Marriage equality remains out of reach for lesbian, gay, bisexual, transgender and intersex (LGBTI) people in Australia. Despite years of advocacy on the part of LGBTI communities and their allies this issue has not yet been resolved. It is within this context that this review of the evidence exploring the health impacts of marriage equality and of marriage denial has been prepared. Minimal research evidence exists on the impacts of marriage equality and denial on transgender and intersex people. More work must be done to include transgender and intersex people in this debate and in a new definition of marriage.
The evidence provided in this review reflects the focus on same-sex couples (LGB people). It is essential that policy makers, health professionals and the broader public understand how the health and wellbeing of LGBTI people is being impacted by the lack of marriage equality in Australia. This document presents an overview of the key academic literature on the health impacts of marriage equality. Many of the articles in this review reveal that systemic discrimination has clear impacts on the health of minority groups. Marriage equality will lessen the systemic discrimination experienced by LGB people and therefore impact positively on their health.