There is little research on bisexual health issues exclusively. Bisexual individuals are a minority within a minority, often shunned by both the heterosexual and the homosexual communities. In one study of 47 HIV positive men in Vancouver, it was found that the bisexual men did not identify with either gay men or transgendered men living as women and valued stereotypical social sex-roles. In this same study, the bisexual men were reluctant to self-identify as bisexual, they lacked a visible community and in general they had very little social support. Educational initives and public health programmes often target people by demographic or community group, individuals who do not identify with a group, but practice the behaviours of that group are very difficult to reach -for example men who identify as straight, but have sex with other men on occasion.
2. Schilder AJ, Kennedy C, Goldstone IL, Ogden RD, Hogg RS, O'Shaughnessy MV. "Being dealth with as a whole person." Care seeking and adherence: the benefits of culturally competent care. Social Science & Medicine. 2001;52:1643-1659.