Ross Michael W, Essien E James, Williams Mark L, Fernandez-Esquer Maria Eugenia
WHO Center for Health Promotion and Prevention Research, School of Public Health, University of Texas, Houston, Texas 77225, USA.
Sex Transm Dis. 2003 Feb;30(2):110-3. doi: 10.1097/00007435-200302000-00003.
There is a discrepancy between self-reported sexual identity and sexual behavior. The magnitude of this discrepancy is unclear, as is its variation across race/ethnicity and gender.
The goal of the study was to assess the range of discrepancy in self-reported sexual identity and sexual behavior in men and women of four racial/ethnic groups.
Self-reported data on sexual identity (homosexual, bisexual, heterosexual) and sexual behavior in the past 3 months were collected from 1494 African American, Hispanic, Asian, and white men and women in public congregation places in Houston, Texas.
Data indicated that concordance rates between self-reported sexual identity and sexual behavior varied widely across racial/ethnic groups, with the highest rates of concordance in Asian males and females and the lowest in African American females and white males. The largest discordant category was in those self-described heterosexuals who reported partners of both genders. Breakdown of data to exclude those who reported sex trade work or illegal sources of income improved the concordance rates for African American and Hispanic subsamples.
Data indicate the importance of designing and targeting HIV risk interventions and clinical screening, based on behavior and not reported sexual identity.
自我报告的性身份与性行为之间存在差异。这种差异的程度尚不清楚，其在不同种族/族裔和性别的变化情况也是如此。
本研究的目标是评估四个种族/族裔群体的男性和女性在自我报告的性身份与性行为方面的差异范围。
从得克萨斯州休斯敦公共场所的1494名非裔美国人、西班牙裔、亚裔和白人男性及女性中收集了关于性身份（同性恋、双性恋、异性恋）和过去3个月内性行为的自我报告数据。
数据表明，自我报告的性身份与性行为之间的一致率在不同种族/族裔群体中差异很大，亚裔男性和女性的一致率最高，非裔美国女性和白人男性的一致率最低。最大的不一致类别是那些自称异性恋但报告有两性伴侣的人。排除报告有性交易工作或非法收入来源者的数据细分提高了非裔美国人和西班牙裔子样本的一致率。
数据表明，基于行为而非报告的性身份来设计和针对性地进行艾滋病毒风险干预及临床筛查非常重要。
