Gay Father Families Research Articles

Parental burnout, coparenting, and internalized sexual stigma during COVID-19 in parents with minoritized sexual identities.

The COVID-19 pandemic acted as a model of stressful situations for parents insofar as it led to unprecedented difficulties in childcare and caregiving, resulting in increased levels of parental burnout, worldwide. To date, research on parental burnout has mainly involved heterosexual parents. However, parents with minoritized sexual identities face partially different stressors, including internalized sexual stigma, and they also have partially different resources, including a more egalitarian division of childcare labor. Between April 2020 and February 2021, 32 lesbian mother families by donor insemination (n = 64 lesbian mothers) and 28 gay father families by gestational surrogacy (n = 56 gay fathers), all with a child aged 6-10 years and living in Italy, were recruited. In each family, both parents self-rated their parental burnout, coparenting, and internalized sexual stigma. Multilevel modeling indicated that lesbian mothers reported greater parental burnout than gay fathers. Moreover, lower coparenting quality was associated with greater parental burnout. Finally, internalized sexual stigma had a significant both direct and interactive effect on parental burnout, with higher levels of internalized sexual stigma resulting in greater parental burnout, especially in gay fathers. Considering the sexual minority stress theory and the risks and resources balance theory, the results indicate the importance of preventing and treating parental burnout in lesbian and gay parents by focusing on their internalized sexual stigma and coparenting relationship. Also, incorporating the positive psychology framework in future research would help identify in these parents the resources deriving from their minoritized sexual identities to deal with parental burnout. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Troubling ‘the norm’? Or, how to become a recognisable, visible gay parent through surrogacy: A comparative analysis of Israeli and German gay couples

Over the past two decades, recognition of same-sex relationships and non-normative families has increased alongside greater access to reproductive technologies. Despite this progress, surrogacy, a potential path to parenthood for gay couples, remains banned in many countries. Research indicates that gay couples, facing legal restrictions, often seek reproductive services abroad, navigating complex legal, political and sociocultural contexts in both their home and destination countries. However, existing research lacks cross-country comparisons that explore how different contexts shape gay couples’ reproductive practices. This study enhances our theoretical understanding of the intricate interplay between social structure and social interactions. It explores how normative family conceptions, ingrained in legal frameworks, societal norms and cultural values at the macro level, profoundly influence the (normalising) practices of couples at the micro level. Empirically, this study compares Germany and Israel, where gay couples face starkly different challenges. Germany universally prohibits surrogacy, while Israel permits it, although not for gay men during my interviews. Drawing on interviews with couples from both countries who engaged surrogates abroad, this study analyses their struggles for legal recognition and social visibility as ‘gay father families’. In both countries, couples navigate legal, political and sociocultural contexts differently, encapsulated in a process termed ‘becoming a gay father family’, involving concealing surrogacy and appropriating heteronormative family narratives. The data indicate that the couples’ social interactions reflect and reinforce a discernible normative shift from heteronormativity to repronormativity in the context of assisted reproduction.

European gay fathers via surrogacy: Parenting, social support, anti-gay microaggressions, and child behavior problems.

The present study investigated child behavior problems, parenting styles, coparenting, and couple relationship satisfaction in 67 European gay father families via surrogacy and 67 European heterosexual parent families via unassisted conception, all with children aged 1.5-10 years (M = 3.57 years, SD = 2.09). The two family groups were matched for child age and gender. In the gay father group only, the associations between family anti-gay microaggressions, family/friend support, and other main variables also were explored. Children of gay fathers had fewer externalizing and internalizing problems compared to children of heterosexual parents. Also, gay fathers reported more effective parenting styles, greater coparenting quality, and higher couple relationship satisfaction compared to heterosexual parents. Overall, child externalizing problems (i.e., aggression, rule-breaking) and internalizing problems (i.e., anxiety, depression) were more strongly associated with being raised in a heterosexual parent family, more authoritarian parenting, and lower positive coparenting. Specific to the gay father sample, anti-gay microaggressions experienced by family members were associated with more child internalizing problems, lower positive coparenting, and lower social support from family and friends. These results refute concerns about possible detrimental effects on child development of surrogacy conception or of being raised by gay fathers. The results further suggest that family therapists treating child behavior problems should focus mainly on improving the coparenting relationship, reducing authoritarian/punitive parenting styles, and (for gay father families specifically) coping with anti-gay microaggressions and lack of social support outside the nuclear family.

Disclosure and child exploration of surrogacy origins in gay father families: Fathers' Adult Attachment Interview coherence of mind matters

ABSTRACT Objective The present study aimed at investigating whether gay fathers’ coherence of mind within the Adult Attachment Interview (AAI) moderated the influence of parental disclosure on children’s exploration of their surrogacy origins during middle childhood and early adolescence. Background Once children of gay fathers are disclosed to about their surrogacy conception, they may start exploring the meanings and implications of their conception. Very little is known about the factors that may enhance such exploration in gay father families. Method A home-visit study was conducted with 60 White, cisgender, gay fathers and their 30 children born through gestational surrogacy, all residing in Italy and with medium to high socioeconomic status. At time 1, when children were aged 6–12 years (M = 8.31, SD = 1.68), fathers were rated for AAI coherence of mind and interviewed about their disclosure of the surrogacy origins to their child. At time 2, approximately 18 months later (M = 9.87, SD = 1.69), children were interviewed about their exploration of their surrogacy origins. Results In the context of more information disclosed about the child conception, only children whose fathers showed greater AAI coherence of mind explored their surrogacy origins in more depth. Conclusion Gay fathers’ ability to show an internally consistent, but not emotionally overwrought, state of mind regarding their own attachment experiences impacted the extent to which their children felt safe and legitimated in sharing their curiosity about their conception.

Division of Care and Leave Arrangements in Gay Father Families in Sweden

IntroductionThis study analyses the division of parental leave and the income development in gay father families through surrogacy in Sweden, seen as one of the most family-friendly and egalitarian countries in the world.MethodsBased on longitudinal population register data, descriptive and bivariate regression models are estimated to analyse the parental leave uptake and income development of married partners becoming (first-time) parents in 2006–2015 (in total 53 couples). Retrospective in-depth interviews with 23 gay men in 12 couples, conducted in 2010 and 2018 are analysed thematically to study how fathers discussed and decided how to divide the leave.ResultsThe process of establishing legal parenthood delays the fathers’ access to reimbursed parental leave. Despite this, the fathers’ earnings were not considerably affected by the addition of a child to the family. Once the fathers had access to reimbursed leave, they generally shared this equally, with a tendency for the genetic father to take leave first and for a slightly longer period.ConclusionsThe fathers becoming parents via surrogacy arrangements are a well-off group, able to counter the negative financial consequences of becoming parents. Swedish family policies enable parents to share the leave equally. Less impacted by gender and parenthood norms creating difference between parents, gay father families are in a better position to realise ideals of shared care and sameness.Policy ImplicationsThe delayed access to reimbursed parental leave structures the ability of gay couples to become parents and contributes to class inequalities in the transition to parenthood.

Assisted Conception Socialization Self-Efficacy Among Israeli Lesbian, Gay, and Heterosexual Parent Families and its Association with Child Externalizing Problems.

This questionnaire-based study compared 36 Israeli lesbian mother families (n = 72 lesbian mothers) formed by donor insemination, 39 Israeli gay father families (n = 78 gay fathers) formed by gestational surrogacy, and 36 Israeli heterosexual parent families (n = 72 heterosexual parents) formed by assisted reproduction (without donated gametes), all with a target child aged 3–10 years. The families were examined for parents’ assisted conception socialization self-efficacy, depression, negative and positive affect, life satisfaction, positivity, resilience, social support, and child externalizing problems. Multiple factors associated with child externalizing problems were also examined. Multilevel modeling analyses indicated that parents’ assisted conception socialization self-efficacy did not differ between family groups; however, lesbian mothers and gay fathers reported fewer child externalizing problems and greater social support, relative to heterosexual parents. Also, lesbian mothers—but not gay fathers—reported lower levels of depression, greater life satisfaction, and more positivity than did heterosexual parents. Finally, irrespective of family type, greater assisted conception socialization self-efficacy was associated with fewer parent-reported child externalizing problems. Findings are interpreted in light of the cultural socialization framework and Israel’s familistic and pronatalist environment. Implications for health professionals, educators, and policymakers working with diverse family forms are discussed.

Adoptive Gay Father Families: A Longitudinal Study of Children's Adjustment at Early Adolescence.

Findings are presented from the second phase of a UK longitudinal study of 33 gay father, 35 lesbian mother, and 43 heterosexual parent families when their adopted children reached early adolescence. Participants predominantly lived in urban/suburban areas and were mostly white and well-educated. Standardized interviews, observations, and questionnaires of parental mental health, parent-child relationships, and adolescent adjustment were administered to parents, children, and teachers between 2016 and 2018. There were few differences between family types. However, adjustment problems had increased in all family types, with better parenting quality and parental mental health associated with fewer adjustment problems. The findings contribute to adoption policy and practice, and to theoretical understanding of the role of parental gender in child development.

Gay and Heterosexual Single Father Families Created by Surrogacy: Father–Child Relationships, Parenting Quality, and Children’s Psychological Adjustment

The present study examined father-–child relationships, parenting quality, and child psychological adjustment in 35 gay single father surrogacy families, 30 heterosexual single father surrogacy families, 45 gay two-father surrogacy families, and 45 heterosexual two-parent IVF families, when children were aged 3–10 years. In each family, fathers were administered standardized questionnaires and interviews, and participated in three video-recorded observational tasks with their child. Teachers and a child psychiatrist further rated child adjustment. The only differences across family types indicated greater parenting stress in gay and heterosexual single fathers. Irrespective of family type, lower sensitivity and supportive parenting predicted greater father-reported child internalizing problems; whereas lower rough-and-tumble play quality and sensitivity, greater negative parenting and parenting stress, and the child male gender predicted greater father-reported child externalizing problems. In teachers’ ratings, the child female gender was associated with greater child internalizing problems, whereas greater negative parenting, lower rough-and tumble play quality, and the child male gender were associated with greater child externalizing problems. The results confirm that the adjustment of children born to gay and heterosexual single fathers through surrogacy is more a function of family processes than family structure. The results enable practitioners to develop an informed view of the influence of assisted reproduction on the adjustment of children born to single fathers through surrogacy. In this vein, it is empirically unfounded for policymakers to consider children born to single fathers through surrogacy at risk of developing psychological problems, as well as to continue to ban single men from accessing fertility treatments.

Widening the lens on family processes and the development of parent-child attachment relationships

ABSTRACTThis commentary addresses the research conducted by McConnachie et al. (this issue) on attachment in gay father families, lesbian mother families, and heterosexual parent families. Strengths of the research included the inclusion of different family constellations, the focus on between-family and within-family differences, the longitudinal research design, and the age-appropriate assessment of attachment. Some limitations noted included the lack of control for age at adoption in analyses, the lack of information on parenting processes and parental mental health in the formation of attachment, and questions about information obtained from parent reports of children’s prior caregiving histories.

Father-child attachment in adoptive gay father families

ABSTRACTThe attachment security of children in 30 gay father families, 29 lesbian mother families and 38 heterosexual parent families was investigated using the Friends and Family Interview (FFI) at the second phase of a longitudinal study. Children in gay father families showed significantly higher levels of secure-autonomous attachment than children in heterosexual parent families, significantly lower levels of preoccupied attachment than children in either lesbian mother or heterosexual parent families, and significantly lower levels of disorganised attachment than children in heterosexual parent families. For children in gay father families, stepwise multiple regression revealed that neither hyperactivity nor emotional symptoms at Phase 1 were predictive of disorganisation at Phase 2. However, when entered alone, Phase 1 emotional symptoms predicted Phase 2 disorganisation. The results indicate that adopted children in gay father families are at least as likely to be securely attached as children in lesbian mother or heterosexual parent families.

Welbevinden van homoseksuele vaders met een kind via draagmoederschap1

Abstract Wellbeing of gay fathers with children born through surrogacy A study of parental wellbeing in the U.K., France, and the Netherlands compared parents in 38 gay father families, 61 lesbian mother families, and 42 heterosexual parent families. In all family types, the parents had just become parents for the first time and had an infant aged around 4 months. The infants in the gay father families were born through surrogacy, and those in the lesbian mother families were conceived after insemination with donor sperm. The heterosexual parent families had used in vitro fertilization without sperm or egg donation. Standardized measures of parental wellbeing (parental stress, psychological adjustment, and partner relationship satisfaction) were used to collect data via a password-protected online survey. Both parents in all families completed the survey. The parents’ scores on the studied variables were similar regardless of family type or caregiver role. The findings of the present study contribute to the theoretical understanding of the role of family type and caregiver role in families whose first child was conceived by means of assisted reproductive technologies, and especially our knowledge of gay fathers who became parents through surrogacy.

Cross-border surrogacy: Experiences of heterosexual and gay parents in Sweden.

Surrogacy is a controversial method of assisted reproduction that is not permitted in many countries. While there is some evidence that families following surrogacy seem to fare well, there is limited knowledge about the experiences of parents who turn to cross-border surrogacy. The aim of the present study was therefore to investigate the experiences of heterosexual parents and gay fathers who chose cross-border surrogacy to have a child. This cross-sectional survey describes the experiences of 30 families (18 heterosexual parent and 12 gay father families). Participants were recruited through a website for a Swedish surrogacy interest group. The participants were requested individually to complete a postal questionnaire including study-specific questions on their experiences of disclosure and the Swedish Parenting Stress Questionnaire. All couples but one were still living together and had a child (3months to 5years). Parenting stress levels were generally low and were not related to sexual orientation. While almost all parents were open about the child's mode of conception in contacts with health care, gay fathers were significantly more open about using surrogacy in contacts with preschool (P=0.004) and child recreational activities (P=0.005) compared with heterosexual parents. A majority described being treated positively or "as any other parent" in these contexts. Heterosexual and gay parents reported low levels of parenting stress and generally experienced positive or neutral reactions to their parenthood in contacts with healthcare providers, in preschool, and in the child's recreational activities.

Italian gay father families formed by surrogacy: Parenting, stigmatization, and children's psychological adjustment.

Forty Italian gay father families formed by surrogacy were compared with 40 Italian lesbian mother families formed by donor insemination, all with a child aged 3 to 9 years. Standardized interview, observational, and questionnaire measures of parenting quality, parent-child relationships, stigmatization, and children's adjustment were administered to parents, children, teachers, and a child psychiatrist. The only differences across family types indicated higher levels of stigmatization as reported by gay fathers. Externalizing and internalizing problems in both groups scored within the normal range. When family structure and processes were entered together as predictors of child adjustment, a hierarchical linear model analysis showed that factors associated with children's externalizing problems were the child's male gender, high stigmatization, and negative parenting; children's internalizing problems were higher in lesbian mother families and were predicted by stigmatization. Of note, neither gay fathers nor lesbian mothers tended to underestimate their children's adjustment problems relative to teachers. Finally, for children of gay fathers, comparison between teacher SDQ ratings and teacher SDQ normative data on Italian children in a similar age range showed that teachers reported children of gay fathers to show significantly fewer internalizing problems than the normative sample. No differences in children's externalizing problems emerged. A bootstrapping simulation confirmed all results, except the effect of stigmatization on child internalizing problems. Findings suggest that the practice of surrogacy by gay men has no adverse effects on child health outcomes. Implications for our theoretical understanding of child socialization and development, and law and social policy, are discussed. (PsycINFO Database Record

Transition to parenthood and quality of parenting among gay, lesbian and heterosexual couples who conceived through assisted reproduction

ABSTRACT Little research has focused on the emotions felt during pregnancy and early parenthood as well as the initial quality of parenting displayed by first-time parents who conceived using assisted reproduction technologies (surrogacy, donor insemination, and in vitro fertilization). Research on primary and secondary caregivers in gay, lesbian, and heterosexual families is especially sparse. The current study examined 35 gay-father families, 58 lesbian-mother families, and 41 heterosexual-parent families with their infants. Families were assessed at home when their infants were 4 months old (±14 days), and each parent participated in an audio-recorded standardized semi-structured interview in which we explored parental feelings during pregnancy, feelings about the parental role, perceived parental competence, the enjoyment of parenthood, expressed warmth, and emotional over-involvement. Heterosexual parents reported less positive feelings in early pregnancy than lesbian parents, while gay parents reported less positive feelings at the end of pregnancy than lesbian mothers and more positive feelings about parenthood during the first post-partum weeks than heterosexual parents. Family type and caregiver role did not interact to affect reported feelings, perceived competence, enjoyment, warmth, and involvement. The present findings elucidate the transition to parenthood among first-time parents who conceived using assisted reproductive technologies.

Surrogacy families headed by gay men: relationships with surrogates and egg donors, fathers' decisions over disclosure and children's views on their surrogacy origins.

How do gay father families experience surrogacy in terms of their relationships with surrogates and egg donors, fathers' disclosure decisions and children's views on their surrogacy origins? More families had a relationship with the surrogate than the egg donor, and almost all had started to disclose to their children, the majority of whom expressed limited interest in their surrogacy conception. Gay fathers tend to report greater contact with the surrogate than the egg donor and to disclose only the use of a surrogate (omitting discussion of the egg donor and the respective fathers' genetic relatedness). Children's views on their surrogacy conception to gay fathers are not known. Thirty-one children and 80 fathers were interviewed as part of a larger in-depth investigation of 40 Italian gay father surrogacy families. Multiple strategies were used to recruit participants. Children were aged 6-12 years and had been born to gay fathers through gestational surrogacy. Semi-structured interviews were conducted in participants' homes with each family member, separately. Fathers' interviews were presented from the perspective of the father who identified as being most involved with the child on a day-to-day basis. Qualitative content analysis was performed and quotations illustrating the findings were reported. Where appropriate, comparisons were conducted using χ2 or Fisher's exact tests. A total of 31 children in 24 families were interviewed. Most families reported a harmonious relationship with the surrogate (n = 20, 57.1%) and a distant relationship with the donor (n = 10, 66.7%) (χ2(1) = 23.33, P < 0.001). Before the child was aged 4 years, almost all families (n = 34, 85%) had started to disclose their use of a surrogate, with 16 families (n = 16, 40%) also disclosing their use of a donated egg, and only 4 (10%) disclosing which father's sperm had been used. Of the 31 children interviewed, most (n = 17, 54.8%) showed a clear understanding of their conception. About 19 (61.3%) expressed limited interest in their conception, 11 (35.5%) felt positive and 1 child (3.2%) was unsure how he felt. Children differed in their feelings towards their surrogate and egg donor (Fisher's exact test, P = 0.002). Of the 31 children who were aware of the surrogate, the majority felt grateful towards her (n = 22, 71%), while of the 25 children who were also aware of the egg donation, 11 (44%) showed limited interest in their donor. The sample's convenience nature and the gay father families' high income limited the representativeness of the findings. Further, some children belonged to the same family, and this could have biased the results, as these children may have had similar experiences. Prior to this study, the voice of children conceived by gay fathers through surrogacy had not been heard. Future research on factors influencing children's desired contact with-or interest in-the surrogate and/or egg donor and their feelings when contact is not possible will be important in preparing families for such events. Support was obtained from a Sapienza Starting Grant for Research to the first author (grant number AR11715C77EB56B2). None of the authors has any conflict of interest.

Italian gay fathers' experiences of transnational surrogacy and their relationship with the surrogate pre- and post-birth

This study aims to explore the experience of transnational surrogacy and the relationship with the surrogate pre- and post-birth in Italian gay father families. Couple and individual semi-structured interviews were carried out with 30 Italian gay partnered fathers with at least one child born through gestational surrogacy in California or Canada. No couples had known their surrogates or egg donors previously. The Interpretative Phenomenological Analysis indicated that three interrelated themes could be helpful for understanding the gay fathers' experience of their geographical distance from the surrogate: the perceived loss of control over the pregnancy; the surrogate as a person who facilitates the fathers' feelings of being emotionally connected to their developing child; the surrogate as an ‘aunty’ who, along with her family, maintains a relationship with the fathers. None of the fathers mentioned the egg donor during the interview. The study inspires reflections in offshore fertility practitioners on how pre- and ongoing surrogacy counselling for prospective gay fathers should be tailored. It further calls for the necessity of offering psychological counselling in gay fathers' resident countries in order to promote informed decisions before starting surrogacy abroad and to elaborate on potential difficulties related to surrogacy after the child's birth.

Gay father surrogacy families: relationships with surrogates and egg donors and parental disclosure of children's origins.

ObjectiveTo study the nature and quality of relationships between gay father families and their surrogates and egg donors and parental disclosure of children's origins.DesignCross-sectional study.SettingFamily homes.Patient(s)Parents in 40 gay father families with 3–9-year-old children born through surrogacy.Intervention(s)Administration of a semistructured interview.Main Outcome Measure(s)Relationships between parents, children, surrogates, and egg donors and parental disclosure of children's origins were examined using a semistructured interview.Result(s)The majority of fathers were content with the level of contact they had with the surrogate, with those who were discontent wanting more contact. Fathers were more likely to maintain relationships with surrogates than egg donors, and almost all families had started the process of talking to their children about their origins, with the level of detail and children's understanding increasing with the age of the child.Conclusion(s)In gay father surrogacy families with young children, relationships between parents, children, surrogates, and egg donors are generally positive.

Agency and Access: How Gay Fathers Secure Health Insurance for Their Families

ABSTRACTExisting research on gay fatherhood has emphasized relationship dynamics within their families but there are gaps in the literature regarding the practicalities and intricacies of providing health insurance for their families. Using symbolic interactionism, life course theory, and grounded theory methodology, this qualitative study investigated gay fathers' health insurance experiences. Ten White, gay fathers across the United States responded to questions about their access to and process of providing insurance for their families. This study extends the literature on gay father families by (a) examining decisions around health insurance, (b) identifying obstacles and solutions to health insurance problems, and (c) examining the role of privilege and disadvantage in access to health care. Implications include theoretical contributions to intersectionality and agency and insights into health, marriage, and financial inequalities that continue in the United States.

Modern families: parents and children in new family forms

1. Introduction 2. Lesbian mother families 3. 'Test-tube' baby families 4. Donor conception families 5. Surrogacy families 6. Solo mother families 7. Gay father families 8. Conclusions.

Lesbian Mother Families and Gay Father Families in Italy: Family Functioning, Dyadic Satisfaction, and Child Well-Being

The literature underlines that lesbian mother and gay father families are similar to those with heterosexual parents, regarding family functioning, dyadic satisfaction, and child development. This paper compares 40 same-sex families and 40 heterosexual parents in the Italian context. In Italy, it is impossible for same-sex couples or single lesbians and gay men to adopt a child, become married, or enter civil partnerships. The participants were administered self-reports, in order to investigate the dyadic relationships, family functioning, and emotional and social adjustment of their children. Lesbian and gay parents reported higher levels of dyadic adjustment, flexibility, and communication in their family than heterosexual parents. Data from the present study demonstrated that children raised by lesbian and gay parents showed a similar level of emotion regulation and psychological well-being than children raised by heterosexual parents. In Italy, negative attitudes towards same-sex families persist, and educational programs should be developed to deconstruct stereotypes regarding gay and lesbian parent families. These results have important implications in both clinical and social fields.