Fraternal birth order and male sexual orientation
Fraternal birth order has been correlated with male sexual orientation, with a significant volume of research finding that the more older brothers a male has from the same mother, the greater the probability he will have a homosexual orientation. Ray Blanchard and Anthony Bogaert first identified the association in the 1990s and named it the fraternal birth order effect. Scientists have attributed the effect to a prenatal biological mechanism, since the association is only present in men with older biological brothers, and not present among men with older step-brothers and adoptive brothers. The mechanism is thought to be a maternal immune response to male fetuses, whereby antibodies neutralize male Y-proteins thought to play a role in sexual differentiation during development. This would leave some regions of the brain associated with sexual orientation in the 'female typical' arrangement – or attracted to men. Biochemical evidence for this hypothesis was identified in 2017, finding mothers with a gay son, particularly those with older brothers, had heightened levels of antibodies to the NLGN4Y Y-protein than mothers with heterosexual sons.[1][2]
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The effect becomes stronger with each additional male pregnancy, with odds of the next son being gay increasing by 38–48%. This does not mean that all or most sons will be gay after several male pregnancies, but rather, the odds of having a gay son increase from approximately 2% for the first born son, to 3% for the second, 5% for the third and so on.[1][3] Two studies have estimated between 15% and 29% of gay men owe their sexual orientation to this effect, but noted that the number may be higher since prior miscarriages and terminations may have exposed their mothers to Y-linked antigens. It has generally been thought that this maternal response would not apply to first born gay sons and that they may owe their orientation to genes, prenatal hormones and other maternal immune responses which also influence brain development.[2] However, the 2017 lab study found that mothers with no sons had antibodies to male cells, which may be caused by common early miscarriages, and thus induce the effect for a first live born son.[4] A variety of evolutionary explanations for why the response persists have been offered by scientists.[5] The effect is sometimes referred to as the older brother effect.
Overview
The fraternal birth order effect has been described by one of its proponents as "the most consistent biodemographic correlate of sexual orientation in men".[6] In 1958, it was reported that homosexual men tend to have a greater number of older siblings (i.e., a 'later/higher birth order') than comparable heterosexual men and in 1962, these findings were published in detail.[7] In 1996, Ray Blanchard and Anthony Bogaert demonstrated that the later birth order of homosexual men was solely due to a number of older brothers and not older sisters.[8] They also showed that each older brother increased the odds of homosexuality in a later-born brother by 33%.[8] Later the same year, Blanchard and Bogaert demonstrated the older brother effect in the Kinsey Interview Data, a "very large and historically significant data base".[9][10] In a study published in 1998, Blanchard called this phenomenon the fraternal birth order effect.[11]
Research over the years has established several facts. First, homosexual men do tend to have a higher birth order than heterosexual men, and this higher birth order is attributed to homosexual men having greater number of older brothers.[12] According to several studies, each older brother increases a male child's naturally occurring odds of having a homosexual orientation by 28–48%.[11][13][14][15][16][note 1] However, the numbers of older sisters, younger brothers, and younger sisters have no effect on those odds.[12] It has been estimated that approximately one in seven homosexual males owes their sexual orientation to the fraternal birth order effect.[19] There seems to be no effect of birth order on sexual orientation in women.[20][21]
Secondly, the fraternal birth order effect operates through a biological mechanism during prenatal life, not during childhood or adolescence.[10] Direct evidence for this is the fact that the fraternal birth order effect has been found even in males not raised with their biological brothers, and biochemical evidence was found in a lab study in 2017.[1] It has been determined that biological brothers increase the odds of homosexuality in later-born males even if they were reared in different households, whereas non-biological siblings, such as step-brothers or adopted brothers, have no effect on male sexual orientation.[6] Indirect evidence also indicates that the fraternal birth order effect is prenatal and biological in nature rather than postnatal and psychosocial: The fraternal birth order effect has been confirmed to interact with handedness,[22][10] as the incidence of homosexuality correlated with an increase in older brothers is seen only in right-handed males.[21][23][24][22] Since handedness develops prenatally,[25] this finding indicates that prenatal mechanisms underlie the fraternal birth order effect.[10] It has also been found that homosexual males with older brothers have significantly lower birth weights compared to heterosexual males with older brothers.[26][27] As birth weight is undeniably prenatally determined, it is known that a common developmental factor that operates before birth necessarily underlies the fraternal birth order effect and male sexual orientation.[28]
Thirdly, the fraternal birth order effect has been demonstrated in diverse samples such as homosexual males from different ethnicities,[29] different cultures,[30] different historical eras,[8][31] and widely separated geographic regions.[12] The fraternal birth order effect has been demonstrated in places such as Brazil, Canada, Finland, Iran, Italy, The Netherlands, Samoa, Spain, Turkey, the United Kingdom, and the United States.[12][32] The effect has also been demonstrated in homosexual men from convenience[8][33] and representative, national probability samples.[34][35][36]
In a 2017 study, researchers found an association between a maternal immune response to neuroligin 4 Y-linked protein (NLGN4Y) and subsequent sexual orientation in their sons. NLGN4Y is important in male brain development; the maternal immune reaction to it, in the form of anti-NLGN4Y antibodies, is thought to alter the brain structures underlying sexual orientation in the male fetus. The study found that women had significantly higher anti-NLGN4Y levels than men. The result also indicates that mothers of gay sons, particularly those with older brothers, had significantly higher anti-NLGN4Y levels than did the control samples of women, including mothers of heterosexual sons.[37]
Empirical findings
Biodemographics
The fraternal birth order effect is a phenomenon that can be described in one of two ways:[38] Older brothers increase the odds of homosexuality in later-born males or, alternatively, homosexual men tend to have more older brothers than do heterosexual men.[12][39][10] It has been found that the proportion of older brothers (i.e., Older Brothers/All Siblings) is 31% greater in the sibships of homosexual males than in the sibships of heterosexual males.[12] Alternatively, the ratio of older brothers to other siblings (i.e., Older Brothers/Other Siblings) is 47% greater for homosexual males than it is for heterosexual males.[12]
After statistically controlling for number of older brothers, homosexual and heterosexual males do not differ in their mean number of older sisters, younger sisters or younger brothers.[17][12] Older sisters, younger sisters, and younger brothers have no effect on the odds of homosexuality in later born males – they neither enhance nor counteract the fraternal birth order effect.[8][14][10][12] Blanchard and Bogaert (1996) investigated whether homosexual men have a higher mean birth order than heterosexual men primarily because they have more older brothers or because they have more older siblings of both sexes (i.e., both older brothers and older sisters).[8] They confirmed that homosexuality was positively correlated with a man's number of older brothers, not older sisters, younger sisters, or younger brothers.[8] Multiple studies have since confirmed this finding.[14]
In a few studies, homosexual subjects have occasionally displayed both a larger number of older brothers and a larger number of older sisters in comparison to heterosexual men. This is because a person's number of older brothers and number of older sisters tend to be positively correlated. So, if Proband A has more older brothers than Proband B, chances are that Proband A also has more older sisters than Proband B.[40][32] These findings of excess of older sisters are hence occasional by-products of homosexual men having an excess of older brothers, are not found as consistently as the excess of older brothers, and thus need not detract from the significance of the fraternal birth order effect.[32][41] When samples are drawn from populations with relatively high fertility rates, the positive correlation between number of older brothers and older sisters may give the false impression that both the number of older brothers and the number of older sisters are associated with male sexual orientation. Indeed, two samples from the high fertility Samoan population displayed simultaneous fraternal and 'sororal' birth order effects. However, direct comparison of the magnitudes of these two effects showed that the fraternal birth order effect took precedence in the studies.[30][32] Various studies and meta-analyses have confirmed that only the older brother effect is consistently associated with homosexuality:[39][32]
- A 1998 meta-analysis by Jones and Blanchard investigated whether older sisters have no effect on sexual orientation in later-born males, or simply a weaker effect than older brothers. To this end, they developed competing mathematical models of the two possibilities: they derived two theoretical equations; the first equation applies if sisters have no direct relation to a proband's sexual orientation but brothers do; the second applies if sisters have the same relation to a proband's sexual orientation as do brothers (including no relation). They then compared the fit of these models to the empirical data available at that time and found that the first equation held for homosexual men and the second for heterosexual men. They also concluded that any tendency for homosexual males to be born later among their sisters is, in effect, a statistical artifact of their tendency to be born later among their brothers.[42][39][12]
- A 2004 meta-analysis involved 10,143 male subjects of which 3181 were homosexual and 6962 were heterosexual. Its results reinforced the conclusion that homosexual men tend to have more older brothers than do heterosexual men, and the conclusion that differences in all other sibship parameters (older sisters, younger sisters, or younger brothers) are secondary consequences of the difference in older brothers.[39][12] The same conclusions have been reached with analyses of individual rather than aggregate data, and by independent investigators.[39]
- A 2015 meta-analysis determined that only the older brother effect/fraternal birth order effect was reliably associated with male sexual orientation across previously published studies.[32][41]
The fraternal birth order effect is independent of potential confounding factors such as age, year of birth, and socioeconomic status.[10] It has also been found that the fraternal birth order effect can be demonstrated whether the homosexual and heterosexual groups being compared on older brothers both have large or small family sizes, so long as both groups have the same family size (or can be adjusted to simulate that condition).[12] Additionally, to detect the fraternal birth order effect, it is necessary that family size of homosexual and heterosexual groups are not strongly affected by the various parental strategies (so-called 'stopping rules') of ceasing reproduction after one child, after one male child, or after a child of each sex, because in these particular situations, neither homosexual nor heterosexual males have enough older brothers to make comparisons meaningful. For example, a study done in mainland China did not find any fraternal birth order effect, which the authors attributed to the one-child policy.[12][21][43][44][45]
The relation between number of older brothers and male homosexuality is not an artifact of higher maternal or paternal age at the time of the proband's birth.[14][39] This implies that the birth order phenomenon cannot be explained by increased mutation rates in the ova or sperm cells of aging mothers or fathers, respectively.[8]
The relation between number of older brothers and male homosexuality is also not an artifact of birth interval. Blanchard and Bogaert (1997) conducted a study to investigate whether homosexual men are, on average, born a shorter time after their next-older siblings than are heterosexual men. They found that mean birth intervals preceding heterosexual and homosexual males were virtually identical.[46]
No type of sibling (i.e., older brothers, older sisters, younger brothers or younger sisters) is reliably related to women's sexual orientation.[10]
Quantitative findings
Research on the fraternal birth order effect has shown that for every older brother a male child has, there is a 33% increase in the naturally occurring odds that the male child being homosexual.[8][19][18] The naturally occurring odds of a male child (without any older brothers) being homosexual are estimated to be 2%.[19][18][note 2] Thus, if a male with no older brothers has a 2% chance of being homosexual and the fraternal birth order effect increases those chances by 33% for each older brother, then a male with one older brother has a 2.6% chance of being homosexual; a male with two older brothers has a 3.5% chance, and males with three and four older brothers have a 4.6%, and 6.0% chance, respectively.[17]
Estimates of the proportion of homosexual men who owe their sexual orientation to the fraternal birth order effect have ranged from 15.1%[19] to 28.6%.[47] Cantor et al. (2002) found that 0% of homosexual men with no older brothers, 24% of homosexual men with one older brother, 43% of homosexual men with two older brothers, and so on, can attribute their homosexual orientation to the fraternal birth order effect.[39] They also showed that the effect of fraternal birth order would exceed all other causes of homosexuality combined in groups of gay men with 3 or more older brothers and would precisely equal all other causes combined in a theoretical group with 2.5 older brothers.[19] Homosexual men who did not acquire their sexual orientation via the fraternal birth order effect (for example, homosexual men with no older brothers) owe their homosexuality to other causes such as certain polymorphic genes (colloquially called "gay genes") or prenatal hormone levels during fetal development.[14][39][48]
Timing of the fraternal birth order mechanism
Both direct and indirect evidence have demonstrated that the mechanism by which the fraternal birth order effect operates is prenatal in timing and biological in nature, rather than postnatal in timing or psychosocial in nature. Indirect evidence was found first when it was discovered that the fraternal birth order effect interacts with birth weight. Then, Bogaert (2006) produced direct evidence that the fraternal birth order mechanism is prenatal. Subsequent research related to handedness has further reinforced these findings.[10] Evidence that the fraternal birth order effect reflects events during prenatal life is generally consistent with a lack of evidence that it reflects events during postnatal life.[39]
Birth weight
The finding that the fraternal birth order mechanism operates during a male's prenatal development in the mother's womb arose unexpectedly, in a study of sexual orientation, birth order, and birth weight. Blanchard and Ellis (2001) studied 3229 adult, homosexual and heterosexual, men and women (the probands) whose mothers knew the sex of every child (or fetus) that they were pregnant with prior to the proband. Information on birth weight, maternal gravidity, and other demographic variables was reported on questionnaires completed by the probands' mothers.[14] The study yielded three main observations:
- The heterosexual males with older brothers weighed less at birth than the heterosexual males with older sisters;
- The homosexual males with older brothers weighed less than the heterosexual males with older brothers, and:
- The homosexual and heterosexual males with no older siblings, or older sisters only, did not differ in birth weight.
Each of these three findings has since been replicated in other studies[39][27][50][51] (and the general finding that boys with older brothers have smaller birth weights than boys with older sisters is in line with earlier studies).[52][53][39] These findings suggest that prior male pregnancies influence the development of subsequent male fetuses; that this influence is felt to varying degrees by individual fetuses; and that those fetuses who are most strongly affected by this process, as indicated by their comparatively lower birth weights, are also those most likely to be homosexual. The interaction of fraternal birth order with birth weight (an obviously prenatally determined trait) suggests that the mechanism of the fraternal birth order effect operates before the individual's birth (i.e., in utero).[14][39] It also shows that, even at the time of birth, there is a physical marker of sexual orientation (i.e., birth weight) that is related to the number of older brothers.[54][41]
Handedness
Blanchard et al. (2006) produced indirect evidence that the fraternal birth order effect is biological rather than psychosocial in nature: They found, in a sample of 3146 men, that the fraternal birth order effect was contingent on handedness: The effect of older brothers on the likelihood of homosexuality only occurred in right-handed males; the effect of older brothers did not alter the likelihood of being gay in left-handed and ambidextrous men.[23][10] Later, another study found the fraternal birth order effect may be limited to only moderately right-handed men, as extreme right-handers also did not display a fraternal birth order effect.[31][10] The finding that fraternal birth order interacts with handedness has been confirmed by subsequent research.[22][21][10] As handedness is developed during prenatal life,[25][10] this suggests that a prenatal mechanism causes increased homosexuality in right-handed male fetuses with older brothers.[10]
Mechanism
In a 2017 study, researchers found an association between a maternal immune response to neuroligin 4 Y-linked protein (NLGN4Y) and subsequent sexual orientation in their sons. NLGN4Y is important in male brain development; maternal immune reaction to it, in the form of anti-NLGN4Y antibodies, is thought to alter the brain structures underlying sexual orientation in the male fetus. The study found that women had significantly higher anti-NLGN4Y levels than men. The result also indicates that mothers of gay sons, particularly those with older brothers, had significantly higher anti-NLGN4Y levels than did the control samples of women, including mothers of heterosexual sons.[37]
Biological vs. non-biological older brothers
Bogaert (2006) provided a direct test pitting prenatal against postnatal (e.g., social/rearing) mechanisms and sought to determine which of the two account for the fraternal birth order effect. He examined the association between male sexual orientation and biological siblings (i.e., born from the same mother) and non-biological siblings (i.e., adoptive siblings, step-siblings or paternal half-siblings). Whether and how long participants were reared with these siblings was also examined.[6][54]
If rearing or social factors associated with older brothers underlie the fraternal birth order effect, then all older brothers (both biological and non-biological) reared with the participant should predict sexual orientation because all of these older brothers share the social/rearing environment with their younger brothers. If a prenatal factor underlies the fraternal birth order effect, then only biological older brothers should predict sexual orientation because only biological older brothers share prenatal characteristics (e.g., gestation by the same biological mother) with their younger brothers. The study found that only biological older brothers predicted sexual orientation. Even when the number of non-biological older brothers significantly exceeded the number of biological older brothers, and hence the opportunity for an effect via being reared with (non-biological) older brothers was high, only the number of biological older brothers and not non-biological older brothers predicted sexual orientation in men.[6]
Further, if rearing or social factors underlie the fraternal birth order effect, then the amount of time reared with older brothers, either biological or non-biological, should predict sexual orientation because rearing time determines the relative opportunity that older brothers have to affect their younger sibling's (postnatal) sociosexual development. If a prenatal factor underlies the fraternal birth order effect, then a postnatal factor such as rearing time with older siblings (be they biological or non-biological) should have no impact on the sexual orientation of younger male siblings. The study found that the amount of time reared with older brothers, either biological or non-biological, neither predicted sexual orientation nor affected the relationship between older brothers and sexual orientation, thereby pointing to a prenatal origin of the fraternal birth order effect.[6]
Finally, if rearing or social factors underlie the fraternal birth order effect, then the number of biological older brothers with whom the participants were not reared should not predict sexual orientation because they should have no impact on the (postnatal) sociosexual environment of their younger brothers. If a prenatal factor underlies the fraternal birth order effect, then biological older brothers with whom the participants were not reared should still predict sexual orientation because all biological older brothers, even those not reared with the participants, share prenatal characteristics (e.g., gestation by the same mother) with their younger brothers. The study found that the number of biological brothers does predict men's sexual orientation even if the participants were not reared with the biological older brothers.[6]
In summation, it was found that biological older brothers significantly predicted male sexual orientation regardless of whether or how long participants were reared with these brothers whereas the remaining sibling categories, including non-biological older brothers, did not. These results thus support a prenatal origin to sexual orientation development in men[6][10][54] and indicate that the fraternal birth order effect is probably the result of the mother's body's "memory" for both male births as well as male gestations (i.e., every instance of being pregnant with a male fetus).[6] So even if a male fetus was not carried to term, he still increases the likelihood of homosexuality in any subsequent male fetuses gestated by the same mother.
Ubiquity
The existence of the fraternal birth order effect on male sexual orientation has been confirmed many times.[10] One approach for establishing the ubiquity of this effect has been to search for it in a variety of sample types.[41] The repeated finding of the fraternal birth order effect in diverse samples shows that the effect is nearly ubiquitous – with the exception of populations where people do not have older brothers.[45][44][41]
The fraternal birth order effect has been found in homosexual males from different races,[29] including White, Black, Hispanic, East Indian, Asian, Middle Eastern and Polynesian.[30] The effect has also been found in homosexual males from different historical eras,[8][31] ranging from participants examined in recent years to participants examined decades ago.[10][30][39]
The effect has also been demonstrated in homosexual males from different cultures: Despite how variable cultures can be, cross-cultural universals in the development of homosexual males appear to exist. For example, in Western cultures, homosexual males exhibit comparatively more gender-nonconforming behavior during childhood than heterosexual males.[55] Retrospective studies conducted in Brazil, Guatemala, Independent Samoa, the Philippines, Thailand, and Turkey have found that the same is true of homosexual males raised in these non-Western cultures.[56][57][58][59] Such cross-cultural similarities in childhood behavior support the idea that similar biological influences, which transcend cultural differences, play a role in the development of male homosexuality. This idea would be further supported if it could be demonstrated that causal biological factors, such as the fraternal birth order mechanism (which is biological in nature), are likely to influence the development of male homosexuality in non-Western cultures. Thus, establishing the existence of the fraternal birth order effect — a hypothesized outcome of the fraternal birth order mechanism — in a non-Western culture would further substantiate arguments that similar biological influences underlie the development of homosexuality across cultures. Studies in Western as well as non-Western cultures have demonstrated fraternal birth order effect (as well as fecundity effects) in relation to male homosexuality. The cross-cultural consistency with which these effects have been documented is consistent with the conclusion that culturally invariant, biological processes underlie the development of homosexuality in males.[30]
The fraternal birth order effect has also been demonstrated in widely separated geographic regions and in countries such as Brazil,[41] Canada,[9] Finland,[32] Iran,[12] Italy,[60] The Netherlands,[61] Independent Samoa,[30] Spain,[62] Turkey,[63] the United Kingdom,[64] and the United States.[65] The effect has additionally been observed in participants examined during childhood as well as adulthood[61][54][32] and in patients as well as in non-patient volunteers.[30] The fraternal birth order effect has been demonstrated by Blanchard and colleagues as well as by independent researchers.[34][60][64][16][65][66][67][33][30] The demonstration of the fraternal birth order effect in meta-analysis of studies by Blanchard and colleagues,[39][32] meta-analysis of studies by independent investigators[32] and studies by both Blanchard and other investigators shows that studies of the fraternal birth order effect have been free from experimenter bias.[32] The effect has also been demonstrated in homosexual men from convenience samples[8][33] and in representative, national probability samples.[34][35][36]
Most research on the fraternal birth order effect has been carried out on gay men.[40][68] However, the fraternal birth order effect has been observed in androphilic transgender women (who were assigned male at birth). Trans women who are exclusively sexually oriented towards men have a greater number of older brothers than trans women who are sexually interested in women. This has been reported in samples from Canada,[69] the United Kingdom,[66] the Netherlands,[70] and Polynesia.[71]
Three studies have investigated whether sexual orientation also correlates with fraternal birth order in men attracted to physically immature males.[68] One study (Bogaert et al., 1997) found that homosexual-bisexual male pedophiles had a later general birth order than heterosexual male pedophiles and this late birth order was primarily due to the homosexual-bisexual group being born later among their brothers than later among their sisters.[72] Another study (Blanchard and Bogaert, 1998) did not confirm a later fraternal birth order for men with sexual offenses against prepubescent boys or girls, but did confirm it for men with offenses against pubescent boys or girls.[73] The inconsistency of these findings regarding the correlation of sexual orientation and fraternal birth order in pedophiles may be related to methodological problems in the two studies. The first study was a retrospective study of sex offenders, which included only those subjects whose clinical charts happened to contain birth order data so the results of the study may have been affected by selection bias. The second study was a reanalysis of archived data from a classic study of sexual offenders from the year 1965. There was minimal recoverable information regarding the subjects' offense histories, and there is a possibility that the sexual preferences of the pedophiles in the study were not accurately classified from the available information.[68]
Blanchard et al. (2000) therefore conducted a study in which data were collected with the specific purpose of examining the relation of fraternal birth order to sexual orientation in homosexual, bisexual and heterosexual pedophiles. Each type of pedophilic group was compared with a control group that consisted of gynephilic men (i.e., men attracted to adult females). The study found that homosexual pedophiles had more older brothers than the gynephilic control group while the bisexual and heterosexual pedophiles did not. These results confirm that fraternal birth order correlates with sexual orientation in pedophiles, as it does in teleiophiles (i.e., people exclusively attracted to adults).[68] The results also confirm that fraternal birth order does not correlate with pedophilia per se: Previous studies had established that the fraternal birth order effect affects what gender a man is sexually attracted to; Blanchard et al. (2000) additionally investigated if fraternal birth order also affects the age of persons to whom a man is attracted. Results from the study indicate that fraternal birth order does not affect the age of preferred erotic targets and that fraternal birth order does not correlate with pedophilia. So the fraternal birth order mechanism only causes males to be attracted to other males; whatever mechanism causes males to be pedophilic as opposed to teleiophilic (i.e., attracted to adults) is different from the fraternal birth order mechanism itself.[14][68]
Other than fraternal birth order, no common feature has been identified in the developmental histories or family demographics of androphiles and pedophiles, while key features distinguish the two groups, for example, most androphilic males display gender non-conformity during childhood whereas same-sex attracted pedophiles do not.[68][74][75] To prevent misunderstanding or misuse of their studies on fraternal birth order in pedophiles, researchers have stressed that any conclusion that homosexual pedophilia shares an etiological factor with androphilia does not imply that ordinary homosexual men (androphiles) are likely to molest boys, any more than the conclusion that heterosexual pedophilia shares an etiological factor with gynephilia would imply that ordinary heterosexual men (gynephiles) are likely to molest girls.[40][68]
The finding of the fraternal birth order effect in cisgender and transgender male androphiles, men attracted to boys and those attracted to adult men—same-sex attracted groups who differ as widely as possible in their own characteristics and in the characteristics of their desired partners—would suggest that fraternal birth order (or the underlying variable it reflects) may be the first universal factor to be identified in development of same-sex attraction in males.[68]
Other findings
Bearman and Brückner (2002) argued that studies showing a fraternal birth order effect have used nonrepresentative samples and/or indirect reports on siblings' sexual orientation. Their analysis, focusing on opposite-sex twins, did not find an association "between same-sex attraction and number of older siblings, older brothers, or older sisters".[76] A study by Francis (2008), using the same Add Health survey but with broader analysis, saw a very weak correlation of male same-sex attraction with having multiple older brothers (but did find a significant negative correlation of male same-sex attraction with having older sisters i.e., those who experienced a non-zero level of same-sex attraction were significantly less likely to have older sisters).[77]
The failure of these studies to demonstrate the fraternal birth order effect has been attributed to their methodological flaws.[51] Although they utilized large adolescent samples, the low base rates of same-sex attraction and behaviour in the population resulted in sample sizes that were too small for assessing the relation of birth order to sexual orientation.[54] The fraternal birth order effect may also have been obscured in these studies due to their use of different methods of sexual orientation classification and their imprecise measures of sibships.[54] Ray Blanchard explained that the demonstrability of the fraternal birth order effect depends partly on the adequate matching of the mean family size of the homosexual and heterosexual study groups and noted that in the two studies above, the mean family size of the homosexual groups was significantly smaller than that of the heterosexual comparison groups.[54][38][note 3] Specifically, heterosexual males had larger numbers of siblings overall than the homosexual males which may have obscured the analyses of group differences in older brothers and prevented the demonstration of the fraternal birth order effect.[54] Researchers have thus emphasized the necessity of comparing groups on measures of mean family size and have suggested that, in the two studies, an alternative birth order metric that controlled for sibship size would have produced findings consistent with the fraternal birth order effect.[54][38] Since the publication of Bearman and Bruckner's study in 2002, studies that used representative national probability samples and direct reports on siblings' sexual orientation have found the fraternal birth order effect.[34][47]
Currin et al. (2015) carried out a study investigating the existence of the fraternal birth order effect in a variety of sexual orientation dimensions – namely, identity, attraction, fantasies, and behavior – whereas previous research studied only one such dimension (identity). Participants in the study were split into two groups: a "heterosexual group" and a "non-heterosexual" group. To determine what label participants used to identify their sexual orientation, participants were asked, "How would you classify your sexual orientation?" and selected from one of five options (heterosexual, mostly heterosexual, bisexual, mostly gay/lesbian, gay/lesbian). People who selected "heterosexual" were place in the heterosexual group, whereas people selecting "gay/lesbian" were placed in the non-heterosexual group. To assess sexual attraction, participants were asked, "How sexually attracted are you to men?" and selected from a 7-point Likert scale ranging from 1 (not at all) to 7 (very much). Participants were also asked "How sexually attracted are you to women?" and were presented with the same Likert scale. People who selected 1 (not at all) when answering the same sex sexual attraction question were placed in the heterosexual group. People who selected 2 or greater were placed in the non-heterosexual group.
To assess sexual behavior, participants were asked, "What is the total number of male sexual partners you have had?" and "What is the total number of female sexual partners you have had?" Sexual partner was defined as someone with whom the participant had penile–vaginal penetration, oral sex, anal sex, and/or mutual masturbation. Individuals who identified having any same-sex sexual partner (i.e., 1 or more) were placed in the non-heterosexual group while individuals who did not identify having a same-sex sexual partner were placed in the heterosexual group.[18] To assess sexual fantasy, participants were asked "What percent of your sexual fantasies during masturbation involve men?" and rated the question from 0% to 100%. Each participant was also asked "What percent of your sexual fantasies during masturbation involve women?" and rated the question from 0% to 100%. If an individual endorsed having any same-sex sexual fantasies at all (i.e., 1% or greater), they were placed in the non-heterosexual group, otherwise they were placed in the heterosexual group. Using these criteria for sexual orientation identity, attraction, fantasies, and behavior, Currin et al. (2015) were unable to demonstrate the effect for any dimensions in their sample of 722 right-handed men (of which 500 were classified as heterosexual and 122 were classified as non-heterosexual), although the study did adjust for family size differences between the two groups.[18] A 2017 meta-analysis analyzed studies about the fraternal birth order effect including Currin et al. (2015). The meta-analysis had a total sample of 7140 homosexual males and 12,837 heterosexual males. The results of the meta-analysis confirmed the reliability of the fraternal birth order effect.[12]
Frisch et al. (2006) did not find a correlation between older brothers and same-sex unions between men in a sample of over 2 million Danes. Instead, researchers found a correlation between such unions and having an excess of older sisters. Frisch cautioned that one cannot interpret findings about the correlates of heterosexual and homosexual marriage as if they were findings about the correlates of heterosexual and homosexual orientation.[78] Ray Blanchard performed a reanalysis of Frisch's data using procedures that have been used in prior studies of fraternal birth order. According to his analysis, "the only group whose data resembled data from previous studies was the homosexually married males", reaffirming the birth order effect. He further criticized drawing conclusions from data of married persons, since heterosexually married persons also have "markedly different older-sibling sex ratios" than heterosexually oriented persons.[79]
Theories about the fraternal birth order mechanism
Anthony Bogaert's work involving adoptees concludes that the effect is not due to being raised with older brothers, but is hypothesized to have something to do with changes induced in the mother's body when gestating a boy that affects subsequent sons. This is because the effect is present regardless of whether or not the older brothers are raised in the same family environment with the boy. There is no effect when the number of older brothers is increased by adopted brothers or stepbrothers. It has been hypothesized that this is caused by an in-utero maternal alloimmune response, specifically, the mother's immune system becoming sensitized to H-Y antigens involved in the sexual differentiation of male vertebrates,[80] and producing antibodies that attack these antigens.[14][8][39][80] Specifically, maternal antigens to the neuroligin NLGN4Y protein, Y-chromosone protein important in male fetal brain development, have been found to be involved in the fraternal birth order effect.[81]
See also
Notes
- The naturally occurring odds of a male child (with no older brothers) being homosexual are estimated to be 2%. Due to the fraternal birth order effect, those naturally occurring odds are increased to 2.6% in a male child with one older brother; a male child with two older brothers will have a 3.5% chance of being homosexual; with three, and four older brothers, the chances are increased to 4.6%, and 6.0%, respectively.[17][18][14]
- This proved to be a close estimation by Cantor et al. (2002) as a subsequent study, Blanchard and Bogaert (2004), found that the observed prevalence of homosexuality among males with no older brothers was 2.18%.[47][39]
- According to Ray Blanchard, the demonstrability of the fraternal birth order effect partly depends upon proper matching of homosexual and heterosexual study groups with respect to mean family size. If the homosexual study group has too few siblings, in comparison to the heterosexual study group, the homosexual group will tend to show no difference in number of older brothers and may show a scarcity of other sibling types (most commonly younger brothers and younger sisters). If the homosexual study group has too many siblings, it will not only show the expected excess of older brothers but may also show an excess of other sibling types (most commonly older sisters). In his three-part article, Blanchard first demonstrated the aforementioned outcomes using purposely mismatched groups selected from archived data sets. In the second part, Blanchard presented two different methods for transforming raw sibling data. Both methods intended to "produce family-size-corrected variables for each of the four original sibling parameters (older brothers, older sisters, younger brothers, and younger sisters)."[38] Consequently, both methods were successful in demonstrating the fraternal birth order effect in the purposely mismatched groups. In the third part of the article, Blanchard surveyed studies about fraternal birth order and found two studies that did not demonstrate the fraternal birth order effect in their homosexual groups. In both studies, the collective findings for older sisters, younger brothers, and younger sisters as well as individual findings for the four sibling classes suggested that mean family size of the homosexual study groups was comparatively smaller to that of the heterosexual groups in both studies.[38]
References
- Balthazart, Jacques (2018-01-09). "Fraternal birth order effect on sexual orientation explained". Proceedings of the National Academy of Sciences of the United States of America. 115 (2): 234–236. Bibcode:2018PNAS..115..234B. doi:10.1073/pnas.1719534115. ISSN 0027-8424. PMC 5777082. PMID 29259109.
- Bogaert, Anthony F.; Skorska, Malvina N.; Wang, Chao; Gabrie, José; MacNeil, Adam J.; Hoffarth, Mark R.; VanderLaan, Doug P.; Zucker, Kenneth J.; Blanchard, Ray (2018-01-09). "Male homosexuality and maternal immune responsivity to the Y-linked protein NLGN4Y". Proceedings of the National Academy of Sciences of the United States of America. 115 (2): 302–306. Bibcode:2018PNAS..115..302B. doi:10.1073/pnas.1705895114. ISSN 0027-8424. PMC 5777026. PMID 29229842.
- Blanchard R (1997). "Birth order and sibling sex ratio in homosexual versus heterosexual males and females". Annual Review of Sex Research. 8: 27–67. PMID 10051890.
- Coghlan, Andy (December 2017). "We may know why younger brothers are more likely to be gay". New Scientist. Retrieved 2020-08-03.
- Bailey, J. Michael; Vasey, Paul L.; Diamond, Lisa M.; Breedlove, S. Marc; Vilain, Eric; Epprecht, Marc (2016). "Sexual Orientation, Controversy, and Science". Psychological Science in the Public Interest. 17 (2): 78–79. doi:10.1177/1529100616637616. ISSN 1529-1006. PMID 27113562.
- Bogaert AF (July 2006). "Biological versus nonbiological older brothers and men's sexual orientation". Proceedings of the National Academy of Sciences. 103 (28): 10771–4. Bibcode:2006PNAS..10310771B. doi:10.1073/pnas.0511152103. PMC 1502306. PMID 16807297.
- Slater E (13 January 1962). "Birth order and maternal age of homosexuals". The Lancet. 1 (7220): 69–71. doi:10.1016/S0140-6736(62)91719-1. PMID 13913808.
- Blanchard R, Bogaert AF (January 1996). "Homosexuality in men and number of older brothers". American Journal of Psychiatry. 153 (1): 27–31. doi:10.1176/ajp.153.1.27. PMID 8540587.
- Blanchard R; Bogaert AF (December 1996). "Biodemographic comparisons of homosexual and heterosexual men in the Kinsey interview data". Archives of Sexual Behavior. 25 (6): 551–79. doi:10.1007/bf02437839. PMID 8931880. S2CID 23951518.
- Bogaert AF; Skorska M (2011). "Sexual orientation, fraternal birth order, and the maternal immune hypothesis: a review". Frontiers in Neuroendocrinology. 32 (2): 247–54. doi:10.1016/j.yfrne.2011.02.004. PMID 21315103. S2CID 45446175.
- Blanchard R, Zucker KJ, Siegelman M, Dickey R, Klassen P (October 1998). "The relation of birth order to sexual orientation in men and women". Journal of Biosocial Science. 30 (4): 511–9. doi:10.1017/S0021932098005112. PMID 9818557. S2CID 33775783.
- Blanchard R (12 Jun 2017). "Fraternal Birth Order, Family Size, and Male Homosexuality: Meta-Analysis of Studies Spanning 25 Years". Archives of Sexual Behavior. 47 (1): 1–15. doi:10.1007/s10508-017-1007-4. PMID 28608293. S2CID 10517373.
- Ellis L, Blanchard R (2001). "Birth order, sibling sex ratio, and maternal miscarriages in homosexual and heterosexual men and women". Personality and Individual Differences. 30 (4): 543–552. doi:10.1016/S0191-8869(00)00051-9.
- Blanchard R (September 2001). "Fraternal birth order and the maternal immune hypothesis of male homosexuality". Hormones and Behavior. 40 (2): 105–14. doi:10.1006/hbeh.2001.1681. PMID 11534970. S2CID 33261960.
- Puts DA, Jordan CL, Breedlove SM (July 2006). "O brother, where art thou? The fraternal birth-order effect on male sexual orientation" (PDF). Proceedings of the National Academy of Sciences. 103 (28): 10531–2. Bibcode:2006PNAS..10310531P. doi:10.1073/pnas.0604102103. PMC 1502267. PMID 16815969.
- Rahman Q.; Clarke K.; Morera T. (2009). "Hair whorl direction and sexual orientation in human males". Behavioral Neuroscience. 123 (2): 252–256. doi:10.1037/a0014816. PMID 19331448.
- Bailey JM; Vasey PL; Diamond LM; Breedlove SM; Vilain E; Epprecht M (Sep 2016). "Sexual Orientation, Controversy, and Science". Psychological Science in the Public Interest. 17 (2): 45–101. doi:10.1177/1529100616637616. PMID 27113562.
- Joseph M. Currin; et al. (2015). "Multidimensional Assessment of Sexual Orientation and the Fraternal Birth Order Effect". Psychology of Sexual Orientation and Gender Diversity. 2 (2): 113–122. doi:10.1037/sgd0000103.
- Cantor, James M.; Blanchard, Ray; Paterson, Andrew D.; Bogaert, Anthony F. (February 2002). "How Many Gay Men Owe Their Sexual Orientation to Fraternal Birth Order?". Archives of Sexual Behavior. 31 (1): 63–71. doi:10.1023/A:1014031201935. PMID 11910793. S2CID 203129.
- Bogaert AF (February 2005). "Sibling sex ratio and sexual orientation in men and women: new tests in two national probability samples". Archives of Sexual Behavior. 34 (1): 111–6. doi:10.1007/s10508-005-1005-9. PMID 15772774. S2CID 5324830.
- Blanchard, R; Lippa, RA (April 2007). "Birth order, sibling sex ratio, handedness, and sexual orientation of male and female participants in a BBC internet research project". Archives of Sexual Behavior. 36 (2): 163–76. doi:10.1007/s10508-006-9159-7. PMID 17345165. S2CID 18868548.
- Blanchard, Ray (January 2008). "Review and theory of handedness, birth order, and homosexuality in men". Laterality: Asymmetries of Body, Brain and Cognition. 13 (1): 51–70. doi:10.1080/13576500701710432. PMID 18050001. S2CID 43889137.
- Blanchard R, Cantor JM, Bogaert AF, Breedlove SM, Ellis L (March 2006). "Interaction of fraternal birth order and handedness in the development of male homosexuality". Hormones and Behavior. 49 (3): 405–14. doi:10.1016/j.yhbeh.2005.09.002. PMID 16246335. S2CID 16151756.
- Blanchard R (2007). "Sex ratio of older siblings in heterosexual and homosexual, right-handed and non-right-handed men". Archives of Sexual Behavior. 37 (6): 977–81. doi:10.1007/s10508-006-9119-2. PMID 17186124. S2CID 41494405.
- Hepper PG; Shahidullah S; White R (1991). "Handedness in the human fetus". Neuropsychologia. 29 (11): 1107–11. doi:10.1016/0028-3932(91)90080-R. PMID 1775228. S2CID 12123306.
- Blanchard R; Ellis L (Jul 2001). "Birth weight, sexual orientation and the sex of preceding siblings". Journal of Biosocial Science. 33 (3): 451–67. doi:10.1017/S0021932001004515. PMID 11446404. S2CID 25261933.
- Blanchard R; Zucker KJ; Cavacas A; Allin S; Bradley SJ; Schachter DC (2002). "Fraternal birth order and birth weight in probably prehomosexual feminine boys". Hormones and Behavior. 41 (3): 321–7. doi:10.1006/hbeh.2002.1765. PMID 11971666. S2CID 24718070.
- Rahman, Q (2005). "The neurodevelopment of human sexual orientation". Neuroscience & Biobehavioral Reviews. 29 (7): 1057–66. doi:10.1016/j.neubiorev.2005.03.002. PMID 16143171. S2CID 15481010.
- Bogaert AF (October 1998). "Birth order and sibling sex ratio in homosexual and heterosexual non-white men". Archives of Sexual Behavior. 27 (5): 467–73. doi:10.1023/A:1018752513198. PMID 9795727. S2CID 32607204.
- VanderLaan DP; Vasey PL (June 2011). "Male sexual orientation in independent Samoa: evidence for fraternal birth order and maternal fecundity effects". Archives of Sexual Behavior. 40 (3): 495–503. doi:10.1007/s10508-009-9576-5. PMID 20039114. S2CID 207089697.
- Bogaert AF; Blanchard R; Crosthwait LE (October 2007). "Interaction of birth order, handedness, and sexual orientation in the Kinsey interview data". Behavioral Neuroscience. 121 (5): 845–53. doi:10.1037/0735-7044.121.5.845. PMID 17907817.
- Blanchard R; VanderLaan DP (Jul 2015). "Commentary on Kishida and Rahman (2015), Including a Meta-analysis of Relevant Studies on Fraternal Birth Order and Sexual Orientation in Men". Archives of Sexual Behavior. 44 (5): 1503–9. doi:10.1007/s10508-015-0555-8. PMID 25940737. S2CID 20266415.
- Williams TJ; Pepitone ME; Christensen SE; Cooke BM; Huberman AD; Breedlove NJ; Breedlove TJ; Jordan CL; Breedlove SM (Mar 2000). "Finger-length ratios and sexual orientation" (PDF). Nature. 404 (6777): 455–6. Bibcode:2000Natur.404..455W. doi:10.1038/35006555. PMID 10761903. S2CID 205005405. Retrieved 17 August 2016.
- Bogaert AF (2003). "Number of older brothers and sexual orientation: New tests and the attraction/behavior distinction in two national probability samples". Journal of Personality and Social Psychology. 84 (3): 644–52. doi:10.1037/0022-3514.84.3.644. PMID 12635923.
- Bogaert AF (2000). "Birth order and sexual orientation in a national probability sample". Journal of Sex Research. 37 (4): 361–8. doi:10.1080/00224490009552059. S2CID 143959951.
- Bogaert AF; Cairney J (Jan 2004). "The interaction of birth order and parental age on sexual orientation: an examination in two samples". Journal of Biosocial Science. 36 (1): 19–37. doi:10.1017/s0021932004006030. PMID 14989529. S2CID 10572041.
- Bogaert, Anthony F.; Skorska, Malvina N.; Wang, Chao; Gabrie, José; MacNeil, Adam J.; Hoffarth, Mark R.; VanderLaan, Doug P.; Zucker, Kenneth J.; Blanchard, Ray (9 January 2018). "Male homosexuality and maternal immune responsivity to the Y-linked protein NLGN4Y". Proceedings of the National Academy of Sciences. 115 (2): 302–306. Bibcode:2018PNAS..115..302B. doi:10.1073/pnas.1705895114. PMC 5777026. PMID 29229842.
- Blanchard R (2014). "Detecting and correcting for family size differences in the study of sexual orientation and fraternal birth order". Archives of Sexual Behavior. 43 (5): 845–52. doi:10.1007/s10508-013-0245-3. PMID 24578105. S2CID 12017000.
- Blanchard R (September 2004). "Quantitative and theoretical analyses of the relation between older brothers and homosexuality in men". Journal of Theoretical Biology. 230 (2): 173–87. Bibcode:2004JThBi.230..173B. doi:10.1016/j.jtbi.2004.04.021. PMID 15302549.
- Blanchard R (1997). "Birth order and sibling sex ratio in homosexual versus heterosexual males and females". Annual Review of Sex Research. 8: 27–67. PMID 10051890.
- Vanderlaan DP; Blanchard R; Zucker KJ; Massuda R; Fontanari AMV; Borba AO; Costa AB; Schneider MA; Mueller A; Soll BMB; Schwarz K; Da Silva DC; Lobato MIR (Jul 2017). "Birth order and androphilic male-to-female transsexualism in Brazil". Journal of Biosocial Science. 49 (4): 527–535. doi:10.1017/S0021932016000584. PMID 27817755.
- Jones MB; Blanchard R (Aug 1998). "Birth order and male homosexuality: extension of Slater's index". Human Biology. 70 (4): 775–87. PMID 9686486.
- Xu Y; Zheng Y (Jul 2014). "Birth order and sibling sex ratio in relation to sexual orientation in China". Social Behavior and Personality. 42 (6): 995–1002. doi:10.2224/sbp.2014.42.6.995.
- Xu Y; Zheng Y (Jan 2017). "Fraternal Birth Order, Handedness, and Sexual Orientation in a Chinese Population". The Journal of Sex Research. 54 (1): 10–18. doi:10.1080/00224499.2015.1104530. PMID 26689787. S2CID 22345209.
- Kenneth J. Zucker; et al. (2007). "Birth order and sibling sex ratio in homosexual transsexual South Korean men: Effects of the male-preference stopping rule". Psychiatry and Clinical Neurosciences. 61 (5): 529–533. doi:10.1111/j.1440-1819.2007.01703.x. PMID 17875032. S2CID 22175314.
- Blanchard R; Bogaert AF (Jan 1997). "The relation of closed birth intervals to the sex of the preceding child and the sexual orientation of the succeeding child". Journal of Biosocial Science. 29 (1): 111–8. doi:10.1017/s0021932097001119. PMID 9881124. S2CID 23234474.
- Blanchard R; Bogaert AF (2004). "Proportion of homosexual men who owe their sexual orientation to fraternal birth order: An estimate based on two national probability samples". American Journal of Human Biology. 16 (2): 151–7. doi:10.1002/ajhb.20006. PMID 14994314. S2CID 21108939.
- Jannini EA; Blanchard R; Camperio-Ciani A; Bancroft J (Oct 2010). "Male homosexuality: nature or culture?". The Journal of Sexual Medicine. 7 (10): 3245–53. doi:10.1111/j.1743-6109.2010.02024.x. PMID 21053405.
- Definitions Archived April 2, 2012, at the Wayback Machine from Georgia Department of Public Health. Date: 12/04/2008. Original citation: "Birthweight: Infant's weight recorded at the time of birth"
- Côté K; Blanchard R; Lalumière ML (Jul 2003). "The influence of birth order on birth weight: does the sex of preceding siblings matter?". Journal of Biosocial Science. 35 (3): 455–62. doi:10.1017/S0021932003004553. PMID 12887223. S2CID 20611086.
- VanderLaan DP; Blanchard R; Wood H; Garzon LC; Zucker KJ (2015). "Birth weight and two possible types of maternal effects on male sexual orientation: A clinical study of children and adolescents referred to a Gender Identity Service". Developmental Psychobiology. 57 (1): 25–34. doi:10.1002/dev.21254. PMID 25345970.
- Magnus P; Berg K; Bjerkedal T (Oct 1985). "The association of parity and birth weight: testing the sensitization hypothesis". Early Human Development. 12 (1): 49–54. doi:10.1016/0378-3782(85)90136-7. PMID 4064997.
- Trotnow S; Bregulla K; Flügel K (Sep 1976). "Studies on the birth-weight and the size of the new-born child with reference to the parity of the mother (author's transl)". Geburtshilfe und Frauenheilkunde (in German). 36 (9): 744–50. PMID 976720.
- Doug P. VanderLaan; Ray Blanchard; Hayley Wood; Kenneth J. Zucker (2014). "Birth order and sibling sex ratio of children and adolescents referred to a Gender Identity Service". PLOS ONE. 9 (3): e90257. Bibcode:2014PLoSO...990257V. doi:10.1371/journal.pone.0090257. PMC 3961213. PMID 24651045.
- Bailey JM; Zucker KJ (1995). "Childhood sex-typed behavior and sexual orientation: A conceptual analysis and quantitative review". Developmental Psychology. 31 (1): 43–55. doi:10.1037/0012-1649.31.1.43.
- Bartlett NH; Vasey PL (Dec 2005). "A retrospective study of childhood gender-atypical behavior in Samoan fa'afafine". Archives of Sexual Behavior. 35 (6): 659–66. doi:10.1007/s10508-006-9055-1. PMID 16909317. S2CID 22812712.
- Cardoso FL (Feb 2005). "Cultural universals and differences in male homosexuality: The case of a Brazilian fishing village". Archives of Sexual Behavior. 34 (1): 103–9. doi:10.1007/s10508-005-1004-x. PMID 15772773. S2CID 28100810.
- Cardoso FL (Oct 2009). "Recalled sex-typed behavior in childhood and sports' preferences in adulthood of heterosexual, bisexual, and homosexual men from Brazil, Turkey, and Thailand". Archives of Sexual Behavior. 38 (5): 726–36. doi:10.1007/s10508-008-9312-6. PMID 18340519. S2CID 20392498.
- Whitam FL; Zent M (Oct 1984). "A cross-cultural assessment of early cross-gender behavior and familial factors in male homosexuality". Archives of Sexual Behavior. 13 (5): 427–39. doi:10.1007/bf01541428. PMID 6517684. S2CID 9174150.
- Camperio-Ciani A; Corna F; Capiluppi C (Nov 2004). "Evidence for maternally inherited factors favouring male homosexuality and promoting female fecundity". Proceedings of the Royal Society of London. Series B, Biological Sciences. 271 (1554): 2217–21. doi:10.1098/rspb.2004.2872. PMC 1691850. PMID 15539346.
- Schagen SE; Delemarre-van de Waal HA; Blanchard R; Cohen-Kettenis PT (Jun 2012). "Sibling sex ratio and birth order in early-onset gender dysphoric adolescents". Archives of Sexual Behavior. 41 (3): 541–9. doi:10.1007/s10508-011-9777-6. PMC 3338001. PMID 21674256.
- Gómez-Gil E; Esteva I; Carrasco R; Almaraz MC; Pasaro E; Salamero M; Guillamon A (Jun 2011). "Birth order and ratio of brothers to sisters in Spanish transsexuals". Archives of Sexual Behavior. 40 (3): 505–10. doi:10.1007/s10508-010-9614-3. PMID 20232130. S2CID 22990644.
- Bozkurt A; Bozkurt OH; Sonmez I (Jul 2015). "Birth Order and Sibling Sex Ratio in a Population with High Fertility: Are Turkish Male to Female Transsexuals Different?". Archives of Sexual Behavior. 44 (5): 1331–7. doi:10.1007/s10508-014-0425-9. PMID 25351529. S2CID 13579059.
- King M; Green J; Osborn DP; Arkell J; Hetherton J; Pereira E (Feb 2005). "Family size in white gay and heterosexual men". Archives of Sexual Behavior. 34 (1): 117–22. doi:10.1007/s10508-005-1006-8. PMID 15772775. S2CID 20562667.
- Schwartz G; Kim RM; Kolundzija AB; Rieger G; Sanders AR (Feb 2010). "Biodemographic and physical correlates of sexual orientation in men". Archives of Sexual Behavior. 39 (1): 93–109. doi:10.1007/s10508-009-9499-1. PMID 19387815. S2CID 24358057.
- Green R (July 2000). "Birth order and ratio of brothers to sisters in transsexuals". Psychological Medicine. 30 (4): 789–95. doi:10.1017/S0033291799001932. PMID 11037086. S2CID 42713566.
- Robinson SJ; Manning JT (Sep 2000). "The ratio of 2nd to 4th digit length and male homosexuality". Evolution and Human Behavior. 21 (5): 333–345. doi:10.1016/s1090-5138(00)00052-0. PMID 11053694.
- Blanchard R; Barbaree HE; Bogaert AF; Dickey R; Klassen P; Kuban ME; Zucker KJ (2000). "Fraternal birth order and sexual orientation in pedophiles". Archives of Sexual Behavior. 29 (5): 463–78. doi:10.1023/A:1001943719964. PMID 10983250. S2CID 19755751.
- Blanchard R, Sheridan PM (1992). "Sibship size, sibling sex ratio, birth order, and parental age in homosexual and nonhomosexual gender dysphorics". The Journal of Nervous and Mental Disease. 180 (1): 40–7. doi:10.1097/00005053-199201000-00009. PMID 1538206. S2CID 25684113.
- Blanchard R, Zucker KJ, Cohen-Kettenis PT, Gooren LJ, Bailey JM (October 1996). "Birth order and sibling sex ratio in two samples of Dutch gender-dysphoric homosexual males". Archives of Sexual Behavior. 25 (5): 495–514. doi:10.1007/BF02437544. PMID 8899142. S2CID 41147086.
- Poasa KH, Blanchard R, Zucker KJ (2004). "Birth order in transgendered males from Polynesia: a quantitative study of Samoan fa'afāfine". Journal of Sex & Marital Therapy. 30 (1): 13–23. doi:10.1080/00926230490247110. PMID 14660290. S2CID 1911912.
- Bogaert Anthony F.; et al. (1997). "Pedophilia, sexual orientation, and birth order". Journal of Abnormal Psychology. 106 (2): 331–335. doi:10.1037/0021-843x.106.2.331. PMID 9131853.
- Blanchard R; Bogaert AF (1998). "Birth order in homosexual versus heterosexual sex offenders against children, pubescents, and adults". Archives of Sexual Behavior. 27 (6): 595–603. doi:10.1023/A:1018773117741. PMID 9883307. S2CID 36003248.
- Freund K; Blanchard R (1987). "Feminine gender identity and physical aggressiveness in heterosexual and homosexual pedophiles". Journal of Sex & Marital Therapy. 13 (1): 25–34. doi:10.1080/00926238708403876. PMID 3573049.
- Freund K; Scher H; Chan S; Ben-Aron M (1982). "Experimental analysis of pedophilia". Behaviour Research and Therapy. 20 (2): 105–12. doi:10.1016/0005-7967(82)90110-3. PMID 7073641.
- Bearman, Peter; Brückner, Hannah (2002). "Opposite-sex twins and adolescent same-sex attraction" (PDF). American Journal of Sociology. 107 (5): 1179–1205. doi:10.1086/341906. S2CID 13094910.
- Francis, Andrew M. (2008). "Family and sexual orientation: the family-demographic correlates of homosexuality in men and women" (PDF). Journal of Sex Research. 45 (4): 371–377. doi:10.1080/00224490802398357. PMID 18937128. S2CID 20471773. Archived from the original (PDF) on 2009-06-16.
- Frisch M; Hviid A (2006). "Childhood family correlates of heterosexual and homosexual marriages: a national cohort study of two million Danes". Archives of Sexual Behavior. 35 (5): 533–47. doi:10.1007/s10508-006-9062-2. PMID 17039403. S2CID 21908113.
- Blanchard, Ray (2007-12-01). "Older-Sibling and Younger-Sibling Sex Ratios in Frisch and Hviid's (2006) National Cohort Study of Two Million Danes". Archives of Sexual Behavior. 36 (6): 860–863. doi:10.1007/s10508-006-9154-z. ISSN 1573-2800. PMID 17333322. S2CID 6187234.
- Blanchard R, Klassen P (April 1997). "H-Y antigen and homosexuality in men". Journal of Theoretical Biology. 185 (3): 373–8. Bibcode:1997JThBi.185..373B. CiteSeerX 10.1.1.602.8423. doi:10.1006/jtbi.1996.0315. PMID 9156085.
- Bogaert, Anthony F.; Skorska, Malvina N.; Wang, Chao; Gabrie, José; MacNeil, Adam J.; Hoffarth, Mark R.; VanderLaan, Doug P.; Zucker, Kenneth J.; Blanchard, Ray (2018-01-09). "Male homosexuality and maternal immune responsivity to the Y-linked protein NLGN4Y". Proceedings of the National Academy of Sciences. 115 (2): 302–306. Bibcode:2018PNAS..115..302B. doi:10.1073/pnas.1705895114. PMC 5777026. PMID 29229842.