Measuring Sexual Orientation: A Review and Critique of U.S. Data Collection Efforts and Implications for Health Policy

References

• Agency for Healthcare Research and Quality. (2016a). Healthcare Cost and Utilization Project (HCUP). Retrieved from http://www.ahrq.gov/research/data/hcup/index.html
   Google Scholar
• Agency for Healthcare Research and Quality. (2016b). Medical Expenditure Panel Survey Home. Retrieved from http://meps.ahrq.gov/mepsweb/
   Google Scholar
• Allegretto, S. A., & Arthur, M. M. (2001). An empirical analysis of homosexual/heterosexual male earnings differentials: Unmarried and unequal? Industrial and Labor Relations Review, 54(3), 631–646. doi:10.1177/001979390105400306
   Web of Science ®Google Scholar
• Amadio, D. M. (2006). Internalized heterosexism, alcohol use, and alcohol-related problems among lesbians and gay men. Addictive Behaviors, 31(7), 1153–1162. doi:10.1016/j.addbeh.2005.08.013
   PubMed Web of Science ®Google Scholar
• Amadio, D. M., & Chung, Y. B. (2004). Internalized homophobia and substance use among lesbian, gay, and bisexual persons. Journal of Gay and Lesbian Social Services, 17(1), 83–101. doi:10.1300/J041v17n01_06
   Google Scholar
• American Psychological Association. (2008). Answers to your questions: For a better understanding of sexual orientation and homosexuality. Washington, DC: Author. Retrieved from http://www.apa.org/topics/lgbt/orientation.pdf
   Google Scholar
• American Psychological Association. (2011). Definition of terms: Sex, gender, gender identity, sexual orientation. Retrieved from https://www.apa.org/pi/lgbt/resources/sexuality-definitions.pdf
   Google Scholar
• Austin, S. B., Conron, K. J., Patel, A., & Freedner, N. (2007). Making sense of sexual orientation measures: Findings from a cognitive processing study with adolescents on health survey questions. Journal of LGBT Health Research, 3(1), 55–65. doi:10.1300/J463v03n01_07
   PubMedGoogle Scholar
• Badgett, M. (2009). Best practices for asking questions about sexual orientation on surveys. Retrieved from http://williamsinstitute.law.ucla.edu/wp-content/uploads/SMART-FINAL-Nov-2009.pdf
   Google Scholar
• Bailey, J., Farquhar, C., Owen, C., & Whittaker, D. (2003). Sexual behaviour of lesbians and bisexual women. Sexually Transmitted Infections, 79(2), 147–150. doi:10.1136/sti.79.2.147
   PubMed Web of Science ®Google Scholar
• Baldwin, A., Dodge, B., Schick, V., Hubach, R. D., Bowling, J., Malebranche, D., … Fortenberry, J. D. (2015). Sexual self-identification among behaviorally bisexual men in the midwestern United States. Archives of Sexual Behavior, 44(7), 2015–2026. doi:10.1007/s10508-014-0376-1
   PubMed Web of Science ®Google Scholar
• Bauer, G. R., Jairam, J. A., & Baidoobonso, S. M. (2010). Sexual health, risk behaviors, and substance use in heterosexual-identified women with female sex partners: 2002 U.S. National Survey of Family Growth. Sexually Transmitted Diseases, 37(9), 531–537. doi:10.1097/OLQ.0b013e3181d785f4
   PubMed Web of Science ®Google Scholar
• Bauer, G. R., & Welles, S. L. (2001). Beyond assumptions of negligible risk: Sexually transmitted diseases and women who have sex with women. American Journal of Public Health, 91(8), 1282–1286. doi:10.2105/AJPH.91.8.1282
   PubMed Web of Science ®Google Scholar
• Berg, N., & Lien, D. (2006). Same-sex sexual behaviour: U.S. frequency estimates from survey data with simultaneous misreporting and non-response. Applied Economics, 38(7), 757–769. doi:10.1080/00036840500427114
   Web of Science ®Google Scholar
• Black, D. A., Makar, H. R., Sanders, S. G., & Taylor, L. J. (2003). The earnings effects of sexual orientation. Industrial and Labor Relations Review, 56(3), 449–469. doi:10.2307/3590918
   Web of Science ®Google Scholar
• Bostwick, W. B., Boyd, C. J., Hughes, T. L., & McCabe, S. E. (2010). Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States. American Journal of Public Health, 100(3), 468–475. doi:10.2105/AJPH.2008.152942
   PubMed Web of Science ®Google Scholar
• Bowleg, L. (2008). When Black + lesbian + woman ≠ Black lesbian woman: The methodological challenges of qualitative and quantitative intersectionality research. Sex Roles, 59(5), 312–325. doi:10.1007/s11199-008-9400-z
   Web of Science ®Google Scholar
• Brewster, K. L., & Tillman, K. H. (2012). Sexual orientation and substance use among adolescents and young adults. American Journal of Public Health, 102(6), 1168–1176. doi:10.2105/AJPH.2011.300261
   PubMed Web of Science ®Google Scholar
• Cahill, S., Singal, R., Grasso, C., King, D., Mayer, K., Baker, K., & Makadon, H. (2014). Do ask, do tell: High levels of acceptability by patients of routine collection of sexual orientation and gender identity data in four diverse American community health centers. PloS One, 9(9), e107104. doi:10.1371/journal.pone.0107104
   PubMed Web of Science ®Google Scholar
• Carolina Population Center. (2016). Add Health: The National Longitudinal Study of Adolescent to Adult Health. Retrieved from http://www.cpc.unc.edu/projects/addhealth
   Google Scholar
• Centers for Disease Control and Prevention. (2013). Behavioral Risk Factor Surveillance System Questionnaire: 2014. Retrieved from http://www.cdc.gov/brfss/questionnaires/pdf-ques/2014_brfss.pdf
   Google Scholar
• Centers for Disease Control and Prevention. (2015a). Adolescent and school health: Frequently asked questions. Retrieved from http://www.cdc.gov/healthyyouth/fundedpartners/1308/faq.htm
   Google Scholar
• Centers for Disease Control and Prevention. (2015b). HIV among gay and bisexual men. Retrieved from http://www.cdc.gov/hiv/group/msm/
   Google Scholar
• Centers for Disease Control and Prevention. (2015c). National Survey of Family Growth: 2011–2013 NSFG: Public use data files, codebooks, and documentation. Retrieved from http://www.cdc.gov/nchs/nsfg/nsfg_2011_2013_puf.htm
   Google Scholar
• Centers for Disease Control and Prevention. (2015d). National Vital Statistics System: Marriages and divorces. Retrieved from http://www.cdc.gov/nchs/mardiv.htm#reporting
   Google Scholar
• Chandra, A., Mosher, W. D., & Copen, C. (2011). Sexual behavior, sexual attraction, and sexual identity in the United States: Data from the 2006–2008 National Survey of Family Growth. National Health Statistics Reports (No. 36). Hyattsville, MD: U.S. Department of Health and Human Services.
   Google Scholar
• Chaplic, K. C., & Allen, P. J. (2013). Best practices to identify gay, lesbian, bisexual, or questioning youth in primary care. Pediatric Nursing, 39(2), 99–104.
   PubMedGoogle Scholar
• Chappell, B. (2015, June 26). Supreme court declares same-sex marriage legal in all 50 states. Retrieved from http://www.npr.org/sections/thetwo-way/2015/06/26/417717613/supreme-court-rules-all-states-must-allow-same-sex-marriages
   Google Scholar
• Chung, Y. B., & Katayama, M. (1996). Assessment of sexual orientation in lesbian/gay/bisexual studies. Journal of Homosexuality, 30(4), 49–62. doi:10.1300/J082v30n04_03
   PubMed Web of Science ®Google Scholar
• Clift, J. B., & Kirby, J. (2012). Health care access and perceptions of provider care among individuals in same-sex couples: Findings from the Medical Expenditure Panel Survey (MEPS). Journal of Homosexuality, 59(6), 839–850. doi:10.1080/00918369.2012.694766
   PubMed Web of Science ®Google Scholar
• Copen, C., Chandra, A., & Febo-Vazquez, I. (2016). Sexual behavior, sexual attraction, and sexual orientation among adults aged 18–44 in the United States: Data from the 2011–2013 National Survey of Family Growth. National Health Statistics Reports (No. 88). Hyattsville, MD: National Center for Health Statistics.
   Google Scholar
• Corliss, H. L., Austin, S. B., Roberts, A. L., & Molnar, B. E. (2009). Sexual risk in “mostly heterosexual” young women: Influence of social support and caregiver mental health. Journal of Women’s Health, 18(12), 2005–2010. doi:10.1089/jwh.2009.1488
   PubMed Web of Science ®Google Scholar
• Diamond, L. M. (2000). Sexual identity, attractions, and behavior among young sexual-minority women over a 2-year period. Developmental Psychology, 36(2), 241–250. doi:10.1037/0012-1649.36.2.241
   PubMed Web of Science ®Google Scholar
• Diamond, L. M. (2003). What does sexual orientation orient? A biobehavioral model distinguishing romantic love and sexual desire. Psychological Review, 110(1), 173–192. doi:10.1037//0033-295X.110.1.173
   PubMed Web of Science ®Google Scholar
• Diamond, L. M. (2005). What we got wrong about sexual identity development: Unexpected findings from a longitudinal study of young women. In A. Omoto & H. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people (pp. 73–94). Washington, DC: American Psychological Association.
   Google Scholar
• Diamond, L. M. (2008). Female bisexuality from adolescence to adulthood: Results from a 10-year longitudinal study. Developmental Psychology, 44(1), 5–14. doi:10.1037/0012-1649.44.1.5
   PubMed Web of Science ®Google Scholar
• Durso, L. E., & Meyer, I. H. (2013). Patterns and predictors of disclosure of sexual orientation to healthcare providers among lesbians, gay men, and bisexuals. Sexuality Research and Social Policy, 10(1), 35–42. doi:10.1007/s13178-012-0105-2
   PubMed Web of Science ®Google Scholar
• Eisenberg, M. (2001). Differences in sexual risk behaviors between college students with same-sex and opposite-sex experience: Results from a national survey. Archives of Sexual Behavior, 30(6), 575–589. doi:10.1023/A:1011958816438
   PubMed Web of Science ®Google Scholar
• Federal Interagency Working Group on Improving Measurement of Sexual Orientation and Gender Identity in Federal Surveys. (2016, September 23). Evaluations of sexual orientation and gender identity survey measures: what have we learned? Retrieved from https://sites.usa.gov/fcsm/files/2014/04/Evaluations_of_SOGI_Questions_20160923.pdf
   Google Scholar
• Fenway Institute. (2015, October 7). The Fenway Institute, Center for American Progress applaud new U.S. Department of Health and Human Services rule including sexual orientation and gender identity in the Meaningful Use of Electronic Health Records program [Press release]. Retrieved from http://fenwayhealth.org/wp-content/uploads/2015/10/SOGI-Press-Release1.pdf
   Google Scholar
• Fenway Institute & Center for American Progress. (2015). Do ask, do tell: A toolkit for collecting data on sexual orientation and gender identity in clinical settings. Retrieved from http://doaskdotell.org/
   Google Scholar
• Fields, E. L., Bogart, L. M., Smith, K. C., Malebranche, D. J., Ellen, J., & Schuster, M. A. (2015). “I always felt I had to prove my manhood”: Homosexuality, masculinity, gender role strain, and HIV risk among young Black men who have sex with men. American Journal of Public Health, 105(1), 122–131. doi:10.2105/AJPH.2013.301866
   PubMed Web of Science ®Google Scholar
• Ford, J. A., & Jasinski, J. L. (2006). Sexual orientation and substance use among college students. Addictive Behaviors, 31(3), 404–413. doi:10.1016/j.addbeh.2005.05.019
   PubMed Web of Science ®Google Scholar
• Friedman, M. S., Silvestre, A. J., Gold, M. A., Markovic, N., Savin-Williams, R., Huggins, J., & Sell, R. L. (2004). Adolescents define sexual orientation and suggest ways to measure it. Journal of Adolescence, 27(3), 303–317. doi:10.1016/j.adolescence.2004.03.006
   PubMed Web of Science ®Google Scholar
• Gates, G. J. (2009). The impact of sexual orientation anti-discrimination policies on the wages of lesbians and gay men (Working paper CCPR-2009-010). Retrieved from papers.ccpr.ucla.edu/papers/PWP-CCPR-2009-010/PWP-CCPR-2009-010.pdf
   Google Scholar
• Gattis, M. N., Sacco, P., & Cunningham-Williams, R. M. (2012). Substance use and mental health disorders among heterosexual identified men and women who have same-sex partners or same-sex attraction: Results from the National Epidemiological Survey on Alcohol and Related Conditions. Archives of Sexual Behavior, 41(5), 1185–1197. doi:10.1007/s10508-012-9910-1
   PubMed Web of Science ®Google Scholar
• Ghanem, K. G., Hutton, H. E., Zenilman, J. M., Zimba, R., & Erbelding, E. J. (2005). Audio computer assisted self-interview and face to face interview modes in assessing response bias among STD clinic patients. Sexually Transmitted Infections, 81(5), 421–425. doi:10.1136/sti.2004.013193
   PubMed Web of Science ®Google Scholar
• Goldberg, A. E., & Gartrell, N. K. (2014). LGB-parent families: The current state of the research and directions for the future. Advances in Child Development and Behavior, 46, 57–88. doi:10.1016/B978-0-12-800285-8.00003-0
   PubMed Web of Science ®Google Scholar
• Goodenow, C., Szalacha, L. A., Robin, L. E., & Westheimer, K. (2008). Dimensions of sexual orientation and HIV-related risk among adolescent females: Evidence from a statewide survey. American Journal of Public Health, 98(6), 1051–1058. doi:10.2105/AJPH.2005.080531
   PubMed Web of Science ®Google Scholar
• Grey, J. A., Bernstein, K. T., Sullivan, P. S., Purcell, D. W., Chesson, H. W., Gift, T. L., & Rosenberg, E. S. (2016). Estimating the population sizes of men who have sex with men in U.S. states and counties using data from the American Community Survey. JMIR Public Health and Surveillance, 2(1), e14. doi:10.2196/publichealth.5365
   PubMedGoogle Scholar
• Grov, C. (2012). Dangerous politics and sex research: The example of “Penis-gate 2011.” Sexuality Research and Social Policy, 9(2), 95–98. doi:10.1007/s13178-012-0080-7
   PubMed Web of Science ®Google Scholar
• Grov, C., Cain, D., Whitfield, T. H., Rendina, H. J., Pawson, M., Ventuneac, A., & Parsons, J. T. (2016). Recruiting a U.S. national sample of HIV-negative gay and bisexual men to complete at-home self-administered HIV/STI testing and surveys: Challenges and opportunities. Sexuality Research and Social Policy, 13(1), 1–21. doi:10.1007/s13178-015-0212-y
   PubMed Web of Science ®Google Scholar
• Hatzenbuehler, M. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5), 707–730. doi:10.1037/a0016441
   PubMed Web of Science ®Google Scholar
• Hatzenbuehler, M. (2011). The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics, 127(5), 896–903. doi:10.1542/peds.2010-3020
   PubMed Web of Science ®Google Scholar
• Hatzenbuehler, M., McLaughlin, K. A., Keyes, K. M., & Hasin, D. S. (2010). The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: A prospective study. American Journal of Public Health, 100(3), 452–459. doi:10.2105/AJPH.2009.168815
   PubMed Web of Science ®Google Scholar
• Hatzenbuehler, M., Wieringa, N. F., & Keyes, K. M. (2011). Community-level determinants of tobacco use disparities in lesbian, gay, and bisexual youth: Results from a population-based study. Archives of Pediatrics and Adolescent Medicine, 165(6), 527–532. doi:10.1001/archpediatrics.2011.64
   PubMedGoogle Scholar
• Hendricks, M., & Bockting, W. O. (2016). Innovations in research with transgender and gender nonconforming people and their communities. Psychology of Sexual Orientation and Gender Diversity, 3(2), 187–194. doi:10.1037/sgd0000158
   Google Scholar
• Herek, G. M., Norton, A. T., Allen, T. J., & Sims, C. L. (2010). Demographic, psychological, and social characteristics of self-identified lesbian, gay, and bisexual adults in a US probability sample. Sexuality Research and Social Policy, 7(3), 176–200. doi:10.1007/s13178-010-0017-y
   PubMed Web of Science ®Google Scholar
• Herman, J. (2014). Best practices for asking questions to identify transgender and other gender minority respondents on population-based surveys (Created by the Gender Identity in U.S. Surveillance (GenIUSS) Group). Los Angeles, CA: The Williams Institute.
   Google Scholar
• Herrick, A., Matthews, A., & Garofalo, R. (2010). Health risk behaviors in an urban sample of young women who have sex with women. Journal of Lesbian Studies, 14(1), 80–92. doi:10.1080/10894160903060440
   PubMedGoogle Scholar
• Hill, B., Rahman, Q., Bright, D., & Sanders, S. (2010). The semantics of sexual behavior and their implications for HIV/AIDS research and sexual health: U.S. and U.K. gay men’s definitions of having “had sex.” AIDS Care, 22(10), 1245–1251. doi:10.1080/09540121003668128
   PubMed Web of Science ®Google Scholar
• Horowitz, A. D., & Spicer, L. (2013). “Having sex” as a graded and hierarchical construct: A comparison of sexual definitions among heterosexual and lesbian emerging adults in the U.K. Journal of Sex Research, 50(2), 139–150. doi:10.1080/00224499.2011.635322
   PubMed Web of Science ®Google Scholar
• Huebner, D. M., Kegeles, S. M., Rebchook, G. M., Peterson, J. L., Neilands, T. B., Johnson, W. D., & Eke, A. N. (2013). Social oppression, psychological vulnerability, and unprotected intercourse among young Black men who have sex with men. Health Psychology, 33(12), 1568–1578. doi:10.1037/hea0000031
   PubMed Web of Science ®Google Scholar
• Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: National Academy Press.
   Google Scholar
• Institute of Medicine. (2013). Collecting sexual orientation and gender identity data in electronic health records: Workshop summary. Washington, DC: National Academy Press.
   Google Scholar
• Joloza, T., Evans, J., O’Brien, R., & Potter-Collins, A. (2010). Measuring sexual identity: An evaluation report. Retrieved from http://webarchive.nationalarchives.gov.uk/20160105160709/http://www.ons.gov.uk/ons/rel/ethnicity/measuring-sexual-identity—evaluation-report/2010/index.html
   Google Scholar
• Kann, L., Olsen, E. O., McManus, T., Kinchen, S., Chyen, D., Harris, W. A., & Weschler, H. (2011). Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9–12: Youth risk behavior surveillance, selected sites, United States, 2001–2009. Morbidity and Mortality Weekly Report, 60(SS07), 1–133.
   Google Scholar
• Kempner, J. (2008). The chilling effect: How do researchers react to controversy? PLoS Medicine, 5(11), e222. doi:10.1371/journal.pmed.0050222
   PubMed Web of Science ®Google Scholar
• Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. Philadelphia, PA: W.B. Saunders.
   Google Scholar
• Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & GebhardP. H., (1954). Sexual behavior in the human female. Philadelphia, PA: W.B. Saunders.
   Google Scholar
• Klein, F., Sepekoff, B., & Wolf, T. J. (1985). Sexual orientation: A multi-variable dynamic process. Journal of Homosexuality, 11(1–2), 35–49. doi:10.1300/J082v11n01_04
   PubMed Web of Science ®Google Scholar
• Koh, A. S., Gómez, C. A., Shade, S., & Rowley, E. (2005). Sexual risk factors among self-identified lesbians, bisexual women, and heterosexual women accessing primary care settings. Sexually Transmitted Diseases, 32(9), 563–569. doi:10.1097/01.olq.0000175417.17078.21
   PubMed Web of Science ®Google Scholar
• Kurth, A., Martin, D., Golden, M., Weiss, N., Heagerty, P., Spielberg, F., … Holmes, K. K. (2004). A comparison between audio computer-assisted self-interviews and clinician interviews for obtaining the sexual history. Sexually Transmitted Diseases, 31(12), 719–726. doi:10.1097/01.olq.0000145855.36181.13
   PubMed Web of Science ®Google Scholar
• Laumann, E. O. (1994). The social organization of sexuality: Sexual practices in the United States. Chicago, IL: University of Chicago Press.
   Google Scholar
• Lerum, K., & Dworkin, S. L. (2015). The power of (but not in?) sexual configurations theory. Archives of Sexual Behavior, 45(3), 495–499. doi:10.1007/s10508-015-0669-z
   Web of Science ®Google Scholar
• Lindley, L. L., Walsemann, K. M., & Carter, J. W.Jr, . (2012). The association of sexual orientation measures with young adults’ health-related outcomes. American Journal of Public Health, 102(6), 1177–1185. doi:10.2105/AJPH.2011.300262
   PubMed Web of Science ®Google Scholar
• Liptak, A. (2014, March 24). Ruling could have reach beyond issue of contraception. New York Times. Retrieved from http://www.nytimes.com/2014/03/25/us/contraception-ruling-could-have-reach-far-beyond-womens-rights.html?_r=1
   Google Scholar
• Malacad, B. L., & Hess, G. C. (2011). Sexual behaviour research using the survey method: A critique of the literature over the last 6 years. European Journal of Contraception and Reproductive Health Care, 16(5), 328–335. doi:10.3109/13625187.2011.600479
   PubMed Web of Science ®Google Scholar
• Marrazzo, J. M., Coffey, P., & Bingham, A. (2005). Sexual practices, risk perception and knowledge of sexually transmitted disease risk among lesbian and bisexual women. Perspectives on Sexual and Reproductive Health, 37(1), 6–12. doi:10.1363/psrh.37.006.05
   PubMed Web of Science ®Google Scholar
• Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., … Brent, D. A. (2011). Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49(2), 115–123. doi:10.1016/j.jadohealth.2011.02.005
   PubMed Web of Science ®Google Scholar
• Marshal, M. P., Friedman, M. S., Stall, R., King, K. M., Miles, J., Gold, M. A., … Morse, J. Q. (2008). Sexual orientation and adolescent substance use: A meta-analysis and methodological review. Addiction, 103(4), 546–556. doi:10.1111/j.1360-0443.2008.02149.x
   PubMed Web of Science ®Google Scholar
• Masters, W. H., & Johnson, V. E. (1979). Homosexuality in perspective. New York, NY: Little Brown.
   Google Scholar
• Matthews, C. R., Lorah, P., & Fenton, J. (2005). Toward a grounded theory of lesbians’ recovery from addiction. Journal of Lesbian Studies, 9(3), 57–68. doi:10.1300/J155v09n03_06
   PubMedGoogle Scholar
• Matthews, D. D., Blosnich, J. R., Farmer, G. W., & Adams, B. J. (2014). Operational definitions of sexual orientation and estimates of adolescent health risk behaviors. LGBT Health, 1(1), 42–49. doi:10.1089/lgbt.2013.0002.
   PubMed Web of Science ®Google Scholar
• McCabe, S. E., Hughes, T. L., Bostwick, W. B., West, B. T., & Boyd, C. J. (2009). Sexual orientation, substance use behaviors and substance dependence in the United States. Addiction, 104(8), 1333–1345. doi:10.1111/j.1360-0443.2009.02596.x
   PubMed Web of Science ®Google Scholar
• McKirnan, D. J., Du Bois, S. N., Alvy, L. M., & Jones, K. (2013). Health care access and health behaviors among men who have sex with men the cost of health disparities. Health Education and Behavior, 40(1), 32–41. doi:10.1177/1090198111436340
   PubMed Web of Science ®Google Scholar
• Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. doi:10.1037/0033-2909.129.5.674
   PubMed Web of Science ®Google Scholar
• Meyer, I. H., & Wilson, P. A. (2009). Sampling lesbian, gay, and bisexual populations. Journal of Counseling Psychology, 56(1), 23–31. doi: 10.1037/a0014587
   Web of Science ®Google Scholar
• Midanik, L. T., Drabble, L., Trocki, K., & Sell, R. L. (2007). Sexual orientation and alcohol use: Identity versus behavior measures. Journal of LGBT Health Research, 3(1), 25–35. doi:10.1300/J463v03n01_04
   PubMedGoogle Scholar
• Miller, K. (2002). Cognitive analysis of sexual identity, attraction, and behavior questions. Hyattsville, MD: Office of Research and Methodology, National Center for Health Statistics.
   Google Scholar
• Miller, K., & Ryan, J. M. (2011). Design, development, and testing of the NHIS sexual identity question. Retrieved from http://wwwn.cdc.gov/qbank/report/Miller_NCHS_2011_NHIS%20Sexual%20Identity.pdf
   Google Scholar
• Moradi, B., Mohr, J. J., Worthington, R. L., & Fassinger, R. E. (2009). Counseling psychology research on sexual (orientation) minority issues: Conceptual and methodological challenges and opportunities. Journal of Counseling Psychology, 56(1), 5–22. doi:10.1037/a0014572
   Web of Science ®Google Scholar
• Mosack, K. E., Brouwer, A. M., & Petroll, A. E. (2013). Sexual identity, identity disclosure, and health care experiences: Is there evidence for differential homophobia in primary care practice? Women’s Health Issues, 23(6), e341–e346. doi:10.1016/j.whi.2013.07.004
   PubMed Web of Science ®Google Scholar
• Mustanski, B. (2001). Getting wired: Exploiting the Internet for the collection of valid sexuality data. Journal of Sex Research, 38(4), 292–301. doi:10.1080/00224490109552100
   Web of Science ®Google Scholar
• Mustanski, B., Birkett, M., Greene, G. J., Rosario, M., Bostwick, W., & Everett, B. G. (2014). The association between sexual orientation identity and behavior across race/ethnicity, sex, and age in a probability sample of high school students. American Journal of Public Health, 104(2), 237–244. doi:10.2105/AJPH.2013.301451
   PubMed Web of Science ®Google Scholar
• Mustanski, B., Van Wagenen, A., Birkett, M., Eyster, S., & Corliss, H. L. (2014). Identifying sexual orientation health disparities in adolescents: Analysis of pooled data from the Youth Risk Behavior Survey, 2005 and 2007. American Journal of Public Health, 104(2), 211–217. doi:10.2105/AJPH.2013.301748
   PubMed Web of Science ®Google Scholar
• National Center for Chronic Disease Prevention and Health Promotion. (2015). Behavioral Risk Factor Surveillance System: 2014 BRFSS modules used by category. Retrieved from http://www.cdc.gov/brfss/questionnaires/modules/category2014.htm
   Google Scholar
• National Center for Transgender Equality. (2015). National Transgender Discrimination Survey. Retrieved from http://www.transequality.org/issues/national-transgender-discrimination-survey
   Google Scholar
• National Conference of State Legislatures. (2016). Health reform. Retrieved from http://www.ncsl.org/documents/health/HDandACA.pdf
   Google Scholar
• National Center for Health Statistics. (2003, November). U.S. standard certificate of live birth. Retrieved from http://www.cdc.gov/nchs/data/dvs/birth11-03final-ACC.pdf
   Google Scholar
• National Center for Health Statistics. (2015). Marriage rates by State: 1990, 1995, and 1999–2014. Retrieved from http://www.cdc.gov/nchs/data/dvs/state_marriage_rates_90_95_and_99-14.pdf
   Google Scholar
• National Center for Health Statistics. (2016a, February 24). 2015–2016 National Health and Nutrition Examination Survey (NHANES). Retrieved from http://www.cdc.gov/nchs/nhanes/nhanes2015-2016/questionnaires15_16.htm
   Google Scholar
• National Center for Health Statistics. (2016b, March 14). National Health Interview Survey: Questionnaires, datasets, and related documentation 1997 to the present. Retrieved from http://www.cdc.gov/nchs/nhis/quest_data_related_1997_forward.htm
   Google Scholar
• Ng, B. E., Michelow, W., & Robert, W. (2014). Relationship between disclosure of same-sex sexual activity to providers, HIV diagnosis, and sexual health services for men who have sex with men in Vancouver, Canada. Canadian Journal of Public Health, 105(3), E186–E191.
   PubMed Web of Science ®Google Scholar
• O’Leary, A., Fisher, H. H., Purcell, D. W., Spikes, P. S., & Gomez, C. A. (2007). Correlates of risk patterns and race/ethnicity among HIV-positive men who have sex with men. AIDS and Behavior, 11(5), 706–715. doi:10.1007/s10461-006-9205-4
   PubMed Web of Science ®Google Scholar
• Pathela, P. (2012). Risk among youth with discordant sexual identity and sexual behavior: Representative data from the 2005–2009 New York City Youth Risk Behavior Surveys. Presented at the 2012 National STD Prevention Conference, Minneapolis, MN
   Google Scholar
• Pathela, P., Blank, S., Sell, R. L., & Schillinger, J. A. (2006). The importance of both sexual behavior and identity. American Journal of Public Health, 96(5), 765–765. doi:10.2105/AJPH.2005.079186
   PubMed Web of Science ®Google Scholar
• Priebe, G., & Svedin, C. G. (2013). Operationalization of three dimensions of sexual orientation in a national survey of late adolescents. Journal of Sex Research, 50(8), 727–738. doi:10.1080/00224499.2012.713147
   PubMed Web of Science ®Google Scholar
• Przedworski, J. M., McAlpine, D. D., Karaca-Mandic, P., & VanKim, N. A. (2014). Health and health risks among sexual minority women: An examination of 3 subgroups. American Journal of Public Health, 104(6), 1045–1047. doi:10.2105/AJPH.2013.301733
   PubMed Web of Science ®Google Scholar
• Purcell, D. W., Johnson, C. H., Lansky, A., Prejean, J., Stein, R., Denning, P., … Crepaz, N. (2012). Estimating the population size of men who have sex with men in the United States to obtain HIV and syphilis rates. Open AIDS Journal, 6(1), 98–107. doi:10.2174/1874613601206010098
   PubMedGoogle Scholar
• Rankin, S. S., & Garvey, J. C. (2015). Identifying, quantifying, and operationalizing queer‐spectrum and trans‐spectrum students: Assessment and research in student affairs. New Directions for Student Services, 2015(152), 73–84. doi:10.1002/ss.20146
   Google Scholar
• Richardson, D. (2000). The social construction of immunity: HIV risk perception and prevention among lesbians and bisexual women. Culture, Health, and Sexuality, 2(1), 33–49. doi:10.1080/136910500300859
   Google Scholar
• Ridolfo, H., Miller, K., & Maitland, A. (2012). Measuring sexual identity using survey questionnaires: How valid are our measures? Sexuality Research and Social Policy, 9(2), 113–124. doi:10.1007/s13178-011-0074-x
   Web of Science ®Google Scholar
• Rietmeijer, C. A., Wolitski, R. J., Fishbein, M., Corby, N. H., & Cohn, D. L. (1998). Sex hustling, injection drug use, and non‐gay identification by men who have sex with men: Associations with high‐risk sexual behaviors and condom use. Sexually Transmitted Diseases, 25(7), 353–360. doi:10.1097/00007435-199808000-00006
   PubMed Web of Science ®Google Scholar
• Rosario, M., Corliss, H. L., Everett, B. G., Reisner, S. L., Austin, S. B., Buchting, F. O., & Birkett, M. (2014). Sexual orientation disparities in cancer-related risk behaviors of tobacco, alcohol, sexual behaviors, and diet and physical activity: Pooled Youth Risk Behavior Surveys. American Journal of Public Health, 104(2), 245–254. doi:10.2105/AJPH.2013.301506
   PubMed Web of Science ®Google Scholar
• Ross, C. E., & Mirowsky, J. (2000). Does medical insurance contribute to socioeconomic differentials in health? Milbank Quarterly, 78(2), 291–321. doi:10.1111/1468-0009.00171
   PubMed Web of Science ®Google Scholar
• Rosser, B. S., Kilian, G., & West, W. G. (2013). The emergency public relations protocol: How to work effectively on controversial projects in an academic health setting. Sexuality Research and Social Policy, 10(1), 1–14. doi:10.1007/s13178-012-0104-3
   PubMed Web of Science ®Google Scholar
• Rothblum, E. D. (2000). Sexual orientation and sex in women’s lives: Conceptual and methodological issues. Journal of Social Issues, 56(2), 193–204. doi:10.1111/0022-4537.00160
   Web of Science ®Google Scholar
• Saewyc, E. M. (2011). Research on adolescent sexual orientation: Development, health disparities, stigma, and resilience: Sexual orientation decade in review. Journal of Research on Adolescence, 21(1), 256–272. doi:10.1111/j.1532-7795.2010.00727.x
   PubMed Web of Science ®Google Scholar
• Savin-Williams, R. C. (2009a). How many gays are there? It depends. In D. A. Hope (Ed.), Contemporary perspectives on lesbian, gay, and bisexual identities (pp. 5–41). New York, NY: Springer.
   Google Scholar
• Savin-Williams, R. C. (2009b). The new gay teenager. Cambridge, MA: Harvard University Press.
   Google Scholar
• Savin-Williams, R. C., & Ream, G. L. (2007). Prevalence and stability of sexual orientation components during adolescence and young adulthood. Archives of Sexual Behavior, 36(3), 385–394. doi:10.1007/s10508-006-9088-5
   PubMed Web of Science ®Google Scholar
• Sell, R. L. (1997). Defining and measuring sexual orientation: A review. Archives of Sexual Behavior, 26(6), 643–658. doi:10.1023/A:1024528427013
   PubMed Web of Science ®Google Scholar
• Sell, R. L. (2007). Defining and measuring sexual orientation for research. In I. H. Meyer & M. E. Northridge (Eds.), The health of sexual minorities (pp. 355–374). New York, NY: Springer.
   Google Scholar
• Sell, R. L., & Becker, J. B. (2001). Sexual orientation data collection and progress toward Healthy People 2010. American Journal of Public Health, 91(6), 876–882. doi: 10.2105/AJPH.91.6.876
   PubMed Web of Science ®Google Scholar
• Shively, M. G., & De Cecco, J. P. (1977). Components of sexual identity. Journal of Homosexuality, 3(1), 41–48. doi:10.1300/J082v03n01_04
   PubMed Web of Science ®Google Scholar
• Siegel, K., Schrimshaw, E. W., Lekas, H.-M., & Parsons, J. T. (2008). Sexual behaviors of non-gay identified non-disclosing men who have sex with men and women. Archives of Sexual Behavior, 37(5), 720–735. doi:10.1007/s10508-008-9357-6
   PubMed Web of Science ®Google Scholar
• St. Pierre, M. (2012). Under what conditions do lesbians disclose their sexual orientation to primary healthcare providers? A review of the literature. Journal of Lesbian Studies, 16(2), 199–219. doi:10.1080/10894160.2011.604837
   PubMedGoogle Scholar
• Steever, J., Francis, J., Gordon, L. P., & Lee, J. (2014). Sexual minority youth. Primary Care: Clinics in Office Practice, 41(3), 651–669. doi:10.1016/j.pop.2014.05.012
   PubMed Web of Science ®Google Scholar
• Storms, M. D. (1980). Theories of sexual orientation. Journal of Personality and Social Psychology, 38(5), 783–792. doi:10.1037/0022-3514.38.5.783
   Web of Science ®Google Scholar
• Substance Abuse and Mental Health Services Administration. (2015). 2015 National Survey on Drug Use and Health (NSDUH): Final CAI Specifications for Programming (English version).Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Retrieved from http://www.samhsa.gov/data/sites/default/files/NSDUH2015MRB/NSDUHmrbCAIquex2015.pdf
   Google Scholar
• Thompson, E. M., & Morgan, E. M. (2008). “Mostly straight” young women: Variations in sexual behavior and identity development. Developmental Psychology, 44(1), 15–21. doi:10.1037/0012-1649.44.1.15
   PubMed Web of Science ®Google Scholar
• Tracy, J. K., Lydecker, A. D., & Ireland, L. (2010). Barriers to cervical cancer screening among lesbians. Journal of Women’s Health, 19(2), 229–237. doi:10.1089/jwh.2009.1393
   PubMed Web of Science ®Google Scholar
• Turner, C., Ku, L., Rogers, S., Lindberg, L., Pleck, J., & Sonenstein, F. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280, 867–873. doi:10.1126/science.280.5365.867
   PubMed Web of Science ®Google Scholar
• Twenge, J. M., Sherman, R. A., & Wells, B. E. (2016). Sexual inactivity during young adulthood is more common among U.S. millennials and iGen: Age, period, and cohort effects on having no sexual partners after age 18. Archives of Sexual Behavior. doi:10.1007/s10508-016-0798-z
   Web of Science ®Google Scholar
• U.S. Department of Health and Human Services. (2010). Healthy People 2020: Lesbian, gay, bisexual and transgender health. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health
   Google Scholar
• U.S. Department of Health and Human Services LGBT Issues Coordinating Committee. (2015). Advancing LGBT health and well-being 2015 report. Retrieved from http://www.hhs.gov/sites/default/files/dhhs-lgbt-2015-annual-report.pdf
   Google Scholar
• U.S. Department of Health and Human Services Office of Minority Health. (2013). Improving data collection for the LGBT community. Retrieved from http://minorityhealth.hhs.gov/assets/pdf/checked/1/Fact_Sheet_LGBT.pdf
   Google Scholar
• U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning & Evaluation (2011, October 31). U.S. Department of Health and Human Services implementation guidance on data collection standards for race, ethnicity, sex, primary language, and disability status. Retrieved from https://aspe.hhs.gov/basic-report/hhs-implementation-guidance-data-collection-standards-race-ethnicity-sex-primary-language-and-disability-status
   Google Scholar
• U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning & Evaluation (2012, May 21). Guide to HHS surveys and data resources. Retrieved from https://aspe.hhs.gov/basic-report/guide-hhs-surveys-and-data-resources
   Google Scholar
• van Anders, S. M. (2015). Beyond sexual orientation: Integrating gender/sex and diverse sexualities via sexual configurations theory. Archives of Sexual Behavior, 44(5), 1177–1213. doi:10.1007/s10508-015-0490-8
   PubMed Web of Science ®Google Scholar
• Wohl, A. R., Johnson, D. F., Lu, S., Jordan, W., Beall, G., Currier, J., & Simon, P. A. (2002). HIV risk behaviors among African American men in Los Angeles County who self-identify as heterosexual. Journal of Acquired Immune Deficiency Syndromes, 31(3), 354–360. doi:10.1097/00126334-200211010-00013
   PubMed Web of Science ®Google Scholar
• Young, R. M., & Meyer, I. H. (2005). The trouble with “MSM” and “WSW”: Erasure of the sexual-minority person in public health discourse. American Journal of Public Health, 95(7), 1144–1149. doi:10.2105/AJPH.2004.046714
   PubMed Web of Science ®Google Scholar
• Zablotska, I. B., Holt, M., & Prestage, G. (2012). Changes in gay men’s participation in gay community life: Implications for HIV surveillance and research. AIDS and Behavior, 16(3), 669–675. doi:10.1007/s10461-011-9919-9
   PubMed Web of Science ®Google Scholar