Identifying, refining, and testing sexual orientation and gender identity measures to detect and delineate sexual and gender minority populations for population research

识别、完善和测试性取向和性别认同措施，以检测和描绘性少数群体和性别少数群体，以进行人口研究

• 批准号: 10263276
• 负责人: Juno Obedin-Maliver
• 金额: $ 21.02万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-14 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10263276
• 关键词: Accounting; Address; Area; Behavior; Birth; Bisexual; Categories; Censuses; Characteristics; Clinical; Cohort Studies; Communities; Couples; Data Collection; Development; Dimensions; Future; Gays; Gender; Gender Identity; Goals; Head; Health; Household; Individual; Intersex; Lesbian Gay Bisexual Transgender Queer; Life; Longitudinal cohort study; Measures; Methods; Minority Groups; Outcome; Ovary; Participant; Pattern; Performance; Population; Population Research; Reaction Time; Research; Research Personnel; Respondent; Risk; Risk Factors; Same-sex; Screening procedure; Sex Orientation; Sexual Health; Sexual and Gender Minorities; Surveys; Testing; Time; Underserved Population; United States; United States National Institutes of Health; Variant; Woman; Writing; cisgender; cognitive interview; cohort; design; disparity reduction; experience; follow-up; gender expression; health difference; health disparity; improved; improved outcome; men; minority health; novel; performance tests; population based; population health; prospective; research study; response; screening; sex; transgender

PROJECT SUMMARY Reliable and efficient methods of measuring sexual and gender minority (SGM) status, that are acceptable to both SGM and non-SGM people, are needed so that researchers can more accurately capture and better understand the health of SGM individuals. Current measures are limited in how they operationalize assessment of the many constitutive domains of sexual orientation and gender identity (SOGI), the diversity of answer choices, and in accounting for changes in SOGI domains over one’s life. Further, the sexual orientation domains (i.e., attraction, identity, behavior) and gender domains (i.e., gender identity, gender expression) evaluated often result in wide variation in SGM population estimates, discrepancies in health risk factors, experiences, and outcomes. To more accurately identify SGM people, measures must ultimately be intelligible and acceptable to the entire population. The importance of this was underscored after the 2010 Census, where mismarks on the sex question by opposite-sex couples led to inflated estimates of same-sex households. Until well tested, reliable, and community-acceptable measures are developed, SGM individuals will continue to be underrepresented and understudied in research. Non-SGM individuals will also continue to be miss-measured and overburdened. In this proposal, a mixed methods approach for developing and describing the performance characteristics of a reliable, low-burden, community acceptable SGM status screening question is outlined. Leveraging two large national cohorts, response accuracy within this strategy as well as participant understanding and acceptability will be measured through iterative quantitative testing among both SGM and non-SGM individuals. The overall hypothesis is that using a screener question of SGM status followed by more specific follow-up testing with expanded answer choices for SGM individuals will decrease survey burden for non-SGM people while also allowing SGM people to be identified and affirmed. First, a broadly acceptable SGM screening question will be developed and piloted using cognitive interviews and online pilot testing. The best performing screening question will then be compared head-to-head with simultaneous administration of two set of SOGI measures. Finally, the SGM status screening question and existing confirmatory SOGI measures’ stability and acceptability over time will be analyzed to evaluate performance characteristics and demographic differences in answer choice patterns. Accurate identification and inclusive data collection are critical to improving outcomes and reducing disparities. In summary, the proposed research will develop a high-performing, efficient strategy for identifying SGM people.

项目摘要 可靠和有效的衡量性和性别少数地位的方法，可接受 对SGM和非SGM的人来说，都需要这样，研究人员才能更准确地捕捉和更好地 了解SGM个体的健康状况。目前的措施在如何操作评估方面受到限制 在性取向和性别认同（SOGI）的许多组成领域中，答案的多样性 选择，并在会计的变化SOGI领域在一个人的生活。此外，性取向领域 (i.e.,吸引力、身份、行为）和性别领域（即，性别认同、性别表达）， 导致SGM人群估计值的广泛差异，健康风险因素，经验的差异， 结果。 为了更准确地识别SGM人员，措施最终必须为全体人员所理解和接受。 人口在2010年人口普查之后，这一点的重要性得到了强调， 导致了对同性家庭的夸大估计。在经过充分测试、可靠并且 制定了社区可接受的措施，SGM个人将继续代表不足， 在研究中被忽视。非SGM个人也将继续被错过测量和负担过重。 在本提案中，采用混合方法开发和描述性能特征 一个可靠的，低负担的，社区可接受的SGM状态筛选问题的概述。利用两个 大规模的国家队列、本战略内的答复准确性以及参与者的理解和 将通过SGM和非SGM个体之间的迭代定量测试来测量可接受性。 总体假设是，使用SGM状态筛选问题，然后进行更具体的随访 针对SGM个体的扩展答案选择测试将减少非SGM人群的调查负担 同时也允许SGM人员被识别和确认。首先，广泛接受的SGM筛选 将使用认知访谈和在线试点测试开发和试点问题。表现最好的 然后将筛选问题与同时给予两组SOGI进行头对头比较 措施最后，研究了SGM状态筛选问题和现有验证性SOGI测度的稳定性， 将分析一段时间内的可接受性，以评估性能特征和人口统计差异， 答案选择模式。 准确的识别和包容性的数据收集对于改善结果和减少 差距。总之，拟议的研究将制定一个高性能，有效的战略，以确定 SGM的人。