PDF(Pubmed)
Abstract：
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 within 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 (N = 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 (n = 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.
摘要：
与男女同性恋群体相比，双性恋女性的健康状况不成比例地差。和普通民众，包括与身心健康有关的不平等。尽管双性恋特定的健康不平等现象越来越有据可查，研究这种不平等的推定原因，以及解释双性恋人群内部差异的研究——特别是在少数民族之间——仍然有限。为了弥补这些差距,本文报道了女性日常经历研究(Wodes)的发现，一项多方法研究，探讨了种族/种族不同的顺式性别之间的微侵害与健康结果之间的关系，芝加哥的双性恋女性来自28天每日电子日记的数据(N=2,104观察结果；99名参与者，57％的有色女性）使用多层次建模进行分析，以（1）测量双性恋女性中微侵害的频率；（2）检查性取向的影响，种族,和性别微侵略对身心健康的影响；（3）调查种族如何影响微侵略与健康之间的关系。参与者在过去的28天中平均报告了8.1次微攻击，至少有一次微攻击超过42%天(n=802)。任何类型的微侵袭都与当天负面情绪和躯体不适的增加有关。与黑人双性恋女性相比，拉丁双性恋女性的健康状况较差。这项研究证明了微侵害对双性恋妇女健康的不利影响，并强调了对更广泛的结构变革战略的迫切需要，这些战略可以改善双性恋妇女的健康和福祉。
