{"title":"双性恋与医疗保健。","authors":"L E Parsons","doi":"10.1080/15299716.2020.1868036","DOIUrl":null,"url":null,"abstract":"<p><p>Using data from the fourth wave of the National Study of Adolescent Health, this paper offers a preliminary investigation of factors implicated in the physical and mental health of bisexual individuals. The roles of sleep, socioeconomic status, feelings of disrespect, and reported lack of health insurance are considered. Further, this study examines depression as a psychological stress response and systemic inflammation as a physiological stress response. Systemic inflammation in this population was estimated using the biomarker C-reactive protein (CRP). Reported acute illness in the past month and blood pressure serve as measures of physical health outcomes. Analyses revealed a pattern of elevated CRP (>3mg/L) among participants who reported no health insurance coverage. For participants who reported no health insurance coverage and identified as mostly homosexual, bisexual, or mostly heterosexual, feelings of disrespect were associated both with their sleep outcomes as well as their total household income. Moreover, linear regression showed that CRP significantly predicted blood pressure values. These analyses serve to bring health disparities and specific considerations for individuals attracted to more than one gender further into scientific conversation. Suggestions for further study of bisexual minority stress and bisexual health are offered.</p>","PeriodicalId":46888,"journal":{"name":"Journal of Bisexuality","volume":"21 1","pages":"42-56"},"PeriodicalIF":1.8000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8158302/pdf/nihms-1695603.pdf","citationCount":"0","resultStr":"{\"title\":\"Bisexuality and Health Care.\",\"authors\":\"L E Parsons\",\"doi\":\"10.1080/15299716.2020.1868036\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Using data from the fourth wave of the National Study of Adolescent Health, this paper offers a preliminary investigation of factors implicated in the physical and mental health of bisexual individuals. The roles of sleep, socioeconomic status, feelings of disrespect, and reported lack of health insurance are considered. Further, this study examines depression as a psychological stress response and systemic inflammation as a physiological stress response. Systemic inflammation in this population was estimated using the biomarker C-reactive protein (CRP). Reported acute illness in the past month and blood pressure serve as measures of physical health outcomes. Analyses revealed a pattern of elevated CRP (>3mg/L) among participants who reported no health insurance coverage. For participants who reported no health insurance coverage and identified as mostly homosexual, bisexual, or mostly heterosexual, feelings of disrespect were associated both with their sleep outcomes as well as their total household income. Moreover, linear regression showed that CRP significantly predicted blood pressure values. These analyses serve to bring health disparities and specific considerations for individuals attracted to more than one gender further into scientific conversation. Suggestions for further study of bisexual minority stress and bisexual health are offered.</p>\",\"PeriodicalId\":46888,\"journal\":{\"name\":\"Journal of Bisexuality\",\"volume\":\"21 1\",\"pages\":\"42-56\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8158302/pdf/nihms-1695603.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Bisexuality\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/15299716.2020.1868036\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/1/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"SOCIAL SCIENCES, INTERDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Bisexuality","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/15299716.2020.1868036","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/13 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"SOCIAL SCIENCES, INTERDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
摘要
本文利用第四波全国青少年健康研究的数据,对影响双性恋者身心健康的因素进行了初步调查。研究考虑了睡眠、社会经济地位、不受尊重感和据说没有医疗保险等因素的作用。此外,本研究还探讨了作为心理应激反应的抑郁和作为生理应激反应的全身炎症。使用生物标志物 C 反应蛋白(CRP)对该人群的全身炎症进行估计。过去一个月中报告的急性病和血压是衡量身体健康状况的指标。分析表明,在报告没有医疗保险的参与者中,CRP 呈上升趋势(>3 毫克/升)。对于报告没有医疗保险且自称主要是同性恋、双性恋或主要是异性恋的参与者来说,不被尊重感与他们的睡眠结果和家庭总收入都有关系。此外,线性回归显示 CRP 可显著预测血压值。这些分析有助于将健康差异和对被不止一种性别吸引的个体的具体考虑进一步引入科学对话。本文还就进一步研究双性恋少数群体压力和双性恋健康问题提出了建议。
Using data from the fourth wave of the National Study of Adolescent Health, this paper offers a preliminary investigation of factors implicated in the physical and mental health of bisexual individuals. The roles of sleep, socioeconomic status, feelings of disrespect, and reported lack of health insurance are considered. Further, this study examines depression as a psychological stress response and systemic inflammation as a physiological stress response. Systemic inflammation in this population was estimated using the biomarker C-reactive protein (CRP). Reported acute illness in the past month and blood pressure serve as measures of physical health outcomes. Analyses revealed a pattern of elevated CRP (>3mg/L) among participants who reported no health insurance coverage. For participants who reported no health insurance coverage and identified as mostly homosexual, bisexual, or mostly heterosexual, feelings of disrespect were associated both with their sleep outcomes as well as their total household income. Moreover, linear regression showed that CRP significantly predicted blood pressure values. These analyses serve to bring health disparities and specific considerations for individuals attracted to more than one gender further into scientific conversation. Suggestions for further study of bisexual minority stress and bisexual health are offered.
期刊介绍:
The Washington Quarterly (TWQ) is a journal of global affairs that analyzes strategic security challenges, changes, and their public policy implications. TWQ is published out of one of the world"s preeminent international policy institutions, the Center for Strategic and International Studies (CSIS), and addresses topics such as: •The U.S. role in the world •Emerging great powers: Europe, China, Russia, India, and Japan •Regional issues and flashpoints, particularly in the Middle East and Asia •Weapons of mass destruction proliferation and missile defenses •Global perspectives to reduce terrorism