Objectives. 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. Methods. 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. Results. 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. Conclusions. Current measures of sexual orientation in national-level surveys may underestimate the sexual minority population and sexual orientation‒related health disparities. Public Health Implications. Results illustrate the need for further research to expand measurement of sexual orientation on population-based health surveys. (Am J Public Health. 2024;114(12):1375-1383. https://doi.org/10.2105/AJPH.2024.307839).

中文翻译：

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2020\u20122021 年两项美国全国基于人群的健康调查中使用的健康差异评估和性取向反应选择。


目标。（1） 比较对 2 个旨在测量性取向的调查问题的回答，以及 （2） 了解回答的变化与心理健康的关系。方法。数据来自美国青少年至成人健康 （Add Health） 性取向/性别认同、社会经济地位和健康全生命周期 （SOGI-SES） 研究 （2020-2021）。我们使用调整后的 Wald 检验来比较 （1） 使用为 Add Health 研究和全国健康访谈调查 （NHIS） 设计的性取向问题被归类为异性恋或异性恋和性少数群体的受访者比例，以及 （2） 被诊断患有抑郁症或焦虑症或恐慌症。结果。Add Health 问题检测到的性少数群体受访者数量是 NHIS 问题的两倍多。那些以性少数群体身份回答 Add Health 问题但以异性恋或直接身份回答 NHIS 问题的人，主要是 “主要是异性恋者”，其心理健康结果更像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异性恋的人。结论。目前国家级调查中对性取向的衡量标准可能低估了性少数群体人口和性取向相关的健康差异。公共卫生影响。结果表明，需要进一步研究以扩大基于人群的健康调查中对性取向的测量。（美国公共卫生杂志，2024 年;114(12):1375-1383.https://doi.org/10.2105/AJPH.2024.307839）。