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They suggest the high prevalence and risk of psychological distress among bisexual adults, may be associated with them being 'marginalized' by the heterosexual population, and experiencing 'stigma' from gay and lesbian adults.

The authors wrote: 'Findings from our study indicate that lesbian, gay and bisexual adults experience significant health disparities - particularly in mental health and substance use - likely die to the minority stress that LGB adults experience as a result of their exposure to both interpersonal and structural discrimination.'As a first step toward eliminating sexual orientation-based health disparities, it is important for health care professionals to be aware and mindful of the increased risk of impaired health, alcohol consumption and tobacco use among their LGB adult patients.' Researchers at Vanderbuilt University suggest the high prevalence and risk of psychological distress among bisexual adults, may be associated with them being 'marginalized' by the heterosexual population, and experiencing 'stigma' from gay and lesbian adults In a related editor's note, JAMA internal medicine deputy editor Mitchell Katz, writes: 'Health care professionals can help by creating environments that are inclusive and supportive of sexual minority patients.

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