The Experts below are selected from a list of 49764 Experts worldwide ranked by ideXlab platform
Julie M Woulfe - One of the best experts on this subject based on the ideXlab platform.
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perceived discrimination coping mechanisms and effects on health in Bisexual and other non monosexual adults
Archives of Sexual Behavior, 2019Co-Authors: Emilie Doan E Van, Julie M Woulfe, Sabra L Katzwise, Ethan H. MereishAbstract:Bisexual individuals experience unique discrimination related to their sexual orientation, which may increase their risk of adverse health outcomes. The study goal was to investigate how Bisexual and other non-monosexual individuals experience discrimination, understand how they perceive discrimination to affect their health, and examine the ways in which they cope with discrimination by analyzing responses to open-ended survey questions. The sample included 442 Bisexual and other non-monosexual adults, ages 18–68 years (M = 28.97, SD = 10.30), who either reported a Bisexual identity or reported attractions to more than one gender. Gender identities included women (n = 347), men (n = 42), and transgender/non-binary individuals (n = 53); 29% of participants were currently located outside of the U.S. Participants completed an online survey, including three open-ended questions regarding their experiences with discrimination, how discrimination affects their health, and methods used to cope with discrimination. Themes related to perceived discrimination included: double discrimination of Bisexuals and other non-monosexual individuals by heterosexuals, lesbian and gay individuals; Bisexual invalidation and erasure; and sexual victimization. Themes related to the perceived effects of discrimination on health included: impact on mental health; impact on physical health; and effect of discrimination in healthcare. Themes related to coping with discrimination included: social support; resilience; and identity-specific media consumption. Findings demonstrate that Bisexual and other non-monosexual individuals’ experiences of discrimination can be additive, based on other marginalized facets of identity, including race/ethnicity, gender, and socioeconomic status. Our findings have implications for advancing Bisexual health research from an intersectionality framework.
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associations of Bisexual specific minority stress and health among cisgender and transgender adults with Bisexual orientation
Journal of Sex Research, 2017Co-Authors: Sabra L Katzwise, Ethan H. Mereish, Julie M WoulfeAbstract: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 were 488 adults (378 cisgender women, 49 cisgender men, 61 transgender individuals), age 18 to 66 years, with Bisexual orientation based on identity and/or attractions to multiple genders. 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 36-Item Short Form Survey (SF-36), as the outcome. Models controlled for demographic variables. Moderation analyses were conducted to test for gender differences. Greater Bisexual-specific minority stress significantly predicted poorer overall physical health (β = −0.16), greater pain (β = −0.16), and poorer general he...
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Bisexual-Specific Minority Stressors, Psychological Distress, and Suicidality in Bisexual Individuals: the Mediating Role of Loneliness
Prevention Science, 2017Co-Authors: Ethan H. Mereish, Sabra L. Katz-wise, Julie M WoulfeAbstract:Bisexual individuals are at higher risk for poor mental health outcomes compared to heterosexual as well as lesbian and gay individuals and experience minority stressors, such as discrimination, from both heterosexual and sexual minority communities. However, there is little research examining the negative effects of Bisexual-specific minority stressors on Bisexual individuals’ mental health as well as psychological factors that might help explain minority stressors’ deleterious effects. This research examined the effects of distal minority stressors (i.e., anti-Bisexual experiences from both heterosexual as well as lesbian and gay people) and proximal stressors (i.e., internalized heterosexism and sexual orientation concealment) on psychological distress and suicidality among Bisexual adults (N = 503). Building on the relational framing of the minority stress model, we also tested one relational factor (i.e., loneliness) as a mediator of the associations between distal and proximal minority stressors and poor mental health (i.e., psychological distress and suicidality). Structural equation modeling analyses were used to test the mediating effects of loneliness on the associations between minority stressors and psychological distress and suicidality. Although distal and proximal minority stressors were not associated with each other, loneliness mediated the effects of distal and proximal minority stressors on psychological distress and suicidality. The results of this study underscore the importance of targeting Bisexual-specific minority stressors as well as loneliness in preventive interventions to improve the mental health of Bisexual individuals.
Richard Branstrom - One of the best experts on this subject based on the ideXlab platform.
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minority stress factors as mediators of sexual orientation disparities in mental health treatment a longitudinal population based study
Journal of Epidemiology and Community Health, 2017Co-Authors: Richard BranstromAbstract:Background Substantial mental health disparities between lesbian, gay and Bisexual (LGB) individuals compared with heterosexuals have been identified. The aim was to examine potential sexual orientation-based disparities in mental health treatment in a prospectively analysed population-based sample in Sweden and to explore potential moderators and mediators. Method 30 730 individuals from the Stockholm Public Health Cohort were followed up with questionnaires and registry-based health record data on psychiatric healthcare visits and prescription drug use between 1 January 2011 and 31 December 2011. Results In adjusted analyses, gay and lesbian individuals were more likely to receive treatment for anxiety disorders (adjusted ORs (AOR)=3.80; 95% CI 2.54 to 5.69) and to use antidepressant medication (AOR=2.13; 95% CI 1.62 to 2.79); and Bisexuals were more likely to receive treatment for mood disorders (AOR=1.58; 95% CI 1.00 to 2.48), anxiety disorders (AOR=3.23; 95% CI 2.22 to 4.72) and substance use disorders (AOR=1.91; 95% CI 1.12 to 3.25), and to use antidepressant medication (AOR=1.91; 95% CI 1.12 to 3.25) when compared with heterosexuals. The largest mental health treatment disparities based on sexual orientation were found among Bisexual women, gay men and younger lesbian women. More frequent experiences of victimisation/threat of violence and lack of social support could partially explain these disparities. Conclusions This study shows a substantially elevated risk of poor mental health among LGB individuals as compared with heterosexuals. Findings support several factors outlined in the minority stress theory in explaining the mechanisms behind these disparities.
Charlotte J Patterson - One of the best experts on this subject based on the ideXlab platform.
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sexual orientation and sexual and reproductive health among adolescent young women in the united states
Journal of Adolescent Health, 2014Co-Authors: Samantha L Tornello, Rachel G Riskind, Charlotte J PattersonAbstract:Abstract Purpose We studied sexual and reproductive health among self-identified Bisexual, lesbian, and heterosexual adolescent young women. Prior research has suggested that Bisexual and lesbian young women may be at greater risk for many negative health outcomes, including risky sexual and reproductive health behavior. Methods Using data from the U.S. nationally representative 2006–2010 National Survey of Family Growth (NSFG), we examined sexual and reproductive health among young women 15–20 years of age as a function of sexual orientation. We used logistic regression and ANCOVA to examine differences in sexual and reproductive health across groups while controlling for demographic group differences. Results Bisexual and lesbian young women reported elevated sexual and reproductive health risks. Bisexual and lesbian participants reported being younger at heterosexual sexual debut, and having more male and female sexual partners, than did heterosexual participants. Further, they were more likely than heterosexual young women to report having been forced to have sex by a male partner. Bisexual young women reported the earliest sexual debut, highest numbers of male partners, greatest use of emergency contraception, and highest frequency of pregnancy termination. Conclusions Overall, sexual minority young women—especially those who identified as Bisexual—were at higher sexual and reproductive risk than their heterosexual peers.
Karen I Fredriksengoldsen - One of the best experts on this subject based on the ideXlab platform.
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health disparities among lesbian gay and Bisexual older adults results from a population based study
American Journal of Public Health, 2013Co-Authors: Karen I Fredriksengoldsen, Hyunjun Kim, Susan E Barkan, Anna Muraco, Charles P HoyellisAbstract:Objectives. We investigated health disparities among lesbian, gay, and Bisexual (LGB) adults aged 50 years and older.Methods. We analyzed data from the 2003–2010 Washington State Behavioral Risk Factor Surveillance System (n = 96 992) on health outcomes, chronic conditions, access to care, behaviors, and screening by gender and sexual orientation with adjusted logistic regressions.Results. LGB older adults had higher risk of disability, poor mental health, smoking, and excessive drinking than did heterosexuals. Lesbians and Bisexual women had higher risk of cardiovascular disease and obesity, and gay and Bisexual men had higher risk of poor physical health and living alone than did heterosexuals. Lesbians reported a higher rate of excessive drinking than did Bisexual women; Bisexual men reported a higher rate of diabetes and a lower rate of being tested for HIV than did gay men.Conclusions. Tailored interventions are needed to address the health disparities and unique health needs of LGB older adults. Res...
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hispanic lesbians and Bisexual women at heightened risk or health disparities
American Journal of Public Health, 2012Co-Authors: Karen I FredriksengoldsenAbstract:Objectives. We investigated whether elevated risks of health disparities exist in Hispanic lesbians and Bisexual women aged 18 years and older compared with non-Hispanic White lesbians and Bisexual women and Hispanic heterosexual women.Methods. We analyzed population-based data from the Washington State Behavioral Risk Factor Surveillance System (2003–2009) using adjusted logistic regressions.Results. Hispanic lesbians and Bisexual women, compared with Hispanic heterosexual women, were at elevated risk for disparities in smoking, asthma, and disability. Hispanic Bisexual women also showed higher odds of arthritis, acute drinking, poor general health, and frequent mental distress compared with Hispanic heterosexual women. In addition, Hispanic Bisexual women were more likely to report frequent mental distress than were non-Hispanic White Bisexual women. Hispanic lesbians were more likely to report asthma than were non-Hispanic White lesbians.Conclusions. The elevated risk of health disparities in Hispanic ...
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disparities in health related quality of life a comparison of lesbians and Bisexual women
American Journal of Public Health, 2010Co-Authors: Karen I Fredriksengoldsen, Hyunjun Kim, Susan E Barkan, Kimberly F Balsam, Shawn L MincerAbstract:Objectives. We investigated the association of health-related quality of life (HRQOL) with sexual orientation among lesbians and Bisexual women and compared the predictors of HRQOL between the 2 groups.Methods. We used multivariate logistic regression to analyze Washington State Behavioral Risk Factor Surveillance System population-based data (2003 to 2007) in a sample of 1496 lesbians and Bisexual women and examined determinants of HRQOL among lesbians and Bisexual women.Results. For lesbians and Bisexual women, frequent mental distress and poor general health were associated with poverty and lack of exercise; poor general health was associated with obesity and mental distress. Bisexual women showed a higher likelihood of frequent mental distress and poor general health than did lesbians. The odds of mental distress were higher for Bisexual women living in urban areas as compared with nonurban areas. Lesbians had an elevated risk of poor general health and mental distress during midlife.Conclusions. Desp...
Ethan H. Mereish - One of the best experts on this subject based on the ideXlab platform.
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perceived discrimination coping mechanisms and effects on health in Bisexual and other non monosexual adults
Archives of Sexual Behavior, 2019Co-Authors: Emilie Doan E Van, Julie M Woulfe, Sabra L Katzwise, Ethan H. MereishAbstract:Bisexual individuals experience unique discrimination related to their sexual orientation, which may increase their risk of adverse health outcomes. The study goal was to investigate how Bisexual and other non-monosexual individuals experience discrimination, understand how they perceive discrimination to affect their health, and examine the ways in which they cope with discrimination by analyzing responses to open-ended survey questions. The sample included 442 Bisexual and other non-monosexual adults, ages 18–68 years (M = 28.97, SD = 10.30), who either reported a Bisexual identity or reported attractions to more than one gender. Gender identities included women (n = 347), men (n = 42), and transgender/non-binary individuals (n = 53); 29% of participants were currently located outside of the U.S. Participants completed an online survey, including three open-ended questions regarding their experiences with discrimination, how discrimination affects their health, and methods used to cope with discrimination. Themes related to perceived discrimination included: double discrimination of Bisexuals and other non-monosexual individuals by heterosexuals, lesbian and gay individuals; Bisexual invalidation and erasure; and sexual victimization. Themes related to the perceived effects of discrimination on health included: impact on mental health; impact on physical health; and effect of discrimination in healthcare. Themes related to coping with discrimination included: social support; resilience; and identity-specific media consumption. Findings demonstrate that Bisexual and other non-monosexual individuals’ experiences of discrimination can be additive, based on other marginalized facets of identity, including race/ethnicity, gender, and socioeconomic status. Our findings have implications for advancing Bisexual health research from an intersectionality framework.
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associations of Bisexual specific minority stress and health among cisgender and transgender adults with Bisexual orientation
Journal of Sex Research, 2017Co-Authors: Sabra L Katzwise, Ethan H. Mereish, Julie M WoulfeAbstract: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 were 488 adults (378 cisgender women, 49 cisgender men, 61 transgender individuals), age 18 to 66 years, with Bisexual orientation based on identity and/or attractions to multiple genders. 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 36-Item Short Form Survey (SF-36), as the outcome. Models controlled for demographic variables. Moderation analyses were conducted to test for gender differences. Greater Bisexual-specific minority stress significantly predicted poorer overall physical health (β = −0.16), greater pain (β = −0.16), and poorer general he...
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Bisexual-Specific Minority Stressors, Psychological Distress, and Suicidality in Bisexual Individuals: the Mediating Role of Loneliness
Prevention Science, 2017Co-Authors: Ethan H. Mereish, Sabra L. Katz-wise, Julie M WoulfeAbstract:Bisexual individuals are at higher risk for poor mental health outcomes compared to heterosexual as well as lesbian and gay individuals and experience minority stressors, such as discrimination, from both heterosexual and sexual minority communities. However, there is little research examining the negative effects of Bisexual-specific minority stressors on Bisexual individuals’ mental health as well as psychological factors that might help explain minority stressors’ deleterious effects. This research examined the effects of distal minority stressors (i.e., anti-Bisexual experiences from both heterosexual as well as lesbian and gay people) and proximal stressors (i.e., internalized heterosexism and sexual orientation concealment) on psychological distress and suicidality among Bisexual adults (N = 503). Building on the relational framing of the minority stress model, we also tested one relational factor (i.e., loneliness) as a mediator of the associations between distal and proximal minority stressors and poor mental health (i.e., psychological distress and suicidality). Structural equation modeling analyses were used to test the mediating effects of loneliness on the associations between minority stressors and psychological distress and suicidality. Although distal and proximal minority stressors were not associated with each other, loneliness mediated the effects of distal and proximal minority stressors on psychological distress and suicidality. The results of this study underscore the importance of targeting Bisexual-specific minority stressors as well as loneliness in preventive interventions to improve the mental health of Bisexual individuals.