Abstract:
BACKGROUND:The Veterans Health Administration does not routinely collect and document sexual orientation and gender identity (SOGI) data, despite existing health disparities among sexual and gender minority Veterans. Because of the legacy of previous Department of Defense (DoD) policies that prohibited disclosure of sexual or gender minority identities among active duty personnel, Veterans may be reluctant to respond to SOGI questions. OBJECTIVES:This population-based study assesses item nonresponse to SOGI questions by Veteran status. RESEARCH DESIGN:This is a secondary analysis of data from a population-based sample of adults in 20 US states that elected to administer a SOGI module in the 2014 Behavioral Risk Factor Surveillance System survey. Prevalence of SOGI refusals and responses of "don't know" were compared for Veterans and non-Veterans. SUBJECTS:Veterans (n=22,587) and non-Veterans (n=146,475) were surveyed. RESULTS:Nearly all Veteran respondents (≥98%) completed the SOGI questions, with 95.4% identifying as heterosexual, 1.2% as gay or lesbian, 1.2% as bisexual, and 0.59% as transgender. A significantly lower proportion of Veterans than non-Veterans refuse to answer sexual orientation (1.5% vs. 1.9%). There was no difference between Veterans and non-Veterans in responses for gender identity. CONCLUSIONS:Veterans are just as likely as non-Veterans to complete SOGI items in survey research. Asking Veterans about SOGI is unlikely to yield significant nonresponse. These data suggest that future research should investigate Veterans' perspectives on being asked about SOGI in research settings and as part of routine clinical care.
journal_name
Med Carejournal_title
Medical careauthors
Ruben MA,Blosnich JR,Dichter ME,Luscri L,Shipherd JCdoi
10.1097/MLR.0000000000000744subject
Has Abstractpub_date
2017-09-01 00:00:00pages
S85-S89eissn
0025-7079issn
1537-1948pii
00005650-201709001-00015journal_volume
55 Suppl 9 Suppl 2pub_type
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