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Parenthood experiences of LGBT+ individuals: a systematic review

SUMMARY

OBJECTIVE:

This systematic review aims to analyze the parenthood experiences of LGBT+ individuals.

METHODS:

The review was carried out between February and June 2020 and used key words about LGBT+ and/or parenthood, including, “lesbian and mother,” “lesbian and parenthood,” “gay and father,” “gay and parenthood,” and “trans and parenthood,” which were published in databases, such as PubMed, Google Academic, Wiley Online Library, and ScienceDirect.

RESULTS:

We reviewed 19 research articles, and the majority of these articles suggested that LGBT+s faced negative reactions and discrimination when they decided to become parents. Once they became parents, the relationship of most of the LGBT+ individuals with their partners and the surrounding social environment improved and social support for and self-esteem of the LGBT+ individuals increased.

CONCLUSIONS:

Compared to the heterosexual parents, LGBT+ individuals faced with various problems in their social, family, and professional lives during parenthood. Therefore, they need more family, legal, and social support.

KEYWORDS:
Homosexuality; Parents; Sexual and gender minorities; Social support

INTRODUCTION

The concept of LGBT+ gained importance as a result of the struggles of people with different sexual identities for their rights. The concept refers to lesbian, gay, bisexual, transgender/transsexual, intersexual, and queer individuals11 Savcı G. Research about the relationship between social harmony and addiction in LGBT individuals in Turkey. Master Thesis. I˙stanbul: Beykent Üniversitesi; 2015.. As such, sexual orientations of not only heterosexual but also of homosexual and bisexual people are defined22 Leal D, Gato J, Coimbra S, Freitas D, Tasker F. Social support in the transition to parenthood among lesbian, gay, and bisexual persons: a systematic review. Sex Res Soc Pol. 2021;18(1):1165-79. https://doi.org/10.1007/s13178-020-00517-y
https://doi.org/10.1007/s13178-020-00517...
. Given that all individuals have the right to sexual and reproductive health, we may suggest that LGBT+ individuals have the right to parenthood and have children33 Katz-Wise SL, Rosario M, Tsappis M. Lesbian, gay, bisexual, and transgender youth and family acceptance. Pediatr Clin North Am. 2016;63(6):1011-25. https://doi.org/10.1016/j.pcl.2016.07.005
https://doi.org/10.1016/j.pcl.2016.07.00...
.

Individuals with different sexual orientations have different methods to become parents, including egg and sperm donation, surrogate motherhood, and assisted reproductive techniques44 Blake L, Carone N, Raffanello E, Slutsky J, Ehrhardt AA, Golombok S. Gay fathers’ motivations for and feelings about surrogacy as a path to parenthood. Hum Reprod. 2017;32(4):860-7. https://doi.org/10.1093/humrep/dex026
https://doi.org/10.1093/humrep/dex026...
66 Van Ewyk J, Kruger LM. The emotional experience of motherhood in planned lesbian families in the South African context:“… Look how good a job I’m doing, look how amazing we are”. J Homosex. 2017;64(3):343-66. https://doi.org/10.1080/00918369.2016.1190216
https://doi.org/10.1080/00918369.2016.11...
. Besides, LGBT+ individuals may adopt children, which is a widely recognized method of parenthood.

The review of the literature on the comparison of the experiences of LGBT+ parents with their heterosexual counterparts showed conflicting findings. Some of the studies found that LGBT+ parents raised happier children and spent more time to raise their children, independent of gender roles and rules66 Van Ewyk J, Kruger LM. The emotional experience of motherhood in planned lesbian families in the South African context:“… Look how good a job I’m doing, look how amazing we are”. J Homosex. 2017;64(3):343-66. https://doi.org/10.1080/00918369.2016.1190216
https://doi.org/10.1080/00918369.2016.11...
. However, the review by Carneiro et al. (2017) reported no difference between the experiences of gay and heterosexual fathers in terms of involvement in their children’s activities, level of intimacy, parenting problem-solving, and time spent with their children77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
. Other studies also dealt with childbearing problems in nontraditional societies, including social exclusion of the children, homophobia, and the absence of family support and legal protection88 Fitzgibbons RP. Growing up with gay parents: what is the big deal? Linacre Q. 2016;83(2):332-6. https://doi.org/10.1179/0024363915Z.000000000120a
https://doi.org/10.1179/0024363915Z.0000...
,99 Wilson C, Cariola LA. LGBTQI+ youth and mental health: a systematic review of qualitative research. Adolesc Res Rev. 2020:5(2);187-211. https://doi.org/10.1007/s40894-019-00118-w
https://doi.org/10.1007/s40894-019-00118...
.

Despite the existence of systematic reviews on the parenthood experiences of individuals with different sexual orientations in the literature, we have not found any studies that dealt with the parenthood experiences of LGBT+ individuals77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
,1010 Hafford-Letchfield T, Cocker C, Rutter D, Tinarwo M, McCormack K, Manning R. What do we know about transgender parenting? Findings from a systematic review. Health Soc Care Community. 2019;27(5):1111-25. https://doi.org/10.1111/hsc.12759
https://doi.org/10.1111/hsc.12759...
. We believe that reviewing the difficulties that LGBT+ individuals experience during parenthood may help policy makers, civil society groups, and health professionals that provide care to these people, including nurses, physicians, and social service experts.

Aim

This systematic review aims to analyze the parenthood experiences of LGBT+ individuals. The research questions include the following:

  • What are the sociodemographic characteristics of LGBT+ individuals?

  • What are the positive parenthood experiences of LGBT+ individuals?

  • What are the negative parenthood experiences of LGBT+ individuals?

METHODS

Design

This systematic review used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) to prepare the protocol and report the article. PRISMA statement may be accessed via http://prisma-statement.org/.

Data sources and search strategy

We conducted this systematic review between February and June 2020 and reviewed scientific articles in English version which were published in different databases (e.g., PubMed, Google Academic, Wiley Online Library, Taylor and Francis Online, and ScienceDirect). We used the key words about LGBT+ and/or parenthood, including “lesbian and mother,” “lesbian and parenthood,” “gay and father,” “gay and parenthood,” “trans and parenthood,” “LGBT+ and parent,” “LGBT+ and parenthood,” “LGBT+ parent,” and “adoption parenthood experience.” We used the words “and” and “or” to search key words.

Study selection

We analyzed the qualitative, quantitative, and mixed-design studies on parenthood experiences of LGBT+ individuals that were published in English until June 2020.

Inclusion criteria

  • Studies on LGBT+ individuals that had parenthood experience and lived with their children.

  • Research articles that were published in English.

Exclusion criteria

  • Articles on the intentions and motivations of LGBT+ individuals.

  • Articles on the relations between LGBT+ individuals and their parents.

  • Articles on the opinions of health professionals on the parenthood of LGBT+ individuals were excluded from the systematic review.

Methodological quality assessment

Quality assessment of the reviewed articles was independently conducted by two researchers. We used 12 criteria proposed by Polit and Beck (2009) to evaluate the quality of evidences. The two researchers independently scored 1 that met the criteria and 0 for the studies that did not meet the criteria1111 Polit D, Beck C. Literature reviews: finding and reviewing research evidence. Essent Nurs Res Apprais Evid Nurs Pract. 2009:169-93.. Coherence between the researchers was assessed by using Cohen’s kappa (κ), where the values of 0.41–0.60, 0.61–0.80, and 0.80–1.00 referred to moderate, substantial, and almost perfect agreement, respectively1212 Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74. https://doi.org/10.2307/2529310
https://doi.org/10.2307/2529310...
. Kappa (κ) in our study was 0.54, indicating moderate agreement.

RESULTS

Study design and sample characteristics

We reviewed 4 quantitative, 14 qualitative, and 1 mixed-design scientific studies. Parenthood experiences of five gay, five lesbian, one transsexual, and eight LGBT+ people were included in our systematic review.

Demographic characteristics

Age of the participants who were included in our systematic review ranged between 22 and 59 years, and the majority of the participants were above the age of 40. Most of the participants had postgraduation degree. Besides, the majority of the participants had high-income levels (Table 1).

Table 1
Studies on parenthood experiences of LGBT+ individuals.

Parenthood experiences

This study reviewed positive and negative parenthood experiences of LGBT+ individuals and their parenthood processes (Table 1).

Positive experiences

Primary studies on LGBT+ parents found that parenthood was more important than work life and careers of LGBT+ individuals1919 Forenza B, Dashew BL, Bergeson C. LGB+ Moms and dads:“My Primary Identity… is Being a Parent”. J GLBT Fam Stud. 2019:1-12. https://doi.org/10.1080/1550428X.2019.1688215
https://doi.org/10.1080/1550428X.2019.16...
and that the relationship with their partners99 Wilson C, Cariola LA. LGBTQI+ youth and mental health: a systematic review of qualitative research. Adolesc Res Rev. 2020:5(2);187-211. https://doi.org/10.1007/s40894-019-00118-w
https://doi.org/10.1007/s40894-019-00118...
and families77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
and the levels of self-esteem and social support increased after parenthood77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
. Besides, these parents perceived themselves as more important in the society and stated that legal processes on adoption made their work easier2020 Brown S, Smalling S, Groza V, Ryan S. The experiences of gay men and lesbians in becoming and being adoptive parents. Adopt Q. 2009;12(3-4):229-46. https://doi.org/10.1080/10926750903313294
https://doi.org/10.1080/1092675090331329...
(Table 1).

Negative experiences

Although participants in some of the studies expressed that the society was more tolerant of LGBT+ parents, the majority of studies reported that social discrimination continued even after parenthood77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
,1111 Polit D, Beck C. Literature reviews: finding and reviewing research evidence. Essent Nurs Res Apprais Evid Nurs Pract. 2009:169-93.,2121 Park NK, Kazyak E, Slauson-Blevins K. How law shapes experiences of parenthood for same-sex couples. J GLBT Fam Stud. 2016;12(2):115-37. https://doi.org/10.1080/1550428X.2015.1011818
https://doi.org/10.1080/1550428X.2015.10...
2525 Faccio E, Bordin E, Cipolletta S. Transsexual parenthood and new role assumptions. Cult Health Sex. 2013;15(9):1055-70. https://doi.org/10.1080/13691058.2013.806676
https://doi.org/10.1080/13691058.2013.80...
.

Problems of LGBT+ individuals in work life included precariousness, discrimination, and being unable to benefit from the rights of heterosexual employees, such as maternity and paternity leave, breastfeeding leave, unpaid leave, or flexibility in working hours77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
,1919 Forenza B, Dashew BL, Bergeson C. LGB+ Moms and dads:“My Primary Identity… is Being a Parent”. J GLBT Fam Stud. 2019:1-12. https://doi.org/10.1080/1550428X.2019.1688215
https://doi.org/10.1080/1550428X.2019.16...
,2121 Park NK, Kazyak E, Slauson-Blevins K. How law shapes experiences of parenthood for same-sex couples. J GLBT Fam Stud. 2016;12(2):115-37. https://doi.org/10.1080/1550428X.2015.1011818
https://doi.org/10.1080/1550428X.2015.10...
.

DISCUSSION

This study, which reviewed positive and negative parenthood experiences of LGBT+ individuals, analyzed 19 qualitative and quantitative research articles. Findings of these studies on sociodemographic characteristics of the participants and their negative and positive experiences are discussed below.

Demographic characteristics

Marriage is an affirmative action to raise children. Although current average age for marriage and having the first children for heterosexual parents ranges from 30 to 35 years, it is mostly higher for LGBT+ individuals1313 Rosenfeld MJ. Nontraditional families and childhood progress through school. Demography. 2010:47(3);755-75. https://doi.org/10.1353/dem.0.0112
https://doi.org/10.1353/dem.0.0112...
,1414 Tate DP, Patterson CJ. Desire for parenthood in context of other life aspirations among lesbian, gay, and heterosexual young adults. Front Psychol. 2019;10:2679. https://doi.org/10.3389/fpsyg.2019.02679
https://doi.org/10.3389/fpsyg.2019.02679...
. This delay is primarily related to the fact that it takes a longer period for LGBT+ individuals to make themselves accepted, have a profession, and reach their career goals, compared to their heterosexual counterparts1515 Bergman K, Rubio RJ, Green RJ, Padrón E. Gay men who become fathers via surrogacy: the transition to parenthood. J GLBT Fam Stud. 2010;6(2);111-41. https://doi.org/10.1080/15504281003704942
https://doi.org/10.1080/1550428100370494...
,1616 Goldberg AE. The transition to parenthood for lesbian couples. J GLBT Fam Stud. 2006;2(1):13-42. https://doi.org/10.1300/J461v02n01_02
https://doi.org/10.1300/J461v02n01_02...
. This situation is positively considered in the literature since it prevents adolescent pregnancies, which have a negative impact on the health status of mother and children. Besides, our review revealed that education and income status of the LGBT+ individuals were higher than their heterosexual counterparts. This finding may be explained with reference to the need for higher economic status in order to be an LGBT+ parent1515 Bergman K, Rubio RJ, Green RJ, Padrón E. Gay men who become fathers via surrogacy: the transition to parenthood. J GLBT Fam Stud. 2010;6(2);111-41. https://doi.org/10.1080/15504281003704942
https://doi.org/10.1080/1550428100370494...
,1717 Erera PI, Segal-Engelchin D. Gay men choosing to co-parent with heterosexual women. J GLBT Fam Stud. 2014:10(5);449-74. https://doi.org/10.1080/1550428X.2013.858611
https://doi.org/10.1080/1550428X.2013.85...
,1818 Van Rijn-Van Gelderen L, Bos H, Jorgensen T, Ellis-Davies K, Winstanley A, Golombok S, et al. Wellbeing of gay fathers with children born through surrogacy: a comparison with lesbian-mother families and heterosexual IVF parent families. Hum Reprod. 2018:33(1);101-8. https://doi.org/10.1093/humrep/dex339
https://doi.org/10.1093/humrep/dex339...
.

Parenthood experiences

Positive experiences

Best parenthood experiences of LGBT+ individuals include acceptance by their families and the society that they live in and increase in their self-esteem44 Blake L, Carone N, Raffanello E, Slutsky J, Ehrhardt AA, Golombok S. Gay fathers’ motivations for and feelings about surrogacy as a path to parenthood. Hum Reprod. 2017;32(4):860-7. https://doi.org/10.1093/humrep/dex026
https://doi.org/10.1093/humrep/dex026...
,1515 Bergman K, Rubio RJ, Green RJ, Padrón E. Gay men who become fathers via surrogacy: the transition to parenthood. J GLBT Fam Stud. 2010;6(2);111-41. https://doi.org/10.1080/15504281003704942
https://doi.org/10.1080/1550428100370494...
,1616 Goldberg AE. The transition to parenthood for lesbian couples. J GLBT Fam Stud. 2006;2(1):13-42. https://doi.org/10.1300/J461v02n01_02
https://doi.org/10.1300/J461v02n01_02...
. As such, their identity as parent may be accepted by the society irrespective of their sexual identities1919 Forenza B, Dashew BL, Bergeson C. LGB+ Moms and dads:“My Primary Identity… is Being a Parent”. J GLBT Fam Stud. 2019:1-12. https://doi.org/10.1080/1550428X.2019.1688215
https://doi.org/10.1080/1550428X.2019.16...
. Besides, various studies noted that same-sex parents had better social relations with their co-workers after the transition to parenthood44 Blake L, Carone N, Raffanello E, Slutsky J, Ehrhardt AA, Golombok S. Gay fathers’ motivations for and feelings about surrogacy as a path to parenthood. Hum Reprod. 2017;32(4):860-7. https://doi.org/10.1093/humrep/dex026
https://doi.org/10.1093/humrep/dex026...
,1515 Bergman K, Rubio RJ, Green RJ, Padrón E. Gay men who become fathers via surrogacy: the transition to parenthood. J GLBT Fam Stud. 2010;6(2);111-41. https://doi.org/10.1080/15504281003704942
https://doi.org/10.1080/1550428100370494...
,1616 Goldberg AE. The transition to parenthood for lesbian couples. J GLBT Fam Stud. 2006;2(1):13-42. https://doi.org/10.1300/J461v02n01_02
https://doi.org/10.1300/J461v02n01_02...
,2020 Brown S, Smalling S, Groza V, Ryan S. The experiences of gay men and lesbians in becoming and being adoptive parents. Adopt Q. 2009;12(3-4):229-46. https://doi.org/10.1080/10926750903313294
https://doi.org/10.1080/1092675090331329...
,2121 Park NK, Kazyak E, Slauson-Blevins K. How law shapes experiences of parenthood for same-sex couples. J GLBT Fam Stud. 2016;12(2):115-37. https://doi.org/10.1080/1550428X.2015.1011818
https://doi.org/10.1080/1550428X.2015.10...
.

Studies on lesbian mother families found that exhaustion and parental stress were lower for these families since parental responsibilities were equally shared66 Van Ewyk J, Kruger LM. The emotional experience of motherhood in planned lesbian families in the South African context:“… Look how good a job I’m doing, look how amazing we are”. J Homosex. 2017;64(3):343-66. https://doi.org/10.1080/00918369.2016.1190216
https://doi.org/10.1080/00918369.2016.11...
,1616 Goldberg AE. The transition to parenthood for lesbian couples. J GLBT Fam Stud. 2006;2(1):13-42. https://doi.org/10.1300/J461v02n01_02
https://doi.org/10.1300/J461v02n01_02...
. This positive effect was evident in other studies that compared lesbian mother families with gay, bisexual, and heterosexual parent families1818 Van Rijn-Van Gelderen L, Bos H, Jorgensen T, Ellis-Davies K, Winstanley A, Golombok S, et al. Wellbeing of gay fathers with children born through surrogacy: a comparison with lesbian-mother families and heterosexual IVF parent families. Hum Reprod. 2018:33(1);101-8. https://doi.org/10.1093/humrep/dex339
https://doi.org/10.1093/humrep/dex339...
,2222 Bos HM, Van Balen F, Van den Boom DC. Experience of parenthood, couple relationship, social support, and child-rearing goals in planned lesbian mother families. J Child Psychol Psychiatry. 2004;45(4):755-64. https://doi.org/10.1111/j.1469-7610.2004.00269.x
https://doi.org/10.1111/j.1469-7610.2004...
2424 Golombok S, Mellish L, Jennings S, Casey P, Tasker F, Lamb ME. Adoptive gay father families: parent–child relationships and children’s psychological adjustment. Child Dev. 2014;85(2):456-68. https://doi.org/10.1111/cdev.12155
https://doi.org/10.1111/cdev.12155...
. This finding may be explained with reference to the absence of heteronormative codes in lesbian mother families.

Some of the studies on LGBT+ parents focused on the relationship between children and their parents and found that the LGBT+ parents, who spent more time on their children, considered their children a source of joy and the center of their lives2020 Brown S, Smalling S, Groza V, Ryan S. The experiences of gay men and lesbians in becoming and being adoptive parents. Adopt Q. 2009;12(3-4):229-46. https://doi.org/10.1080/10926750903313294
https://doi.org/10.1080/1092675090331329...
,2525 Faccio E, Bordin E, Cipolletta S. Transsexual parenthood and new role assumptions. Cult Health Sex. 2013;15(9):1055-70. https://doi.org/10.1080/13691058.2013.806676
https://doi.org/10.1080/13691058.2013.80...
. Our review also found that social lesbian mothers felt the need to express the quality of their parenthood compared to their heterosexual male counterparts2222 Bos HM, Van Balen F, Van den Boom DC. Experience of parenthood, couple relationship, social support, and child-rearing goals in planned lesbian mother families. J Child Psychol Psychiatry. 2004;45(4):755-64. https://doi.org/10.1111/j.1469-7610.2004.00269.x
https://doi.org/10.1111/j.1469-7610.2004...
. This finding may be related to the intention to overcome social prejudice and the need for self-expression.

Most of the LGBT+ individuals reviewed in our study considered parenthood a positive experience. Adopted same-sex parents used adoption agencies, friends, adoption books, and health professionals as sources of counseling and information and believed that the counseling and information services were sufficient2626 Goldberg AE, Moyer AM, Kinkler LA, Richardson HB. “When you’re sitting on the fence, hope’s the hardest part”: challenges and experiences of heterosexual and same-sex couples adopting through the child welfare system. Adopt Q. 2012;15(4):288-315. https://doi.org/10.1080/10926755.2012.731032
https://doi.org/10.1080/10926755.2012.73...
,2727 Ryan S, Whitlock C. Becoming parents: lesbian mothers’ adoption experience. J Gay Lesbian Soc Serv. 2007;19(2):1-23. https://doi.org/10.1080/10538720802131642
https://doi.org/10.1080/1053872080213164...
. Today, LGBT+ individuals do not have the right to marriage in most of the countries2828 Marcén M, Morales M. The effect of same-sex marriage legalization on interstate migration in the United States; 2019.. However, satisfaction of the same-sex parents with the recognition of the right to marriage and parenthood in some of the countries may be considered a positive dimension of this study.

Negative experiences

This review found that same-sex parents in various studies faced with various negative reactions due to their sexual identities when they decided to become parents55 Lindheim SR, Madeira JL, Ludwin A, Kemner E, Parry JP, Sylvestre G, et al. Societal pressures and procreative preferences for gay fathers successfully pursuing parenthood through IVF and gestational carriers. Reprod Biomed Soc Online. 2019;9:1-10. https://doi.org/10.1016/j.rbms.2019.09.001
https://doi.org/10.1016/j.rbms.2019.09.0...
,1515 Bergman K, Rubio RJ, Green RJ, Padrón E. Gay men who become fathers via surrogacy: the transition to parenthood. J GLBT Fam Stud. 2010;6(2);111-41. https://doi.org/10.1080/15504281003704942
https://doi.org/10.1080/1550428100370494...
,1919 Forenza B, Dashew BL, Bergeson C. LGB+ Moms and dads:“My Primary Identity… is Being a Parent”. J GLBT Fam Stud. 2019:1-12. https://doi.org/10.1080/1550428X.2019.1688215
https://doi.org/10.1080/1550428X.2019.16...
. Primary studies noted that parenthood of LGBT+ individuals was socially questioned, homophobia was common in their family and social environment, and LGBT+ individuals were under the pressure to form healthy parent-child relationship77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
,1515 Bergman K, Rubio RJ, Green RJ, Padrón E. Gay men who become fathers via surrogacy: the transition to parenthood. J GLBT Fam Stud. 2010;6(2);111-41. https://doi.org/10.1080/15504281003704942
https://doi.org/10.1080/1550428100370494...
,2929 Bos H, Gartrell N. Adolescents of the USA National Longitudinal Lesbian Family Study: can family characteristics counteract the negative effects of stigmatization? Fam Process. 2010;49(4):559-72. https://doi.org/10.1111/j.1545-5300.2010.01340.x
https://doi.org/10.1111/j.1545-5300.2010...
3232 Veldorale-Griffin A, Darling CA. Adaptation to parental gender transition: stress and resilience among transgender parents. Archiv Sex Behav. 2016:45(3);607-17. https://doi.org/10.1007/s10508-015-0657-3
https://doi.org/10.1007/s10508-015-0657-...
. These studies also found that heterosexual parents suffered from problems, such as fatigue, lack of sleep, social isolation, and inability to balance work and family lives77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
,1515 Bergman K, Rubio RJ, Green RJ, Padrón E. Gay men who become fathers via surrogacy: the transition to parenthood. J GLBT Fam Stud. 2010;6(2);111-41. https://doi.org/10.1080/15504281003704942
https://doi.org/10.1080/1550428100370494...
,2929 Bos H, Gartrell N. Adolescents of the USA National Longitudinal Lesbian Family Study: can family characteristics counteract the negative effects of stigmatization? Fam Process. 2010;49(4):559-72. https://doi.org/10.1111/j.1545-5300.2010.01340.x
https://doi.org/10.1111/j.1545-5300.2010...
.

In addition to these negative experiences, LGBT+ individuals opted for costly assisted reproductive techniques compared to their heterosexual counterparts44 Blake L, Carone N, Raffanello E, Slutsky J, Ehrhardt AA, Golombok S. Gay fathers’ motivations for and feelings about surrogacy as a path to parenthood. Hum Reprod. 2017;32(4):860-7. https://doi.org/10.1093/humrep/dex026
https://doi.org/10.1093/humrep/dex026...
66 Van Ewyk J, Kruger LM. The emotional experience of motherhood in planned lesbian families in the South African context:“… Look how good a job I’m doing, look how amazing we are”. J Homosex. 2017;64(3):343-66. https://doi.org/10.1080/00918369.2016.1190216
https://doi.org/10.1080/00918369.2016.11...
. This situation, coupled with the increase in the costs, resulted with financial difficulties. In some cases, one of the same-sex parents left their job to care for the child, which, in turn, forced the other parent to seek for additional employment55 Lindheim SR, Madeira JL, Ludwin A, Kemner E, Parry JP, Sylvestre G, et al. Societal pressures and procreative preferences for gay fathers successfully pursuing parenthood through IVF and gestational carriers. Reprod Biomed Soc Online. 2019;9:1-10. https://doi.org/10.1016/j.rbms.2019.09.001
https://doi.org/10.1016/j.rbms.2019.09.0...
,1515 Bergman K, Rubio RJ, Green RJ, Padrón E. Gay men who become fathers via surrogacy: the transition to parenthood. J GLBT Fam Stud. 2010;6(2);111-41. https://doi.org/10.1080/15504281003704942
https://doi.org/10.1080/1550428100370494...
.

Child adoption is one of the most common methods of parenthood among the LGBT+ individuals3333 Lévesque S, Bisson V, Charton L, Fernet M. Parenting and relational well-being during the transition to parenthood: challenges for first-time parents. J Chıld Fam Stud. 2020;29:1938-56. https://doi.org/10.1007/s10826-020-01727-z
https://doi.org/10.1007/s10826-020-01727...
. Individuals who chose adoption as a way to become parents mostly suffered from legal problems, including procedures on adoption and legal recognition3434 Messina R, D’Amore S. Adoption by lesbians and gay men in Europe: challenges and barriers on the journey to adoption. Adopt Q. 2018;21(2):59-81. https://doi.org/10.1080/10926755.2018.1427641
https://doi.org/10.1080/10926755.2018.14...
,3535 Goldberg AE. Gay dads: transitions to adoptive fatherhood (Vol. 6). New York, NY: NYU Press; 2012.. However, participants in the study by Ryan and Whitlock (2008) did not express any problems during the transition to parenthood2727 Ryan S, Whitlock C. Becoming parents: lesbian mothers’ adoption experience. J Gay Lesbian Soc Serv. 2007;19(2):1-23. https://doi.org/10.1080/10538720802131642
https://doi.org/10.1080/1053872080213164...
. These differences are closely related to the variety of legal regulations on parenthood of same-sex couples across the countries, even the states of same countries2727 Ryan S, Whitlock C. Becoming parents: lesbian mothers’ adoption experience. J Gay Lesbian Soc Serv. 2007;19(2):1-23. https://doi.org/10.1080/10538720802131642
https://doi.org/10.1080/1053872080213164...
.

Implication of practice

This review may raise social awareness on parenthood experiences of LGBT+ individuals and provide the basis to solve their negative parenthood experiences. Besides, it may be guiding for health professionals, civil society organizations, legislators, and policy makers.

Strength and limitations

The review of the studies on the parenthood experiences of LGBT+ individuals reveals the existence of different studies for each groups77 Carneiro FA, Tasker F, Salinas-Quiroz F, Leal I, Costa PA. Are the fathers alright? A systematic and critical review of studies on gay and bisexual fatherhood. Front Psychol. 2017;8:1636. https://doi.org/10.3389/fpsyg.2017.01636
https://doi.org/10.3389/fpsyg.2017.01636...
,1010 Hafford-Letchfield T, Cocker C, Rutter D, Tinarwo M, McCormack K, Manning R. What do we know about transgender parenting? Findings from a systematic review. Health Soc Care Community. 2019;27(5):1111-25. https://doi.org/10.1111/hsc.12759
https://doi.org/10.1111/hsc.12759...
. The strength of our study is related to the fact that it systematically analyzed the parenthood experiences of all same-sex couples under the banner of LGBT+. Methodological dimensions and analysis methods of the studies reviewed within the scope of this research constitute both the strength and the limitation of this research.

Given the fact that most of the studies were conducted in the United States, a country that had higher income and education levels, the findings of this research may not be generalizable.

CONCLUSIONS

Although LGBT+ individuals are prone to discrimination due to their sexual identities, social acceptance increases after their transition to parenthood, which has a positive impact on their mental wellbeing. Once they become parents, LGBT+ individuals suffer from various difficulties, including financial problems and the burden of care.

  • Funding: none.

ACKNOWLEDGMENTS

Our article was edited by Academic Studies Department of SPOD, which struggles to reduce the oppression, violence, and discrimination suffered by LGBTI+s. We would like to thank all SPOD members, especially Sevcan Tiftik, for their valuable contributions (http://www.spod.org.tr/EN/Pages/1/About%20Us).

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Publication Dates

  • Publication in this collection
    25 May 2022
  • Date of issue
    Apr 2022

History

  • Received
    03 Feb 2022
  • Accepted
    08 Feb 2022
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