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Journal article
Assessment of Health Disparities and Sexual Orientation Response Choices Used in Two US National Population-Based Health Surveys, 2020‒2021
American journal of public health (1971), v 114(12), pp 1375-1383
Dec 2024
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Abstract
Objectives. To (1) compare responses to 2 survey questions designed to measure sexual orientation and (2) understand how variation in responses is associated with mental health. Methods. Data were from the National Longitudinal Study of Adolescent to Adult Health (Add Health) Sexual Orientation/Gender Identity, Socioeconomic Status, and Health Across the Life Course (SOGI-SES) study (2020–2021) in the United States. We used the adjusted Wald test to compare proportions of respondents who were (1) categorized as heterosexual or straight and sexual minorities using the sexual orientation questions designed for the Add Health study and the National Health Interview Survey (NHIS) and (2) diagnosed with depression or anxiety or panic disorder. Results. The Add Health question detected more than twice as many sexual minority respondents as the NHIS question. Those who responded as sexual minorities to the Add Health question but as heterosexual or straight to the NHIS question, primarily “mostly heterosexuals,” had mental health outcomes that were more like those who were consistently classified as sexual minorities versus those consistently classified as heterosexual or straight. Conclusions. Current measures of sexual orientation in national-level surveys may underestimate the sexual minority population and sexual orientation‒related health disparities. Public Health Implications. Results illustrate the need for further research to expand measurement of sexual orientation on population-based health surveys. ( Am J Public Health. 2024;114(12):1375–1383. https://doi.org/10.2105/AJPH.2024.307839 )
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Details
- Title
- Assessment of Health Disparities and Sexual Orientation Response Choices Used in Two US National Population-Based Health Surveys, 2020‒2021
- Creators
- Nicole F. Kahn - University of North Carolina at Chapel HillCarolyn T. Halpern - University of North Carolina at Chapel HillDana R. Burshell - University of North Carolina at Chapel HillStephanie M. Hernandez - University of North Carolina at Chapel HillKerith J. Conron - University of North Carolina at Chapel Hill
- Publication Details
- American journal of public health (1971), v 114(12), pp 1375-1383
- Publisher
- American Public Health Association; WASHINGTON
- Number of pages
- 9
- Grant note
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)National Institute on Minority Health and Health Disparities: R01 HD087365, R01 HD087365-03S1 NICHDThe 23 other federal agencies and foundationsNational Institute on Aging cooperative agreements: U01 AG071448, U01AG071450 NICHD of the National Institutes of Health: P2C HD050924 Office of the Director, National Institutes of Health: U54CA267735
The Sexual Orientation/Gender Identity, Socioeconomic Status, and Health Across the Life Course (SOGI-SES) Study is co-directed by principal investigators C. T. Halpern at the University of North Carolina at Chapel Hill and K. J. Conron at the Williams Institute, UCLA, and is funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the National Institute on Minority Health and Health Disparities under grants R01 HD087365 and R01 HD087365-03S1. SOGI-SES is an Add Health ancillary study that includes a subset of Add Health respondents. Waves I through V of Add Health were funded by grant P01 HD31921 (Harris) from the NICHD, with cooperative funding from 23 other federal agencies and foundations. Add Health is currently directed by Robert A. Hummer and funded by the National Institute on Aging cooperative agreements U01 AG071448 (Hummer) and U01AG071450 (Aiello and Hummer) at the University of North Carolina at Chapel Hill. Add Health was designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill. Research reported in this publication was supported by NICHD of the National Institutes of Health under award P2C HD050924 and the Office of the Director, National Institutes of Health, under grant U54CA267735.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:001355693800017
- Scopus ID
- 2-s2.0-85208689117
- Other Identifier
- 991021959915304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health