Beach Lauren B, Hall Casey D Xavier
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL.
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL.
J Bisex. 2020;20(3):251-272. doi: 10.1080/15299716.2020.1841478. Epub 2020 Nov 11.
Bisexual people comprise over half of all adults who identify as sexual minorities within the United States. Increasingly, population level health research has revealed that bisexual people face striking and broad-ranging health disparities compared not only to heterosexual people, but also often compared to their gay and lesbian peers. Despite the fact that bisexual people comprise an 'invisible majority' of LGBTQ people and are disproportionately impacted by poor health, the vast majority of funding dedicated to LGBTQ community organizing and to sexual and gender minority health research does not address the needs of bisexual people. Within this three-part article, we first describe how manifestations of systematic biphobia have led to the current situation where bisexual community organizations and bisexual health researchers are not granted adequate resources to address the health and health promotion of bisexual populations. In the second section, we articulate foundational ethical guiding principles and propose , a new model to inform the design, evaluation, and implementation of intersectional bisexual community engaged research to inform the development of structural bisexual-specific health equity interventions. In the last section of this paper, we present the Chicago Bisexual Health Task Force as a case study of the model in action to illustrate a real-life approach that community engaged research and advocacy initiatives can take to promote bisexual health equity. We view this article as an invitation for dialogue about how to develop best practices to advance bisexual health equity and hope that it inspires additional bisexual people, organizers, and researchers to join in these pursuits.
在美国,双性恋者占所有自认性少数群体的成年人的一半以上。越来越多的人口层面健康研究表明,双性恋者不仅与异性恋者相比,而且往往与同性恋同龄人相比,都面临着显著且广泛的健康差距。尽管双性恋者构成了 LGBTQ 群体中的“隐形多数”,且健康状况不佳对他们的影响尤为严重,但绝大多数用于 LGBTQ 社区组织以及性少数和性别少数群体健康研究的资金并未满足双性恋者的需求。在这篇分三部分的文章中,我们首先描述系统性双性恋恐惧症的表现是如何导致当前这种情况的,即双性恋社区组织和双性恋健康研究人员没有获得足够资源来解决双性恋人群的健康及健康促进问题。在第二部分,我们阐述了基本的伦理指导原则,并提出了一个新模型,以指导交叉性双性恋社区参与研究的设计、评估和实施,为制定针对双性恋者的结构性健康公平干预措施提供信息。在本文的最后一部分,我们将芝加哥双性恋健康特别工作组作为该模型实际应用的案例研究,以说明社区参与研究和倡导倡议可以采取的一种现实方法,来促进双性恋健康公平。我们将本文视为一次关于如何制定最佳实践以推进双性恋健康公平的对话邀请,并希望它能激励更多双性恋者、组织者和研究人员参与到这些追求中来。