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Methodologic concerns in defining lesbian for health research.
1Biostatistics Department, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Epidemiology (Cambridge, Mass.)
|January 4, 2001
Summary
Defining sexual orientation is crucial for lesbian health research. This study compares three definitions of "lesbian" based on identity and behavior, offering guidance for future women's health studies.
Area of Science:
- Women's Health Research
- Sexual Orientation Studies
- Health Disparities
Background:
- Institute of Medicine highlights need for more research on lesbian health.
- Methodological challenges in defining sexual orientation among women identified.
- Previous research lacks standardized assessment of sexual orientation in women.
Purpose of the Study:
- To address the definition and assessment of sexual orientation among women.
- To compare different conceptual definitions of "lesbian" in research.
- To provide guidance for researchers on incorporating sexual orientation measures.
Main Methods:
- Utilized data from the Women Physicians' Health Study (N=4,501).
- Employed a questionnaire-based U.S. probability sample survey.
- Assessed sexual orientation using two items: current self-identity and current sexual behavior.
Main Results:
- High response rate (96%) for sexual orientation items.
- Cross-tabulation revealed multiple combinations of sexual identity and behavior.
- Three distinct definitions of "lesbian" (identity only, behavior only, both) were compared.
Conclusions:
- The definition of "lesbian" impacts study findings and requires careful consideration.
- Researchers should be cautious and deliberate when defining and assessing sexual orientation.
- Standardized methods for assessing sexual orientation are needed to advance lesbian health research.
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