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Health Behaviors and Relationships among Bisexual Young Adults

双性恋年轻人的健康行为和关系

基本信息

批准号：
10705031
负责人：
Amanda Pollitt
金额：
$ 7.09万
依托单位：
NORTHERN ARIZONA UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-15 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10705031
关键词：
Address Adult Age Area Baseline Surveys Behavior Bisexual Chronic Disease Couples Data Data Set Development Diet Discrimination Disparity Domestic Violence Gays Gender Health Health behavior Heterosexuals Interpersonal Violence Intervention Lesbian Lesbian Gay Bisexual Lesbian Gay Bisexual Transgender Link Literature Longevity Longitudinal Studies Mental Health Obesity Pathway interactions Persons Physical activity Policies Population Prevention Process Recording of previous events Reporting Research Risk Role Same-sex Sampling Sexual Health Sleep Stereotyping Surveys Techniques Time Variant Woman Youth diaries experience health disparity improved innovation insight male men multilevel analysis perceived discrimination physical conditioning poor health outcome population health programs protective effect public health relevance same-sex partnership satisfaction sex sexual identity sexual minority sexual minority group sexual minority health sexual minority stress social stigma substance use transmission process young adult

项目摘要

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.

项目概要双性恋年轻人的健康行为比异性恋和女同性恋/男同性恋年轻人更差，因为普遍存在的基于耻辱的性少数压力的经历。然而，很少有研究考虑到浪漫关系动态对耻辱之间关联的潜在减轻或加剧作用和双性恋年轻人的健康行为。浪漫关系具有保护作用的潜力对于双性恋年轻人来说，健康状况很复杂，他们的性身份是由进入的能力来定义的。同性或异性关系。识别影响影响的可改变的关系动态对双性恋年轻人健康的耻辱可以阐明他们一生中的健康之路，并减少双性恋健康差异。拟议的项目将评估性少数群体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。我们将收集基线数据和 1,000 名年轻人（250 名同性双性恋女性）的每日日记数据关系，250 名同性关系中的双性恋男性，250 名异性关系中的双性恋女性，以及 250 名具有异性关系的双性恋男性），年龄在 18 至 26 岁之间，曾与自己的至少四个月的浪漫伴侣。我们将进行交叉滞后的多级建模分析以（1）确定性少数和双性恋特有的耻辱如何影响双性恋年轻人的健康行为成年人; (2) 识别调节耻辱之间关联的积极和消极关系动态和健康行为； (3) 研究耻辱感、关系动态和处于同性和异性关系中的年轻双性恋女性和男性的健康状况有所不同。结果会有对旨在改善关系和消除双性恋人群之间的健康差异。