Sarah, Duchess of York Queen's permission (which, at that time, was required by the Royal Marriages Act 1772, for all descendants of King George II), Andrew and Sarah were married in Westminster Abbey on 23 July 1986. The Queen bestowed the title Duke of York upon Prince Andrew, and, as his new wife, Sarah automatically assumed her husband's royal and ducal status and became "Her Royal Highness The Duchess of York". As Duchess of York, Sarah joined her husband in carrying out royal engagements, including official overseas visits. In 1987, the Duke and Duchess of York undertook a 25-day tour of Canada. On 22
Sarah, Duchess of York was interested "in learning from NIH scientists what major health messages she should deliver to women, based on the research conducted through NIH." The panelists briefed Sarah on medical research topics and major health messages regarding women. Information was shared on the Women's Health Initiative, obesity, breast cancer, and osteoporosis. Sarah, whose elder daughter Beatrice was diagnosed with dyslexia at the age of seven, became a patron of Springboard for Children, a charity that helps students who struggle with reading and writing. Sarah has also described herself as "a little bit dyslexic". In 2003, the Duchess joined the American Cancer