Skip to main content

Advertisement

Log in

Current Intimate Relationship Status, Depression, and Alcohol Use Among Bisexual Women: The Mediating Roles of Bisexual-Specific Minority Stressors

  • Original Article
  • Published:
Sex Roles Aims and scope Submit manuscript

Abstract

Current intimate relationship characteristics, including gender and number of partner(s), may affect one’s visibility as a bisexual individual and the minority stressors they experience, which may in turn influence their health. The current study tested four hypotheses: 1) minority stressors vary by current intimate relationship status; 2) higher minority stressors are associated with higher depressive symptoms and alcohol-related outcomes; 3) depressive symptoms and alcohol-related outcomes vary by current intimate relationship status; and 4) minority stressors will mediate differences in these outcomes. Participants included 470 self-identified bisexual women (65 % Caucasian, mean age: 21) from a sample of sexual minority women recruited from different geographic regions in the United States through advertisements on social networking sites and Craigslist. Participants completed a 45 min survey. Respondents with single partners were first grouped by partner gender (male partner: n = 282; female partner: n = 56). Second, women were grouped by partner gender/number (single female/male partner: n = 338; women with multiple female and male partners: n = 132). Women with single male partners and women with multiple male and female partners exhibited elevated experienced bi-negativity and differences in outness (H1). Experienced and internalized bi-negativity were associated with health outcomes, but not outness (H2). Differences in outcomes emerged by partner number and partner number/gender (H3); these differences were mediated by experienced bi-negativity (H4). These results suggest that experiences of discrimination may underlie differences in health related to bisexual women’s relationship structure and highlight the importance of evaluating women’s relational context as well as sexual identification in understanding health risk behaviors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Almeida, J., Johnson, R. M., Corliss, H. L., Molnar, B. E., & Azrael, D. (2009). Emotional distress among LGBT youth: the influence of perceived discrimination based on sexual orientation. Journal of Youth and Adolescence, 38, 1001–1014. doi:10.1007/s10964-009-9397-9399.

    Article  PubMed Central  PubMed  Google Scholar 

  • Arnett, J. J. (2005). The developmental context of substance use in emerging adulthood. Journal of Drug Issues, 35, 235–254. doi:10.1177/002204260503500202.

    Article  Google Scholar 

  • Balsam, K. F., Beadnell, B., & Molina, Y. (2013). The daily heterosexist experiences questionnaire: measuring minority stress among lesbian, gay, bisexual, and transgender adults. Measurement and Evaluation in Counseling and Development, 46, 3–26. doi:10.1177/0748175612449743.

    Article  PubMed Central  PubMed  Google Scholar 

  • Balsam, K.F., Beadnell, B., Simoni, J.M., & Cope, L. (2008). Measuring marginalization: Minority stress among diverse LGBT adults. Poster presented at the 116th Annual Convention of the American Psychological Association, Boston, MA.

  • Balsam, K. F., & Mohr, J. J. (2007). Adaptation to sexual orientation stigma: a comparison of bisexual and lesbian/gay adults. Journal of Counseling Psychology, 54, 306–319. doi:10.1037/0022-0167.54.3.306.supp.

    Article  Google Scholar 

  • Bauermeister, J. A., Johns, M. M., Sandfort, T. G. M., Eisenberg, A., Grossman, A. H., & D’Augelli, A. R. (2010). Relationship trajectories and psychological well-being among sexual minority youth. Journal of Youth and Adolescence, 39, 1148–1163. doi:10.1007/s10964-010-9557-y.

    Article  PubMed Central  PubMed  Google Scholar 

  • Baumgardner, J. (2007). Look both ways: Bisexual politics. New York: Farrar, Straus and Giroux.

    Google Scholar 

  • Beaber, T. (2008). Well-being among bisexual females: The roles of internalized biphobia, stigma consciousness, social support, and self-disclosure. Paper presented at the 116th Annual Convention of the American Psychological Association, Boston, MA.

  • Bradford, M. (2004). The bisexual experience: living in a dichotomous culture. Journal of Bisexuality, 4, 7–23. doi:10.1300/J159v04n01_02.

    Article  Google Scholar 

  • 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. doi:10.1037/a0033224.

    Article  PubMed  Google Scholar 

  • Burton, C. M., Marshal, M. P., Chisolm, D. J., Sucato, G. S., & Friedman, M. S. (2013). Sexual minority-related victimization as a mediator of mental health disparities in sexual minority youth: a longitudinal analysis. Journal of Youth and Adolescence, 43, 394–402. doi:10.1007/s10964-012-9901-5.

    Article  Google Scholar 

  • Buu, A., Johnson, N. J., Li, R., & Tan, X. (2011). New variable selection methods for zero-inflated count data with applications to the substance abuse field. Statistics in Medicine, 30, 2326–2340. doi:10.1002/sim.4268.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cabaj, R. P. (1997). Gays, lesbians, and bisexuals. In J. H. Lowinson, P. Ruiz, R. B. Millman, & J. G. Langrod (Eds.), Substance abuse: A comprehensive textbook (pp. 725–733). Baltimore: Williams and Wilkins.

    Google Scholar 

  • Chen, P., & Jacobson, K. C. (2012). Developmental trajectories of substance use from early adolescence to young adulthood: gender and racial/ethnic differences. Journal of Adolescent Health, 50, 154–163. doi:10.1016/j.jadohealth.2011.05.013.

    Article  PubMed Central  PubMed  Google Scholar 

  • Clark, E. A. (2013). Monogamously-partnered bisexual women’s experiences of prejudice and support. Dissertation Abstracts International, 74.

  • Collins, R. L., Parks, G. A., & Marlatt, G. A. (1985). Social determinants of alcohol consumption: the effects of social interaction and model status on the self-administration of alcohol. Journal of Consulting and Clinical Psychology, 53, 189–200. doi:10.1037/0022-006X.53.2.189.

    Article  PubMed  Google Scholar 

  • Conron, K. J., Mimiaga, M. J., & Landers, S. J. (2010). A population-based study of sexual orientation identity and gender differences in adult health. American Journal of Public Health, 100, 1953–1960. doi:10.2105/AJPH.2009.174169.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cooperman, N. A., Simoni, J. M., & Lockhart, D. W. (2003). Abuse, social support, and depression among HIV-positive heterosexual, bisexual and lesbian women. Journal of Lesbian Studies, 7, 49–66. doi:10.1300/J155v07n04_04.

    Article  PubMed  Google Scholar 

  • D’Augelli, A. R., Grossman, A. H., & Starks, M. T. (2005). Parents’ awareness of lesbian, gay, and bisexual youths’ sexual orientation. Journal of Marriage and Family, 67, 474–482. doi:10.1111/j.0022-2445.2005.00129.x.

    Article  Google Scholar 

  • Diamond, L. M. (2000). Sexual identity, attractions, and behavior among young sexual-minority women over a 2-year period. Developmental psychology, 36, 241–250. doi:10.1037/0012-1649.36.2.241.

  • Diamond, L. M. (2008). Female bisexuality from adolescence to adulthood: results from a 10-year longitudinal study. Developmental psychology, 44, 5–14. doi:10.1037/0012-1649.44.1.5.

  • Dodge, B., Schnarrs, P. W., Reece, M., Goncalves, G., Martinez, O., Nix, R., & Fortenberry, J. (2012a). Community involvement among behaviourally bisexual men in the midwestern USA: experiences and perceptions across communities. Culture, Health & Sexuality, 14, 1095–1110. doi:10.1080/13691058.2012.721136.

    Article  Google Scholar 

  • Dodge, B., Schnarrs, P. W., Reece, M., Martinez, O., Goncalves, G., Malebranche, D., & Fortenberry, J. (2012b). Individual and social factors related to mental health concerns among bisexual men in the Midwestern United States. Journal of Bisexuality, 12, 223–245. doi:10.1080/15200716.2012.674862.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dyar, C., Feinstein, B. A., & London, B. (2014). Dimensions of sexual identity and minority stress among bisexual women: the role of partner gender. Psychology of Sexual Orientation and Gender Diversity, 1, 441–451. doi:10.1037/sgd0000063.

    Article  Google Scholar 

  • Feldman, S. E., & Wright, A. J. (2013). Dual impact: outness and LGB identity formation on mental health. Journal of Gay & Lesbian Social Services, 25, 443–464. doi:10.1080/10538720.2013.833066.

    Article  Google Scholar 

  • Firestein, B. A. (1996). Bisexuality: The psychology and politics of an invisible minority. Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Fox, R. (2000). Bisexuality in perspective: A review of theory and research. In B. Greene & G. L. Croom (Eds.), Education, research, and practice in lesbian, gay, bisexual, and transgendered psychology: A resource manual (pp. 161–206). Thousand Oaks: Sage Publications, Inc.

    Chapter  Google Scholar 

  • Fredriksen-Goldsen, K. I., Kim, H.-J., Barkan, S. E., Balsam, K. F., & Mincer, S. L. (2010). Disparities in health-related quality of life: a comparison of lesbians and bisexual women. American Journal of Public Health, 100, 2255–2261. doi:10.2105/AJPH.2009.177329.

    Article  PubMed Central  PubMed  Google Scholar 

  • Friedman, M. R., Stall, R., Silvestre, A. J., Mustanski, B., Shoptaw, S., Surkan, P. J., Rinaldo, C. R., & Plankey, M. W. (2014). Longitudinal HIV-related health disparities among men who have sex with men and women. Journal of Acquired Immune Deficiency Syndromes, 66, 213–220. doi:10.1097/QAI.0000000000000143.

    PubMed Central  PubMed  Google Scholar 

  • Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239. doi:10.1111/j.1467-9280.2007.01882.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Galambos, N. L., Barker, E. T., & Krahn, H. J. (2006). Depression, self-esteem, and anger in emerging adulthood: seven-year trajectories. Developmental Psychology, 42, 350–365. doi:10.1037/0012-1649.42.2.350.

    Article  PubMed  Google Scholar 

  • Galea, S., Nandi, A., & Vlahov, D. (2004). The social epidemiology of substance use. Epidemiologic Reviews, 26, 36–52. doi:10.1093/epirev/mxh007.

    Article  PubMed  Google Scholar 

  • García, E. G., Blasco, B. C., Roca, J., & Pol, A. L. P. (2010). Modelling alcohol consumption during adolescence using zero inflated negative binomial and decision trees. The European Journal of Psychology Applied to Legal Context, 2(2), 145–159.

    Google Scholar 

  • Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York: Touchstone.

    Google Scholar 

  • Goodman, M. B., & Moradi, B. (2008). Attitudes and behaviors toward lesbian and gay persons: critical correlates and mediated relations. Journal of Counseling Psychology, 55, 371–384. doi:10.1037/0022-0167.55.3.371.

    Article  Google Scholar 

  • Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730. doi:10.1037/a0016441.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hatzenbuehler, M. L., McLaughlin, K. A., Keyes, K. M., & Hasin, D. S. (2010). The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: a prospective study. American Journal of Public Health, 100, 452–459. doi:10.2105/ajph.2009.168815.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hayes, A. F. (2009). Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420. doi:10.1080/03637750903310360.

    Article  Google Scholar 

  • Hayes, A. F., & Preacher, K. J. (2010). Quantifying and testing indirect effects in simple mediation models when the constituent paths are nonlinear. Multivariate Behavioral Research, 45, 627–660. doi:10.1080/00273171.2010.498290.

    Article  Google Scholar 

  • Hequembourg, A. L., & Brallier, S. A. (2009). An exploration of sexual minority stress across the lines of gender and sexual identity. Journal of Homosexuality, 56, 273–298. doi:10.1080/00918360902728517.

    Article  PubMed  Google Scholar 

  • Herek, G. M. (2002). Heterosexuals’ attitudes toward bisexual men and women in the United States. Journal of Sex Research, 39, 264–274. doi:10.1080/00224490209552150.

    Article  PubMed  Google Scholar 

  • Herek, G. M. (2010). Sexual orientation differences as deficits: science and stigma in the history of American Psychology. Perspectives on Psychological Science, 5, 693–699. doi:10.1177/1745691610388770.

    Article  Google Scholar 

  • Herek, G. M., & Garnets, L. D. (2007). Sexual orientation and mental health. Annual Review of Clinical Psychology, 3, 353–375. doi:10.1146/annurev.clinpsy.3.022806.091510.

    Article  PubMed  Google Scholar 

  • Herek, G. M., Gillis, J. R., & Cogan, J. C. (2009). Internalized stigma among sexual minority adults: insights from a social psychological perspective. Journal of Counseling Psychology, 56, 32–43. doi:10.1037/a0014672.

    Article  Google Scholar 

  • Hightow-Weidman, L. B., Phillips, G., Jones, K. C., Outlaw, A. Y., Fields, S. D., & Smith, J. C. (2011). Racial and sexual identity-related maltreatment among minority YMSM: prevalence, perceptions, and the association with emotional distress. AIDS Patient Care and STDs, 25(Suppl 1), S39–S45. doi:10.1089/apc.2011.9877.

    Article  PubMed  Google Scholar 

  • Hughes, T. L., & Eliason, M. (2002). Substance use and abuse in lesbian, gay, bisexual and transgender populations. The Journal of Primary Prevention, 22, 263–298. doi:10.1023/A:1013669705086.

    Article  Google Scholar 

  • Israel, T., & Mohr, J. J. (2004). Attitudes toward bisexual women and men: current research, future directions. Journal of Bisexuality, 4, 117–134. doi:10.1300/J159v04n01_09.

    Article  Google Scholar 

  • Jorm, A. F., Korten, A. E., Rodgers, B., Jacomb, P. A., & Christensen, H. (2002). Sexual orientation and mental health: results from a community survey of young and middle-aged adults. The British Journal of Psychiatry, 180, 423–427. doi:10.1192/bjp.180.5.423.

    Article  PubMed  Google Scholar 

  • King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8. doi:10.1186/1471-244X-8-70.

  • Klesse, C. (2005). Bisexual women, non-monogamy and differentialist anti-promiscuity discourses. Sexualities, 8, 445–464. doi:10.1177/1363460705056620.

    Article  Google Scholar 

  • Klesse, C. (2006). Polyamory and its ‘Others’: contesting the terms of non-monogamy. Sexualities, 9, 565–583. doi:10.1177/1363460706069986.

    Article  Google Scholar 

  • Kuyper, L., & Fokkema, T. (2011). Minority stress and mental health among Dutch LGBs: examination of differences between sex and sexual orientation. Journal of Counseling Psychology, 58, 222–233. doi:10.1037/a0022688.

    Article  PubMed  Google Scholar 

  • Leonard, W., Pitts, M., Mitchell, A., Lyons, A., Smith, A., Patel, S., Couch, M. & Barrett, A. (2012). Private Lives 2: The second national survey of the health and wellbeing of gay, lesbian, bisexual and transgender (GLBT) Australians. Monograph Series Number 86. Melbourne: The Australian Research Centre in Sex, Health & Society, La Trobe University.

  • Lewis, R. J., Derlega, V. J., Brown, D., Rose, S., & Henson, J. M. (2009). Sexual minority stress, depressive symptoms, and sexual orientation conflict: focus on the experiences of bisexuals. Journal of Social and Clinical Psychology, 28, 971–992. doi:10.1521/jscp.2009.28.8.971.

    Article  Google Scholar 

  • Li, T., Dobinson, C., Scheim, A. I., & Ross, L. E. (2013). Unique issues bisexual people face in intimate relationships: a descriptive exploration of lived experience. Journal of Gay & Lesbian Mental Health, 17, 21–39. doi:10.1080/19359705.2012.723607.

    Article  Google Scholar 

  • Lorant, V., Delige, D., Eaton, W., Robert, A., Philippot, P., & Ansseau, M. (2003). Socioeconomic inequalities in depression: a meta-analysis. American Journal of Epidemiology, 157, 98–112. doi:10.1093/aje/kwf182.

    Article  PubMed  Google Scholar 

  • Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876. doi:10.2105/AJPH.91.11.1869.

    Article  PubMed Central  PubMed  Google Scholar 

  • McLean, K. (2008). Inside, outside, nowhere: bisexual men and women in the gay and lesbian community. Journal of Bisexuality, 8, 63–80. doi:10.1080/15299710802143174.

    Article  Google Scholar 

  • Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56. doi:10.2307/2137286.

    Article  PubMed  Google Scholar 

  • Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. doi:10.1037/0033-2909.129.5.674.

    Article  PubMed Central  PubMed  Google Scholar 

  • Midanik, L. T., Drabble, L., Trocki, K., & Sell, R. L. (2007). Sexual orientation and alcohol use: identity versus behavior measures. Journal of LGBT Health Research, 3, 25–35. doi:10.1300/J463v03n01_04.

    Article  PubMed  Google Scholar 

  • Mint, P. (2004). The power dynamics of cheating: effects on polyamory and bisexuality. Journal of Bisexuality, 4, 55–76. doi:10.1300/J159v04n03_04.

    Article  Google Scholar 

  • Mohr, J., & Fassinger, R. (2000). Measuring dimensions of lesbian and gay male experience. Measurement and Evaluation in Counseling and Development, 33, 66–90.

    Google Scholar 

  • Moleiro, C., Pinto, N., & Freire, J. (2013). Effects of age on spiritual well-being and homonegativity: religious identity and practices among LGB persons in Portugal. Journal of Religion, Spirituality & Aging, 25, 93–111. doi:10.1080/15528030.2012.741561.

    Article  Google Scholar 

  • Moore, D. L., & Norris, F. H. (2005). Empirical investigation of the conflict and flexibility models of bisexuality. Journal of Bisexuality, 5, 5–25. doi:10.1300/J159v05n01_02.

    Article  Google Scholar 

  • Morris, J. F., Waldo, C. R., & Rothblum, E. D. (2001). A model of predictors and outcomes among lesbian and bisexual women. American Journal of Orthopsychiatry, 71, 61–71. doi:10.1037/0002-9432.71.1.61.

    Article  PubMed  Google Scholar 

  • Mulick, P. S., & Wright, L. W. (2002). Examining the existence of biphobia in the heterosexual and homosexual populations. Journal of Bisexuality, 2, 45–64. doi:10.1300/J159v02n04_03.

    Article  Google Scholar 

  • Ochs, R. (1996). Biphobia: It goes more than two ways. In B. A. Firestein (Ed.), Bisexuality: The psychology and politics of an invisible minority (pp. 217–239). Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Ochs, R. (2007). What’s in a name? Why women embrace or resist bisexual identity. In B. A. Firestein (Ed.), Becoming visible: Counseling bisexuals across the lifespan (pp. 72–86). New York: Columbia University Press.

    Google Scholar 

  • Parrott, D. J., & Gallagher, K. E. (2008). What accounts for heterosexual women’s negative emotional responses to lesbians? Examination of traditional gender role beliefs and sexual prejudice. Sex Roles, 59, 229–239. doi:10.1007/s11199-008-9436-0.

    Article  Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. doi:10.3758/BRM.40.3.879.

    Article  PubMed  Google Scholar 

  • Preacher, K. J., & Kelley, K. (2011). Effect size measures for mediation models: quantitative strategies for communicating indirect effects. Psychological Methods, 16, 93–115. doi:10.2307/2094445.

    Article  PubMed  Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi:10.1177/014662167700100306.

    Article  Google Scholar 

  • Read, J. P., Kahler, C. W., Strong, D. R., & Colder, C. R. (2006). Development and preliminary validation of the Young Adult Alcohol Consequences Questionnaire. Journal of Studies on Alcohol, 67, 169–177. doi:10.15288/jsa.2006.67.169.

    Article  PubMed  Google Scholar 

  • Riggle, E. D. B., Rostosky, S. S., & Horne, S. G. (2010). Psychological distress, well-being, and legal recognition in same-sex couple relationships. Journal of Family Psychology, 24, 82–86. doi:10.1037/a0017942.

    Article  PubMed  Google Scholar 

  • Robinson, M. (2013). Polyamory and monogamy as strategic identities. Journal of Bisexuality, 13, 21–38. doi:10.1080/15299716.2013.755731.

    Article  Google Scholar 

  • Ross, L. E., Dobinson, C., & Eady, A. (2010). Perceived determinants of mental health for bisexual people: a qualitative examination. American Journal of Public Health, 100, 496–502. doi:10.2105/AJPH.2008.156307.

    Article  PubMed Central  PubMed  Google Scholar 

  • Ross, L. E., Siegel, A., Dobinson, C., Epstein, R., & Steele, L. S. (2012). “I don’t want to turn totally invisible”: mental health, stressors, and supports among bisexual women during the perinatal period. Journal of GLBT Family Studies, 8, 137–154. doi:10.1080/1550428X.2012.660791.

    Article  Google Scholar 

  • Rust, P. C. (1993). “Coming out” in the age of social constructionism: sexual identity formation among lesbian and bisexual women. Gender and Society, 7, 50–77. doi:10.1177/089124393007001004.

    Article  Google Scholar 

  • Rust, P. C. (1996). Managing multiple identities: Diversity among bisexual women and men. In B. A. Firestein (Ed.), Bisexuality: The psychology and politics of an invisible minority (pp. 53–83). Thousand Oaks: Sage Publications, Inc.

    Google Scholar 

  • Rust, P. C. (2000). Two many and not enough: the meanings of bisexual identities. Journal of Bisexuality, 1, 31–68. doi:10.1300/J159v01n01_04.

    Article  Google Scholar 

  • Rust, P. C. R. (2002). Bisexuality: the state of the union. Annual Review of Sex Research, 13, 180–240. doi:10.1080/10532528.2002.10559805.

    PubMed  Google Scholar 

  • Samji, T. (2008). Bi and in love: a phenomenological inquiry into the committed couple relationships of bisexual women. Dissertation Abstracts International, 68, 4844.

    Google Scholar 

  • Sarno, E., & Wright, A. J. (2013). Homonegative microaggressions and identity in bisexual men and women. Journal of Bisexuality, 13, 63–81. doi:10.1080/15299716.2013.756677.

    Article  Google Scholar 

  • Schrimshaw, E. W., Siegel, K., Downing, M. J., Jr., & Parsons, J. T. (2013). Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally bisexual men. Journal of Consulting and Clinical Psychology, 81, 141–153. doi:10.1037/a0031272.

    Article  PubMed Central  PubMed  Google Scholar 

  • Schurr, B. J. (2013). Empirical validation of a model of sexual minority identity formation. Dissertation Abstracts International, 74.

  • Shilo, G., & Savaya, R. (2012). Mental health of lesbian, gay, and bisexual youth and young adults: differential effects of age, gender, religiosity, and sexual orientation. Journal of Research on Adolescence, 22, 310–325. doi:10.1111/j.1532-7795.2011.00772.x.

    Article  Google Scholar 

  • Steffens, M. C., & Wagner, C. (2004). Attitudes toward lesbians, gay men, bisexual women, and bisexual men in Germany. Journal of Sex Research, 41, 137–149. doi:10.1080/00224490409552222.

    Article  PubMed  Google Scholar 

  • Swearingen, C. E. (2007). The role of internalized homophobia, sexual orientation concealment and social support in eating disorders and body image disturbances among lesbian, gay and bisexual individuals (Unpublished doctoral dissertation). University of Oregon, Eugene, OR.

  • Szymanski, D. M., & Carr, E. R. (2008). The roles of gender role conflict and internalized heterosexism in gay and bisexual men’s psychological distress: testing two mediation models. Psychology of Men & Masculinity, 9, 40–54. doi:10.1037/1524-9220.9.1.40.

    Article  Google Scholar 

  • Turner, R. J., & Gil, A. G. (2002). Psychiatric and substance use disorders in South Florida: racial/ethnic and gender contrasts in a young adult cohort. Archives of General Psychiatry, 59, 43–50. doi:10.1001/archpsyc.59.1.43.

    Article  PubMed  Google Scholar 

  • Waldo, C. R. (1999). Working in a majority context: a structural model of heterosexism as minority stress in the workplace. Journal of Counseling Psychology, 46, 218–232. doi:10.1037/0022-0167.46.2.218.

    Article  Google Scholar 

  • Weber, A. (2002). Who are we? And other interesting impressions. Loving More, 30, 4–6.

    Google Scholar 

  • Weber, G. N. (2008). Using to numb the pain: substance use and abuse among lesbian, gay and bisexual individuals. Journal of Mental Health Counseling, 30, 31–48.

    Article  Google Scholar 

  • Weitzman, G. (2006). Therapy with clients who are bisexual and polyamorous. Journal of Bisexuality, 6, 137–164. doi:10.1300/J159v06n01_08.

    Article  Google Scholar 

  • Whitley, B. E., Jr. (2001). Gender-role variables and attitudes toward homosexuality. Sex Roles, 45, 691–721. doi:10.1023/A:1015640318045.

    Article  Google Scholar 

  • Whitley, B. E., Jr., & Ægisdóttir, S. (2000). The gender belief system, authoritarianism, social dominance orientation, and heterosexuals’ attitudes toward lesbians and gay men. Sex Roles, 42, 947–967. doi:10.1023/A:1007026016001.

    Article  Google Scholar 

  • Wight, R. G., Leblanc, A. J., & Lee Badgett, M. V. (2013). Same-sex legal marriage and psychological well-being: findings from the California Health Interview Survey. American Journal of Public Health, 103, 339–346. doi:10.2105/ajph.2012.301113.

    Article  PubMed Central  PubMed  Google Scholar 

  • Williams, T., Connolly, J., Pepler, D., & Craig, W. (2005). Peer victimization, social support, and psychosocial adjustment of sexual minority adolescents. Journal of Youth and Adolescence, 34, 471–482. doi:10.1007/s10964-005-7264-x.

    Article  Google Scholar 

  • Yost, M. R., & Thomas, G. D. (2012). Gender and binegativity: Men’s and women’s attitudes toward male and female bisexuals. Archives of Sexual Behavior, 41, 691–702. doi:10.1007/s10508-011-9767-8.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by the National Institute on Alcohol Abuse and Alcoholism (R01AA018292; PI: Kaysen, DL; trainee DEL - NIAAA T32 AA007459 PI: Monti) and the National Cancer Institute (trainee YM - R25 CA92408; PI: Patrick D). We would like to thank Keren Lehavot and Deva Wells for their thoughts during early stages of this project.

Compliance with Ethical Standards

The authors have no conflicts of interest to disclose. This research involves human participants and has been approved by the Institutional Review Board at the University of Washington. All participants read and completed informed consent prior to participation in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yamile Molina.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Molina, Y., Marquez, J.H., Logan, D.E. et al. Current Intimate Relationship Status, Depression, and Alcohol Use Among Bisexual Women: The Mediating Roles of Bisexual-Specific Minority Stressors. Sex Roles 73, 43–57 (2015). https://doi.org/10.1007/s11199-015-0483-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11199-015-0483-z

Keywords

Navigation