Smith Ariel U, Bostwick Wendy B, Burke Larisa, Hequembourg Amy L, Santuzzi Alecia, Hughes Tonda L
Ariel U. Smith, Assistant Professor, University of Illinois at Chicago, College of Nursing, Population Health Nursing Science.
Wendy B. Bostwick, Associate Professor, University of Illinois at Chicago, College of Nursing, Population Health Nursing Science.
Psychol Sex Orientat Gend Divers. 2023 Dec;10(4):535-548. doi: 10.1037/sgd0000556. Epub 2022 Feb 7.
Bisexual women experience disproportionately poorer health outcomes in comparison to lesbian and gay groups, and the general population, including inequities related to mental and physical health. Although bisexual-specific health inequities are increasingly well-documented, research examining putative causes of such inequities, as well as research that accounts for differences bisexual populations - particularly among racial minorities- remains limited. To address these gaps, this paper reports findings from the Women's Daily Experiences Study (WoDES), a multi-method study that explored the relationship between microaggressions and health outcomes among racially/ethnically diverse cisgender, bisexual women in Chicago. Data from 28-day daily e-diaries ( = 2,104 observations; 99 participants, 57% women of color) were analyzed using multilevel modeling to (1) measure the frequency of microaggressions among bisexual women; (2) examine the influence of sexual orientation, racial, and gender microaggressions on mental and physical health; and (3) investigate how race influences relationships between microaggressions and health. Participants reported an average of 8.1 microaggressions in the previous 28 days, and at least one microaggression was reported for more than 42% of days ( = 802). Microaggressions of any type were associated with increased same-day negative affect and somatic complaints. Latina bisexual women experienced worse health outcomes in comparison to Black bisexual women. This study demonstrated the detrimental impact of microaggressions on the health of bisexual women and highlights the critical need for strategies on broader structural changes that could improve the health and well-being of bisexual women.
与女同性恋和男同性恋群体以及普通人群相比，双性恋女性的健康状况要差得多，包括在与身心健康相关的不平等方面。尽管针对双性恋者的健康不平等现象越来越多地得到了充分记录，但研究此类不平等现象的假定原因以及考虑双性恋人群差异（尤其是少数族裔中的差异）的研究仍然有限。为了填补这些空白，本文报告了“女性日常经历研究”（WoDES）的研究结果，这是一项多方法研究，探讨了芝加哥不同种族/族裔的顺性别双性恋女性中微侵犯与健康结果之间的关系。使用多层模型对来自28天每日电子日记的数据（n = 2104次观察；99名参与者，57%为有色人种女性）进行了分析，以（1）测量双性恋女性中微侵犯的频率；（2）研究性取向、种族和性别微侵犯对身心健康的影响；（3）调查种族如何影响微侵犯与健康之间的关系。参与者报告在过去28天中平均经历了8.1次微侵犯，超过42%的日子（n = 802）报告至少经历了一次微侵犯。任何类型的微侵犯都与当日负面影响和躯体不适的增加有关。与黑人双性恋女性相比，拉丁裔双性恋女性的健康状况更差。这项研究证明了微侵犯对双性恋女性健康的有害影响，并强调迫切需要采取策略进行更广泛的结构变革，以改善双性恋女性的健康和福祉。
