Health Behavior, Status, and Outcomes Among a Community-Based Sample of Lesbian and Bisexual Women
Health Behavior, Status, and Outcomes Among a Community-Based Sample of Lesbian and Bisexual Women
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DOI：
10.1089/lgbt.2014.0074
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发表时间：
2015-06-01
期刊：
影响因子：
4.8
通讯作者：
Everett, Bethany
中科院分区：
文献类型：
--
作者：
Bostwick, Wendy B.;Hughes, Tonda L.;Everett, Bethany
目的：比较社区双性恋和女同性恋者的健康行为和身心健康结果。方法：芝加哥妇女健康和生活体验研究(CHLEW)是一项关于性少数民族妇女健康的纵向研究。CHLEW的第三波使用了受访者驱动抽样的修改版本，将双性恋确认的女性的补充样本招募到研究中，额外关注年轻女性以及黑人和拉丁裔女性。进行了面对面的访谈，并使用计算机辅助访谈获取了数据。结果：双性恋(n=139)和女同性恋(n=227)在大多数健康结果上没有不同，无论是在患病率还是调整后的优势方面。与女同性恋女性相比，双性恋女性被诊断为性传播感染(STI)的风险更高(AOR=3.01)，在流行病学研究中心抑郁量表(CES-D)上的得分达到或超过10分(AOR=1.73)。结论：与主流观点双性恋女性在许多/大多数负面健康后果上风险更高相反，我们在本研究中发现双性恋和女同性恋女性之间的差异相对较小。需要更多的研究来更好地了解双性恋女性的风险和复原力因素，尤其是更广泛的性少数群体女性。
Purpose: To compare health behaviors, and physical and mental health outcomes in a community-based sample of bisexual and lesbian women.Methods: The Chicago Health and Life Experiences of Women (CHLEW) study is a longitudinal study of sexual minority women's health. Wave 3 of the CHLEW used a modified version of respondent-driven sampling to recruit a supplemental sample of bisexual-identified women into the study, with an additional focus on younger women, and Black and Latina women. Face-to-face interviews were conducted and data were captured using computer-assisted interviews. Data from the supplemental Wave 3 sample are reported here.Results: Bisexual (n = 139) and lesbian women (n = 227) did not differ on most health outcomes, either in terms of prevalence or adjusted odds. Bisexual women were at higher risk of ever being diagnosed with a sexually transmitted infection (STI) (AOR = 3.01) and scoring 10 or more on the Center for Epidemiologic Studies Depression Scale (CES-D) (AOR = 1.73) compared to lesbian women.Conclusion: In contrast to the prevailing view of bisexual women as being at higher risk for many/most negative health outcomes, we found relatively few differences between bisexual and lesbian women in the current study. Additional research is needed to better understand risk and resilience factors among bisexual women specifically, and sexual minority women more broadly.