Bisexual people's utilization of sexual health services at an LGBTQ Community Center in Chicago.
Bisexual people's utilization of sexual health services at an LGBTQ Community Center in Chicago.
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DOI：
10.1080/15299716.2020.1825270
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发表时间：
2020
影响因子：
1.7
通讯作者：
Beach L
中科院分区：
文献类型：
--
作者：
Holmes N;Beach L
双性恋者感染性传播疾病（STIs）的风险增加，包括艾滋病毒。在性传播感染数据收集中，双性恋者经常被错误地归类为或与异性恋者或同性恋者混为一谈。这种糟糕的数据采集做法忽视了双性恋人群，并阻止了针对双性恋人群量身定制艾滋病毒和性传播感染服务。霍尔斯特德中心（COH）是芝加哥的一个LGBTQ社区中心。COH的艾滋病毒和性病服务部为参加艾滋病毒筛查服务的12岁及以上的人提供艾滋病毒检测。COH还管理伊利诺伊州艾滋病、艾滋病毒和性病热线。本文报告了COH客户按性别身份获得艾滋病毒相关服务的模式，重点介绍了双性恋和其他非单性恋（如“双性恋+”）人群与其他性少数人群的报告模式。在COH 2018和2019财政年度的性少数群体艾滋病检测客户中，2018年和2019年分别有15.42%和16.71%的人被确定为双性恋。在性少数群体热线来电者中，约四分之一（2018年为25.1%，2019年为28.8%）为双性恋。鉴于双性恋者占性少数人群的一半以上，这些研究结果表明，在COH获得艾滋病毒和性传播感染服务的双性恋者可能代表性不足。这些结果为在LGBTQ社区环境中获得艾滋病毒和性病相关服务的人群的性身份提供了以前未知的见解。艾滋病毒和性传播感染监测服务的资助者应改变报告要求，使双性恋人群获得艾滋病毒服务的模式和结果可见。
Bisexual people are at increased risk for sexually transmitted infections (STIs), including HIV. In STI data collection, bisexual people are often miscategorized as or conflated with heterosexual or gay/lesbian people. Such poor data capture practices invisibilize bisexual people and prevent the tailoring of HIV and STI services to cater to bisexual populations. The Center on Halsted (COH) is an LGBTQ community center in Chicago. COH’s HIV & STD Services Department provides HIV testing to people who present for HIV screening services age 12 and older. COH also administers the State of Illinois AIDS, HIV, & STD Hotline. This manuscript reports HIV-related service access patterns of COH clients by sexual identity, with an emphasis on reporting patterns among bisexual and other non-monosexual (e.g., “bi+”) populations in comparison with other sexual minority populations. Among COH’s HIV testing clients who were sexual minorities in fiscal years 2018 and 2019, 15.42% in 2018 and 16.71% in 2019 identified as bisexual, respectively. Among sexual minority hotline callers, approximately one quarter (25.1% in 2018 and 28.8% in 2019) identified as bisexual. Given that bisexual individuals comprise over half of sexual minority populations, these findings indicate that bi+ individuals may be underrepresented in accessing HIV and STI services at COH. These results provide previously unknown insight into the sexual identities of populations accessing HIV- and STD-related services within a LGBTQ community setting. Funders of HIV and STI surveillance services should change reporting requirements to make visible the HIV services access patterns and outcomes of bisexual populations.