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How a “Something Else” Response Option for Sexual Identity Affects National Survey Estimates of Associations Between Sexual Identity, Reproductive Health, and Substance Use by Brady T. West; Curtiss W. Engstrom; Ty S. Schepis; Ilmul J. Tani; Sean Esteban McCabe is a Psychology article available to read on EtoBox.

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This randomized experiment tested whether the inclusion of a “something else” response option for a question about sexual identity in a national health survey would significantly moderate estimated differences between sexual identity subgroups in terms of various health outcomes, including substance use and reproductive health. We conducted secondary analyses of data from five consecutive years of the National Survey of Family Growth (NSFG; 2015–2019), where two large national half-samples were randomly assigned to receive one of two different versions of a question about sexual identity (a four-category version that included a “something else” response option or a three-category version omitting this option). We focused on national estimates of differences between subgroups defined by sexual identity. Multivariable models indicated that the estimated subgroup differences changed in a statistically significant fashion when using the four-category version of the sexual identity question for several measures, including 16% of male measures (household size, past-year cigarette use, and past-year illicit drug use) and 15% of female measures (wanting a/another child, ever had a sexually

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Author

Brady T. West; Curtiss W. Engstrom; Ty S. Schepis; Ilmul J. Tani; Sean Esteban McCabe

Publisher

Springer US

Published

2023

Field

Psychology (Social Sciences)