Grant: Operating Grant

Bisexual people have poorer mental health outcomes compared to lesbian, gay and heterosexual people. However, little is known about why bisexual identity is associated with poor outcomes. Recent qualitative research suggests that experiences of marginalization may contribute to these outcomes; however quantitative research is needed to confirm these findings. Similarly, bisexual people report high rates of mental health service use, but few studies have examined bisexual peoples' satisfaction with services, or mental health outcomes associated with service use. In this study, quantitative and qualitative methodology will be used to address these research gaps. A community based research approach, where bisexual people are involved in all parts of the research process will ensure relevance of the project. Specifically, the study aims: a) to measure the rates of mental health problems in bisexual people b) to examine which factors are associated with the marginalization of bisexual people c) to examine whether the marginalization experienced by bisexual people is related to mental health status d) to determine whether access to or satisfaction with mental health services is associated with mental health status e) to explore experiences with mental health services and help seeking strategies and f) to combine research results with social action to improve bisexual mental health. Respondent-driven sampling will be used to identify 800 participants from Ontario, who will complete a survey that includes assessments of mental health status, marginalization variables and mental health service use. Forty participants will be interviewed about the factors enabling them to maintain good mental health. This project will be the most comprehensive study of bisexual mental health conducted to date. It will address critical gaps in knowledge and create information that will assist health providers in the provision of optimal mental health care to bisexual people.