Abstract Bisexual people are at increased risk for sexually transmitted infections (STIs), including HIV. In STI data collection, bisexual people are often miscategorized as or conflated with heterosexual or gay/lesbian people. Such poor data capture practices invisibilize bisexual people and prevent the tailoring of HIV and STI services to cater to bisexual populations. The Center on Halsted (COH) is an LGBTQ community center in Chicago. COH’s HIV & STD Services Department provides HIV testing to people who present for HIV screening services age 12 and older. COH also administers the State of Illinois AIDS, HIV, & STD Hotline. This manuscript reports HIV-related service access patterns of COH clients by sexual identity, with an emphasis on reporting patterns among bisexual and other non-monosexual (e.g., “bi+”) populations in comparison with other sexual minority populations. Among COH’s HIV testing clients who were sexual minorities in fiscal years 2018 and 2019, 15.42% in 2018 and 16.71% in 2019 identified as bisexual, respectively. Among sexual minority hotline callers, approximately one quarter (25.1% in 2018 and 28.8% in 2019) identified as bisexual. Given that bisexual individuals comprise over half of sexual minority populations, these findings indicate that bi + individuals may be under-represented in accessing HIV and STI services at COH. These results provide previously unknown insight into the sexual identities of populations accessing HIV- and STD-related services within a LGBTQ community setting. Funders of HIV and STI surveillance services should change reporting requirements to make visible the HIV services access patterns and outcomes of bisexual populations.

中文翻译：

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双性恋者在芝加哥 LGBTQ 社区中心使用性健康服务

摘要 双性恋者感染包括 HIV 在内的性传播感染 (STI) 的风险更高。在 STI 数据收集中，双性恋者经常被错误地归类为异性恋或男/女同性恋者或将其与异性恋者或同性恋者混为一谈。这种糟糕的数据获取做法使双性恋者无法察觉，并阻止针对双性恋人群量身定制 HIV 和 STI 服务。霍尔斯特德中心 (COH) 是芝加哥的一个 LGBTQ 社区中心。COH 的 HIV 和 STD 服务部为 12 岁及以上接受 HIV 筛查服务的人提供 HIV 检测。COH 还负责管理伊利诺伊州 AIDS、HIV 和 STD 热线。这份手稿按性别身份报告了 COH 客户的 HIV 相关服务获取模式，重点是双性恋和其他非单性恋（例如，“bi+”）人口与其他性少数群体的比较。在 2018 财年和 2019 财年，COH 为性少数的 HIV 检测客户中，2018 年和 2019 年分别有 15.42% 和 16.71% 被确定为双性恋。在性少数热线来电者中，大约四分之一（2018 年为 25.1%，2019 年为 28.8%）被认定为双性恋。鉴于双性恋者占性少数群体的一半以上，这些调查结果表明双性恋者在 COH 获得 HIV 和 STI 服务的人数可能不足。这些结果为了解在 LGBTQ 社区环境中获得 HIV 和 STD 相关服务的人群的性身份提供了前所未有的洞察力。