Measuring Fluidity in Sexual Orientation Dimensions Prospectively and Retrospectively in a National Cohort of Adolescents and Young Adults

在全国青少年和年轻人群体中前瞻性和回顾性地测量性取向维度的流动性

• 批准号: 10263368
• 负责人: Sabra L. Katz-Wise
• 金额: $ 22.61万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 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 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10263368
• 关键词: Adolescence; Adolescent; Adolescent and Young Adult; Age; Birth; Characteristics; Cohort Studies; Cross-Sectional Studies; Development; Dimensions; Discrimination; Enrollment; Ethnic Origin; Frequencies; Gender Identity; Health; Health behavior; Individual; Intervention; Knowledge; Label; Lead; Life Cycle Stages; Link; Liquid substance; Longitudinal Studies; Measurement; Measures; Methodology; Methods; Minority; Minority Groups; Participant; Pathway interactions; Pattern; Population; Prejudice; Prospective cohort; Race; Reporting; Research; Research Design; Resource Allocation; Sex Orientation; Sexual Health; Sexual and Gender Minorities; Socioeconomic Status; Stress; Subgroup; Testing; Time; base; cohort; experience; fluidity; health inequalities; improved; minority communities; minority health; population health; prospective; response; rurality; sex; sociodemographics; young adult

PROJECT SUMMARY/ABSTRACT Sexual and gender minority (SGM) adolescents and young adults (AYA) in the U.S. experience substantial health inequities due to minority stress. Research documenting SGM health inequities has been limited by inadequate methods to measure sexual fluidity (i.e., changes over time in identity and attraction dimensions of sexual orientation) retrospectively and prospectively, particularly among AYA. Measures of sexual orientation that ignore sexual fluidity may lead to incorrect assumptions about who comprises the AYA SGM population, and in turn to inaccurate estimates of population health inequities. Accurate research on SGM health inequities is critical to the allocation of resources to improve the health of SGM communities. Research documenting sexual fluidity and related SGM health inequities has been limited by methodological issues, including: (1) assessing fluidity in only one dimension of sexual orientation (either identity or attractions); (2) examining differences in fluidity by assigned sex at birth rather than by gender identity and excluding transgender and nonbinary individuals; and (3) using cross-sectional study designs with retrospective measures of sexual fluidity that may be subject to recall bias and have not been rigorously tested. Both retrospective and prospective measures of fluidity that assess multiple dimensions of sexual orientation are needed to accurately characterize health inequities among SGM AYA in cross-sectional and longitudinal research. MyVoice, a national U.S. prospective cohort of AYA (N=1280; ages 14-24 years), provides an unprecedented opportunity to measure sexual fluidity both prospectively and retrospectively among SGM and non-SGM AYA. This existing cohort study will allow us to collect measures of both sexual orientation identity and attractions at multiple time points (every 2 months across 12 months; 7 total waves) using quantitative and qualitative measures. The proposed research will use multiple sociodemographic characteristics available from MyVoice participants at the time of enrollment to consider subgroup differences in fluidity. Our specific aims are to: 1) Compare prospective and retrospective measures of fluidity in sexual orientation identity and attractions, including frequency, direction, and order of occurrence. This aim will allow us to examine changes in identity and attractions, and whether participants’ retrospective recall of sexual fluidity is consistent with their prospective report of changes in sexual orientation dimensions. 2) Examine interpretations of measures of sexual orientation and sexual fluidity. This aim will allow us to refine prospective and retrospective measures of sexual fluidity based on how participants interpret and respond to these measures, as well as increasing knowledge about how participants understand changes in sexual orientation dimensions. This research will inform prospective and retrospective measurement of sexual fluidity for use in cross-sectional and longitudinal research to improve accuracy in identifying AYA SGM populations and related health inequities, which will inform intervention efforts to improve AYA SGM health.

项目总结/摘要 在美国，性和性别少数群体（SGM）青少年和年轻人（AYA）经历了大量的 由于少数民族的压力，卫生不公平。记录SGM健康不平等的研究受到限制， 测量性流动性的方法不足（即，随着时间的推移， 性取向）回顾性和前瞻性，特别是在AYA。性取向的衡量标准 忽视性流动性可能会导致对AYA SGM人口组成的错误假设， 进而导致对人口健康不公平的不准确估计。关于SGM健康不公平的准确研究 对于分配资源以改善SGM社区的健康至关重要。研究记录 性流动性和相关的SGM健康不平等受到方法学问题的限制，包括：（1） 评估流动性，只有一个方面的性取向（无论是身份或吸引力）;（2）检查 按出生时指定的性别而不是按性别认同划分的流动性差异，不包括变性人， 非二元个体;和（3）使用横断面研究设计，回顾性测量性 流动性，可能会受到回忆偏见，并没有经过严格的测试。回顾和 需要对性取向的多个维度进行前瞻性的流动性测量， 在横截面和纵向研究中描述SGM AYA之间的健康不平等。MyVoice，a 美国AYA前瞻性队列研究（N = 1280;年龄14 - 24岁）提供了前所未有的机会 前瞻性和回顾性地测量SGM和非SGM AYA的性流动性。该现有 队列研究将使我们能够在多个时间收集性取向认同和吸引力的测量结果 点（在12个月内每2个月;共7波）使用定量和定性措施。的 拟议的研究将使用MyVoice参与者提供的多种社会人口特征， 入组时考虑亚组流动性差异。我们的具体目标是：1）比较 性取向认同和吸引力的流动性的前瞻性和回顾性测量， 包括发生的频率、方向和顺序。这一目标将使我们能够审查 身份和吸引力，以及参与者对性流动性的回顾性回忆是否与他们的 性取向维度变化的前瞻性报告。2)审查对计量的解释 性取向和性流动性。这一目标将使我们能够完善前瞻性和回顾性 基于参与者如何解释和回应这些措施的性流动性措施，以及 增加参与者如何理解性取向维度变化的知识。这 研究将为性流动性的前瞻性和回顾性测量提供信息， 纵向研究，以提高识别AYA SGM人群和相关健康不平等的准确性， 这将为改善AYA SGM健康的干预工作提供信息。