Bias From Potentially Mischievous Responders on Large-Scale Estimates of Lesbian, Gay, Bisexual, or Questioning (LGBQ)–Heterosexual Youth Health Disparities

Dados Bibliográficos

ID11038686
AutoresJoseph R Cimpian (0000-0001-6111-8895, Joseph R. Cimpian is with the Department of Applied Statistics, Social Science, and Humanities, New York University, New York, NY. Jennifer D. Timmer is with the Department of Educational Psychology, University of Illinois at Urbana-Champaign, Champaign. Michelle A. Birkett, Rachel L. Marro, Blair C. Turner, and Gregory L. Phillips II are with the Department of Medical Social Sciences, Northwestern University, Chicago, IL), Jennifer D Timmer (Joseph R. Cimpian is with the Department of Applied Statistics, Social Science, and Humanities, New York University, New York, NY. Jennifer D. Timmer is with the Department of Educational Psychology, University of Illinois at Urbana-Champaign, Champaign. Michelle A. Birkett, Rachel L. Marro, Blair C. Turner, and Gregory L. Phillips II are with the Department of Medical Social Sciences, Northwestern University, Chicago, IL), M Birkett (0000-0003-0960-6327, Northwestern University), Michelle A Birkett (Joseph R. Cimpian is with the Department of Applied Statistics, Social Science, and Humanities, New York University, New York, NY. Jennifer D. Timmer is with the Department of Educational Psychology, University of Illinois at Urbana-Champaign, Champaign. Michelle A. Birkett, Rachel L. Marro, Blair C. Turner, and Gregory L. Phillips II are with the Department of Medical Social Sciences, Northwestern University, Chicago, IL), Rachel Marro (Northwestern University), Rachel L Marro (Joseph R. Cimpian is with the Department of Applied Statistics, Social Science, and Humanities, New York University, New York, NY. Jennifer D. Timmer is with the Department of Educational Psychology, University of Illinois at Urbana-Champaign, Champaign. Michelle A. Birkett, Rachel L. Marro, Blair C. Turner, and Gregory L. Phillips II are with the Department of Medical Social Sciences, Northwestern University, Chicago, IL), Blair Turner (0000-0002-0517-2173, Northwestern University), Blair C Turner (Joseph R. Cimpian is with the Department of Applied Statistics, Social Science, and Humanities, New York University, New York, NY. Jennifer D. Timmer is with the Department of Educational Psychology, University of Illinois at Urbana-Champaign, Champaign. Michelle A. Birkett, Rachel L. Marro, Blair C. Turner, and Gregory L. Phillips II are with the Department of Medical Social Sciences, Northwestern University, Chicago, IL), G Phillips (0000-0001-8396-1170, Northwestern University), Gregory L Phillips (Joseph R. Cimpian is with the Department of Applied Statistics, Social Science, and Humanities, New York University, New York, NY. Jennifer D. Timmer is with the Department of Educational Psychology, University of Illinois at Urbana-Champaign, Champaign. Michelle A. Birkett, Rachel L. Marro, Blair C. Turner, and Gregory L. Phillips II are with the Department of Medical Social Sciences, Northwestern University, Chicago, IL)
Ano2018
Volume108
FascículoS4
PáginasS258-S265
Data de publicação2018-11-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2018.304407
PMID30383423
OpenAlexW2899316941
IdiomaEN
Citações recebidas25
Referências citadas28

Objectives. To determine how sensitive estimates of lesbian, gay, bisexual, or questioning (LGBQ)–heterosexual youth health disparities are to the presence of potentially mischievous responders. Methods. We used US data from the 2015 Youth Risk Behavior Survey, pooled across jurisdictions that included a question about sexual identity for a total sample of 148 960 students. We used boosted regressions (a machine-learning technique) to identify unusual patterns of responses to 7 screener items presumably unrelated to LGBQ identification, which generated an index of suspected mischievousness. We estimated LGBQ–heterosexual youth disparities on 20 health outcomes; then we removed 1% of suspected mischievous responders at a time and re-estimated disparities to assess the robustness of original estimates. Results. Accounting for suspected mischievousness reduced estimates of the average LGBQ–heterosexual youth health disparity by up to 46% for boys and 23% for girls; however, screening did not affect all outcomes equally. Drug- and alcohol-related disparities were most affected, particularly among boys, but bullying and suicidal ideation were unaffected. Conclusions. Including screener items in public health data sets and performing rigorous sensitivity analyses can support the validity of youth health estimates

Affect (linguistics) · Environmental health · Health equity · Heterosexism · Homosexuality · Human sexuality · Lesbian · Minority stress · Poison control · Public health · Sexual identity · Sexual minority · Sexual orientation · Suicide prevention · Transgender · Youth Risk Behavior Survey · Adolescent Sexual and Reproductive Health · Clinical Psychology · Gender Studies · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology