and homosexuality, creating a form of invalidation around their sexual identity. This often leads to recognized indicators of mental health issues such as low self-esteem and self-worth. These indicators and pressures to "choose" a sexual identity can, in many cases, lead to depression as they may feel they live in a culture that does not recognize their existence. While doing research on women at high-risk of HIV infection, one study, from the Journal of Bisexuality, concluded that bisexual women in the high-risk cohort studied were more likely to engage in various high risk behaviors and were at a higher risk of contracting HIV and other sexually transmitted diseases. These behaviors have been attributed to the unlikeliness of bisexuals discussing their sexuality and proper protection with health professionals for fear of judgement or discrimination, causing them to become undereducated on the issue(s). In the book, Bi: Notes for a Bisexual Revolution, Shiri Eisner (2013) discusses the suicidality statistics amongst bisexual identifying individuals as compared to heterosexuals, gays, and lesbians. Eisner (2013) referred to a Canadian study that found bisexual women had higher rates of suicidality as compared to heterosexual and lesbian women; the study also found that bisexual men also had increased rates of suicidality as compared to heterosexual and gay men Bisexual-identified people may face disparities in harsher degrees than their gay and lesbian peers. In the U.S. in particular, for example, they may face: Lower success rates for refugee applications; may also be the case in Canada and Australia Higher levels of intimate partner violence Higher likelihood of youth risk behavior amongst high school students Higher likelihood of anxiety and mood disorders amongst bisexual women and men who report having sex with both sexes Higher likelihood of living on less than $30,000 a year Lower levels of reporting feeling "very accepted" in the workplace Lower likelihood of being out to the important people in their lives "Bisexuals report higher rates of hypertension, poor or fair physical health, smoking, and risky drinking than heterosexuals or lesbians/gays" "Bisexual women in relationships with monosexual partners have an increased rate of domestic violence compared to women in other demographic categories" "Many, if not most, bisexual people do not come out to their healthcare providers. This means they are getting incomplete information (for example, about safer sex practices)" "Bisexual women were more likely to be current smokers and acute drinkers" Higher risk of self