Sampling Strategies and Measure Development for the LGBT Aging Project (SAMLAP)

项目摘要 女同性恋者、男同性恋者、双性恋者和变性者(LGBT)的人口规模估计在9到11人之间 百万(3.5%-4.5%)。LGBT人群被认为比他们的非LGBT人群健康状况更差 在很多方面都是同龄人。尽管我们对年长的LGBT成年人了解较少，但他们特别感兴趣，因为 慢性病和残疾随着年龄的增长而增加，差距往往出现或扩大，使老年LGBT 成年人是高危人群.美国国家医学科学院(NAM)发布了两份关于 LGBT健康，这两个问题都呼吁进行更有针对性的研究，以了解来源和 这些健康差距的后果，特别是在老年LGBT成年人中。一个有代表性的国家 对年长的LGBT成年人的研究将允许不结盟运动委员会推荐的工作类型。目的 LGBT老龄化项目(SAMLAP)目前的抽样战略和措施发展的一部分是 开发和评估一个平台和一个进程，以允许执行一个单独出资的未来 基于概率的全国LGBT老年人口老龄化纵向研究(全国LGBT老龄化 项目(NLAP))。我们的具体目标是：(1)制订和实施一项策略，以物色和招聘一名 LGBT老年人的概率样本；(2)比较和评价筛查的效果 策略和结果样本的质量，使用随机实验的结果作为 适当的；(3)确定和发展适当的社会关系和经历的调查方法 在未来的国家LGBT老龄化项目(NLAP)中使用，并通过在 被确认为至少有一名LGBT老年人的家庭；以及，(4)进行对照随机调查 采用顺序性适应性设计，对后续访谈的家庭访谈和远程访谈进行现场测试 这将允许对应答率、不同的无反应偏向和成本进行强有力的比较。的产品 这项工作将是抽样方法、筛选过程、一套措施和现场方法的优化 在适当的情况下，通过随机实验-量身定做，进行美国有史以来第一次全国性研究 使用基于地址的概率样本的LGBT老年人具有高响应率(NLAP)，将 根据本申请的结果单独提交。NLAP将允许对 LGBT个人以及至少涉及一名LGBT个人的伙伴关系人口；它将回答 关于LGBT个人的关键健康和政策问题，以及改进我们的研究方法 以及理解涉及所有美国人健康和老龄化的问题。

Project Abstract The size of the lesbian, gay, bisexual and transgender (LGBT) population is estimated to be between 9 and 11 million (3.5–4.5%). The LGBT population has been identified as having poorer health than their non-LGBT peers on many dimensions. Although we know less about older LGBT adults, they are of special interest since chronic disease and disabilities increase with age and disparities often emerge or widen, making older LGBT adults an at-risk population. The National Academy of Medicine (NAM) has issued two reports on the state of LGBT health, both of which call for more targeted research aimed at understanding the sources and consequences of these health disparities, particularly among older LGBT adults. A representative national study of older LGBT adults would permit the type of work recommended by the NAM committee. The purpose of the current Sampling Strategies and Measure Development for the LGBT Aging Project (SAMLAP) is to develop and evaluate a platform and a process that will permit the execution of a future, separately-funded national probability-based longitudinal study of aging in the older LGBT population (the National LGBT Aging Project (NLAP)). Our specific aims are: (1) to develop and implement a strategy to identify and recruit a probability sample of LGBT older adults; (2) to compare and evaluate the effectiveness of the screening strategy and the quality of the resulting sample, using the results of the randomized experiments as appropriate; (3) to identify and develop survey measures of social relationships and experiences appropriate for use in the future National LGBT Aging Project (NLAP) and administer these via 300 follow-up interviews in households identified as containing at least one LGBT older adult; and, (4) conduct a controlled randomized field test of in-home versus remote interviewing for the follow-up interviews, using a sequential adaptive design that will permit a robust comparison of response rates, differential nonresponse bias, and costs. The product of this work will be a sampling methodology, screening process, set of measures, and field approach—optimized where appropriate through randomized experiments—tailored to conduct the first ever U.S. national study of LGBT older adults using an address-based probability sample with a high response rate (NLAP), to be submitted separately based on the results of this application. NLAP will permit inference to the population of LGBT individuals as well as the population of partnerships involving at least one LGBT individual; it will answer critical health and policy questions concerning LGBT individuals, as well as enhance our methods for studying and understanding issues involving the health and aging of all Americans.