Official websites use. Share sensitive information only on official, secure websites. Correspondence should be addressed to Sabra L. Among sexual minorities, bisexuals are at the greatest risk for poor health, due in part to prejudice and stigma. This research examined associations of bisexual-specific minority stress and health among cisgender non-transgender and transgender adults with bisexual orientation. Participants completed an online survey. Hierarchical linear regression analyses were conducted with sexual minority stress and bisexual-specific minority stress as the predictors and physical health measured by the SF as the outcome. Models controlled for demographic variables. Moderation analyses were conducted to test for gender differences. Gender moderated the association between bisexual-specific minority stress and health, such that bisexual-specific minority stress predicted overall physical health and role limitations for transgender individuals, but not for cisgender women. Addressing bisexual-specific minority stress is necessary to improve the health and well-being of bisexual individuals. A growing body of literature has demonstrated worse mental and physical health outcomes among sexual minority e. Minority stress theory proposes that sexual minorities experience prejudice and discrimination related to their stigmatized identity, which negatively affects health via dating a bisexual women psychological stress response pathway Brooks, ; Hatzenbuehler, ; Meyer, Bisexuals may experience unique prejudice related to bisexuality i. In addition, previous research on bisexual-specific minority stress has been limited to cisgender non-transgender individuals. This research examined associations of bisexual-specific minority stress and physical health among cisgender and transgender adults with bisexual orientation, and tested for gender differences. Sexual orientation dimensions may not be consistent within an individual person; for example, a woman may have attractions to more than one gender bisexual orientation based on attractionsbut identify as lesbian. Data from a national probability sample of U. In the current study, bisexual orientation was defined based on both bisexual identity and attractions to more than one gender. Among sexual minorities, more individuals identify as bisexual than as lesbian or gay Herbenick et al. Research is needed that specifically examines health-related experiences among individuals with bisexual orientation. Previous research has demonstrated that when sexual minorities are compared to heterosexuals, bisexuals have the most adverse physical health outcomes, with bisexual women at even greater risk than bisexual men for poor health Bostwick et al. Minority stress theory has been used to conceptualize sexual orientation health disparities. This theory proposes that experiences of prejudice and discrimination based on sexual minority status i. Indeed, recent research among sexual minorities found that sexual minority stress was associated with physical health problems Frost et al. However, these two studies did not report results specifically for individuals with bisexual orientation or examine dating a bisexual women minority stress. Individuals with bisexual orientation based on identity identifying as bisexual and bisexual orientation based on other sexual orientation dimensions e. Bisexual-specific minority stress occurs within a societal context of stigma related to bisexuality. Some research has found that bisexuals report experiencing more victimization e. Although research on bisexual-specific minority stress is growing, no studies have examined whether this type of minority stress may affect the health of individuals with bisexual orientation independently from sexual minority stress. Another limitation of the extant anti-bisexual research is its limited focus on cisgender individuals. Cisgender refers to individuals for whom their current gender identity matches their sex assigned at birth, whereas transgender refers to individuals who identify with a different gender from their sex assigned at birth. Transgender individuals also report substantial prejudice and discrimination related to their transgender identity Grant et dating a bisexual women. Research with transgender individuals has not often considered the unique experiences of transgender individuals who also have a bisexual orientation. These intersections may also be experienced within individuals who are both transgender and bisexual. Considering the prevalence of stigma related to transgender identity Grant et al. To our knowledge, this is the first study to examine bisexual-specific minority stress among transgender individuals and associations with physical health. The aim of the current study was to examine associations of bisexual-specific minority stress specifically, anti-bisexual prejudice and physical health among cisgender and transgender adults with bisexual orientation. We hypothesized that greater bisexual-specific minority stress would be associated with poor physical health above and beyond sexual minority stress specifically, heterosexist harassment and rejection. Considering that bisexual women are at the greatest risk for poor health compared to other sexual minorities Bostwick et al.
An additional 45 participants were removed for not providing data for age, resulting in a final sample of participants. This research examined associations of bisexual-specific minority stress and health among cisgender non-transgender and transgender adults with bisexual orientation. Wild Honey Pictures. In addition to transgender individuals, cisgender women also experienced bisexual-specific minority stress than cisgender men. Further, the sampling strategy involved reaching out to LGBTQ-specific listservs, which limited the sample to participants who identify themselves as members of the LGBTQ community.
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