Psychosocial Health Disparities Among Black Bisexual Men in the U.S.: Effects of Sexuality Nondisclosure and Gay Community Support.
Psychosocial Health Disparities Among Black Bisexual Men in the U.S.: Effects of Sexuality Nondisclosure and Gay Community Support.
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DOI：
10.1007/s10508-018-1162-2
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发表时间：
2019-01
影响因子：
3.8
通讯作者：
Stall R
中科院分区：
文献类型：
--
作者：
Friedman MR;Bukowski L;Eaton LA;Matthews DD;Dyer TV;Siconolfi D;Stall R
与黑人男同性恋者相比，黑人双性恋男性经历了心理社会健康差异，包括抑郁、多药使用、身体攻击和亲密伴侣暴力(IPV)。黑人双性恋男性也不太可能披露自己的性取向，这可能会导致他们获得的性少数群体社区支持较少，从而加剧心理社会健康差距。我们评估了黑人男男性行为(MSM)中双性恋行为、双性恋身份、性行为保密、同性恋社区支持和心理社会疾病之间的关系。2014-2017年间，调查数据来自美国六个城市黑人骄傲活动中18岁的黑人男男性接触者≥(n=4,430)。我们区分了报告过去一年与男性和女性发生性关系的双性恋男性(双性恋MSMO：8.4%)、报告仅与男性发生性关系的同性恋男性(男同性恋MSMO：73.1%)、同性恋MSMO(8.0%)和双性恋MSMO(8.4%)。多变量回归通过心理社会发病率、性取向保密和同性恋社区支持来对比这些群体。结构方程模型评估了总影响、直接影响和间接影响。与同性恋MSMO相比，双性恋MSMW和同性恋MSMW报告多药滥用、抑郁症状、IPV、身体攻击、性行为不公开和缺乏同性恋社区支持的可能性显著更大。缺乏同性恋社区支持对双性恋行为与心理社会发病率之间的关系(p<；.001)以及双性恋身份与心理社会发病率之间的关系(p<；.001)有显著的间接影响。性取向不公开对双性恋行为(P<；.001)、双性恋身份(P<；.001)和缺乏同性恋社区支持之间的关系有显著的间接影响。黑人双性恋男性经历的心理社会健康差距与双性恋行为和双性恋身份都有关。减少恐惧症的干预措施将促进保护性行为披露和获得性少数群体社区支持的机会。
Compared with Black gay men, Black bisexual men experience psychosocial health disparities, including depression, polydrug use, physical assault, and intimate partner violence (IPV). Black bisexual men are also less likely to disclose their sexuality, which may result in them receiving less sexual minority community support, exacerbating psychosocial health disparities. We assessed relationships between bisexual behavior, bisexual identity, sexuality nondisclosure, gay community support, and psychosocial morbidities among Black men who have sex with men (MSM). Between 2014–2017, survey data were collected from Black MSM ≥18 years old (n=4430) at Black Pride events in six U.S. cities. We differentiated between bisexual-identified men reporting past-year sex with men and women (bisexual MSMW: 8.4%); gay-identified men reporting sex with men only (gay MSMO: 73.1%); gay MSMW (8.0%); and bisexual MSMO (8.4%). Multivariable regressions contrasted these groups by psychosocial morbidities, sexuality nondisclosure, and gay community support. Structural equation models assessed total, direct and indirect effects. Compared with gay MSMO, bisexual MSMW and gay MSMW were significantly more likely to report polydrug use, depression symptoms, IPV, physical assault, sexuality nondisclosure, and lack of gay community support. Lack of gay community support had significant indirect effects on the relationships between bisexual behavior and psychosocial morbidity (p<.001) and between bisexual identity and psychosocial morbidity (p<.001). Sexuality nondisclosure had significant indirect effects on relationships between bisexual behavior (p<.001), bisexual identity (p<.001) and lack of gay community support. Psychosocial health disparities experienced by Black bisexual men are associated with both bisexual behavior and bisexual identity. Interventions decreasing biphobia will facilitate opportunities for protective sexuality disclosure and access to sexual minority community support.
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影响因子：
4.4
作者：
Friedman, M. Reuel;Kurtz, Steven P.;Buttram, Mance E.;Wei, Chongyi;Silvestre, Anthony J.;Stall, Ron
通讯作者：
Stall, Ron
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
3.8
作者：
Dyer, Typhanye P.;Regan, Rotrease;Pacek, Lauren R.;Acheampong, Abenaa;Khan, Maria R.
通讯作者：
Khan, Maria R.
影响因子：
4.8
作者：
Friedman, M. Reuel;Dodge, Brian;Reece, Michael
通讯作者：
Reece, Michael
影响因子：
3.6
作者：
BINSON, D;MICHAELS, S;CATANIA, JA
通讯作者：
CATANIA, JA