This practice may inflate estimates of risk and substance use behaviors among some groups and erroneously weaken estimates among others. Sexual orientation disparities in longitudinal alcohol use patterns among adolescents. The authors wish to thank the anonymous reviewers for their helpful comments on a previous version of the article. Findings from a cognitive processing study with adolescents on health survey questions. More research is needed with more diverse populations, with a broader age range that includes both college students as well as those not attending college.
It is also important to describe methods used to code and analyze data, as well as the rationale for such decisions. It is also possible that such individuals are in an identity exploration stage and have not yet clearly committed to a particular sexual identity Cass, , A study of first-year college students. Health behaviors, health status, and access to and use of health care: Furthermore, the prevalence of sexual minorities has remained stable over time. Making sense of sexual orientation measures: Textbook of homosexuality and mental health. Although data collected in may represent a limitation, the challenges of measuring sexual identity remain highly relevant. The relevance of sexual orientation to substance abuse and psychological distress among college students. Where possible, sexual orientation groups should be considered separately in analyses. However, such studies will require much larger samples given that a seven-category measure would result in even smaller sample sizes for some of the subgroups. Discussion Findings from this study highlight some of the challenges faced by survey researchers in assessing sexual identity. The present study included a number of strengths, such as the probability-based simple random sample and randomized design. Sexual orientation identity formation: The authors would like to thank MSInteractive for assistance with data collection and Hannah d'Arcy and Brady West for their assistance with data analysis. We chose to focus on sexual identity in order to compare our results with other studies of college-age sexual minorities that have used three- and five-category measures. Sexual orientation disparities in purging and binge eating from early to late adolescence. Behavioral risk factors for disease and preventive health practices among lesbians. Journal of Substance Abuse Treatment. Prevalence of non-medical drug use and dependence among homosexually active men and women in the US population. The small cell sizes of some of the subgroups may have contributed to some of the statistically non-significant findings in the present study. However, subgroups of sexual minorities were small and therefore, substantially limited statistical power to detect differences that may have been apparent in larger samples. Although the overall proportion of undergraduate students categorized as a sexual minority did not statistically differ between the two measures in this study, we found some important differences in how sexual minority groups were classified. Future research is needed with measures of sexual identity not examined in the present study. Nevertheless, the possibility of under-reporting of both substance use and sexual minority identity cannot be ignored. However, in analyses using the three-category sexual identity format, men who identified as gay had significantly lower odds of binge drinking than heterosexual men but this was not the case in analyses using the five-category sexual identity measure. Gender, race and sexual identity.
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