The quantitative study was based on an online survey of 1,552 lesbian, gay and bisexual adults from all 50 states and the District of Columbia examining “minority stress,” or the chronic social stress that minorities experience as a result of social stigmatization. Participants were grouped into those living in the seven states with an amendment on the ballot in November 2006 that did pass; those living in the 18 states with an amendment that passed before 2006; and those in the 23 states (plus D.C.) with no amendment. (Those living in Alabama, where an amendment passed in June 2006, were excluded because of the timing, as were those living in Arizona, where an amendment was defeated.)