Abstract
Self-identified bisexual men are at increased risk for negative health outcomes, but there are no interventions tailored to their unique needs. In order to develop interventions for this population, it is first necessary to understand their preferences. As part of a larger study, 128 cisgender men who identified as bisexual reported on their preferences for different intervention components. Large proportions of participants prioritized addressing both health (e.g., mental health, HIV/STI) and psychosocial experiences (e.g., dating/relationships, discrimination/victimization). A slightly larger proportion of participants preferred an intervention for gay and bisexual men together compared to an intervention for bisexual men only. However, those who reported more discrimination and recent female sexual partners were more likely to prefer an intervention for bisexual men only. Larger proportions of participants preferred a group intervention compared to an individual intervention and an in-person intervention compared to an online intervention. These findings highlight the importance of addressing both health and psychosocial experiences in tailored interventions for self-identified bisexual men. Further, while in-person and group interventions may appeal to larger proportions of self-identified bisexual men, the appeal of an intervention for gay and bisexual men together compared to an intervention for bisexual men only may depend on individual and social/contextual factors.
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References
Bostwick, W. B., & Dodge, B. (2018). Introduction to the special section on bisexual health: Can you see us now? Archives of Sexual Behavior., 48, 79–87. https://doi.org/10.1007/s10508-018-1370-9.
Brewster, M. E., & Moradi, B. (2010). Perceived experiences of anti-bisexual prejudice: Instrument development and evaluation. Journal of Counseling Psychology, 57, 451–468.
Brewster, M. E., Moradi, B., Deblaere, C., & Velez, B. L. (2013). Navigating the borderlands: The roles of minority stressors, bicultural self-efficacy, and cognitive flexibility in the mental health of bisexual individuals. Journal of Counseling Psychology, 60, 543–556.
Caceres, B. A., Brody, A. A., Halkitis, P. N., Dorsen, C., Yu, G., & Chyun, D. A. (2018). Sexual orientation differences in modifiable risk factors for cardiovascular disease and cardiovascular disease diagnoses in men. LGBT Health, 5, 284–294.
Chaudoir, S. R., Wang, K., & Pachankis, J. E. (2017). What reduces sexual minority stress? A review of the intervention “toolkit”. Journal of Social Issues, 73, 586–617.
Coulter, R. W., Kenst, K. S., Bowen, D. J., & Scout. (2014). Research funded by the National Institutes of Health on the health of lesbian, gay, bisexual, and transgender populations. American Journal of Public Health, 104, e105–e112.
Dodge, B., Herbenick, D., Friedman, M. R., Schick, V., Fu, T. J., Bostwick, W., & Sandfort, T. G. (2016). Attitudes toward bisexual men and women among a nationally representative probability sample of adults in the United States. PLoS One, 11, 1–18.
Dodge, B., Jeffries, W. L. t., & Sandfort, T. G. (2008). Beyond the down low: Sexual risk, protection, and disclosure among at-risk black men who have sex with both men and women (MSMW). Archives of Sexual Behavior, 37, 683–696.
Dodge, B., Schnarrs, P. W., Goncalves, G., Malebranche, D., Martinez, O., Reece, M., & Fortenberry, J. D. (2012). The significance of privacy and trust in providing health-related services to behaviorally bisexual men in the United States. AIDS Education and Prevention, 24, 242–256.
Eady, A., Dobinson, C., & Ross, L. E. (2011). Bisexual people’s experiences with mental health services: A qualitative investigation. Community Mental Health Journal, 47, 378–389.
Everett, B. G. (2013). Sexual orientation disparities in sexually transmitted infections: Examining the intersection between sexual identity and sexual beahvior. Archives of Sexual Behavior, 42, 225–236.
Feinstein, B. A., & Dyar, C. (2017). Bisexuality, minority stress, and health. Current Sexual Health Reports, 9, 42–49.
Feinstein, B. A., Dyar, C., & Pachankis, J. E. (2017). A multilevel approach for reducing mental health and substance use disparities affecting bisexual individuals. Cognitive and Behavioral Practice. https://doi.org/10.1016/j.cbpra.2017.10.003.
Feinstein, B. A., Dyar, C., Li, D. H., Whitton, S. W., Newcomb, M. E., & Mustanski, B. (2018). The longitudinal associations between outness and health outcomes among gay/lesbian versus bisexual emerging adults. Archives of Sexual Behavior. https://doi.org/10.1007/s10508-018-1221-8.
Friedman, M. R., Wei, C., Klem, M. L., Silvestre, A. J., Markovic, N., & Stall, R. (2014a). HIV infection and sexual risk among men who have sex with men and women (MSMW): A systematic review and meta-analysis. PLoS One, 9, e87139.
Friedman, M. R., Dodge, B., Schick, V., Herbenick, D., Hubach, R., Bowling, J., et al. (2014b). From bias to bisexual health dispartities: Attitudes toward bisexual men and women in the United States. LGBT Health, 1, 309–318.
Friedman, M. R., Stall, R., Plankey, M., Shoptaw, S., Herrick, A. L., Surkan, P. J., et al. (2017). Stability of bisexual behavior and extent of viral bridging behavior among men who have sex with men and women. Archives of Sexual Behavior, 46, 903–912.
Funders for LGBTQ Issues. (2016). 2016 tracking report: LGBTQ grantmaking by U.S. foundations. Retrieved from https://www.lgbtfunders.org/wp-content/uploads/2018/04/2016_Tracking_Report.pdf. Accessed 6 Dec 2018.
Harawa, N. T., Williams, J. K., McCuller, W. J., Ramamurthi, H. C., Lee, M., Shapiro, M. F., & Cunningham, W. E. (2013). Efficacy of a culturally congruent HIV risk-reduction intervention for behaviorally bisexual black men: Results of a randomized trial. AIDS, 27, 1979–1988.
Herek, G. M. (2002). Heterosexuals attitudes toward bisexual men and women in the United States. Journal of Sex Research, 39, 264–274.
Institute of Medicine. (2001) Crossing the quality chasm: A new health system for the 21st century. Washington, D.C.
James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The report of the 2015 U.S. transgender survey. Washington, DC: National Center for Transgender Equality.
Jeffries, W. L. t. (2014). Beyond the bisexual bridge: Sexual health among U.S. men who have sex with men and women. American Journal of Preventive Medicine, 47, 320–329.
Katz-Wise, S. L., Mereish, E. H., & Woulfe, J. (2017). Associations of bisexual-specific minority stress and health among cisgender and transgender adults with bisexual orientation. Journal of Sex Research, 54, 899–910.
Lever, J., Kanouse, D. E., Rogers, W. H., Carson, S., & Hertz, R. (1992). Behavior patterns and sexual identity of bisexual males. Journal of Sex Research, 29, 141–167.
MacLeod, M. A., Bauer, G. R., Robinson, M., MacKay, J., & Ross, L. E. (2015). Biphobia and anxiety among bisexuals in Ontario, Canada. Journal of Gay & Lesbian Mental Health, 19, 217–243.
McCabe, S. E., Hughes, T. L., Bostwick, W. B., West, B. T., & Boyd, C. J. (2009). Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction, 104, 1333–1345.
Mitchell, R. C., Davis, K. S., & Galupo, M. P. (2015). Comparing perceived experiences of prejudice among self-identified plurisexual individuals. Psychology & Sexuality, 6, 245–257.
Morandini, J. S., Blaszczynski, A., & Dar-Nimrod, I. (2017). Who adopts queer and pansexual sexual identities? Journal of Sex Research, 54, 911–922.
Movement Advancement Project (2017). A closer look: Bisexual trangsender people. Retrieved from http://www.lgbtmap.org/policy-and-issue-analysis/bisexual-transgender. Accessed 6 Dec 2018.
Mustanski, B., Birkett, M., Greene, G. J., Rosario, M., Bostwick, W., & Everett, B. G. (2014). The association between sexual orientation identtiy and behavior across race/ethnicity, sex, and age in a probability sample of high school students. American Journal of Public Health, 104, 237–244.
Newcomb, M. E., Macapagal, K. R., Feinstein, B. A., Bettin, E., Swann, G., & Whitton, S. W. (2017). Integrating HIV prevention and relationship education for young same-sex male couples: A pilot trial of the 2GETHER intervention. AIDS and Behavior, 21, 2464–2478.
Page, E. H. (2004). Mental health services experiences of bisexual women and bisexual men: An empirical study. Journal of Bisexuality, 4, 137–160.
Paul, R., Smith, N. G., Mohr, J. J., & Ross, L. E. (2014). Measuring dimensions of bisexual identity: Initial development of the Bisexual Identity Inventory. Psychology of Sexual Orientation and Gender Diversity, 1, 452–460.
Ross, L. E., Salway, T., Tarasoff, L. A., MacKay, J. M., Hawkins, B. W., & Fehr, C. P. (2018). Prevalence of depression and anxiety among bisexual people compared to gay, lesbian, and heterosexual individuals: A systematic review and meta-analysis. Journal of Sex Research, 55, 435–456.
Swann, G., Newcomb, M. E., & Mustanski, B. (2018). Validation of the HIV Risk Assessment of Sexual Partnerships (H-RASP): Comparison to a 2-month prospective diary study. Archives of Sexual Behavior, 47, 121–131.
Vizard, T. (2014). Measuring sexual identity in the United Kingdom. Journal of Bisexuality, 14, 524–543.
Funding
This research was supported by a grant from the National Institute on Drug Abuse (U01DA036939; PI: Mustanski). Brian A. Feinstein’s time was also supported by a grant from the National Institute on Drug Abuse (K08DA045575; PI: Feinstein). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agency.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
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Feinstein, B.A., Dodge, B., Korpak, A.K. et al. Improving the Health of Cisgender Men Who Identify as Bisexual: What Do They Want from Interventions?. Sex Res Soc Policy 16, 385–391 (2019). https://doi.org/10.1007/s13178-019-0380-2
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DOI: https://doi.org/10.1007/s13178-019-0380-2