Are lesbians really women who have sex with women (WSW)? methodological concerns in measuring sexual orientation in health research

Greta R. Bauer, Jennifer A. Jairam

Research output: Contribution to journalArticlepeer-review

64 Scopus citations

Abstract

Varying measures of sexual orientation are used in women's health research. As they incorporate different dimensions, definitions, and categorical groupings, the comparability of results obtained across studies using different measures remains unknown. We examined the comparability of results using data from the U.S. 2002 National Survey of Family Growth (n = 6, 356). Women were classified according to sexual orientation identity, sex of sex partners in the past year, and sex of sex partners over the lifetime. Associations with six health outcomes were compared across sexual orientation schemes. Associations differed in magnitude and statistical significance, even producing conflicting results. Our analyses resulted in a series of methodological recommendations for research on sexual minority women. Data on both behavioral and identity measures should be gathered in health research; identity groups should not be combined for analysis; and researchers should carefully consider which classification scheme(s) to use based on the theoretical basis for the study and the implications for informing interventions.

Original languageEnglish (US)
Pages (from-to)383-408
Number of pages26
JournalWomen and Health
Volume48
Issue number4
DOIs
StatePublished - Dec 26 2008
Externally publishedYes

Bibliographical note

Funding Information:
This work was funded by a faculty start-up grant from The University of Western Ontario.

Keywords

  • Bisexual
  • Heterosexual
  • Homosexual
  • Lesbian
  • Measurement
  • Methodology
  • Sexual orientation
  • Survey design

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