Williams Deana, Dodge Brian, Berger Bria, Kimbrough Alex, Bostwick Wendy B
School of Public Health, Center for Sexual Health Promotion, Indiana University, Bloomington, Indiana, USA.
School of Nursing, Department of Population Health Nursing Science, University of Illinois at Chicago, Chicago, Illinois, USA.
J Bisex. 2020;20(3):301-323. doi: 10.1080/15299716.2020.1822256. Epub 2020 Sep 28.
Bisexual individuals have disproportionately higher rates of physical and mental health concerns compared to both heterosexual and gay/lesbian individuals. Few studies have examined diverse bisexual-identified men's perceived health concerns for themselves and other bisexual men or their experiences in healthcare settings. This qualitative study explored health and healthcare experiences among cisgender and transgender bisexual men, most of whom were also men of color. Data were collected through semi-structured interviews. Participants included 31 self-identified bisexual men from the Chicago area. Participants were asked questions surrounding bisexual men's health and healthcare experiences in general and their personal experiences, drawing connections between intersecting bisexual and racial/ethnic identities. Interview transcripts were analyzed using thematic analysis. Participants reported sexual health and mental health as the top health concerns for bisexual men. Participants viewed their bisexual identity as a motivator for seeking healthcare services and adopting safer sex practices. Mental health challenges faced by respondents were connected to bisexual stereotypes and fear of disclosing bisexual and transgender identities. Furthermore, perceptions of masculinity amongst bisexual men of color were particularly salient in connecting to their mental health experiences. The intersection of participants' transgender and bisexual identities impacted their healthcare experiences in general healthcare settings, with many participants reporting a lack of cultural competence and provider knowledge concerning their identities. LGBTQ Federally Qualified Health Centers, however, were described as providing compassionate care. Our findings suggest the need for more interventions that account for bisexual men's intersecting identities. Furthermore, increased provider training is necessary for providing affirmative care to bisexual men.
与异性恋和同性恋个体相比，双性恋个体在身心健康方面存在问题的比例要高得多。很少有研究考察过不同的双性恋认同男性对自身和其他双性恋男性健康问题的认知，以及他们在医疗环境中的经历。这项定性研究探讨了顺性别和跨性别双性恋男性的健康及医疗经历，其中大多数也是有色人种男性。数据通过半结构化访谈收集。参与者包括来自芝加哥地区的31名自我认同为双性恋的男性。研究人员围绕双性恋男性的健康和医疗经历以及他们的个人经历提出问题，梳理双性恋身份与种族/族裔身份之间的交叉联系。使用主题分析法对访谈记录进行了分析。参与者报告称，性健康和心理健康是双性恋男性最主要的健康问题。参与者认为他们的双性恋身份是寻求医疗服务和采取更安全性行为的一个动力。受访者面临的心理健康挑战与双性恋刻板印象以及对披露双性恋和跨性别身份的恐惧有关。此外，有色人种双性恋男性对男子气概的认知在其心理健康经历中尤为突出。参与者的跨性别和双性恋身份的交叉影响了他们在普通医疗环境中的就医体验，许多参与者报告称，医疗服务提供者缺乏关于他们身份的文化能力和相关知识。然而， LGBTQ联邦合格健康中心被描述为提供了富有同情心的护理。我们的研究结果表明，需要采取更多考虑双性恋男性交叉身份的干预措施。此外，有必要加强医疗服务提供者的培训，以便为双性恋男性提供肯定性护理。
