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Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals:A Systematic Review and Meta-Analysis
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Over the past decade, evidence has accumulated to suggest that bisexual people experience higher rates of poor mental health outcomes compared to both heterosexual and gay/lesbian individuals. However, no previous meta-analyses have been conducted to establish the magnitude of these disparities. To address this research gap, we conducted a systematic review and meta-analysis of studies that reported bisexual-specific data on standardized measures of depression or anxiety. Of the 1,074 full-text articles reviewed, 1,023 were ineligible, predominantly because they did not report separate data for bisexual people (n = 562 studies). Ultimately, 52 eligible studies could be pooled in the analysis. Results indicate that across both outcomes, there is a consistent pattern of lowest rates of depression and anxiety among heterosexual people, while bisexual people exhibit higher or equivalent rates in comparison to lesbian/gay people. On the basis of empirical and theoretical literature, we propose three interrelated contributors to these disparities: experiences of sexual orientation-based discrimination, bisexual invisibility/erasure, and lack of bisexual-affirmative support. Implications for interventions to improve the health and well-being of bisexual people are proposed.
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“Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people are at higher risk of mental health problems due to widespread hetero- and cisnormativity, including negative public attitudes toward the LGBTQ+ community.”
From An Internet-Based Intervention to Increase the Ability of Lesbian, Gay, and Bisexual People to Cope With Adverse Events: Single-Group Feasibility Study (2024) · cites this paper as [2]
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Sorted by citations
Borgogna, N. C., McDermott, R. C., Aita, S. L., & Kridel, M. M. (2019) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000306 · Cited by 390
Wittgens, C., Fischer, M. M., Buspavanich, P., Theobald, S., Schweizer, K., & Trautmann, S. (2022) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13405 · Cited by 327
Salway, T. J., Ross, L. E., Fehr, C. P., Burley, J. F., Asadi, S., Hawkins, B., & Tarasoff, L. A. (2018) · Archives of Sexual Behavior · doi:10.1007/s10508-018-1150-6 · Cited by 286
Self-citationLiu, R. T., Sheehan, A. E., Walsh, R. F. L., Sanzari, C. M., Cheek, S. M., & Valencia, E. M. H. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.101783 · Cited by 256
Hall, W. J., Dawes, H. C., & Plocek, N. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.753954 · Cited by 242
Metadata
- Authors
- Ross, L. E., Salway, T., Tarasoff, L. A., MacKay, J. M., Hawkins, B. W., & Fehr, C. P.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- University of Toronto (CA)
- University of British Columbia (CA)
- Corresponding author
- Ross, Lori E.
- Venue
- The Journal of Sex Research
- Publisher
- Informa UK Limited
- Published
- 2017-11-03
- Volume
- 55
- Issue
- 4-5
- Pages
- 435-456
- ISSN
- 0022-4499 (ISSN-L)
- 1559-8519
- OpenAlex
- W2765731874
- Cited by
- 617
- References
- 125
- Citations by year
- 2026: 65 · 2025: 86 · 2024: 92 · 2023: 77 · 2022: 87 · 2021: 74 · 2020: 63 · 2019: 51 · 2018: 21
- FWCI
- 5.81
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Journal of Sex Research (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Keywords
- bisexuals, depression, anxiety, sexual orientation disparities, bisexual invisibility, bisexual erasure, sexual orientation discrimination, mental health disparities
- MeSH terms
- Anxiety Disorders, Bisexuality, Depressive Disorder, Female, Humans, Male, Homosexuality, Male, Homosexuality, Female, Heterosexuality
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