Nicole F. Kahn is with the Division of Adolescent Medicine, Department of Pediatrics, School of Medicine, University of Washington, Seattle; Center for Child Health, Behavior and Development, Seattle Children's Research Institute; and Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill. Carolyn T. Halpern is with the Department of Maternal and Child Health, Gillings School of Global Public Health; and Carolina Population Center, University of North Carolina at Chapel Hill. Dana R. Burshell is with the Carolina Population Center. Stephanie M. Hernandez is with the Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA; Department of Maternal and Child Health, Gillings School of Global Public Health; and Carolina Population Center. Kerith J. Conron is with the Williams Institute, School of Law, University of California Los Angeles, and Carolina Population Center.
Am J Public Health. 2024 Dec;114(12):1375-1383. doi: 10.2105/AJPH.2024.307839.
To (1) compare responses to 2 survey questions designed to measure sexual orientation and (2) understand how variation in responses is associated with mental health. Data were from the National Longitudinal Study of Adolescent to Adult Health (Add Health) Sexual Orientation/Gender Identity, Socioeconomic Status, and Health Across the Life Course (SOGI-SES) study (2020-2021) in the United States. We used the adjusted Wald test to compare proportions of respondents who were (1) categorized as heterosexual or straight and sexual minorities using the sexual orientation questions designed for the Add Health study and the National Health Interview Survey (NHIS) and (2) diagnosed with depression or anxiety or panic disorder. The Add Health question detected more than twice as many sexual minority respondents as the NHIS question. Those who responded as sexual minorities to the Add Health question but as heterosexual or straight to the NHIS question, primarily "mostly heterosexuals," had mental health outcomes that were more like those who were consistently classified as sexual minorities versus those consistently classified as heterosexual or straight. Current measures of sexual orientation in national-level surveys may underestimate the sexual minority population and sexual orientation‒related health disparities. Results illustrate the need for further research to expand measurement of sexual orientation on population-based health surveys. (. 2024;114(12):1375-1383. https://doi.org/10.2105/AJPH.2024.307839).
（1）比较两项旨在测量性取向的调查问题的反应，并（2）了解反应的变化如何与心理健康相关。数据来自美国国家青少年到成人健康纵向研究（Add Health）性取向/性别认同、社会经济地位和整个生命周期的健康（SOGI-SES）研究（2020-2021 年）。我们使用调整后的 Wald 检验比较了（1）使用 Add Health 研究和国家健康访谈调查（NHIS）设计的性取向问题将受访者分为异性恋或直人和性少数群体的比例，以及（2）被诊断为抑郁症或焦虑症或恐慌症的受访者比例。Add Health 问题检测到的性少数群体受访者人数是 NHIS 问题的两倍多。那些对 Add Health 问题回答为性少数群体但对 NHIS 问题回答为异性恋或直人的人，主要是“多数异性恋者”，他们的心理健康结果更类似于那些一直被归类为性少数群体的人，而不是那些一直被归类为异性恋或直人的人。目前在国家级调查中衡量性取向的方法可能低估了性少数群体人口和与性取向相关的健康差距。研究结果表明需要进一步研究，以扩大基于人群的健康调查对性取向的衡量。（。2024 年；114（12）：1375-1383。https://doi.org/10.2105/AJPH.2024.307839））。
