Evidence map›Paper›PMID 32346545›Full record

ArticlePsychology of sexual orientation and gender diversity2020

Nonmonosexual Stress and Dimensions of Health: Within-Group Variation by Sexual, Gender, and Racial/Ethnic Identities.

Christina Dyar, Brian A Feinstein, Jasmine Stephens, Arielle Zimmerman, Michael E Newcomb, Sarah W Whitton

Abstract read
In one paragraph

Article in Psychology of sexual orientation and gender diversity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Estimating substance use disparities across intersectional social positions using machine learning: An application of group-lasso interaction network.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
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  15. A Scoping Review on the Role of Sexual Orientation and Gender Identity Microaggressions in Substance Use.International journal of sexual health : official journal of the World Association for Sexual Health · 2023
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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

6 authors.

Christina DyarInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Brian A FeinsteinInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Jasmine StephensInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Arielle ZimmermanInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Michael E NewcombInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Sarah W WhittonDepartment of Psychology, University of Cincinnati.

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Intimate Partner Violence in Sexual Minority Female Adolescents and Young AdultsR01HD086170 · NICHD · UNIVERSITY OF CINCINNATI · PI WHITTON, SARAH W · 2016 to 2020
$2.8M
Understanding Substance Use Risk among Sexual Minority WomenK01DA046716 · NIDA · OHIO STATE UNIVERSITY · PI DYAR, CHRISTINA · 2019 to 2023
$843k
Understanding and reducing HIV risk behavior and substance use among self-identified bisexual adolescent menK08DA045575 · NIDA · ROSALIND FRANKLIN UNIV OF MEDICINE & SCI · PI FEINSTEIN, BRIAN · 2018 to 2022
$837k
NCATS NIH HHS UL1 TR001422NICHD NIH HHS R01 HD086170NIDA NIH HHS K01 DA046716NIDA NIH HHS K08 DA045575
6 · The paper itself

Abstract

Non-monosexual individuals (i.e., people with attractions to more than one gender) are at heightened risk for numerous negative health outcomes compared to individuals with exclusive attractions to either same-gender or different-gender individuals. This increased risk has been linked to the unique stress non-monosexual individuals experience due to the stigmatization of non-monosexuality (i.e., monosexism). However, research with this population has rarely considered multiple intersecting stigmatized identities (e.g., gender, race/ethnicity) and has focused predominately on internalizing symptoms (i.e., anxiety/depression). The current study aimed to expand this research by taking an intersectional approach to examining a) associations between three non-monosexual stressors (enacted, internalized, and anticipated monosexism) and three dimensions of health (i.e., physical health, internalizing symptoms, substance use and problems) and b) differences in these associations and rates of non-monosexual stressors and health problems by sexual, gender, and racial/ethnic identities among a diverse sample of 360 non-monosexual individuals assigned female at birth. Results indicated that all three non-monosexual stressors were associated with the three dimensions of health for the sample as a whole. There were several notable moderators of these associations. First, enacted monosexism was more strongly associated with physical health and substance use/problems for gender minorities compared to cisgender women. Second, several interactions indicated that non-monosexual stressors were associated with poorer health for White, but not Black or Latinx, individuals. These findings highlight the importance of attending to within-group heterogeneity to understand and address the range of health disparities affecting non-monosexual individuals.

Indexed as

bisexualintersectionalitymental healthminority stressnon-monosexualphysical healthsubstance use

Identifiers

PMID32346545
PMCPMC7188068

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.