Feinstein Brian A, Ford Jessie V, Lattanner Micah R, Bo Na, Tu Wanzhu, Dodge Brian
Department of Psychology, Rosalind Franklin University of Medicine and Science.
Department of Sociomedical Sciences, Columbia University Mailman School of Public Health.
Stigma Health. 2023 May;8(2):179-186. doi: 10.1037/sah0000297. Epub 2021 Apr 15.
Bisexual men are disproportionately affected by negative mental health outcomes compared to heterosexual and gay men. These disparities are related to the unique stressors that they experience, and emerging evidence suggests that their experiences of these stressors can be different depending on the gender of their partner. However, previous studies have largely focused on bisexual women and little is known about the role of partner gender in bisexual men's experiences and mental health. We examined the associations between relationship type and outness, stigma-related experiences, and mental health using data from Wave 1 of the National Study of Stigma and Sexual Health, a probability-based sample of 502 gay and bisexual men in the U.S. Analyses focused on the subset of 128 men who identified as bisexual (44.53% in relationships with women, 14.84% in relationships with men, 40.63% not in relationships). Bisexual men in relationships with men reported being more out than those in relationships with women and those who were not in relationships; furthermore, bisexual men in relationships with men reported more discrimination and family stress than those in relationships with women. Bisexual men who were not in relationships reported more anticipated and internalized stigma than those in relationships with men; additionally, bisexual men who were not in relationships reported more anticipated stigma and depression than those in relationships with women. Partner gender plays a role in bisexual men's stigma-related experiences and mental health, and efforts to improve bisexual men's health should attend to sexual orientation, relationship status, and partner gender.
与异性恋男性和男同性恋者相比,双性恋男性受负面心理健康结果的影响更大。这些差异与他们所经历的独特压力源有关,新出现的证据表明,他们对这些压力源的体验可能因伴侣性别而异。然而,以往的研究主要集中在双性恋女性身上,对于伴侣性别在双性恋男性的经历和心理健康中的作用知之甚少。我们利用美国全国耻辱与性健康研究第一波的数据,研究了关系类型与出柜程度、与耻辱相关的经历以及心理健康之间的关联。该研究是一个基于概率的样本,包括502名美国男同性恋者和双性恋男性。分析集中在128名自称双性恋的男性子集上(44.53%与女性恋爱,14.84%与男性恋爱,40.63%没有恋爱关系)。与女性恋爱的双性恋男性比与男性恋爱的双性恋男性和没有恋爱关系的双性恋男性出柜程度更低;此外,与男性恋爱的双性恋男性比与女性恋爱的双性恋男性报告了更多的歧视和家庭压力。没有恋爱关系的双性恋男性比与男性恋爱的双性恋男性报告了更多预期的和内化的耻辱感;此外,没有恋爱关系的双性恋男性比与女性恋爱的双性恋男性报告了更多预期的耻辱感和抑郁情绪。伴侣性别在双性恋男性与耻辱相关的经历和心理健康中起着作用,改善双性恋男性健康的努力应关注性取向、恋爱状况和伴侣性别。