Physical Health Disparities Across Dimensions of Sexual Orientation, Race/Ethnicity, and Sex: Evidence for Increased Risk Among Bisexual Adults
Physical Health Disparities Across Dimensions of Sexual Orientation, Race/Ethnicity, and Sex: Evidence for Increased Risk Among Bisexual Adults
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DOI：
10.1007/s10508-018-1169-8
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发表时间：
2019-01-01
影响因子：
3.8
通讯作者：
Eaton, Nicholas R.
中科院分区：
文献类型：
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作者：
Dyar, Christina;Taggart, Tenille C.;Eaton, Nicholas R.
越来越多的证据表明，与异性恋个体相比，性少数个体的身体健康状况风险更高。然而，我们对影响双性恋个体的身体健康差异知之甚少，与异性恋和女同性恋/男同性恋人群相比，双性恋人群患精神病和药物使用状况的风险增加。使用一个大的，具有全国代表性的样本，我们研究了双性恋个体的身体健康差异。为了推进对性少数群体健康差异的研究，我们进一步：（1）比较了性取向三个维度（即，身份，吸引力，行为）和（2）检查性别和种族/民族是否存在差异。结果表明，性少数个体在许多身体健康状况的风险增加。值得注意的是，具有双性恋身份、吸引力和/或行为的个体比其他性少数群体的身体健康状况风险更高。影响双性恋者和具有同性和异性吸引力和/或性伴侣的人的身体健康差异的数量和类型在性别和种族/民族之间各不相同，最一致的差异出现在报告同性和异性性伴侣的人身上。我们的研究结果强调了影响性少数群体的身体健康差异以及双性恋各方面带来的风险增加。
Accumulating evidence suggests that sexual minority individuals are at increased risk for physical health conditions compared to heterosexual individuals. However, we know little about physical health disparities affecting bisexual individuals, a population at increased risk for psychiatric and substance use conditions compared to both heterosexual and lesbian/gay populations. Using a large, nationally representative sample, we examined physical health disparities for bisexual individuals. To advance research on sexual minority health disparities, we further: (1) compared prevalence rates of physical health conditions across three dimensions of sexual orientation (i.e., identity, attractions, behavior) and (2) examined whether disparities differed by sex and race/ethnicity. Results indicated that sexual minority individuals were at increased risk for many physical health conditions. Notably, individuals with bisexual identity, attractions, and/or behavior were at increased risk for more physical health conditions than other sexual minority groups. The number and types of physical health disparities affecting bisexually identified individuals and individuals with same- and opposite-sex attractions and/or sexual partners varied across sex and race/ethnicity, with the most consistent disparities emerging for individuals who reported same- and opposite-sex sexual partners. Our findings highlight the substantial physical health disparities affecting sexual minorities and the heightened risk conferred by all facets of bisexuality.