Health Behaviors and Relationships among Bisexual Young Adults

项目总结 报告称，双性恋年轻人的健康行为比异性恋和男女同性恋者更差，这是因为 与普遍的基于耻辱的性少数群体压力的经历有关。然而，很少有研究考虑到 恋爱关系动态对污名之间联系的潜在缓解或加剧作用 以及双性恋青年的健康行为。恋爱关系的潜在保护性 对于双性恋的年轻人来说，健康是复杂的，他们的性别认同是由进入 同性或异性关系。确定影响以下项目影响的可修改关系动态 对双性恋年轻人健康的污名可以照亮一生的健康道路，并减少 双性恋健康差距。拟议的项目将评估性少数族裔污名与健康的关系。 行为，关系动态的积极和消极方面的调节作用，以及是否/如何 对于同性和异性关系中的双性恋年轻人来说，这些联系是不同的。我们会收集 1000名年轻人(同性250名双性恋女性)的基线和14天的每日日记数据 同性关系中的250名双性恋男性，异性关系中的250名双性恋女性， 和250名异性关系中的双性恋男性)年龄在18-26岁之间，与他们的 恋人至少四个月。我们将对(1)进行交叉滞后多水平建模分析 确定性少数群体和双性恋特有的污名如何影响双性恋青年的健康行为 成人；(2)确定积极和消极的关系动态，缓和污名之间的联系 和健康行为；以及(3)研究污名、关系动态和健康行为之间的日常联系 在同性和异性关系中，年轻的双性恋女性和男性的健康状况不同。结果将是 对旨在改善关系和消除冲突的计划、实践和政策的重大影响 双性恋人群之间的健康差距。

PROJECT SUMMARY Bisexual young adults report worse health behaviors than both heterosexual and lesbian/gay young adults due to experiences of pervasive stigma-based sexual minority stress. However, little research has considered the potential mitigating or exacerbating role of romantic relationship dynamics on the association between stigma and health behaviors among bisexual young adults. The potential for romantic relationships to be protective for health is complicated for bisexual young adults, whose sexual identity is defined by the ability to enter into same- or different-sex relationships. Identifying modifiable relationship dynamics that influence the impact of stigma on the health of bisexual young adults can illuminate pathways of health across the lifespan and reduce bisexual health disparities. The proposed project will assess how sexual minority stigma relates to health behavior, the moderating role of positive and negative aspects of relationship dynamics, and whether/how these associations differ for bisexual young adults in same- and different-sex relationships. We will collect baseline and 14 days of daily diary data from 1,000 young adults (250 bisexual women in a same-sex relationship, 250 bisexual men in a same-sex relationship, 250 bisexual women in a different-sex relationship, and 250 bisexual men in a different-sex relationship) between the ages of 18-26 who have been with their romantic partner for at least four months. We will conduct cross-lagged multilevel modeling analyses to (1) determine how sexual minority and bisexual-specific stigma influences the health behaviors of bisexual young adults; (2) identify positive and negative relationship dynamics that moderate the association between stigma and health behaviors; and (3) examine how the daily associations between stigma, relationship dynamics, and health differ for young bisexual women and men in same- and different-sex relationships. Results will have significant implications for programs, practices, and policies aimed at improving relationships and eliminating health disparities among bisexual populations.