The Problem With ‘Behavioral Bisexuality': Assessing Sexual Orientation in Survey Research

Bauer, Greta R.; Brennan, David J.

doi:10.1080/15299716.2013.782260

Cited by 59 publications

(48 citation statements)

References 43 publications

(61 reference statements)

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“…38 However, a lifetime measure of bisexual behavior could also result in misclassification bias, particularly among older participants who may have had sex with a woman in their youth, but have only had sex with men since then. There may be factors inherently different about men who did not immediately recognize their orientation, but came to that conclusion later in life, that lead to increased vulnerability for IPV.…”

Section: Discussionmentioning

confidence: 99%

Intimate Partner Violence and Correlates With Risk Behaviors and HIV/STI Diagnoses Among Men Who Have Sex With Men and Men Who Have Sex With Men and Women in China

Davis

Best

Wei

et al. 2015

Sexually Transmitted Diseases

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Background Intimate partner violence (IPV) research has primarily focused on heterosexual couples, but has largely ignored IPV among men who have sex with men (MSM). We examined IPV prevalence among MSM and men who have sex with men and women (MSMW) in China. Methods MSM over the age of 16 were recruited through three MSM-focused websites in China. An online survey containing items on sociodemographics, risk behaviors, IPV, and self-reported HIV or STI diagnosis was completed. Multivariate regression was used to examine associations between IPV and risk behaviors and an HIV or STI diagnosis. Results Among 610 participants, 182 (29.8%) reported experiencing at least one type of IPV. MSMW were at significantly greater risk for IPV (adjusted odds ratio (AOR) 1.65, 95% CI [1.08–2.53]) compared to MSM. Men who had experienced IPV were more likely to have participated in group sex (AOR 1.86, 95% CI [1.08–3.21]), to have had sex in exchange for gifts or money (AOR 5.06, 95% CI [2.47–10.35]), and to report a positive HIV diagnosis (AOR 2.59, 95% CI [1.22–5.51]). Conclusions There is a hidden epidemic of IPV among MSM in China, especially among MSMW. The hidden nature of MSM and MSMW suggests the need for a clinical environment more conducive to disclosure. Research is needed to understand the pathways linking IPV and HIV risk among MSM in order to optimize the design of effective interventions.

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Section: Discussionmentioning

confidence: 99%

Intimate Partner Violence and Correlates With Risk Behaviors and HIV/STI Diagnoses Among Men Who Have Sex With Men and Men Who Have Sex With Men and Women in China

Davis

Best

Wei

et al. 2015

Sexually Transmitted Diseases

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“…For example, non-monosexual categories may be defined on the basis of self-identity, sexual behaviour across a particular time period, or self-reported sexual attraction. Each of these definitions will capture a different group of women, 9,10 and may include women with a variety of sexual orientation identities, women who are currently partnered with people of various genders, and women who have recently, historically, or never had same-sex partners. It is therefore possible that subgroups of non-monosexual women are differentially at risk for poor mental health outcomes.…”

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confidence: 99%

Characterizing non-monosexual women at risk for poor mental health outcomes: A mixed methods study

Ross

Manley

Goldberg

et al. 2017

Can J Public Health

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OBJECTIVES: Non-monosexual women -those who report attraction to or sexual relationships with individuals of more than one gender -have elevated risk for poor mental health outcomes. We aimed to examine which elements of non-monosexual experience are associated with this elevated risk. METHODS:We conducted a sequential exploratory mixed methods analysis of qualitative interview and survey data from 39 non-monosexual women recruited consecutively through prenatal care providers. Qualitative analyses identified distinguishing features, and quantitative analyses tested associations between these features and mental health symptoms.RESULTS: Nine qualitative themes were identified to describe distinguishing features of non-monosexual women. Of these, current and past five years partner gender, lack of LGBTQ community connection, and low centrality of sexual minority identity were associated with anxiety symptoms. Latent class analysis revealed significantly higher levels of anxiety symptoms among non-monosexual women partnered with men relative to those partnered with women.CONCLUSION: Sexual minority women who partner with men may be particularly at risk for poor mental health. Considering this group's invisibility in public health research and practice, interventions are needed to address this disparity.KEY WORDS: Bisexuality; mental health; qualitative research; questionnaire design La traduction du résumé se trouve à la fin de l'article.Can J Public Health 2017;108(3):e296-e305 doi: 10.17269/CJPH.108.5884 S exual minority women (SMW; e.g., lesbian, bisexual) report higher rates of mental health problems compared to heterosexual women, 1,2 and bisexual women in particular report higher rates of poor outcomes than both lesbian and heterosexual women. 3,4 More limited evidence suggests that these disparities also extend to people of other sexual identities who report sexual attraction to or behaviour with both men and women. For example, studies have found elevated levels of outcomes such as psychological distress among "mostly heterosexual" individuals. 5,6 Considering that the identified health disparities appear to be associated with a variety of sexual orientation self-identities (including bisexual, mostly heterosexual, and queer, among others), recent research has turned to trying to understand the health status and predictors for the broader group of individuals reporting sexual attraction to and/or behaviour with both men and women -a group that has been collectively termed non-monosexual 7 or plurisexual 8 people.One challenge to this emerging body of research is the diversity of experience that is included within non-monosexual groupings. For example, non-monosexual categories may be defined on the basis of self-identity, sexual behaviour across a particular time period, or self-reported sexual attraction. Each of these definitions will capture a different group of women, 9,10 and may include women with a variety of sexual orientation identities, women who are currently partnered with people of va...

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“…Whether nonmonosexuality is categorized by identity or behavior, researchers consistently report higher rates of negative mental and physical health outcomes among nonmonosexual people in contrast to our monosexual peers, though how nonmonosexuality is conceptualized within research affects the overall outcomes (Bauer & Brennan, 2013). Like with income inequality, the umbrella in this case may provide a platform for a critical mass of nonmonosexual people to advocate for health policy makers, researchers, and health care service providers to consider the specific needs of non-monosexual people.…”

Section: Bisexual Umbrella Benefitsmentioning

confidence: 99%

Under the Bisexual Umbrella: Diversity of Identity and Experience

Flanders¹

2017

Journal of Bisexuality

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The Problem With ‘Behavioral Bisexuality': Assessing Sexual Orientation in Survey Research

Cited by 59 publications

References 43 publications

Intimate Partner Violence and Correlates With Risk Behaviors and HIV/STI Diagnoses Among Men Who Have Sex With Men and Men Who Have Sex With Men and Women in China

Intimate Partner Violence and Correlates With Risk Behaviors and HIV/STI Diagnoses Among Men Who Have Sex With Men and Men Who Have Sex With Men and Women in China

Characterizing non-monosexual women at risk for poor mental health outcomes: A mixed methods study

Under the Bisexual Umbrella: Diversity of Identity and Experience

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