Pöge Kathleen, Rommel Alexander, Starker Anne, Prütz Franziska, Tolksdorf Katharina, Öztürk Ilter, Strasser Sarah, Born Sabine, Saß Anke-Christine
Robert Koch Institute, Berlin, Department of Infectious Disease Epidemiology.
Robert Koch Institute, Berlin, Department of Epidemiology and Health Monitoring.
J Health Monit. 2022 Jun 29;7(2):48-65. doi: 10.25646/9958. eCollection 2022 Jun.
Sex/gender diversity is increasingly recognised by society and should be taken into account more in population-representative studies, as they are important data sources for targeting health promotion, prevention and care. In 2019, the Robert Koch Institute started a population-representative health survey with the study Health in Germany Update (GEDA 2019/2020-EHIS) with a modified, two-stage measures of sex/gender. The survey covered sex registered at birth and gender identity with an open response option. This article describes the aims, the procedure and the experiences with the operationalisation of sex/gender and the results. Out of 23,001 respondents, 22,826 persons are classified as cisgender, 113 persons as transgender and 29 persons as gender-diverse. 33 respondents were counted as having missing values. A survey of interviewers showed that the two-stage measures of sex/gender had a high level of acceptance overall and that there were only a few interview drop-outs. On the basis of previous experience, the modified query can be used for further surveys, but should also be adapted in perspective. For this purpose, participatory studies are desirable that focus on how the acceptance of measures of sex/gender can be further improved and how hurtful experiences in the context of the questions asked can be avoided.
社会对性/性别多样性的认可度日益提高，在具有人口代表性的研究中应更多地予以考虑，因为这些研究是制定健康促进、预防和护理目标的重要数据来源。2019年，罗伯特·科赫研究所启动了一项具有人口代表性的健康调查，即德国健康更新研究（GEDA 2019/2020-EHIS），采用了经过改进的性/性别两阶段测量方法。该调查涵盖了出生时登记的性别和性别认同，并设有开放式回答选项。本文介绍了性/性别测量的目的、程序、实施经验及结果。在23,001名受访者中，22,826人被归类为顺性别者，113人为跨性别者，29人为性别多样化者。33名受访者的数据缺失。对访谈员的一项调查显示，性/性别两阶段测量方法总体上具有较高的接受度，且只有少数访谈出现中断情况。根据以往经验，经过改进的询问方式可用于进一步的调查，但从长远来看也应进行调整。为此，开展参与性研究很有必要，研究重点是如何进一步提高对性/性别测量方法的接受度，以及如何避免在提问过程中出现伤害性经历。
