The "Something Else" of Sexual Orientation: Measuring Sexual Identities of Older Lesbian and Bisexual Women Using National Health Interview Survey Questions
The "Something Else" of Sexual Orientation: Measuring Sexual Identities of Older Lesbian and Bisexual Women Using National Health Interview Survey Questions
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DOI：
10.1016/j.whi.2016.03.012
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发表时间：
2016-07-07
影响因子：
3.2
通讯作者：
Haynes, Suzanne G.
中科院分区：
文献类型：
--
作者：
Eliason, Michele J.;Radix, Asa;Haynes, Suzanne G.
背景：与性和性别相关的术语在不断演变，当个人在调查中回答问题时，多种因素在起作用。方法：我们在一项针对40至84岁女同性恋者和双性恋者的多地点健康干预研究中，考察了对国家健康访谈调查(NHIS)中性认同问题的反应模式。结果：在376名参与者中，80%(n=301)选择“女同性恋者或男同性恋者”，13%(n=49)选择“双性恋”，7%(n=25)选择“其他东西”，1名参与者选择“不知道答案”。在回答回答“其他事情”或“不知道”的女性的后续问题时，大多数(n=17)女性表示，她们“不是异性恋，而是认同另一个标签。”一名参与者选择了“变性人、变性人或变性人”，五人选择了“你不用标签来表明自己的身份”，三人选择了“你的意思是其他的”。研究人员对女同性恋者、双性恋者和“其他人”这三组在人口统计学和健康相关的指标上进行了比较。与性别认同为女同性恋者或双性恋者相比，被调查者更年轻，更有可能有残疾，更有可能与男性伴侣交往，心理健康生活质量较低。结论：被调查者对数据的分析和解释提出了挑战，但不应从样本中剔除。相反，他们可能代表了社区的一个子集，他们将性和性别视为流动和动态的概念，而不是用一个单一的标签来定义。有必要进一步研究“其他东西”的各种子集，同时重新考虑国家健康保险制度的问题选项。(C)2016年雅各布斯妇女健康研究所。由爱思唯尔公司出版。
Background: Terminology related to sexuality and gender is constantly evolving, and multiple factors are at play when individuals answer questions on surveys.Methods: We examined patterns of responding to the National Health Interview Survey (NHIS) sexual identity questions in a multisite health intervention study for lesbian and bisexual women aged 40 to 84 years.Results: Of 376 participants, 80% (n = 301) chose "lesbian or gay," 13% (n = 49) selected "bisexual," 7% (n = 25) indicated "something else," and 1 participant chose "don't know the answer." In response to the follow-up question for women who said "something else" or "don't know," most (n = 17) indicated that they were "not straight, but identify with another label." One participant chose "transgender, transsexual, or gender variant," five chose "You do not use labels to identify yourself," and three chose "you mean something else."Lesbian, bisexual, and "something else" groups were compared across demographic and health-related measures. Women who reported their sexual identity as "something else" were younger, more likely to have a disability, more likely to be in a relationship with a male partner, and had lower mental health quality of life than women who reported their sexual identity as lesbian or bisexual.Conclusions: Respondents who answer "something else" pose challenges to analysis and interpretation of data, but should not be discarded from samples. Instead, they may represent a subset of the community that views sexuality and gender as fluid and dynamic concepts, not to be defined by a single label. Further study of the various subsets of "something else" is warranted, along with reconsideration of the NHIS question options. (C) 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc.