Risk and Protective Factors for Sexual Health Outcomes Among Black Bisexual Men in the U.S.: Internalized Heterosexism, Sexual Orientation Disclosure, and Religiosity

Risk and Protective Factors for Sexual Health Outcomes Among Black Bisexual Men in the U.S.:... Bisexual individuals are oftentimes at higher risk for negative sexual health outcomes compared to their heterosexual, gay, and lesbian counterparts. Racial minorities, who may experience double minority stress, may be at particular risk for a sexually transmitted infection (STI) and HIV. Some studies have considered protective factors that ameliorate negative health out- comes; yet, few focus on especially vulnerable populations. We analyzed a sample of 225 Black bisexual men (M = 36 years, age SD = 12) from Atlanta to explore how combinations of risk (internalized heterosexism) and protective (sexual identity disclo- sure to community, disclosure to family, and religiosity) factors were related to sexual health outcomes post-baseline during a 1-year follow-up period: any self-reported STI, chlamydia/gonorrhea diagnosis, and HIV diagnosis. We used probability profiling methodology to report the probabilities that a Black bisexual man would report an STI or HIV diagnosis with various combinations and profiles of risk/protective factors. We found that higher levels of internalized heterosexism were significantly related to higher odds of all sexual health outcomes. Disclosure to community was related to much lower risk of all outcomes, whereas disclosure to family was associated with lower odds of self-reported STIs over time. Religiosity was related to lower http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Sexual Behavior Springer Journals

Risk and Protective Factors for Sexual Health Outcomes Among Black Bisexual Men in the U.S.: Internalized Heterosexism, Sexual Orientation Disclosure, and Religiosity

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Publisher
Springer US
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Psychology; Sexual Behavior; Public Health; Social Sciences, general
ISSN
0004-0002
eISSN
1573-2800
D.O.I.
10.1007/s10508-018-1216-5
Publisher site
See Article on Publisher Site

Abstract

Bisexual individuals are oftentimes at higher risk for negative sexual health outcomes compared to their heterosexual, gay, and lesbian counterparts. Racial minorities, who may experience double minority stress, may be at particular risk for a sexually transmitted infection (STI) and HIV. Some studies have considered protective factors that ameliorate negative health out- comes; yet, few focus on especially vulnerable populations. We analyzed a sample of 225 Black bisexual men (M = 36 years, age SD = 12) from Atlanta to explore how combinations of risk (internalized heterosexism) and protective (sexual identity disclo- sure to community, disclosure to family, and religiosity) factors were related to sexual health outcomes post-baseline during a 1-year follow-up period: any self-reported STI, chlamydia/gonorrhea diagnosis, and HIV diagnosis. We used probability profiling methodology to report the probabilities that a Black bisexual man would report an STI or HIV diagnosis with various combinations and profiles of risk/protective factors. We found that higher levels of internalized heterosexism were significantly related to higher odds of all sexual health outcomes. Disclosure to community was related to much lower risk of all outcomes, whereas disclosure to family was associated with lower odds of self-reported STIs over time. Religiosity was related to lower

Journal

Archives of Sexual BehaviorSpringer Journals

Published: Jun 1, 2018

References

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