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改善认同双性恋的顺性别男性的健康状况:他们希望从干预措施中获得什么?

Improving the health of cisgender men who identify as bisexual: What do they want from interventions?

作者信息

Feinstein Brian A, Dodge Brian, Korpak Aaron K, Newcomb Michael E, Mustanski Brian

机构信息

Northwestern University, Institute for Sexual and Gender Minority Health, Chicago, IL.

Indiana University School of Public Health-Bloomington, Bloomington, IN.

出版信息

Sex Res Social Policy. 2019 Sep;16(3):385-391. doi: 10.1007/s13178-019-0380-2. Epub 2019 Feb 20.

Abstract

Self-identified bisexual men are at increased risk for negative health outcomes, but there are no interventions tailored to their unique needs. In order to develop interventions for this population, it is first necessary to understand their preferences. As part of a larger study, 128 cisgender men who identified as bisexual reported on their preferences for different intervention components. Large proportions of participants prioritized addressing both health (e.g., mental health, HIV/STI) and psychosocial experiences (e.g., dating/relationships, discrimination/victimization). A slightly larger proportion of participants preferred an intervention for gay and bisexual men together compared to an intervention for bisexual men only. However, those who reported more discrimination and recent female sexual partners were more likely to prefer an intervention for bisexual men only. Larger proportions of participants preferred a group intervention compared to an individual intervention and an in-person intervention compared to an online intervention. These findings highlight the importance of addressing both health and psychosocial experiences in tailored interventions for self-identified bisexual men. Further, while in-person and group interventions may appeal to larger proportions of self-identified bisexual men, the appeal of an intervention for gay and bisexual men together compared to an intervention for bisexual men only may depend on individual and social/contextual factors.

摘要

自我认定为双性恋的男性出现负面健康结果的风险更高,但目前尚无针对其独特需求的干预措施。为了开发针对这一人群的干预措施,首先有必要了解他们的偏好。作为一项更大规模研究的一部分,128名自我认定为双性恋的顺性别男性报告了他们对不同干预组成部分的偏好。很大比例的参与者将解决健康问题(如心理健康、艾滋病毒/性传播感染)和心理社会经历(如约会/恋爱关系、歧视/受害情况)列为优先事项。与仅针对双性恋男性的干预措施相比,略大比例的参与者更倾向于针对男同性恋者和双性恋男性的联合干预措施。然而,那些报告遭受更多歧视且近期有女性性伴侣的人更有可能倾向于仅针对双性恋男性的干预措施。与个体干预相比,更大比例的参与者更喜欢团体干预;与在线干预相比,更喜欢面对面干预。这些发现凸显了在为自我认定为双性恋的男性量身定制的干预措施中解决健康和心理社会经历问题的重要性。此外,虽然面对面和团体干预可能对更大比例的自我认定为双性恋的男性有吸引力,但与仅针对双性恋男性的干预措施相比,针对男同性恋者和双性恋男性的联合干预措施的吸引力可能取决于个体和社会/背景因素。

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