterosexuals, 287 non-right-handed heterosexuals, 928 right-handed homosexuals, and 157 non-right-handed homosexuals. The results showed a significant ( P = 0.004) handedness by older brothers interaction, such that (a) the typical positive correlation between homosexuality and greater numbers of older brothers holds only for right-handed males, (b) among men with no older brothers, homosexuals are more likely to be non-right-handed than heterosexuals; among men with one or more older brothers, homosexuals are less likely to be non-right-handed than heterosexuals, and (c) the odds of homosexuality are higher for men who have a non-right hand preference or who have older brothers, relative to men with neither of these features, but the odds for men with both features are similar to the odds for men with neither. These findings have at least two possible explanations: (a) the etiologic factors associated with non-right-handedness and older brothers–hypothesized to be hyperandrogenization and anti-male antibodies, respectively–counteract each other, yielding the functional equivalent of typical masculinization, and (b) the number of non-right-handed homosexuals with older brothers is smaller than expected because the combination of the older brothers factor with the non-right-handedness factor is toxic enough to lower the probability that the affected fetus will survive.

The association between the fraternal birth order effect in male homosexuality and other markers of human sexual orientation

Later fraternal birth order (FBO) is a well-established correlate of homosexuality in human males and may implicate a maternal immunization response in the feminization of male sexuality. This has led to the suggestion that FBO may relate to other markers of male sexual orientation which are robustly sexually dimorphic. If so, among homosexual males the number of older brothers should strongly correlate with traits such as spatial ability and psychological gender, indicative of greater behavioural feminization, compared to heterosexual males. The present study failed to find significant associations between number of older brothers and these traits.

Sibling Sex Ratio and Sexual Orientation in Men and Women: New Tests in Two National Probability Samples

One line of research on the etiology of sexual orientation has examined sibling sex ratio, the ratio of brothers to sisters collectively reported by a group of individuals, but this research has only used clinical and/or convenience samples. In the present study, homosexual men and women's sibling sex ratio was examined in two national probability samples. Results indicated that homosexual men had a sex ratio of 129.54 male live births to 100 female live births. This ratio was within the range of elevated sex ratios found in some previous studies of homosexual men, although it was only marginally significant (p = .09) relative to the known human sex ratio with regard to live births. Additional analyses indicated that this effect was likely the result of a high fraternal birth order (i.e., an elevated number of older brothers) in homosexual men. The sibling sex ratio for lesbians was 122.58 male live births to 100 female live births, which did not significantly differ from the known human sex ratio with regard to live births. The results for lesbians, however, should be interpreted with caution because the sample size (and resulting power) was low. The results in men add to research suggesting that homosexual men, unselected for gender identity or gender role behavior, do not have elevated sibling sex ratios. These results also suggest that research should concentrate on finding the cause(s) of the fraternal birth order effect, the consistent finding that homosexual men have an elevated number of older brothers.

The prevalence of male homosexuality: the effect of fraternal birth order and variations in family size

The prevalence of male homosexuality probably varies over time and across societies. One reason for this variation may be the joint effect of two factors: (1) variations in fertility rate or family size; and (2) the fraternal birth order effect, the finding that the odds of male homosexuality increases with each additional older brother. Because of these effects, the rate of male homosexuality may be relatively high (at least in terms of sexual attraction if not behavior) in societies that have a high fertility rate, but this rate has probably declined somewhat in some, particularly western, societies. Thus, even if accurately measured in one country at one time, the rate of male homosexuality is subject to change and is not generalizable over time or across societies.

Quantitative and theoretical analyses of the relation between older brothers and homosexuality in men

Meta-analysis of aggregate data from 14 samples representing 10,143 male subjects shows that homosexuality in human males is predicted by higher numbers of older brothers, but not by higher numbers of older sisters, younger brothers, or younger sisters. The relation between number of older brothers and sexual orientation holds only for males. This phenomenon has therefore been called the fraternal birth order effect. Research on birth order, birth weight, and sexual orientation suggests that the developmental pathway to homosexuality initiated by older brothers operates during prenatal life. Calculations assuming a causal relation between older brothers and sexual orientation have estimated the proportion of homosexual men who owe their sexual orientation to fraternal birth order at 15% in one study and 29% in another. The maternal immune hypothesis proposes that the fraternal birth order effect reflects the progressive immunization of some mothers to male-specific antigens by each succeeding male fetus and the increasing effects of such immunization on sexual differentiation of the brain in each succeeding male fetus. There are at least three possible mechanisms by which the mother's immune response could influence the fetus: the transfer of anti-male antibodies across the placenta from the maternal into the fetal compartment, the transfer of maternal cytokines across the placenta, and maternal immune reactions affecting the placenta itself. This hypothesis is consistent with recent studies showing that the quantity of fetal cells that enter the maternal circulation is greater than previously thought, and that the number of male-specific proteins encoded by Y-chromosome genes is greater than previously thought.

Proportion of homosexual men who owe their sexual orientation to fraternal birth order: An estimate based on two national probability samples.

Homosexuality in men correlates with an individual's number of older brothers, greater numbers of older brothers being associated with a greater probability of homosexuality. There are reasons to believe that this relationship is causal rather than merely statistical, that is, that older brothers produce the increase in the probability of homosexuality for later-born males. It is possible, under this assumption, to estimate the proportion of homosexual men who can attribute their sexual orientation to their birth order among their brothers (fraternal birth order). This statistic, the population attributable fraction (PAF), was computed on the combined archival data of 2,256 heterosexual and 71 homosexual men examined in survey studies of sexual behavior in the UK and the USA. The PAF was 28.6%, with 95% confidence limits of 14.8% and 48.0%. These limits encompass the PAF of 15.1% previously estimated with a Canadian sample. The results indicate that the proportion of homosexual men whose sexual orientation is attributable to fraternal birth order constitutes a minority, but not a negligible minority, of all homosexual men. The fraternal birth order effect may reflect the progressive immunization of some mothers to Y-linked antigens by each succeeding male fetus, and the concomitantly increasing effects of antimale antibodies on the sexual differentiation of the brain in each succeeding male fetus.

The cause(s) of the fraternal birth order effect in male homosexuality.

It has been established that the probability that a man is homosexual is positively related to his number of older brothers, but not older sisters when the brothers are accounted for. This is known as the 'fraternal birth order' effect. In the past, efforts have been made to explain this phenomenon in terms of several alternative biological hypotheses and a psychosocial hypothesis. This note examines how well these hypotheses accommodate the fraternal birth order effect. It is concluded that: (1) the evidence for the hypothesis of maternal immunoreactivity to the male fetus is weak; (2) the evidence for the intrauterine hormone exposure hypothesis is also weak; (3) the evidence for the hypothesis of postnatal learning is stronger. Lastly, there seem likely to be causes common to male homosexuality and paedophilia. They may include sexual (or quasi-sexual) experience in childhood or adolescence.

The interaction of fraternal birth order and body size in male sexual orientation.

A late fraternal birth order has been demonstrated numerous times in homosexual men. Body size has been less studied with regard to the development of sexual orientation and has demonstrated contradictory results. In this research, the relations among fraternal birth order, body size, and sexual orientation were examined in a Canadian sample of homosexual and heterosexual men. An interaction between fraternal birth order and height was observed, with a homosexual orientation most likely to occur in men with a high number of older brothers and shorter stature. No significant interactive effects were observed for weight. The results suggest that the mechanism underlying the fraternal birth order phenomenon has an effect on physical development that lasts and is detectable into adulthood (i.e., adult stature).

Number of older brothers and sexual orientation: new tests and the attraction/behavior distinction in two national probability samples.

The extent to which number of older brothers or "fraternal birth order" predicted the 2 main components that researchers have traditionally used to conceptualize sexual orientation-that is, psychological attraction and sexual behavior-was examined in 2 recent national probability samples. In both studies, fraternal birth order predicted same-sex attraction in men, with each additional older brother increasing the odds of homosexual attraction by an average of 38%. Results also indicated that the fraternal birth order/same-sex attraction relationship in men was independent of sexual behavior, including early same-sex behavior. No sibling characteristics predicted sexual orientation in women. Results suggest experience-based theories (e.g., early same-sex play) of the fraternal birth order effect in men are unlikely to be correct.

Number of older brothers and social orientation: New tests and the attraction/behavior distinction in two national probability samples.

The extent to which number of older brothers or birth predicted the 2 main components that researchers have traditionally used to conceptualize sexual orientation-that is, psychological attraction and sexual behavior-was examined in 2 recent national probability samples. In both studies, fraternal birth order predicted same-sex attraction in men, with each additional older brother increasing the odds of homosexual attraction by an average of 38%. Results also indicated that the fraternal birth order/same-sex attraction relationship in men was independent of sexual behavior, including early same-sex behavior. No sibling characteristics predicted sexual orientation in women. Results suggest experience-based theories (e.g., early same-sex play) of the fraternal birth order effect in men are unlikely to be correct.

Born gay? The psychobiology of human sexual orientation

Sexual orientation is fundamental to evolution and shifts from the species-typical pattern of heterosexuality may represent biological variations. The growth of scientific knowledge concerning the biology of sexual orientation during the past decade has been considerable. Sexual orientation is characterised by a bipolar distribution and is related to fraternal birth order in males. In females, its distribution is more variable; females being less prone towards exclusive homosexuality. In both sexes homosexuality is strongly associated with childhood gender nonconformity. Genetic evidence suggests a heritable component and putative gene loci on the X chromosome. Homosexuality may have evolved to promote same sex affiliation through a conserved neurodevelopmental mechanism. Recent findings suggest this mechanism involves atypical neurohormonal differentiation of the brain. Key areas for future research include the neurobiological basis of preferred sexual targets and correlates of female homosexuality.

Fraternal Birth Order and Birth Weight in Probably Prehomosexual Feminine Boys

The purpose of this study was to confirm a previous finding that homosexual males with older brothers weigh less at birth than do heterosexual males with older brothers. The subjects comprised 250 feminine boys referred to a child psychiatry service because of extreme cross-gender wishes or behavior and assumed, on the basis of previous research, to be prehomosexual, plus 739 control boys and 261 control girls referred to the same service for reasons unrelated to sexual orientation or gender identity disorder and assumed, from base-rate probabilities, to be preheterosexual. The feminine boys with two or more older brothers weighed 385 g less at birth than did the control boys with two or more older brothers (P = 0.005). In contrast, the feminine and control boys with fewer than two older brothers did not differ in birth weight. This finding suggests that the mechanism by which older brothers increase the odds of homosexuality in later-born males operates prior to the individual's birth. We hypothesize that this mechanism may be immunologic, that antimale antibodies produced by human mothers in response to immunization by male fetuses could decrease the birth weight of subsequent male fetuses as well as increase their odds of homosexuality.

How many gay men owe their sexual orientation to fraternal birth order?

In men, sexual orientation correlates with the number of older brothers, each additional older brother increasing the odds of homosexuality by approximately 33%. However, this phenomenon, the fraternal birth order effect, accounts for the sexual orientation of only a proportion of gay men. To estimate the size of this proportion, we derived generalized forms of two epidemiological statistics, the attributable fraction and the population attributable fraction, which quantify the relationship between a condition and prior exposure to an agent that can cause it. In their common forms, these statistics are calculable only for 2 levels of exposure: exposed versus not-exposed. We developed a method applicable to agents with multiple levels of exposure--in this case, number of older brothers. This noniterative method, which requires the odds ratio from a prior logistic regression analysis, was then applied to a large contemporary sample of gay men. The results showed that roughly 1 gay man in 7 owes his sexual orientation to the fraternal birth order effect. They also showed that the effect of fraternal birth order would exceed all other causes of homosexuality in groups of gay men with 3 or more older brothers and would precisely equal all other causes in a theoretical group with 2.5 older brothers. Implications are suggested for the gay sib-pair linkage method of identifying genetic loci for homosexuality.

Fraternal Birth Order and the Maternal Immune Hypothesis of Male Homosexuality

In men, sexual orientation correlates with an individual's number of older brothers, each additional older brother increasing the odds of homosexuality by approximately 33%. It has been hypothesized that this fraternal birth order effect reflects the progressive immunization of some mothers to Y-linked minor histocompatibility antigens (H-Y antigens) by each succeeding male fetus and the concomitantly increasing effects of such maternal immunization on the future sexual orientation of each succeeding male fetus. According to this hypothesis, anti-H-Y antibodies produced by the mother pass through the placental barrier to the fetus and affect aspects of sexual differentiation in the fetal brain. This explanation is consistent with a variety of evidence, including the apparent irrelevance of older sisters to the sexual orientation of later born males, the probable involvement of H-Y antigen in the development of sex-typical traits, and the detrimental effects of immunization of female mice to H-Y antigen on the reproductive performance of subsequent male offspring. The maternal immune hypothesis might also explain the recent finding that heterosexual males with older brothers weigh less at birth than heterosexual males with older sisters and homosexual males with older brothers weigh even less than heterosexual males with older brothers.

The ratio of 2nd to 4th digit length and male homosexuality

Sexual orientation may be influenced by prenatal levels of testosterone and oestrogen. There is evidence that the ratio of the length of 2nd and 4th digits (2D:4D) is negatively related to prenatal testosterone and positively to oestrogen. We report that (a) 2D:4D was lower in a sample of 88 homosexual men than in 88 sex- and age-matched controls recruited without regard to sexual orientation, (b) within the homosexual sample, there was a significant positive relationship between mean 2D:4D ratio and exclusive homosexuality, (c) overall, there was a decrease in 2D:4D from controls to homosexual men to bisexual men and (d) fraternal birth order, a positive predictor of male homosexuality, was not associated with 2D:4D in a sample of 240 Caucasian men recruited without regard to sexual orientation and 45 homosexual men. Further work is needed to confirm the relationships between 2D:4D and sexual orientation. However, these and other recent data tend to support an association between male homosexuality and high fetal testosterone. Very high testosterone levels may be associated with a sexual preference for both men and women.