Health Behaviors and Relationships among Bisexual Young Adults

项目摘要 双性恋年轻人报告的健康行为比异性恋和女同性恋/男同性恋年轻人更差， 普遍存在的基于耻辱的性少数压力的经历。然而，很少有研究认为， 潜在的缓解或加剧作用的浪漫关系动态之间的关联污名 和健康行为的研究。浪漫关系的潜力是保护， 健康对于双性恋的年轻人来说是复杂的，他们的性身份是由进入的能力来定义的。 同性或异性关系。确定影响以下影响的可改变的关系动态： 对双性恋年轻人健康的耻辱感可以照亮整个生命周期的健康途径， 两性健康差异拟议的项目将评估性少数耻辱与健康的关系 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 这些关联对于处于同性和异性关系中的双性恋年轻人来说是不同的。我们将收集 基线和14天的每日日记数据，从1,000名年轻人（250名双性恋妇女在同性 250名双性恋男性在同性关系中，250名双性恋女性在异性关系中， 和250名处于异性关系的双性恋男子），年龄在18-26岁之间， 至少四个月的浪漫伴侣。我们将进行交叉滞后多水平建模分析，以（1） 确定性少数和双性恋特有的耻辱感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，适度的耻辱之间的关联 和健康行为;以及（3）检查污名，关系动态， 年轻双性恋男女在同性和异性关系中健康状况不同。结果将有 对旨在改善关系和消除贫困的计划、实践和政策的重大影响 双性恋人群的健康差距。

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.