Operationalizing and analyzing 2-step gender identity questions: Methodological and ethical considerations.

ABSTRACT:

Objective

Two-step questions to assess gender identity are recommended for optimizing care delivery for gender-diverse individuals. As gender identity fields are increasingly integrated into electronic health records, guidance is needed on how to analyze these data. The goal of this study was to assess potential approaches for analyzing 2-step gender identity questions and the impact of each on suicidal ideation.

Materials and methods

A regional Youth Risk Behavior Survey in one Northeastern school district used a 2-step question to assess gender identity. Three gender measurement strategies (GMSs) were used to operationalize gender identity, (1) combining all gender-diverse youth (GDY) into one category, (2) grouping GDY based on sex assigned at birth, and (3) categorizing

SUBMITTER: Kidd KM 

PROVIDER: S-EPMC8757306 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature