Rory P. O'Brien and John R. Blosnich are with the Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles.
Am J Public Health. 2022 Mar;112(3):443-452. doi: 10.2105/AJPH.2021.306625.
To explore trends in sexual orientation and gender identity (SOGI) item refusal in the Behavioral Risk Factor Surveillance System (BRFSS). We used annual data from 7 US states that implemented the SOGI module of the BRFSS from 2014 to 2019 to examine prevalence of sexual orientation (n = 373 332) and gender identity (n = 373 336) item refusal. Analyses included the weighted Wald χ test of association between refusal and year and logistic regressions predicting refusal by year. We weighted analyses to account for complex sampling design. We found low SOGI item refusal rates, significant declines in these refusal rates over time, and differences in refusal rates by age, sex, race, education, and language. We also found that Hispanic group membership did not explain SOGI item refusal when accounting for interview language; interview language was strongly associated with both sexual orientation and gender identity item refusal. Our results indicate acceptance of SOGI measurement and empirically support continuation of SOGI in health surveillance surveys. Findings indicate a need to further investigate the association between survey translation and item refusal.
探索性行为倾向和性别认同（SOGI）项目在行为风险因素监测系统（BRFSS）中被拒绝的趋势。我们使用了 2014 年至 2019 年 7 个美国州实施 BRFSS 的 SOGI 模块的年度数据，以检查性行为倾向（n=373332）和性别认同（n=373336）项目被拒绝的流行率。分析包括拒绝与年份之间的加权 Wald χ 检验关联，以及通过年份预测拒绝的逻辑回归。我们对分析进行加权，以考虑到复杂的抽样设计。我们发现 SOGI 项目的拒绝率较低，随着时间的推移，这些拒绝率显著下降，并且拒绝率因年龄、性别、种族、教育程度和语言而有所不同。我们还发现，在考虑访谈语言时，西班牙裔群体成员身份并不能解释 SOGI 项目的拒绝；访谈语言与性取向和性别认同项目的拒绝密切相关。我们的研究结果表明，对 SOGI 测量的接受度，并从经验上支持在健康监测调查中继续进行 SOGI。研究结果表明，需要进一步调查调查翻译与项目拒绝之间的关系。
