How a "Something Else" Response Option for Sexual Identity Affects National Survey Estimates of Associations Between Sexual Identity, Reproductive Health, and Substance Use.

How a "Something Else" Response Option for Sexual Identity Affects National Survey Estimates of Associations Between Sexual Identity, Reproductive Health, and Substance Use.
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DOI:
10.1007/s10508-023-02710-7
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发表时间:
2024-01
影响因子:
3.8
通讯作者:
Mccabe, Sean Esteban
Mccabe, Sean Esteban
中科院分区:
法学2区
文献类型:
--
作者:
West, Brady T.;Engstrom, Curtiss W.;Schepis, Ty S.;Tani, Ilmul J.;Mccabe, Sean Esteban

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这项随机实验测试了在一项全国健康调查中,对一个关于性身份的问题纳入“别的东西”回答选项是否会显著缓和性身份亚组之间在各种健康结果(包括物质使用和生殖健康)方面的估计差异。我们对连续五年的全国家庭成长调查(NSFG; 2015-2019)的数据进行了二次分析,其中两个大的全国半样本被随机分配接受两个不同版本的关于性别身份的问题之一(四类版本,包括“其他”回答选项或三类版本省略了这个选项)。我们关注的是按性别认同定义的亚组之间差异的国家估计值。多变量模型表明,当使用四类版本的性别认同问题进行几项测量时,估计的亚组差异以统计学显著的方式变化,包括16%的男性测量(家庭规模,过去一年的吸烟情况和过去一年的非法药物使用情况)和15%的女性措施(想要一个/另一个孩子,曾经患有性传播疾病,过去一年使用大麻)。在国家健康调查中,关于性别认同的问题没有“其他”回答选项,这可能会导致答卷人选择不能准确描述其身份的选项,这可能会对国家估计性别认同亚群体之间在选定健康结果方面的差异产生重大影响。在线版本包含补充材料,可通过10.1007/s10508-023-02710-7获得。
This randomized experiment tested whether the inclusion of a “something else” response option for a question about sexual identity in a national health survey would significantly moderate estimated differences between sexual identity subgroups in terms of various health outcomes, including substance use and reproductive health. We conducted secondary analyses of data from five consecutive years of the National Survey of Family Growth (NSFG; 2015–2019), where two large national half-samples were randomly assigned to receive one of two different versions of a question about sexual identity (a four-category version that included a “something else” response option or a three-category version omitting this option). We focused on national estimates of differences between subgroups defined by sexual identity. Multivariable models indicated that the estimated subgroup differences changed in a statistically significant fashion when using the four-category version of the sexual identity question for several measures, including 16% of male measures (household size, past-year cigarette use, and past-year illicit drug use) and 15% of female measures (wanting a/another child, ever had a sexually transmitted disease, and past-year marijuana use). The absence of a “something else” response option for questions about sexual identity in national health surveys may cause respondents to select options that do not accurately describe their identities, and this can have a significant effect on national estimates of differences between sexual identity subgroups in terms of selected health outcomes. The online version contains supplementary material available at 10.1007/s10508-023-02710-7.
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