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主要是异性恋、双性恋还是其他?:少数性取向人群的测量及其对分析样本、人口分布和健康结果的影响。

Mainly heterosexual, bisexual, or other?: The measurement of sexual minority status and its impact on analytic sample, demographic distribution and health outcomes.

机构信息

Social Research Institute, University College London, London, United Kingdom.

MRC Unit for Lifelong Health and Ageing, University College London, London, United Kingdom.

出版信息

PLoS One. 2024 Sep 20;19(9):e0303100. doi: 10.1371/journal.pone.0303100. eCollection 2024.

DOI:10.1371/journal.pone.0303100
PMID:39303000
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11414922/
Abstract

BACKGROUND

Sexual orientation has been measured in a wide variety of ways which reflect both theoretical and practical considerations. However, choice of sexual orientation measure and recoding strategy can impact analytic sample, as well as demographic and health profiles, in analyses of sexual minority populations. We aimed to examine how choice of sexual orientation dimension and recoding decisions impact estimates in the sexual minority population in two population-based studies in the UK.

METHODS

We used data collected at age 17 (2018) in the UK Millennium Cohort Study and at sweep six (2012-13) and eight (2017-18) of the English Longitudinal Study of Ageing. Descriptive statistics were used to examine the impact of choice of sexual orientation dimension (i.e. identity, attraction and experience) and recoding decisions on achieved analytic sample and composition by selected demographic and health measures within and between datasets.

RESULTS

Dimension choice and recoding decisions resulted in variation in analytic sample. For example, more respondents reported some same-sex sexual attraction than reported a non-heterosexual identity (adolescents: 20.77% vs 8.97%, older adults: 4.77% vs 1.04%). Demographic distributions varied, but not substantially by dimension choice or recoding strategy. Overall, in both datasets sexual minority respondents were more likely to be White and in the highest quintiles for income and education than heterosexual respondents. Health status did not vary substantially by dimension choice or recoding strategy, however sexual minority respondents reported worse health than their heterosexual peers.

CONCLUSIONS

This study explores a range of practical and theoretical considerations when analysing sexual minority respondents using survey data. We highlight the impact recoding decisions may have on the numbers of sexual minority respondents identified within a dataset and demographic and health distributions in this understudied population. We also demonstrate the benefits of including multiple dimensions for capturing mechanisms of interest in elucidating ambiguous responses and exploring sexual diversity.

摘要

背景

性取向的测量方法多种多样,这些方法既反映了理论考虑,也反映了实际考虑。然而,性取向测量方法的选择和重新编码策略会影响分析样本,以及分析少数性群体人口的人口统计和健康特征。我们旨在研究在英国的两项基于人群的研究中,性取向维度的选择和重新编码决策如何影响少数性群体人口的估计。

方法

我们使用了英国千禧年队列研究在 17 岁(2018 年)和英国老龄化纵向研究第六次(2012-13 年)和第八次(2017-18 年)调查中收集的数据。我们使用描述性统计来研究性取向维度(即身份、吸引力和经验)选择和重新编码决策对分析样本和所选人口统计和健康指标在数据集内和数据集之间的构成的影响。

结果

维度选择和重新编码决策导致了分析样本的变化。例如,与非异性恋身份相比,更多的受访者报告了一些同性性吸引力(青少年:20.77%比 8.97%,成年人:4.77%比 1.04%)。人口分布有所不同,但维度选择或重新编码策略没有显著变化。总体而言,在两个数据集中,少数性群体受访者比异性恋受访者更有可能是白人,收入和教育水平最高的五分位数。健康状况的维度选择或重新编码策略没有显著变化,但少数性群体受访者的健康状况比他们的异性恋同龄人差。

结论

本研究探讨了在使用调查数据分析少数性群体受访者时的一系列实际和理论考虑。我们强调了重新编码决策可能对识别数据集中少数性群体受访者的数量以及该未充分研究的群体的人口统计和健康分布产生的影响。我们还展示了包括多个维度来捕捉感兴趣的机制的好处,以阐明模糊的反应并探索性多样性。

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本文引用的文献

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Sexual Orientation Identity Mobility in the United Kingdom: A Research Note.英国的性取向认同流动性:一项研究报告
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2
Sexual identity data collection and access in UK population-based studies.英国基于人群的研究中的性取向数据收集与获取
Lancet Public Health. 2023 Jun;8(6):e400-e401. doi: 10.1016/S2468-2667(23)00101-9.
3
Inequalities in older LGBT people's health and care needs in the United Kingdom: a systematic scoping review.英国老年 LGBT 群体健康与护理需求的不平等:一项系统的范围综述。
Ageing Soc. 2021 Mar;41(3):493-515. doi: 10.1017/S0144686X19001326. Epub 2019 Oct 11.
4
Minority stress, distress, and suicide attempts in three cohorts of sexual minority adults: A U.S. probability sample.性少数群体成年人三个队列中的少数群体压力、困扰和自杀企图:美国概率样本。
PLoS One. 2021 Mar 3;16(3):e0246827. doi: 10.1371/journal.pone.0246827. eCollection 2021.
5
Terminology Should Accurately Reflect Complexities of Sexual Orientation and Identity.术语应准确反映性取向和身份认同的复杂性。
Am J Public Health. 2020 Nov;110(11):1668-1669. doi: 10.2105/AJPH.2020.305924.
6
L or G or B or T: Matching Sexual and Gender Minorities with Subpopulation-Specific Interventions.女同性恋者、男同性恋者、双性恋者或跨性别者:将性取向和性别少数群体与特定亚群体干预措施相匹配。
J Homosex. 2020 Oct 5:1-23. doi: 10.1080/00918369.2020.1819714.
7
Inequalities in Health and Care Among Lesbian, Gay, and Bisexual People Aged 50 and Older in the United Kingdom: A Systematic Review and Meta-analysis of Sources of Individual Participant Data.英国 50 岁及以上的男同性恋、女同性恋和双性恋人群在健康和护理方面的不平等:基于个体参与者数据的系统评价和荟萃分析。
J Gerontol B Psychol Sci Soc Sci. 2020 Sep 14;75(8):1758-1771. doi: 10.1093/geronb/gbaa071.
8
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9
Sexual identity, attraction and behaviour in Britain: The implications of using different dimensions of sexual orientation to estimate the size of sexual minority populations and inform public health interventions.英国的性身份、性吸引力及性行为:使用性取向的不同维度来估计性少数群体规模并为公共卫生干预提供信息的影响。
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