Don't forget the "b": considering bisexual students and their specific health needs

Sexual Coercion, Drinking to Cope Motives, and Alcohol-Related Consequences among Self-Identified Bisexual Women

BACKGROUND

Given higher sexual victimization and greater alcohol use among bisexual women, a critical public health challenge is to understand within-group variation that may heighten or explain these associations in bisexual women.

OBJECTIVES

The present study tested a moderated-mediation model in which sexual coercion was hypothesized to be associated with alcohol-related consequences via drinking to cope motives in self-identified bisexual women who reported at least occasional binge drinking. Negative affect was hypothesized to moderate the sexual coercion-drinking to cope motives association.

METHODS

Participants were a community sample of 107 self-identified bisexual women (age M = 20.97, SD = 2.11) who completed an online survey and reported at least one binge drinking episode as well as engaging in sexual activity in the past 30 days.

RESULTS

Of these participants, 57 (53.3%) reported one or more experiences of sexual coercion in the past 30 days. Sexual coercion was associated with negative alcohol-related consequences via drinking to cope motives. Negative affect moderated the association between sexual coercion and drinking to cope motives such that the association was stronger among women with greater negative affect. Conclusions/Importance: Methods of addressing vulnerability to sexual coercion and educating young bisexual women about the association between sexual coercion and potentially problematic affective coping through alcohol use are needed.

Non-Monosex Research Publication in U.S.-Based Social Work Journals Between 2008-2016

An estimated 4% of men and 9% of women identify as non-monosex, a term for sexual identities outside of the heterosexual/homosexual binary, such as bisexual, pansexual, polysexual, and asexual. In addition to experiences of oppression shared with all sexual minorities, non-monosex-identifying persons face additional issues of monosex bias in their personal lives, in mass media, and in research. Despite social work's commitment to issues of social justice and inclusion, prior reviews of the literature have indicated a gap in research on non-monosex-identifying persons, which can lead to inappropriate clinical practices and continued stigmatization. The authors of this article examined the state of social work literature on non-monosex-identifying persons through a systematic review and content analysis of primary-study data-based publications from 2008 to 2016 in 24 social work journals based in the United States. Only four articles were found that met the inclusion criteria, and while 31% of the 357 total study participants identified as non-monosex, a content analysis showed subtle forms of monosex bias in the reporting of study results, such as collapsing of gay/lesbian participants with non-monosex participants and the use of marginalizing language. Implications and suggestions for future social work researchers are discussed.

An Exploratory Study of Teen Dating Violence in Sexual Minority Youth

Objective

Teen dating violence (TDV) represents a serious social problem in adolescence and is associated with a host of physical and emotional consequences. Despite advances in identification of risk factors, prevention efforts, and treatment, the TDV literature has overwhelmingly used samples that do not assess sexual orientation or assume heterosexuality. Although a few studies have explicitly examined dating violence among sexual minorities in adolescents, methodological issues limit the generalizability of these findings, and no study to date has examined patterns of dating violence over time in sexual minority youth.

Method

An ethnically diverse sample of 782 adolescents completed self-report measures of dating violence, hostility, alcohol use, exposure to interparental violence, and sexual orientation.

Results

Sexual minority adolescents reported higher rates of both TDV perpetration and victimization, and this finding persisted across 2 years for perpetration but not victimization. Findings also revealed that traditional risk factors of TDV (i.e., alcohol use, exposure to interparental violence) were not associated with TDV for sexual minority youth, although sexual orientation itself emerged as a risk factor over and above covariates when considering severe (i.e., physical and sexual) dating violence perpetration.

Conclusions

Sexual minorities may be at a greater risk for TDV than their heterosexual peers. Findings are discussed within the context of a minority stress model. Future research is needed to parse out factors specifically related to sexual orientation from a stressful or invalidating environment.

Impediments to academic performance of bisexual college students

OBJECTIVE

To investigate health-related impediments to academic success for bisexual college students.

PARTICIPANTS

Respondents to the Fall 2011 American College Health Association-National College Health Assessment II (ACHA-NCHA II) survey who self-identified as bisexual, heterosexual, gay, or lesbian.

METHODS

Secondary analyses of the ACHA-NCHA II data were conducted to compare the experiences of bisexual students with both each other (bisexual men and bisexual women) and those of their nonbisexual counterparts (heterosexual and gay/lesbian students).

RESULTS

Bisexual college students are a large and distinct sexual minority group. On all measures with the exception of discrimination, bisexual college students reported the strongest threats to academic success of all sexual orientations.

CONCLUSIONS

Given the unique impediments for bisexual students, college health professionals should consider specifically addressing needs for bisexual students, bisexual women in particular.

An examination of drinkers' consequences by sexual orientation

OBJECTIVE

This study examined college student drinkers by sexual orientation (SO), alcohol use, and negative consequences in a national sample that self-identified gender and SO.

PARTICIPANTS

Students completing the Spring 2005 National College Health Assessment (N = 54,111).

METHODS

A secondary analysis was conducted examining student responses by SO to items regarding negative consequences associated with alcohol.

RESULTS

Bisexual students had the highest mean scores on an index of alcohol-related harm. Significant differences were found by SO among male high-risk drinkers for alcohol-related consequences of "fighting" and "injuring another," and females for "injuring another" and "unprotected sex." Bisexual students had significantly greater than expected cell counts for significant results, including a significant finding for bisexual low-risk female students for alcohol-related "regret."

CONCLUSION

These findings suggest that more research is necessary to discern real differences in alcohol-related risk among college students by sexual orientation.