Evidence map›Paper›PMID 31160876›Full record

ArticleCognitive and behavioral practice2019

A Multilevel Approach for Reducing Mental Health and Substance Use Disparities Affecting Bisexual Individuals.

Brian A Feinstein, Christina Dyar, John E Pachankis

Abstract read
In one paragraph

Article in Cognitive and behavioral practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Systems of Care Implications in Hawai'i: Sexual and Gender Minorities.Hawai'i journal of health & social welfare · 2022
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Improving the health of cisgender men who identify as bisexual: What do they want from interventions?Sexuality research & social policy : journal of NSRC : SR & SP · 2019
    Article
  12. Article
  13. Sexual Violence, Posttraumatic Stress, and Heterosexism in Relation to Suicide and Self-Harm Risk in Bisexual + College Students.Archives of suicide research : official journal of the International Academy for Suicide Research
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Brian A FeinsteinNorthwestern University, Feinberg School of Medicine.
Christina DyarUniversity of Cincinnati.
John E PachankisLaboratory of Epidemiology and Public Health, New Haven, CT.

Funding

A unified intervention for young gay and bisexual men's minority stress, mental health, and HIV riskR01MH109413 · NIMH · YALE UNIVERSITY · PI PACHANKIS, JOHN EDWARD · 2016 to 2020
$4.5M
Dyadic influences on HIV risk behavior and substance abuse among young men who have sex with men and their partnersF32DA042708 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FEINSTEIN, BRIAN · 2016 to 2017
$99k
NIDA NIH HHS F32 DA042708NIMH NIH HHS R01 MH109413
6 · The paper itself

Abstract

Despite bisexual individuals being at increased risk for mental health and substance use problems, clinicians' ability to provide affirmative and competent care to bisexual clients is limited by their lack of bisexual-specific training. To address this common gap in training, this article provides a brief review of bisexual health disparities and the factors that influence them. Then, we describe a multi-level approach for improving the health and well-being of bisexual individuals. This approach addresses factors that influence health at the micro-level (e.g., strategies that clinicians can use to help bisexual clients cope with stigma-related stressors), mezzo-level (e.g., adaptations to clinical environments and training programs that promote bisexual-affirmative care), and macro-level (e.g., advocating for political change and implementing strategies to reduce prejudice against bisexual individuals at the population-level). Specifically, we describe how clinicians can adapt evidence-based interventions to tailor them to the needs of their bisexual clients. Additionally, we discuss the need for bisexual-affirmative clinical training and provide recommendations for how clinical training can be adapted to prepare clinicians to work effectively with bisexual clients. Finally, we describe how population-level interventions can be used to reduce prejudice against bisexual individuals in order to reduce bisexual health disparities. Given the striking health disparities affecting bisexual individuals, there is a critical need to develop, test, and disseminate interventions to improve the health of this population and to prepare clinicians to provide bisexual-affirmative care.

Indexed as

bisexualityhealth disparitiesinterventionsprovider trainingstigma

Identifiers

PMID31160876
PMCPMC6544045

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.