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Context and Disclosure of Sexual Orientation and Gender Identity Information Among US Adults, 2021.

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  • Additional Information
    • Source:
      Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE
    • Publication Information:
      Publication: Washington, DC : American Public Health Association
      Original Publication: New York [etc.]
    • Subject Terms:
      Sexual Behavior*/statistics & numerical data ; Sexual and Gender Minorities*/statistics & numerical data ; Sexual and Gender Minorities*/psychology ; Disclosure*/statistics & numerical data ; Gender Identity*; Humans ; Male ; Female ; United States ; Adult ; Middle Aged ; Young Adult ; Surveys and Questionnaires ; Adolescent
    • Abstract:
      Objectives. To investigate if anticipated survey context (e.g., national government health survey, local community health survey, health care provider form) would affect participants' likelihood of (1) responding to sexual orientation, gender identity, sex assigned at birth, and intersex status (SOGISI) questions or (2) changing their responses to SOGISI questions. Methods. We performed an online study of people across sexual orientations and gender identities in the United States (n = 851) testing the hypotheses that individuals with minoritized identity would be less likely to respond and more likely to change their responses to questions about their SOGISI identity. Results. Overall, results were significant and in the expected direction, indicating that there was a dependent relation between identities and type of question being asked. Conclusions. Within this sample, participants with minoritized sexual and gender identities were more likely to change their answer on the basis of the context of data collection, highlighting important considerations for individuals who utilize surveys to collect SOGISI data. Public Health Implications. Results from this study can be used to provide recommendations for questions to use in surveys for collection of SOGISI data and important considerations when collecting data from sexual and gender minorities. (Am J Public Health. 2026;116(4):533-543. https://doi.org/10.2105/AJPH.2025.308376).
    • Publication Date:
      Date Created: 20260219 Date Completed: 20260311 Latest Revision: 20260314
    • Publication Date:
      20260314
    • Accession Number:
      PMC12981190
    • Accession Number:
      10.2105/AJPH.2025.308376
    • Accession Number:
      41712890