Abstract Bisexual individuals have disproportionately higher rates of physical and mental health concerns compared to both heterosexual and gay/lesbian individuals. Few studies have examined diverse bisexual-identified men’s perceived health concerns for themselves and other bisexual men or their experiences in healthcare settings. This qualitative study explored health and healthcare experiences among cisgender and transgender bisexual men, most of whom were also men of color. Data were collected through semi-structured interviews. Participants included 31 self-identified bisexual men from the Chicago area. Participants were asked questions surrounding bisexual men’s health and healthcare experiences in general and their personal experiences, drawing connections between intersecting bisexual and racial/ethnic identities. Interview transcripts were analyzed using thematic analysis. Participants reported sexual health and mental health as the top health concerns for bisexual men. Participants viewed their bisexual identity as a motivator for seeking healthcare services and adopting safer sex practices. Mental health challenges faced by respondents were connected to bisexual stereotypes and fear of disclosing bisexual and transgender identities. Furthermore, perceptions of masculinity amongst bisexual men of color were particularly salient in connecting to their mental health experiences. The intersection of participants’ transgender and bisexual identities impacted their healthcare experiences in general healthcare settings, with many participants reporting a lack of cultural competence and provider knowledge concerning their identities. LGBTQ Federally Qualified Health Centers, however, were described as providing compassionate care. Our findings suggest the need for more interventions that account for bisexual men’s intersecting identities. Furthermore, increased provider training is necessary for providing affirmative care to bisexual men.

中文翻译：

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多元化双性恋男性自我报告的健康问题和医疗保健经验：一项探索性定性研究

摘要 与异性恋和男/女同性恋者相比，双性恋者的身心健康问题比例更高。很少有研究调查不同的双性恋男性对自己和其他双性恋男性的健康担忧或他们在医疗保健环境中的经历。这项定性研究探讨了顺性别和跨性别双性恋男性的健康和医疗保健经验，其中大多数也是有色人种。数据是通过半结构化访谈收集的。参与者包括来自芝加哥地区的 31 名自我认同的双性恋男性。参与者被问及关于双性恋男性的一般健康和医疗保健经历以及他们的个人经历的问题，在交叉的双性恋和种族/民族身份之间建立联系。使用主题分析对访谈记录进行了分析。参与者报告说，性健康和心理健康是双性恋男性最关心的健康问题。参与者将他们的双性恋身份视为寻求医疗保健服务和采用更安全的性行为的动力。受访者面临的心理健康挑战与双性恋的刻板印象以及对披露双性恋和跨性别身份的恐惧有关。此外，有色人种双性恋男性对男子气概的看法在与他们的心理健康经历有关方面尤为突出。参与者的跨性别和双性恋身份的交叉影响了他们在一般医疗保健环境中的医疗保健体验，许多参与者报告缺乏关于他们身份的文化能力和提供者知识。然而，LGBTQ 联邦合格健康中心被描述为提供富有同情心的护理。我们的研究结果表明，需要更多的干预措施来解释双性恋男性的交叉身份。此外，为了向双性恋男性提供积极关怀，需要加强提供者培训。