New research shows that U.S. service members and veterans who are bisexual may have a higher risk for mental health issues than gay, lesbian, or straight peers, according to MedicalXPress.

Bisexual men and women are overrepresented among those who have served in the military, as well as being the largest group in the LGBTQ community. Despite this, Katie McNamara – a U.S. Air Force Captain who led the research – says that there is a significant lack of research covering bisexual veterans.

“There’s quite a bit of research on military and veteran mental health and LGBTQ health, but very little that combines the two,” McNamara said. “And before this project, there was absolutely nothing specifically focusing on the sexual minority subgroup of bisexual military-affiliated individuals.”

McNamara teamed up with professors Jeremy Goldbach, Sara Kintzle, and Carl Castro of the USC Military and Veterans Programs, along with as Air Force clinical social worked Carrie Lucas, PhD.

Among active duty service members, 2 percent of men identify as gay and 2 percent as bisexual. & percent of women identify as lesbian and 9 percent as bisexual.

McNamara found that bisexual veterans are 2.5 times more likely to suffer from severe depression and 2.3 times more likely to suffer from PTSD than their straight peers. As compared to gay and lesbian individuals, bisexual soldiers are three times more likely to suffer from depression and twice as likely to experience PTSD.

Research also shows that bisexual service members are less likely (28 percent) to be out than gay (71 percent) and lesbian (77 percent) soldiers, meaning they have less of a chance to find a community of like-minded individuals to rely on. McNamara believes that this lack of support could be connected to these negative mental health effects.

“Even when I controlled for a wide range of specific demographic and military-related variable that might put some populations at higher risk for certain mental health issues, the results still indicated that bisexual veterans fare more poorly in terms of mental health outcomes,” she said.

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