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According to the Federal Bureau of Investigation's most recent hate crime statistics report , of the 7,036 single-bias incidents reported in 2018, 1,196 were targeted based on their sexual orientation. Among the 1,196 targeted based on sexual orientation, 21 incidents were specifically anti-bisexual. A hate crime intentionally singles out a victim based on real or perceived identities. A hate crime is one form of victimization. Victimization is any damage or harm inflicted by one individual onto another. Victimization may be motivated by many factors; one such factor is the identity of the victim. Identity-based victimization is distinct because the inflicted act of damage or harm impacts an individual who experiences systemic marginalization. In the case of sexual minority individuals, this systemic marginalization is heterosexism. Heterosexism is a process whereby systems of power privilege the relationships, behaviors, actions, and identity of one group while stigmatizing, minimizing, and denying others.
Heterosexism is witnessed within the broader society and between individuals. Societal heterosexism is evident within institutions of power and cultural norms. The lack of protection against workplace discrimination for sexual minority individuals is one example of societal-based heterosexism. Heterosexism at the individual level may manifest both psychologically and behaviorally. Psychological heterosexism occurs internally and involves dislike, rejection, and hostility towards sexual minority individuals. Psychological heterosexism may be internal or external. Interpersonal heterosexism is one form of external heterosexism. Interpersonal heterosexism includes hostility, discrimination, harassment, and violence committed by individuals against other individuals based on their sexual orientation. These forms of interpersonal heterosexism are also considered forms of victimization. The expression of same-sex attraction, behavior, or identity is known to result in victimization worldwide. Victimization based on identity is associated with adverse mental health outcomes. Victimization based on sexual orientation results in higher rates of anxiety, depression, and posttraumatic stress disorder.
In the United States, an estimated 1.8% of the general population identifies as bisexual, with even higher rates among adolescent cohorts. The term bisexual describes various attractions, sexual and relational behaviors directed towards individuals of more than one gender. Individuals who identify as bisexual may also use other additional terms to describe their sexual orientation such as, pansexual or queer. Bisexual individuals experience more significant adverse mental health outcomes than straight, lesbian, and gay individuals. These outcomes include anxiety, depression, a higher number of recent adverse life experiences, more adversity in childhood, less familial support, less general social support, and more significant financial stress.
Out of all sub-groups within the LGBTQ+ community, bisexual women make up the largest demographic of sexual minority individuals in the United States. The increased rates of adverse outcomes seen among bisexual individuals broadly is seen more acutely among bisexual women. In particular, 58.7% of bisexual-identified women report mood, and 57.8% report anxiety disorders. Health discrepancies between bisexual and heterosexual individuals are due in part to minority stress. Minority stress is the chronic daily stress burden that sexual minority individuals experience due to heterosexism. All sexual minority individuals are at increased risk for victimization; however, bisexual individuals are at an even higher risk due to bisexual-specific stressors such as anti-bisexual attitudes within the broader Lesbian, Gay, Bisexual, Transgender, Queer community. Within-group anti-bisexual attitudes contribute to more significant identity confusion and decreased connection to the broader LGBTQ+ community. Bisexuality is associated with stigmatizing stereotypes, including increased promiscuity, untrustworthiness , and the belief that bisexuality is an illegitimate or unstable identity. These stereotypes maintain negative attitudes towards bisexual individuals within the LGBTQ+ community and broader society, ultimately increasing bisexual individuals' likelihood of being victimized. Decreased connection to the LGBTQ+ community mainly contributes to the adverse mental health outcomes in this population due to the protective effect that community connection is known to have against minority stress for sexual minority individuals.