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Choosing "Something Else" as a Sexual Identity: Evaluating Response Options on the National Health Interview Survey
Michele J Eliason1, Carl G Streed2
11 Department of Health Education, San Francisco State University , San Francisco, California.
LGBT Health
|June 1, 2017
Summary
The National Health Interview Survey (NHIS) sexual identity questions fail to capture diverse identities within the LGBTQ+ population. This limits our understanding of crucial health disparities among specific groups.
Area of Science:
- Health equity research
- Sociology of health
- Public health surveys
Background:
- Accurate measurement of sexual and gender identity is crucial for understanding health disparities.
- Existing health surveys may not adequately capture the diversity within the LGBTQ+ population.
- The National Health Interview Survey (NHIS) is a key source of health data in the United States.
Purpose of the Study:
- To evaluate the effectiveness of the NHIS sexual identity questions for the LGBTQ+ population.
- To identify limitations in current survey methods for measuring sexual and gender diversity.
- To highlight potential gaps in health disparity research due to inadequate categorization.
Main Methods:
- Analysis of responses to NHIS sexual identity questions.
- Inclusion of 277 LGBTQ+ healthcare providers in the study sample.
- Examination of responses categorized as 'something else' for sexual identity.
Main Results:
- 18% of participants selected 'something else' for sexual identity on the first NHIS question.
- 57% of those who selected 'something else' also chose it for the second question.
- Half of genderqueer/gender variant and 100% of transgender participants identified their sexual identity as 'something else'.
Conclusions:
- The NHIS sexual identity questions are insufficient for fully categorizing LGBTQ+ individuals.
- Current survey limitations may lead to underestimation or omission of health disparities in specific LGBTQ+ subgroups.
- Improved survey methodologies are needed to ensure comprehensive data collection for LGBTQ+ health research.
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