Do Ask, Tell, and Show: Contextual Factors Affecting Sexual Orientation and Gender Identity Disclosure for Sexual and Gender Minority People.
Do Ask, Tell, and Show: Contextual Factors Affecting Sexual Orientation and Gender Identity Disclosure for Sexual and Gender Minority People.
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DOI：
10.1089/lgbt.2021.0159
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发表时间：
2022-03
期刊：
影响因子：
4.8
通讯作者：
Obedin-Maliver J
中科院分区：
文献类型：
--
作者：
Suen LW;Lunn MR;Sevelius JM;Flentje A;Capriotti MR;Lubensky ME;Hunt C;Weber S;Bahati M;Rescate A;Dastur Z;Obedin-Maliver J
性与性别少数群体（SGM）——包括女同性恋、男同性恋、双性恋、跨性别和酷儿群体成员——由于性取向和性别认同（SOGI）数据收集不善，在健康研究中的代表性仍然不足。我们试图了解影响SGM研究参与者如何应对SOGI问题的背景因素，以提升参与者的体验，并提高研究结果的准确性和敏感性。
2016年至2018年，我们招募了成年的SGM人群参加面对面的半结构化焦点小组或在线认知访谈。在焦点小组和认知访谈期间，我们要求参与者回答SOGI问题集。我们采用模板分析法来描述影响SGM参与者对SOGI问题回答的背景因素。
我们共有74名参与者，其中55名参与者被分成9个焦点小组，19名参与者参加了认知访谈。大多数人自我认定为性少数群体（88%），51%认定为性别少数群体。两个主要主题是：（1）了解相关性（即为何要问SOGI问题）的必要性；（2）环境和背景提示的重要性（传达身体安全以及不受歧视的信息，这些会影响SOGI信息的披露）。
将所寻求的SOGI数据的相关性置于背景中考虑，有助于提高数据收集工作的准确性和敏感性。在研究环境中传达对SGM个体的接纳和安全的环境提示可能有助于信息披露。研究人员在设计未来的研究时应考虑这些背景因素，以改善SGM个体的研究体验，并增加他们未来参与研究的可能性。
Sexual and gender minority (SGM) people—including members of lesbian, gay, bisexual, transgender, and queer communities—remain underrepresented in health research due to poor collection of sexual orientation and gender identity (SOGI) data. We sought to understand the contextual factors affecting how SGM research participants interact with SOGI questions to enhance participant experience and increase the accuracy and sensitivity of research findings. We recruited SGM adults for in-person semi-structured focus groups or online cognitive interviews from 2016 to 2018. During focus groups and cognitive interviews, we asked participants to respond to SOGI question sets. We employed template analysis to describe the contextual factors that affected SGM participants' responses to SOGI questions. We had a total of 74 participants, including 55 participants organized into nine focus groups and 19 participants in cognitive interviews. Most self-identified as a sexual minority person (88%), and 51% identified as a gender minority person. Two main themes were: (1) the need to know the relevance (of why SOGI questions are asked) and (2) the importance of environmental and contextual cues (communicating physical safety and freedom from discrimination that influenced SOGI disclosure). Contextualizing the relevance of SOGI data sought could help improve the accuracy and sensitivity of data collection efforts. Environmental cues that communicate acceptance and safety for SGM individuals in research settings may support disclosure. Researchers should consider these contextual factors when designing future studies to improve research experiences for SGM individuals and increase the likelihood of future participation.
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