Some researchers and clinicians may feel hesitant to assess sexual orientation and gender-related characteristics in youth surveys because they are unsure if youth will respond to these questions or are concerned the questions will cause discomfort or offense. This can result in missed opportunities to identify LGBTQ+ youth and address health inequities among this population. The aim of this study was to examine the prevalence and sociodemographic patterns of missingness among survey questions assessing current sexual orientation, gender identity and expression (SOGIE), and past change in sexual orientation (sexual fluidity) among a diverse sample of U.S. youth. Participants (N = 4,245, ages 14-25 years; 95% cisgender, 70% straight/heterosexual, 53% youth of color), recruited from an online survey panel, completed the Wave 1 survey of the longitudinal Sexual Orientation Fluidity in Youth (SO*FLY) Study in 2021. Current SOGIE, past sexual fluidity, and sociodemographic characteristics were assessed for missingness. Overall, 95.7% of participants had no missing questions, 3.8% were missing one question, and 0.5% were missing ≥ 2 questions. Past sexual fluidity and assigned sex were most commonly missing. Sociodemographic differences between participants who skipped the SOGIE questions and the rest of the sample were minimal. Missingness for the examined items was low and similar across sociodemographic characteristics, suggesting that almost all youth are willing to respond to survey questions about SOGIE. SOGIE and sexual fluidity items should be included in surveys and clinical assessments of youth to inform clinical care, policy-making, interventions, and resource development to improve the health of all youth. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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所有青少年都会回答性取向和性别相关的调查问题吗？美国一项针对青少年和年轻人的大型调查中的缺失分析。


一些研究人员和临床医生可能会对评估青少年调查中的性取向和性别相关特征感到犹豫，因为他们不确定青少年是否会回答这些问题，或者担心这些问题会引起不适或冒犯。这可能会导致错失识别 LGBTQ+ 青少年和解决该人群健康不平等问题的机会。本研究的目的是调查评估美国青少年不同样本中当前性取向、性别认同和表达（SOGIE）以及过去性取向变化（性流动性）的调查问题的缺失率和社会人口统计学模式。从在线调查小组招募的参与者（N = 4,245，年龄 14-25 岁；95% 顺性别，70% 异性恋/异性恋，53% 有色人种青年）完成了青年纵向性取向流动性的第一波调查（ SO*FLY）2021 年的研究。对当前的 SOGIE、过去的性流动性和社会人口特征进行了缺失评估。总体而言，95.7%的参与者没有遗漏问题，3.8%的参与者遗漏了1个问题，0.5%的参与者遗漏了≥2个问题。过去的性流动性和指定性别最常见。跳过 SOGIE 问题的参与者与其余样本之间的社会人口统计学差异很小。所检查项目的缺失率较低，并且各个社会人口特征相似，这表明几乎所有年轻人都愿意回答有关 SOGIE 的调查问题。 SOGIE 和性流动性项目应纳入对青少年的调查和临床评估中，为临床护理、政策制定、干预措施和资源开发提供信息，以改善所有青少年的健康。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。